Yes, purulent exudate. But can't figure out the "fibber" part. Thanks!
Posted By: MSmt on 2009-03-16
In Reply to: does this make sense? - Tli
Subject: Yes, purulent exudate. But can't figure out the "fibber" part. Thanks!
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How about purulent exudate? - nm
Subject: How about purulent exudate? - nm
Maybe afribinous exudate or a fibrinous exudate?
Subject: Maybe afribinous exudate or a fibrinous exudate?
nm
CT SCAN cannt figure out part of scan Pls see message
Reveals abnormal hypermetabolism in the lymph nodes in the neck, more right than left including ?factitious learning of the thyroid?, in the anterior mediastinum as well large expansile right rib lesion. Bone scan reveals uptake in the right lateral 7th and 8th ribs.
exudate?
Subject: exudate?
Could it be exudate?
exudate-nm
Subject: exudate-nm
x
definately not saying exudate.
Subject: definately not saying exudate.
Exudate of s/l patona
Subject: Exudate of s/l patona
The doctor dictates the following during a laparotomy:
We then explored the area of the pelvis and there was significant induration and phlegmonization of the sigmoid colon with adhesions of small bowel and exudative reaction with an exudate of s/l patona.
Thank you for your help.
H&E for hemorrhage or exudate? nm
Subject: H&E for hemorrhage or exudate? nm
try purulent
Subject: try purulent
x
may also be purulent...nm
Subject: may also be purulent...nm
x
purulent?
Subject: purulent?
purulent NM
Subject: purulent NM
nm
maybe purulent?
Subject: maybe purulent?
thrush? drainage? exudate? nm
Subject: thrush? drainage? exudate? nm
s
HELP!!! S/L "yellow SERBINOUS exudate..." NM
Subject: HELP!!! S/L "yellow SERBINOUS exudate..." NM
Suggestions?
maybe suppurative? or serous exudate?
Subject: maybe suppurative? or serous exudate?
xx
yellow fibrinous exudate
Subject: yellow fibrinous exudate
No exudate or mass? Just guessin.
Subject: No exudate or mass? Just guessin.
x
I prefer purulent. (sm)
Subject: I prefer purulent. (sm)
Surely that's the word the dictator was thinking of. ;oD
just a guess....maybe purulent?
Subject: just a guess....maybe purulent?
x
serosanguineous fluid and exudate? Sounds like something might
Subject: serosanguineous fluid and exudate? Sounds like something might
s
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
..
purulent? chronic allergic?
Subject: purulent? chronic allergic?
purulent allergic rhinitis?
Subject: purulent allergic rhinitis?
x
possibly purulent bile? nm
Subject: possibly purulent bile? nm
Yes, purulent is how we were told to type it at one of my jobs
Subject: Yes, purulent is how we were told to type it at one of my jobs
xx
I just could not hear purulent, suppurative, etc. I flagged it. Thx! nm
Subject: I just could not hear purulent, suppurative, etc. I flagged it. Thx! nm
..
I would have changed it to purulent sputum. (nmsg)
Subject: I would have changed it to purulent sputum. (nmsg)
xx
stab in the dark, purulent mastoiditis??...nm
Subject: stab in the dark, purulent mastoiditis??...nm
x
On 99th listen: "slight yellow exudate" at 100 slurred miles per sec!
Subject: On 99th listen: "slight yellow exudate" at 100 slurred miles per sec!
right...probably the infection that spread to the middle ear is bacterial, with purulent discharge,
Subject: right...probably the infection that spread to the middle ear is bacterial, with purulent discharge, hence, odoriferous
is that the clinical picture presented in the patient's case? Did the PE include such ear discharge and the Assessment include Otitis media?
Is there more of the sentence? The 'que' part might be part of a dosage like q.12, etc. nm
Subject: Is there more of the sentence? The 'que' part might be part of a dosage like q.12, etc. nm
s
2-part, 3-part, or 4-part possibly - nm
Subject: 2-part, 3-part, or 4-part possibly - nm
trying to figure it out. sorry nm
Subject: trying to figure it out. sorry nm
s
If you figure out what this is....
Subject: If you figure out what this is....
Please let me know. I've done a lot of duplex ultrasounds over the past 5-6 years but I am very "aural" when it comes to dictation - once I see "increment" and have that in my mind, I can't think of anything else.  Anyway, I would like to know what it is in case I run across it.
Thanks! 
Thanks for trying anyway. I did figure it out though.
Subject: Thanks for trying anyway. I did figure it out though.
I had to copy the entire document into a new document and save it as a new document.
I believe she's saying figure-of-four but .... sm
Subject: I believe she's saying figure-of-four but .... sm
not sure if it fits with context. Can someone help? Here's more:
S: Low back pain. No radiation to lower extremities. No foot drop.
O: SLRs are essentially negative. She has full range of motion with negative (figure-of-four). No tenderness noted to palpation of spine. There are palpable spasms on both the right and left low back region.
A: Musculoskeletal low back pain with spasm.
P: Treat with Skelaxin 800 mg, Lodine 400 mg. Pt could also take Vicodin.
No, sorry. Maybe QA can figure it out. sm
Subject: No, sorry. Maybe QA can figure it out. sm
I've spent too much time on it as it is. I'm overly tired and grumpy anyway from getting up to pee every hour for the last several nights from my own urinary issues. The NP said I'd have relief today. What an a**hole. I'm in so much pain. He insists it could not be a kidney stone yet I'm peeing massive amounts of blood and blood clots. I've had a hyster so I know it's not coming from there. I don't usually wish things on people but I'm so grumpy from lack of sleep and in so much pain right now, I hope he gets one this bad. Curses! 
Tried and tried, but cannot figure out what she's saying. Please help..sm
Subject: Tried and tried, but cannot figure out what she's saying. Please help..sm
A 77-year-old - history of diabetes mellitus and hypertension - in a wheelchair. No obvious distress when first presents.
While being x-rayed, she complained of weakness, dizziness and extreme nausea. She became somewhat s/l obtended and her blood pressure rose to 180/102.
Needed more urgent evaluation and was sent to the ER.
DX: DJD and sudden change in mental status with elevation of BP.
can't figure this out, but could doc be saying
Subject: can't figure this out, but could doc be saying
"notable" for something??
Nares: Mucoid drainage? Purulent drainage?
Subject: Nares: Mucoid drainage? Purulent drainage?
.
sorry, I will figure this out one of these days
Subject: sorry, I will figure this out one of these days
but the previous link works at least!
If anyone can figure this out I will be so grateful!
Subject: If anyone can figure this out I will be so grateful!
She says: Upper extremity, right, and rigidity with bright red ***ek-I-nas-ia**.
This is in PE, and she is usually quick with this section and doesn't explain much, so I have nothing else to go off of. This is a geriatric medicine note. Also, it's pretty much verbatim, so this is what is said.
Thanks!
Help trying to figure out this term..
Subject: Help trying to figure out this term..
Sounds like "tick del-a-ro?" Docs gives an "unsure" spelling of d-o-l-e-r-a-u. Is anyone familiar with this term? Thanks!!!!
I figure cc is used in a syringe sm
Subject: I figure cc is used in a syringe sm
and mL is liquid can be given through a syringe minus the needle orally. You will also see this on the measuring cup on top of cough medicine. cc and mL are measurements equal in quantity. 5 mL = 1 tsp or 5 cc = 1 tsp. I think the dangerous abbreviations are more for handwritten notes as opposed to transcription. JMO.
Need a "sounds like" to help figure it out. nm
Subject: Need a "sounds like" to help figure it out. nm
x
It is also hard to figure out ...
Subject: It is also hard to figure out ...
... because they put this patient on 1 baby aspirin a day, which I thought was to thin the blood. I actually ended up asking a doc at the hospital where I work, and he seemed to indicate that there wasn't really any "hypocoagulable workup" -- it was more like "bleeding studies." There is a "hypercoagulable workup" which is extensively discussed on the net, but this patient with the bleeding may be more a candidate for the bleeding studies. However, from what I have read on the net, the tests that are done for a "hypercoagulable workup" are the ones which are being ordered for this patient. Sigh. I'm going to change it to hypercoagulable, and mark it just in case. Thanks for your input.
Oh, gee, we can't extrapolate from that and figure
Subject: Oh, gee, we can't extrapolate from that and figure
There are typists and there are transcriptionists. Guess you're a typist.
Can anyone figure out what this doctor was saying sm?
Subject: Can anyone figure out what this doctor was saying sm?
I had this one time. It sounded just like this.
The patient has refreybrindriss
It is actually in the dictionary, go figure...
Subject: It is actually in the dictionary, go figure...
a·hold /əˈhoʊld/ Pronunciation Key - Show Spelled Pronunciation[uh-hohld] Pronunciation Key - Show IPA Pronunciation
–noun 1. Informal. a hold or grasp (often fol. by of): He took ahold of my arm. Grab ahold!
–adverb 2. Nautical Archaic. close to the wind and on a single tack: to keep a vessel ahold.
—Idiom3. get ahold of, Informal. hold (def. 51
Sjogren (wow twice in one day - go figure)
Subject: Sjogren (wow twice in one day - go figure)
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