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Unsure of words

Posted By: Cora on 2009-04-14
In Reply to:

Subject: Unsure of words

I need help on a couple of sentences.  Not sure if I am hearing correctly.


CT scan of the ________ revealed 2 small calcifications in the middle and lower poles of the right kidney measuring 3 mm with no hydrophrosis.  (The blank could be one or two words and it sounds like "other-in-pelva".  No idea where to begin looking.


Next one


On digital rectal exam, the prostate is "flat" without firmness nodularity.  Also sounds like "flask". 


 




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unsure of words
Subject: unsure of words

That's it thanks so much.
No links but the Stedman's GI & GU Words is great, and you'll need a Pathology/Lab Words book
Subject: No links but the Stedman's GI & GU Words is great, and you'll need a Pathology/Lab Words book or

s
onelook.com, Tessier's Surgical Words, and Sted's Ortho and Rehab Words. Great stuff! nm
,
Still unsure. Sent to QA:)
Subject: Still unsure. Sent to QA:)

I tried to fit something like vesicles or bubbles in, but it just didn't match what he said...oh well.
Unsure
Subject: Unsure

Patient is an 18-year-old gravida 1, para 0 who comes in for her first prenatal appointment. 


 


ASSESSMENT:  This is about a 27-week pregnancy with uncertain dating in a  _____ (s/l pri nep or pri mep??) with late prenatal care.


 



Unsure
Subject: Unsure

The fact that he has both retinopathy and nephropathy does bouge ill if he continues to have uncontrolled blood sugar readings.


ESL doctor, not sure what he's saying.  s/l bouge ill but that really doesn't make sense to me...lol


Unsure
Subject: Unsure

LOWER EXTREMITIES:  No edema.  No breakdown.  The right foot shows an irregularly cut great toenail, but no evidence of infection or tenderness.  He continues to have dependent  _______________ , more noticeable on the right foot.  Pulse is minimal, 0 to 1+.


 


Blank s/l roo-war


 


The patient is a diabetic.


Im just unsure. SBN, SDN ? nm
Subject: Im just unsure. SBN, SDN ? nm

?
Unsure of something
Subject: Unsure of something

An ABI was attempted but no pulse could be found around his “ankle.”


ABI means ankle-brachial index?  Another way of checking pulse?  Just need to understand what is being talked about.  Unsure 


Unsure
Subject: Unsure

Would it be possible to address with name, title?
so unsure
Subject: so unsure

It is so hard to say. He could be slurring the S in from diagnosis with ac contusion. He does not make sense with any of his sentences. For example exact words ?? contusion foot contusion shin. He ends with shin. I have no clue. I am new at this with a doc with marbles in his mouth and doesn't finish sentences correctly. It is going to be a long night. Three reports from the same doc. :-( Calgon take me away.
Please help, unsure of a sentence....sm
Subject: Please help, unsure of a sentence....sm

I am having a hard time understanding something a dictator is saying.  She is new to me.  Would you mind telling me which makes sense.  She is a bit quick and I am unsure.  I tried looking it up without any success.  The sentence is below.


has had years of varicose veins.  She has had stripping on the right side and also it appears sclerotic therapy or arteriosclerotic therapy ? s/l sclerotic therapy but not sure.   Thank you.


 


Really unsure of this word
Subject: Really unsure of this word

The patient was sent to the pain clinic because of cervical neuropathy turned to _____.


s/l rec-noid-itis


looks correct - unsure what the s/l is though nm
Subject: looks correct - unsure what the s/l is though nm


nothing about a scar, still unsure
Subject: nothing about a scar, still unsure


I would flag it if unsure.
Subject: I would flag it if unsure.


Try google when you are unsure of a term -sm
Subject: Try google when you are unsure of a term -sm

put in the word as best you can with part of the sentence and see what comes up. I do that when I am unsure of a term and can usually find what I am looking for that way, its a lot faster than posting here, and it teaches you how to reference.
I would think it is lytic then, but if unsure flag it
Subject: I would think it is lytic then, but if unsure flag it

It seems your patient either had a replacement or fracture earlier (is there arthritis in the hx?) I often hear lytic lesions or lytic lines in the areas you mention on patients with arthritis/oseoarthritis. Lysis is the process of destruction of something (in this case, bone), which seems to have been ruled out by these x-rays.
Guess I just won't expand it, still unsure....
Subject: Guess I just won't expand it, still unsure....

because too many times when he uses the term PFC there is no other indication of a joint replacement system having been done or anticipated, so I still have my doubts that that is really what he means by these initials.  Thanks for your help.
two thoughts; unsure how helpful, but,
Subject: two thoughts; unsure how helpful, but,

This is 1 of many definitions from an "URBAN" dictionary: MACK

mack is a flexible word as a verb; it can be used in pretty much any situation and its meaning will be understood.
Thus, in your case, maybe the dictator chose the word mack as slang for height?.....because 23.5 cm is equal to 9.25 inches. I used this as an example, as I believe you were referring to dietary in a Parkinson patient?....Wish I could assist more.
If unsure blank it and don't waste your
Subject: If unsure blank it and don't waste your

x
Then leave it blank if you are unsure.
Subject: Then leave it blank if you are unsure.

x
Unsure, but maybe you could compare this word with what you hear.
Subject: Unsure, but maybe you could compare this word with what you hear.

Not sure, but there is a pericentromeric marker....Maybe you could take a listen and compare it to this word - again, unsure, but maybe...
unsure of spelling cardio term
Subject: unsure of spelling cardio term

Mild s/l baling of the posterior leaflets.


Thank you Deborah


MR as in mitral regurgitation but unsure if there of 2 MRs in that sentence? nm
Subject: MR as in mitral regurgitation but unsure if there of 2 MRs in that sentence? nm

nm
Thanks. I was listening for him to say thecal, but he didn't, so I was unsure.
Subject: Thanks. I was listening for him to say thecal, but he didn't, so I was unsure.


I'm unsure. That was given in past history info and...
Subject: I'm unsure. That was given in past history info and...

patient is in for abdominal pain... hepatic flexure of colon suggesting intraluminal lipoma. I don't know if they are related or not. Also, am wondering if my s/l is an "uh" before "kine-o-chocal" cyst.
Unsure how to write this regarding laser surgery..sm
Subject: Unsure how to write this regarding laser surgery..sm

The patient said that the laser was utilized for 250 one seconds ? for a total of 43 cm from the top of her leg......


TIA


unsure how to spell cipher drug eluding stent
Subject: unsure how to spell cipher drug eluding stent

He had two-vessel CAD status post 3 x 33 mm cipher drug eluding stent  and a cipher 3 x 23 mm stent placement in the LAD.
can confirm Finkelstein and shuck tests - unsure about the rest NM
Subject: can confirm Finkelstein and shuck tests - unsure about the rest NM


Right. Just unsure as I've recently been asked to start using list.
Subject: Right. Just unsure as I've recently been asked to start using list.

nm
s/l neruo forminal is this correct ? Sorry started a new acct today and unsure if one word or two.
Subject: s/l neruo forminal is this correct ? Sorry started a new acct today and unsure if one word or two.

x


Don't be confused by dift opinions. Blank if unsure. However, docs dictate one-teens all the ti
Subject: Don't be confused by dift opinions. Blank if unsure. However, docs dictate one-teens all the time.


Def an 'N' dictated - Diabetes unsure of - no PMH dictated
Subject: Def an 'N' dictated - Diabetes unsure of - no PMH dictated


need help with 2 words please
Subject: need help with 2 words please

Hi, I'm a semi-new transcriptionist who has had no formal training, and I'm having some problems figuring out a couple spellings.  One is a medication called *Inderon* (not sure how to spell).  The other is a phrase that I'm not sure what exactly the doctor is saying.  It sounds like *bill-raw-2 anastomoses*  Thanks SO much for any help!!!
two words
Subject: two words

Inderon? How about Enduron.
A few words... need help!
Subject: A few words... need help!

This doctor is slurring bad so I don't even know if my examples will be accurate!! It sounds like she hasn't gone to med school OR general english and doesn't know how to pronounce words. Ugh.

- Glypenitin? Some kind of medication. Don't know what it is for as this patient has many diseases.
- Sounds like "see-ko" syndrome... I think. I can't understand her!! Fecal syndrome? LOL Maybe it's sickle syndrome.. I don't know.
- Sounds like "smith". As in positive ANA, positive SSA and SSB (I can't tell if it's SSA and SSB or just one or the other GRR!!!!), positive RNP, positive __________, positive rheumatoid factor.

I'm going to try to finish this report. Wish me luck. :/

For the fun of it!! Hydroclomibmwlap... I don't expect anyone to look THAT up. ;) That one deserves a big fat blank. Yes, that is the exact way she pronounced it.

Enavaprovolil was actually Enalapril. How horrible is that? LOL javascript:editor_insertHTML('text','');

Also, if anyone has a 2x4 so I can go beat this doctor senseless, I'd appreciate it. ;)

HELP w/words
Subject: HELP w/words

Scaling of the uterus is correct...Dead skin cells that they debride is what I was told in the past.


I believe it is: they ADD FLUID so it is: installation of the endometrial fluid following cannulization of the cervix.

It should be 2 words
Subject: It should be 2 words

You do something every day, which makes it an everyday occurrence. :D

Two words please...sm
Subject: Two words please...sm

Doing an appendectomy...


 


Dr. says Hemostasis was obtained with a s/l "bogey".  Then s/l "Scarpa fascia" was incised sharply.


Is this correct?  Been awhile since I have done this type of dictation.


Thanks in advance!!!!


words
Subject: words

s/l  Cervicogenic     cephalgia likely emanating from the


fred    occipital nerve.   (is cervicogenic a word?)


 


The patient will consider left    thoroccipital  blocks for work up for radiofrequency neurotomy.   (thoroccipital ?)


possible words
Subject: possible words

on the second word...possibly he is saying Achilles.

On the other word maybe he is saying epiphysis, which is the growth area near the end of a bone
Two words or one?
Subject: Two words or one?

Again, are you trying to figure out two words or one? Also should the sentence say, Fatigue of 4 or 5 months' duration and Fatigue as 4 or 5 months relation?
2 words please
Subject: 2 words please

He appears to have intact s/l 'subscapitear', what appears to be expanded into some of the infraspinatus, but there is some healed tendon in the back involving s/l 'terries'?(this one is mumbled bad) and the infraspinatus
May be, but he is not saying those words
Subject: May be, but he is not saying those words

just saying 3 and 1. He is very clear. I did leave it blank. Thanks again for trying.
help with 2 words...
Subject: help with 2 words...

There is also 6 mm x 3 mm S/L ovoid hypointense S/L bogus in the anterior knee joint inferior to the patella, possibly representing a small loose body.
Two words
Subject: Two words


Two words, followed up.
Subject: Two words, followed up.


No. Two words. nm
Subject: No. Two words. nm

.
help with words
Subject: help with words

is it serm amylase was normal at 64 or serum amylase?
help with words
Subject: help with words

HEENT:  The patient was dentrous otherwise normal.