Pt with AIDS under HEENT: enlarged tonsils. No evidence of "coplic" spots. nm
Posted By: tracy on 2008-08-08
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Subject: Pt with AIDS under HEENT: enlarged tonsils. No evidence of "coplic" spots. nm
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2+ tonsils, enlarged ? NM
Subject: 2+ tonsils, enlarged ? NM
spots
Subject: spots
café au lait
Harold spots???
Subject: Harold spots???
 In physical exam of trunk, "a few lesions characteristic of s/l Harold spots."
herald spots
Subject: herald spots
flashing spots?
Subject: flashing spots?
s/l ROTH HOUR TA SPOTS
Subject: s/l ROTH HOUR TA SPOTS
She had AV nicking on funduscopic exam, no hemorrhages or exudates or s/l Roth hour TA spots.
Later on in the report says...
She had no splinter hemorrhages or s/l J way nodes.
Thank you Deborah
Is this correct???? cafe ole spots
Subject: Is this correct???? cafe ole spots
nm
mottled - marked by spots or blotches
Subject: mottled - marked by spots or blotches
the way I remembered this when first starting was the 2 T's. Mottled - spotted If you can replace "spotted" in the sentence and it makes sense.
the other means form or replication
As per QA came back as "cotton wool spots", thanks anyway. NM
Subject: As per QA came back as "cotton wool spots", thanks anyway. NM
cerebellar tonsils
Subject: cerebellar tonsils
per Stedmans
there ARE many lobes to the tonsils....NM
Subject: there ARE many lobes to the tonsils....NM
.
Tonsils 2-3+ bilaterally
Subject: Tonsils 2-3+ bilaterally
The doctors tape is unclear and all I am catching is the word ULLS. The doctor is talking about this in the HEENT part of the report.
She says the ULLS are 2-3+ bilaterally and very ereythematous.
Do you think this might be - The tonsils are 2-3+ bilaterally and very erythematous.
Thanks.
s/l juicy tonsils? more
Subject: s/l juicy tonsils? more
It actually sounds very clear...
"Her tonsils are a little juicy, but not inflamed."
I've never heard of juicy tonsils, have you?
beefy red tonsils
Subject: beefy red tonsils
Can't help with your s/l, but think "overage" might be "adnexa enlarged." nm
Subject: Can't help with your s/l, but think "overage" might be "adnexa enlarged." nm
x
ENT ? holey cryptic tonsils??? nm
Subject: ENT ? holey cryptic tonsils??? nm
He has enlarged submaxillary and s/l min-ton-y-in lymphadenopathy.
Subject: He has enlarged submaxillary and s/l min-ton-y-in lymphadenopathy.
thanks!!!
This is correct means having tiny spots, points, or depressions..nm
Subject: This is correct means having tiny spots, points, or depressions..nm
No it wasn't. The only answer given was borderline enlarged, which is not quite right. sm
Subject: No it wasn't. The only answer given was borderline enlarged, which is not quite right. sm
generous equals large, not borderline enlarged.
Or even wholly encrypted tonsils, very hidden?? nm
Subject: Or even wholly encrypted tonsils, very hidden?? nm
s
Yep - crypts - deep pits in tonsils
Subject: Yep - crypts - deep pits in tonsils
Tonsillar crypts are deep recesses found on the surface of the tonsils. Chronic tonsillitis often results from the accumulation of partially digested food debris in the depths of these crypts. When the crypts are particularly deep, the debris may actually form concretions known as tonsilloliths. Chronic tonsil inflammation associated with such debris in the crypts in most cases can be successfully managed by relatively simple oral hygiene measures designed to mechanically cleanse or irrigate the tonsils. Scheduled and regular gargling with antiseptic rinses such as Cepacol or saline-soda solutions (1/4 tsp salt, 1/4 tsp baking soda in 6-8 oz water) are helpful in many. For more difficult cases, the use of a Water-Pik device with pulsating jets of solution directed at the tonsil crypts is advised. Antibiotics may be occasionally recommended for acute exacerbations associated with bacterial colonization of the crypts, however, antibiotics are often not particularly helpful. Ultimately, if these measures fail, and if the individual is sufficiently syptomatic, tonsil removal may be recommended.
tonsils have s/l 'poitive' exudate. It is not 'positive', I do know that. Thx nm
Subject: tonsils have s/l 'poitive' exudate. It is not 'positive', I do know that. Thx nm
..
Urinalysis shows a UTI? enlarged of blood? and
Subject: Urinalysis shows a UTI? enlarged of blood? and
protein of more than 300 mg per dl? (what is the proper way to write the mg per dl also please)
Thank you!
Pt has an enlarged heart,= cardiomegaly, sutures ????
Subject: Pt has an enlarged heart,= cardiomegaly, sutures ????
enlarged prostate med s/l turaseen--could it be tyrosine??
Subject: enlarged prostate med s/l turaseen--could it be tyrosine??
for AIDS
Subject: for AIDS
sounds like "Atovoquone" tx!
I've heard of tonsils w/erythema & cobblestoning
Subject: I've heard of tonsils w/erythema & cobblestoning
but have no idea what C&S could be other than CNS (central nervous system), culture and sensitivity, or maybe even "sinus". This is on a physical examination?
C-section: the incision was enlarged, and, using a s/l T-weavy, the vertex was
Subject: C-section: the incision was enlarged, and, using a s/l T-weavy, the vertex was
.
s/l *semi* enlarged cardiac silhouette. Can't find it! nm
Subject: s/l *semi* enlarged cardiac silhouette. Can't find it! nm
AIDS drug
Subject: AIDS drug
Atriplia.
AIDS medication
Subject: AIDS medication
 sounds like "Sintrisovere" - help!! Thanks!
aids medication
Subject: aids medication
sounds like "Fosconic 400 milligrams" Thanks!
During a tonsillectomy states tonsils removed using s/l a flat bovie?? Thanks
Subject: During a tonsillectomy states tonsils removed using s/l a flat bovie?? Thanks
I would think that the "semi" is just an adjective so I would type semi-enlarged cardiac silho
Subject: I would think that the "semi" is just an adjective so I would type semi-enlarged cardiac silhouette.
CD4 count for HIV patients and AIDS...
Subject: CD4 count for HIV patients and AIDS...
x
There is Epivir, but this is a drug used for AIDS or HIV
Subject: There is Epivir, but this is a drug used for AIDS or HIV
Don't know what diagnoses this patient has, most of the drugs that end in "ivir" are AIDS/HIV drug related medications. If the patient does not have this, that will eliminate a lot of looking.
history of AIDS CD 4 nader? sm
Subject: history of AIDS CD 4 nader? sm
What is the nader word? It was nader 107
Aids med - s/l Rynotaz or Rhinotabs?? Also -
Subject: Aids med - s/l Rynotaz or Rhinotabs?? Also -
OMG this lady is awful. The patient has AIDS. I looked at my aids meds reference at:
http://www.aidsmeds.com/list.shtml
Could not find it. S/L Rhinotabs, Rynataz? I have 2 more questions - I'll put them in another post.
Thanks! 
There is a Chauffard syndrome: polyarthritis, fever, splenomegaly, enlarged lymph nodes?
Subject: There is a Chauffard syndrome: polyarthritis, fever, splenomegaly, enlarged lymph nodes?
AIDS-related complex.....paresthesias
Subject: AIDS-related complex.....paresthesias
Dictated: 'Patient was in his usual state of good health until six weeks PTA when he developed progressive weakness and ??po-stay or pa-state?? paresthesias of the lower extremities.'
This is a patient with transfusion acquired AIDS-related complex. Doctor is Japanese.
Pneumocystis jiroveci pneumonia and HIV/AIDS
Subject: Pneumocystis jiroveci pneumonia and HIV/AIDS
Provir is anti-diarrheal for AIDs.
Subject: Provir is anti-diarrheal for AIDs.
.
Here is another place to look for AIDS/HIV Meds, see link inside.
Subject: Here is another place to look for AIDS/HIV Meds, see link inside.
http://www.aidsmeds.com/AlphaList.htm
s/l prees percussis, wears hearing aids.
Subject: s/l prees percussis, wears hearing aids.
Thanks so much :-)
Rule out meningitis versus AIDS ???encapali???
Subject: Rule out meningitis versus AIDS ???encapali???
pt. does not have HIV/AIDS, admitted with gen weakness, has hypertension, dementia with Parkinson&#
Subject: pt. does not have HIV/AIDS, admitted with gen weakness, has hypertension, dementia with Parkinson's
Pilex (ilex shrinks enlarged veins, controls bleeding and hastens the healing process in the anorect
Subject: Pilex (ilex shrinks enlarged veins, controls bleeding and hastens the healing process in the anorectal region)
Patient with AIDS, doctor spells two meds, Travata and Cysteva. sm
Subject: Patient with AIDS, doctor spells two meds, Travata and Cysteva. sm
I can't document either. Any help appreciated! TIA
No evidence of a DVT?
Subject: No evidence of a DVT?
Trying to find possible AIDS drug. S/l eltripla protease inhibitor. May be two separate drugs. (?)
Subject: Trying to find possible AIDS drug. S/l eltripla protease inhibitor. May be two separate drugs. (?)
nm
It's scintigraphic evidence of....
Subject: It's scintigraphic evidence of....
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