PMI=POINT OF MAXIMAL IMPULSE
Posted By: giddy pc guru on 2008-01-04
In Reply to: can someone tell me what I just typed..don't know what it means. heart exam. sm - minmin
Subject: PMI=POINT OF MAXIMAL IMPULSE
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PMI - Point of Maximal Impulse - SM
Subject: PMI - Point of Maximal Impulse - SM
5th InterCostal Space MidClavicular Line.
? impulse
Subject: ? impulse
I need help with a phrase.
The [atrial impulse ] is diffuse and indistinct. S1 and S2 are single and there is a loud summation gallop.
Is this atrial impulse? It sounds like [eighthcarimpulse].
that is maximal, not maximum, sorry!
Subject: that is maximal, not maximum, sorry!
Kocher's point is a common entry point for an intraventricular catheter to drain cerebral spinal
Subject: Kocher's point is a common entry point for an intraventricular catheter to drain cerebral spinal fluid from the cerebral ventricles.
Always typed end point. My Stedman's has end point.
Subject: Always typed end point. My Stedman's has end point.
that was my point :)
Subject: that was my point :)
x
EKG help - J Point
Subject: EKG help - J Point
Cardio doc dictates EKG as follows:
EKG demonstrates normal sinus rhythm at 61 beats per minute with normal axes, normal intervals, J point elevation 1 and 0; otherwise, no ischemic changes.
But just not sure on how to type the 1and 0 or if he is saying 0, but sounds for sure like 1. Anyone with any ideas. This is a new one on me? Any help appreciated!!!
Sometimes I think you can get to the point where
Subject: Sometimes I think you can get to the point where
Someone new at this might have to look-up a lot things. Sometimes you just get to the end of your rope with researching especially when the doc isn't sounding too clear or the word is slurred. We must support one another though not tear each other down. Why can't people just go by the old saying of "if you do not have something nice to say then do not say anything at all". To come off like a know it all proves what? Absolutely nothing in my opinion. Not everyone is up on everything. 
.062 (point 062)
Subject: .062 (point 062)
The point I believe is that there are
Subject: The point I believe is that there are
so many drugs that sound alike it is dangerous to guess at an allergy.
it's usually ten-point ROS
Subject: it's usually ten-point ROS
or 14-point, etc.
That's exactly the point...
Subject: That's exactly the point...
I like it here, it's you who don't like it here, with all your complaining and bashing and nagging etc........
I think you are not getting it, you are missing the whole point of this discussion.
What fragmented sentences? You don't know what you are talking about.
I think that's her point. It IS Homer. lol
Subject: I think that's her point. It IS Homer. lol
She's got a good sense of humor about herself. LOL
Great Point
Subject: Great Point
Very good point - never thought of it that way! Thank you so much and if the doctor asks why I expanded her abbreviation I will explain it exactly like that!
Thank you so much!
axial point, maybe
Subject: axial point, maybe
nm
Yes, I know. The point is, he didn't SAY that sm
Subject: Yes, I know. The point is, he didn't SAY that sm
Although he does mention "near the perforation" later in the report.
My point is, docs sometimes use the abbreviations they use in speaking in their reports as well. Most of the time I will type them out, but it bugs me either way - I like to type verbatim and not add anything the doc didn't say, but if he says it wrong, what are you going to do? (Except maybe leave him a message.)
Could someone point me in the right direction please?
Subject: Could someone point me in the right direction please?
11-year-old with neurofibromatosis, autism, and behavioral disorder. Doc states, "He is on a multiplicity of medications including lithium, S/L hel-a-trek-sone, Abilify, gabapentin, and Trileptal.
He very clearly states this drug just like the S/L above, but I am finding nothing of the sort. Thanks for looking!
so is an exclamation point...sm
Subject: so is an exclamation point...sm
WHO HAS THE PROBLEM AGAIN??
WHO HAS THE PROBLEM AGAIN??
WHO HAS THE PROBLEM AGAIN??
LOL LOL LOL LOL
SEE ME SHOUT, SEE ME DANCE.
SEE YOU FEEL humbled LOL
SO IS AN EXCLAMATION POINT LOL LOL LOL
Subject: SO IS AN EXCLAMATION POINT LOL LOL LOL
/
Sorry, static at that point, but SM
Subject: Sorry, static at that point, but SM
S/L
Less than rock
almost like left and right BUT exam is for left side probem.. This one might get a blank. Thanks
could it be Kocher point?
Subject: could it be Kocher point?
nm
There is Kocher's point. sm
Subject: There is Kocher's point. sm
The ventricular catheter and shunt valve were placed through a burr hole at Kocher's point, and the distal end of the catheter was placed in the superior ...
www.neurosurgery-online.com/pt/re/neurosurg/fulltext.00006123-200309000-00028.htm;jsessionid=GKwVBXTBQDzc... - Similar pages |
End point or endpoint?
Subject: End point or endpoint?
I have done ortho for many years and have always typed "endpoint" but I have noticed on some previous files typed by other MTs they use "end point." My stedman's ortho book lists it as "endpoint" (Lachman has a firm endpoint). Does anyone know which is preferred?
Two-point discrimination?
Subject: Two-point discrimination?
Two-point discrimination
Subject: Two-point discrimination
Two-point discrimination is a term used to describe our ability to discriminate (detect) touch from two different points, or sources, versus one point.
Good point!
Subject: Good point!
That is where I have it also, someone was kind enough at one point to tell me about it!
Subject: That is where I have it also, someone was kind enough at one point to tell me about it!
good point!
Subject: good point!
Sorry, she has thyroid nodules and the doctor sounds like she wants to test her for thyroid cancer.
Just wanted to point out that the
Subject: Just wanted to point out that the
actual instrument, the Hyfrecator, is capitalized. 
thank you, got me point in the right direction...sm
Subject: thank you, got me point in the right direction...sm
actually said s1 and s2 over all valve areas. THANK YOU again!
I clearly see your point Jenny.
Subject: I clearly see your point Jenny.
I think you missed the point.
Subject: I think you missed the point.
We all know what they mean. It's trying to decipher what the doc is saying when they barely open their mouths or are talking a mile a minute. When they say hyper___ or hypo____ and then never mention it again in the dictation, what to do? I think that's what she meant.
s/l 3-point pin headrest
Subject: s/l 3-point pin headrest
operation is laminoforaminotomy:
"in the supine position after the application of the ________ headrest." s/l 3-point pin????
You forgot to point out "alot" isn't, either, LOL. (nm)
Subject: You forgot to point out "alot" isn't, either, LOL. (nm)
(nm)
Thanks a million. Opinions at this point even help!
Subject: Thanks a million. Opinions at this point even help!
He probably means 133 (no point), but maybe flag it
Subject: He probably means 133 (no point), but maybe flag it
s
Nice point, but if they work in QA, hopefully they ARE...
Subject: Nice point, but if they work in QA, hopefully they ARE...
professionals.
Most are missing the point here. The poster...
Subject: Most are missing the point here. The poster...
KNOWS that it is 1 word. The question is regarding the O or the A connecting the 2 words.
Spelling is not a doc's strong point! :) nm
Subject: Spelling is not a doc's strong point! :) nm
s
Wikipedia may be a starting point, but
Subject: Wikipedia may be a starting point, but
It is written and edited by everyday folks and is not an authoritative source. Check legitimate medical dictionaries and you will find "cesarean section".
Nah, sorry I wasn't clear. Just trying to point it out so
Subject: Nah, sorry I wasn't clear. Just trying to point it out so
s
Neurosurgery, s/l Koper's point?
Subject: Neurosurgery, s/l Koper's point?
s
my Stedmans has BI-RADS...but I see your point...nm
Subject: my Stedmans has BI-RADS...but I see your point...nm
s/l case point adhesion?sm
Subject: s/l case point adhesion?sm
MD is performing a laparoscopic adhesiolysis. Dictates "no obvious s/l case point adhesion..."
Thanks!
you make a good point
Subject: you make a good point
strep throat has become a common phrase. it should truly be Streptococcal pharyngitis, but that's too far of a stretch from verbatim. so, i guess i have to take it back that i never type slang, because strep throat seems acceptable.
Five point one thousand.......there! So, I need to know how should I transcribe this? nm
Subject: Five point one thousand.......there! So, I need to know how should I transcribe this? nm
*
3-point could be correct - fixes the
Subject: 3-point could be correct - fixes the
head steady at 3 points.
? On trigger point injections
Subject: ? On trigger point injections
This is a trigger point injection into the quadrautus lumborum using 0.5 xylocaine and 0.25 cc s/l "alloquants". This is on a template that is already filled in for me but the word "alloquants" comes up as underlined in red and I cannot find any info online about what it should really be. Should I leave it in the template as-is? Or does someone know what it really should be?
Thanks!
Good starting point
Subject: Good starting point
I looked up aneurysm because it sounded so much like that but wanted to check with you all first. I think I will go from there. Once you have an idea and listen again, you can hear it better. Thanks.
Maybe I'm missing the point of your question, but
Subject: Maybe I'm missing the point of your question, but
Google lap band It has its own website.
According to the FDA it is Kittner. I basically go by them so I know who to point the finger at if
Subject: According to the FDA it is Kittner. I basically go by them so I know who to point the finger at if
QA ever wants to point the finger at me and tells me that I am wrong. LOL
Device Listing Database
Proprietary Device Name: X-RAY GAUZE: LAP SPONGES; SPECIALTY, CHERRY, KITTNER DISSECT
Common/Generic Device Name: X-RAY GAUZE: LAP SPONGES; SPECIALTY, CHERRY, KITTNER DISSECTOR, PEANUT DISSECTOR
Classification Name: GAUZE/SPONGE, INTERNAL, X-RAY DETECTABLE
Device Class: 1
Product Code: GDY
Regulation Number: 878.4450
Medical Specialty: General & Plastic Surgery
Owner/Operator: DUKAL CORP.
Owner/Operator Number: 9005925
Registered Establishment Name: DUKAL CORP.
Establishment Registration Number: 2435946
Date of Listing: 05/10/05
Listing Status: Active
Establishment Operations: Specification Developer
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