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Posted By: MQQA on 2009-02-21
In Reply to: Genus Varus - Am
Subject: See Inside
The term genu varus is not capitalized. It is the condition of being bow-legged, not a proper name.
The osteoporosis center at a nearby hospital is also not capitalized. It is not a proper noun. If the dictator said the Presbyterian Hospital Osteoporosis Center, that would be entirely capitalized as it is a proper noun.
Hope that makes sense. Any questions, please ask and I'll try to 'splain better :-)
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as part of the neurological exam, you have sensory testing and withdrawing to pain or (some kind of) stimuli would be correct. Not sure about the phraseology in your report, maybe 'withdrawal sensation' ??
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Subject: See Inside
I would type it as "1-year-5-month-old girl"
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That is probably mosaicism or punctation.
Changes Associated with High Grade SIL
- Blood Vessel changes (Coarse punctation or mosaicism)
- Abnormal blood vessels
- Erosions
- Dense Acetowhite staining of epithelium
Please see inside.
Subject: Please see inside.
On his hearing test, the patient could not hear frequencies at 1000-2000-4000 with his right ear at 40 decibels. He could not hear 1000 with his left ear at 40 decibels. However, during the whisper test, he was able to hear three items in each ear from at least 7 feet away.
I have no idea how to type the 1000 2000 4000. This is on a physical exam. Thanks for any help!!
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s/l 'tramcentel' metered dose inhaler 4 puffs b.i.d.
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that would be 8-French Judkins, left-4 coronary catheter.
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Prolapse is assessed as none, grade 1 (in vagina), grade 2 (to introitus), and grade 3 (outside vagina).
see inside....*S*
Subject: see inside....*S*
Subject: I would do it like this...
I would do it this way...
CLINICAL IMPRESSION:
1. Fever.
2. Bronchitis. Rule out a right pneumonia.
3. Chronic lymphocytic leukemia.
4. Atrial fibrillation. Rule out arrhythmia.
The reason I do it that way is because way before, we used to line Rule out under let's say Atrial fibrillation, yielding 2 lines. It used to be done that way back in the early 90s. Now it is not done that way. So, I give the impression which would be atrial fibrillation and begin a new sentence....because they have to rule out an arrhythmia. I don't think it is etched in stone, so either/or would be fine. *S*
You had to look inside
Subject: You had to look inside
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I have heard "estrogen receptor" and "progesterone receptor" positive in breast cancer, so think "estra septa" could be "estrogen receptor.
Not sure what "heptra" could be.
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Mohs surgery, named after surgeon Frederick Mohs who
developed the Mohs procedure...........
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PAST SURGICAL HISTORY: s/l-TAB or TAV x2.
Anyone now?
Thanks for the help!
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A plastic wound exposure fish was placed overlying the bowel to allow placement of the composite Gore-Tex and Prolene mesh patch and the mesh was secured. At the end, he said it again and it was clear that he was saying "wound fish", but for the life of me I can't find it said this way anywhere.
I can only think of 2, see inside.
Subject: I can only think of 2, see inside.
bradyarrhythmia (brady·ar·rhyth·mia) (brad”e-ə-rith´me-ə) [brady- + arrhythmia] any disturbance in the heart rhythm in which the heart rate is abnormally slowed, usually to less than 60 beats per minute in an adult.
Or tachybradyarrhythmia aka tachybrady syndrome.
BUS, see inside.
Subject: BUS, see inside.
BUS - Bartholin's, Urethral and Skene's glands.
Good site for abbv lookup:
http://www.pharma-lexicon.com/
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Surgical luminaire
Document: United States Patent 5709459
Abstract: A luminaire for use during a medical procedure utilizes a single optic fiber for providing a beam of light having an initial beam width and an initial beam energy. The width of the beam is adjustable without substantially decreasing the beam energy, and the beam of adjusted width can be directed onto a surgical field. A headband for mounting a luminaire is formed of a perspiration-absorbent cloth strip, has hook-and-clasp engagement, and includes a luminaire mount.
Doing basic research is very fulfilling.
Sorry - please see inside --
Subject: Sorry - please see inside --
..dyskeratosis in the form of CORE-ON, squarmous dysplasia...
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You need to learn to use Google: type what it sounds like to you in quotes on Google.
It is Indermil (Indermil Tissue Adhesive).
Learn to use Google and then you can be independent with your research!
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Truvada
Second word is most likely Sustiva. It is an HIV drug. Doctor's spelling...well, we know! 
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maybe conus and torus tubarius -- but look it up as i am not very recent on this part of anatomy.
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i believe it is:
'no cord or (blank?) or obstruction.
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"paring" of the wart, not sure about varisel - could be variceal - need the sentence please
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Probably nitroglycerin since patient has angina. Is there a new drug called Endura? Couldn't find that one. Anyway, could doc be say Lasik PCO?
I dont know about the 3rd drug.
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for ATMs could it be TMs? What part of the exam is he/she in?
Not sure about the "fell" culture, sorry
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Spurling's test Spine extended with head rotated to affected shoulder while axially loaded Cervical nerve root disorder
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You're awesome! I even looked under tests in Dorlands. Where did you find it?
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I would put 60s and 70s and calcium one every day, just the way it is dictated or one q.d.
see inside for some possible help....sm
Subject: see inside for some possible help....sm
."@#$#&*&(" : No recent skin rash. and then something else "@#$#$" : No anemia or lymph gland problems
--------------------------
DERMATOLOGIC: No recent skin rash.
HEMATOLOGIC/LYMPHATIC: No anemia or lymph gland problems.
Please see inside for s/l help
Subject: Please see inside for s/l help
She does note upon urination here that she has developed a thicker vaginal mucus; therefore, another indication that she is ovulating. She has never had middschmert’s pain. She denies any trauma to her abdomen. She denies any abnormal vaginal discharge or bleeding
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Yersinia enterocolitica is an important human pathogen that researchers increasingly recognize as a cause of various clinical syndromes
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can you give a s/l "sounds like". First may be contrast or intravenous contrast and second may air under the diaphragm.
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http://www.medgadget.com/archives/2005/04/insorb_resorbab.html
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Could he be saying "adult" ADHD or may be LLD for language and learning disabilities (LLT/ADHD)
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That's a tricky one. If it is initial dose it was probably over 15 minutes IV push. Then afterwards it would be every 15 minutes.
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can you hear "change in the breast or heterogeneous "tissue" or "density"?
could it be port or drain
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the in situ "valvulotomes" (maybe). "lysed valves" would be correct. Are you doing a bypass?
J&J see inside.
Subject: J&J see inside.
J&J short for Johnson and Johnson hip replacement parts, see
http://www.medibix.com/company.jsp?company_id=45049
DePuy is pronounced Da Pwee. Could that be your PFC sound-alike?
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Johnson and Johnson PFC hip components. Took me 30 seconds to find this on google under pfc hip components. hope it helps.
; Intermedics Orthopedics, Artificial hip component, K960258 109596 ... Johnson & Johnson, 22mm P.F.C. Bipolar Hip System, K945793 108620 Johnson & Johnson ...
www.fdainfo.com/statementhl.html - 104k - Cached - Similar pages
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the vacuum cup is lubricated with soap or sterile lubricant could they be saying Hibiclens soap? is vacuum strength plain?
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Could be VAT/SAT (visceral adipose fat and subcutaneous adipose tissue
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Here's some info on Raynaud's phenomenon. Not that I'm trying to diagnose you but it might be a thought. Does it just happen when you are typing? Might be cutting off circulation. Might try sitting on a cushion. Are you folding your leg up underneath while you type? My sister has a friend with this and it just sounded familiar.
http://healthlink.mcw.edu/article/926055412.html
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Subject: See inside
Thank you for the response. I am no familar with Raynauds phenomenon but I will certainly research it. I keep my foot flat on the floor. At the bottom of my desk is a beach towel that my dog lies on and sometimes I put my foot under that becuase it is so cold. The only time this seems to happen is when I am typing. Thanks again.
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Can you still palpate when you operate?
Could it be "no mass on palpation" or purulence?
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Triple phase bone scan includes: (1) rapid sequential imaging of vascular filling, (2) immediate static images of region blood volume and (3) bone scintigraphy. So if static is all you are hearing it may just be static scans.
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Can you hear drip. My brain's frozen but it should be something Marcaine...Cardizem..or Cordarone drip
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Might by out there but could they be starting to say spontaneous abortion and changing to D&C. spon..D&C
Thanks, Rad MT - look inside
Subject: Thanks, Rad MT - look inside
I'm just wanting to find the word "venial" in print to see if it does pertain to a vein. I find venial sin, etc., but cannot find a medical definition of the word spelled venial. Thanks again, Rad MT.
Yes ... please see inside
Subject: Yes ... please see inside
pro time
The expanded form, prothrombin time, is preferable, but if the short form is used it should be written as two words: pro time.
Copyright (c) 2002 American Association for Medical Transcription
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Return to clinic in 6 weeks with another flex-x of the c-spine.
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Abbreviations Defined
HAV-Ab = Hepatitis A Antibody
Anti-HBs = Hepatitis B surface antibody
HBsAg = Hepatitis B surface antigen
HBeAg = Hepatitis B e-antigen
Anti-HBe = Hepatitis B e-antibody
Anti-HBc = Anti-hepatitis B core antigen
HBV DNA = Hepatitis B Virus (test for virus genetic material)
Anti-HCV = Hepatitis C Antibody
HCV RNA = Hepatitis C Virus (test for virus genetic material)
HCV Viral Load = A detection and/or count of the amount of virus in the blood
HCV Genotype = Determines the type of Hepatitis C present (1 of 6 types)
http://www.labtestsonline.org/understanding/conditions2/hep_table.html
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Might bookmark this spot. Several clinical trial listed.
http://www.uhhospitals.org/tabid/1104/Default.aspx
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Local was infiltrated under the external oblique and then the external oblique was opened and the (cremasteric or loose areolar) fibers through the external ring.
2. This was brought to lie with the mesh overlying the pubic tubercle a good 2cm. This was anchored in the pubic tubercle with a (Novofil suture)
3. verbatim: The patient was placed in supine position on the operating table (in supine position) and given IV sedation. His groin was prepped with Betadine and (draped) with sterile towels and a transfer sheet.
4. (Interrupted sutures) were placed in the Scarpa's fascia and the skin was closed with staples.
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