PUNCTUATION - DERM - ADJECTIVES

These derm guys and their adjectives are putting me right over the top!!!  Comma or no comma???

Physical examination reveals relatively severe diffuse facial dermatoheliosis

relatively severe, diffuse or relatively severe diffuse

• PUNCTUATION - DERM - ADJECTIVES - ELIZABETH
  • relatively severe, diffuse.... - aa
  • First, please stop shouting (all caps). SM - Trying to help

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It is an assessment - eczema s/l craculae or crackle-a.  TIA!!

Under Review of Systems, it sounds like the doctors says "Derm no complaints, Hem no complaints." I've never heard this dictated in the Review of Systems before.

How would you punctuate this?  Comma after esotropia? or more? ...........

Bob is a young boy who had an esotropia status post sixth nerve palsy secondary to hydrocephalus.

Have a question when typing 7 cm. Should there be a hyphen between 7 and cm or not have one. In the Book of style it shows it both ways.

Just wondering.

Thanks Carla

Thanks so much for the information. I can never remember when it comes to that. I will, hopefully, remember this time.

Carla

He has an eight-to-nine-year history of headaches.

Wondering about the "eight-to-nine-year history" part.

Thanks  

She had a right frontal temporal parietal craniotomy for evacuation. 

do I need commas after frontal, temporal?  ty so much!!

At that juncture, she would, despite her young age, be a candidate for supportive care only.

Need help with words in bold.  Thank you.

SKIN:  Lots of seborrheic keratoses.  He does have an elevated 9 mm papule on left side of the face, which has some vascularization and central core.  It almost looks like acanthokeratosis, but basal cell carcinoma cannot be fully ruled out.  No other suspicious lesions.  He does have some miliary rubra on the back. 

I have 2 dermatology - I am usually not a derm girl, so any help is MUCH appreciated.

Assessment:  Nevus s/l: roo-let-ee s/l: tip-e-er midabdomen.  (Nevus ruletti tipiar midabdomen)?? AND:

s/l: Dermatified (or dromatified) broma right shin.  She uses this phrase in a previous sentence:

On his right shin he has superficial change that appears like a dermatified broma; however, it is not as nodular beneath the shin, but it is definitely excoriated or irritated on the surface. 

I just cannot find any info on these two - sorry this is so long.  I am covering for someone and would prefer not to send to the editor!!  TIA

nevus, rule out atypia, midabdomen

dermatofibroma

http://dermatlas.med.jhmi.edu/derm/search.cfm

http://www.dermsmart.com/encyclopedia/skin_encyclopedia.htm

I am in the derm part of the exam:

DERM: The patient with some darkened discoloration with some evidence of s/l Likif_____cation on the lateral aspect of the right leg. (the patient says that he has had experienced pruritus and has scratched that area vigorously.

Thanks

http://dermis.multimedica.de/dermisroot/en/home/index.htm

http://dermis.multimedica.de/dermisroot/en/home/index.htm

http://mtdesk.com/word-lists/dermatology-terms.php

Blood sugar reading minus 120 divided by 40 which yields the units for coverage.

Do I need to add commas, etc.?  Thanks!

Doppler reveals normal E prime A prime on tissue Doppler no aortic valve or mitral gradient is noted.

Do I put a period after A prime or Doppler, I am confused.

Thank you

Here is my sentence as dictated-

Study showed "fluid collection in the upper anterior midline abdominal wall was again noted with a similar appearance" (much thought was given to blah, blah, blah). 

Do I have the second quotation marks in the right spot or should they go at the very end after the end parenthesis and period? 

Thanks for any help you can give!

I have heard different things on this issue...

Does punctuation, whether it be periods or commas or whatever, always go inside parenthesis or not?  BOS shows they don't, but I've also heard that punctuation always go inside the end parenthesis. 

These two are confusing me!  Are these punctuated correctly??

The report then states correlate clinically for paroxysmal atrial fibrillation, as her diary entry showed sinus rhythm, with questionable episodes of atrial fibrillation.

It did reveal sinus rhythm, sinus tachycardia; suggested clinical correlation for atrial fibrillation, as some of her symptoms occurred with sinus rhythm, with a questionable atrial fibrillation.

Thanks!!!

"At that juncture she would despite her young age be a candidate for supportive care only."

How should this be punctuated? Help. 

Doc dictates- Total time with the patient was 60 minutes and of that, 40 minutes was dedicated to the direct discussion and consultation of the logistics, risks and benefits, and rationale for radiation therapy.

Was or were 40 minutes?  Should it be punctuated with a semicolon?

Total time with the patient was 60 minutes; of that, 40 minutes were dedicated.....

thanks

The patient has been doing well in rehab except for some s/l mild derm and hypotension.

TIA!

Is alphabetized etc.

http://dermatlas.med.jhmi.edu/derm/cd_lists.cfm

since telantiectasia is one of the symptoms/signs of rosacea I believe these sites are okay and reliable. See below. Sort of like saying papulo-pustular, which in the old days when I typed derm was always hyphenated etc. Just new derm-speak I believe