Third-spacing is correct. Refers to fluid shift
Posted By: Elderberry on 2008-02-19
In Reply to: patient with ovarian cancer sm - mandiemt
Subject: Third-spacing is correct. Refers to fluid shift
to interstitial space.
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third spacing? sm
Subject: third spacing? sm
experiencing third-spacing, a shifting of fluid into interstitial spaces
third spacing
loss of extracellular fluid from the vascular to other body compartments.
You install drywall, not fluid. Fluid is instilled. nm
Subject: You install drywall, not fluid. Fluid is instilled. nm
nm
aqueous fluid . Fluid gets blocked with glaucoma. nm
Subject: aqueous fluid . Fluid gets blocked with glaucoma. nm
AAMT second edition/spacing
Does anyone what the AAMT second edition says about character spacing? Specifically, is the standard now two spaces after a period? Thanks
Question to QA about spacing in reports
Subject: Question to QA about spacing in reports
Have to change from 2 spaces after a period to 1 space. If you have only one space after periods in sentences, is it okay to leave 2 spaces after colons? The reason I ask is that some of my expanders have a lot of expansions (like Neck: Supple) that have 2 spaces after the colon and need to know if I have to change them all or can I leave them be?
Any advice is much appreciated! 
AAMTs answer to spacing question:
Subject: AAMTs answer to spacing question:
AAMT BOS 2005 second edition, page 66-67 says:
"When using a proportional-spaced font it is customary to mark the end of a sentence with a single space; however, double-spacing is still widely used, especially with non-proportional fonts, such as Courier. The choice is usually determined by departmental or company policy.
Use either a single character space or two spaces (but be consistent in your usage) after
- the end of a sentence, whether it ends in a period, question m ark, exclamation point, quotation mark, parenthesis, bracket, or brace
- a colon used as a punctuation mark within a sentence
Use a single character space after
- each word or symbol (unless the next character is a punctuation mark)
- a comma
- a semicolon
- a period at the end of an abbreviation
Hope that helps answer your question 
Me neither, just hit the shift-key ???
Subject: Me neither, just hit the shift-key ???
q.shift
Subject: q.shift
the doc says fetal heart checks q.shift. can we put q.shift or is it something else.
q.shift
Subject: q.shift
well the specifics don't actually mention about this, but i wanted to know whether there is something as q.shift
q.shift
Subject: q.shift
i mean whether in this sentence q.shift is valid of not
q.shift
Subject: q.shift
tx nm that helps
QE&A - anyone know what this refers to?
Subject: QE&A - anyone know what this refers to?
I know the phrase is what is dictated because I sent to QA the first time I heard it. I have a doc who says it infrequently. I can't document it and am just curious.
THANKS!
just left shift key does it for me
Subject: just left shift key does it for me
I got this from the Shorthand people. Evidently, this is a common thing.
MLS=midline shift? sm
Subject: MLS=midline shift? sm
another wild guess here, but perhaps on the CT scan they can see a posterior MLS (midline shift)...caused by the hemorrhage...and now showing up as a hematoma or contusion within the midline shift???
shift and maintain
Subject: shift and maintain
"a test requiring her to shift and maintain a new set requiring her to inhibit previous learned response."
what is shift n maintain?
Yep, Ctrl+shift+N
Subject: Yep, Ctrl+shift+N
/
0.2 to 0.22 (think it refers to seconds)
Subject: 0.2 to 0.22 (think it refers to seconds)
Dr. doing laminectomy and refers to
Subject: Dr. doing laminectomy and refers to
xxxx
Ctrl+Shift+8 took care of it. Thanks anyway!!
Subject: Ctrl+Shift+8 took care of it. Thanks anyway!!
nm
nephritis refers to the kidneys
Subject: nephritis refers to the kidneys
so not sure.
Dr. doing cervical laminectomy and refers to SM
Subject: Dr. doing cervical laminectomy and refers to SM
s/l Kafnicks tubercle. I cannot find this and I have looked under several spellings.
Thank you.
Could be, heme just refers to blood. NM
Subject: Could be, heme just refers to blood. NM
x
Maybe just refers to putting mesh
Subject: Maybe just refers to putting mesh
at the 12 o'clock, 3 o'clock, etc. positions? Weird. Never heard that one before.
Believe it would be tenting. Tinting refers
Subject: Believe it would be tenting. Tinting refers
to color changes, tenting is referring to "poking up or out" of the skin.
If you use Shorthand, try hitting Ctrl, then ALT, then Shift. NM
Subject: If you use Shorthand, try hitting Ctrl, then ALT, then Shift. NM
x
Lachman, pivot shift and * manuever
Subject: Lachman, pivot shift and * manuever
Left knee problems. Lachman, pivot shift and s/l seg maneuvers are negative. Thank you
yes - it just means "every" shift, so it does make
Subject: yes - it just means "every" shift, so it does make
sense - it is a term that is used.
but encephalopathic refers to the brain, not knee???? nm
Subject: but encephalopathic refers to the brain, not knee???? nm
Probably refers to staples--white load, maybe? nm
Subject: Probably refers to staples--white load, maybe? nm
x
When transcribing "Sister so-and-so, when dictator refers
Subject: When transcribing "Sister so-and-so, when dictator refers
to patient as "sister" throughout report, is "sister" capitalized or not? Neither way looks correct to me.
it is adverse lie. refers to how the testicles lay in the scrotum.
Subject: it is adverse lie. refers to how the testicles lay in the scrotum.
nm
pepto refers to stomach so peptoesophageal
Subject: pepto refers to stomach so peptoesophageal
is same as gastroesophageal. There is cecectomy for exicision of cecum.
Break the word down - osteo refers to
Subject: Break the word down - osteo refers to
bone and condyle is a part of the bone as per femoral condyle, lateral condyle etc. so yes it is a word.
Maybe sibilant -- Somnolent refers to awareness/
Subject: Maybe sibilant -- Somnolent refers to awareness/
neurologic state of a patient.
ray refers to the digits...toes, fingers, etc..not patellae..sm
Subject: ray refers to the digits...toes, fingers, etc..not patellae..sm
does not make any sense.
a or an refers to the SOUND of the word, not necessarily a vowel
Subject: a or an refers to the SOUND of the word, not necessarily a vowel
therefore YURanalysis sounds like it has a consonant and so A is used. With MI and MRI, it sounds like EM-I or EM-R-I. It sounds like a vowel and so AN is used.
on a quick search, it seems Atar refers to a drug RX
Subject: on a quick search, it seems Atar refers to a drug RX
can't be certain, but that does fit the context of the sentence. "if the patient doesn't have *a prescription drug supplement coverage plan*"
capitalization question - if refers to a heading in the note, do I cap
Subject: capitalization question - if refers to a heading in the note, do I cap
In the dictation, MD says (in ROS) "...please see history of present illness." Do I type "...please see History of Present Ilness" or no caps?
Dont know, but "sharp" usually refers to optic disc
Subject: Dont know, but "sharp" usually refers to optic disc
nm
"Ctrl, ALT, Shift" worked to switch CAPS lock OFF
Subject: "Ctrl, ALT, Shift" worked to switch CAPS lock OFF
THANK YOU.
"Ctrl, ALT, Shift" worked to switch CAPS lock OFF
Jonathan
Cute! Glad you had a good laugh to break up your shift! :) nm
Subject: Cute! Glad you had a good laugh to break up your shift! :) nm
s
In Word, press Ctrl + Shift + ; then the letter you want to get umlaut
Subject: In Word, press Ctrl + Shift + ; then the letter you want to get umlaut
You can make it an AutoCorrect entry if this is something you often do.
apoptotic ? refers to cellular changes which may result in a gait disturbance. nm
Subject: apoptotic ? refers to cellular changes which may result in a gait disturbance. nm
nm
Yes, it's a constantly running feeding and the tubing gets flushed with a syringe once a shift. n
Subject: Yes, it's a constantly running feeding and the tubing gets flushed with a syringe once a shift. nm
s
may be referring to crepitations with lateral pivot shift of the knee. If you clearly hear it,
Subject: may be referring to crepitations with lateral pivot shift of the knee. If you clearly hear it,
x
And by the way, PLEURAL refers to thelining of the lungs, PLURAL means ore than one. have not heard
Subject: And by the way, PLEURAL refers to thelining of the lungs, PLURAL means ore than one. have not heard of pleural effusion, etc????
nm
I've heard the term nighthawk, person who works night shift.
Subject: I've heard the term nighthawk, person who works night shift.
fluid
Subject: fluid
cloudy
IV fluid/ESL/help
Subject: IV fluid/ESL/help
The patient has tube feeds, uti acute gastric tract, & dehydration. She was continued on IV fluids. Doctor says the IV fluids are called~~~S/L cit-twin-flagyn??
IV fluid help.
Subject: IV fluid help.
This patient is elderly and has stopped eating for a couple of days. Doctor says what s/l "will give him IV fluid, normal saline with 10 of K at 100 an hour over the next 24 hours." (Assume K is potassium?)Does this sound correct? I'm not too familiar with this kind of stuff. Thanks.
62 cc of fluid
Subject: 62 cc of fluid
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