bilateral inguinal hernia Q
Posted By: kjlange on 2007-10-15
In Reply to:
Subject: bilateral inguinal hernia Q
On physical exam--
Bilateral inguinal hernia is right graded and left - s/l plus 1 plus 1 is show benign. Help!
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he also has Bilateral inguinal hernia
Subject: he also has Bilateral inguinal hernia
Left inguinal hernia repair with Prolene hernia s/l "system large" patch.
Is that right? Typing on account that I am not usually on and not familair with this doctor? TIA
inguinal hernia
Subject: inguinal hernia
Doctor says, "Will refer to surgery s/l "all do last" inguinal hernia. This is under PLAN.
inguinal hernia
Subject: inguinal hernia
Has anyone ever heard of inguinal herniorrhaphy using the "pleasant fascia" technique?
inguinal hernia repair s/l Colomend mesh? thx
Subject: inguinal hernia repair s/l Colomend mesh? thx
xx
Clatworthy sutures inguinal hernia repair.
Subject: Clatworthy sutures inguinal hernia repair.
.
NEW to OP notes--inguinal hernia repair--4 questions
Subject: NEW to OP notes--inguinal hernia repair--4 questions
1. Local was infiltrated under the external oblique and then the external oblique was opened and the (?trex-i-vus?) 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 (?sounds like no no-ah-fill or Novafill?)
3. verbatim: The patient was placed in supine position on the operating table (?sounds like minute?) given IV sedation his groin was prepped with Betadine and (? sounds like eye-sid--doesn't sound like iced?) with sterile towels and a transfer sheet.
4. (?En-er-up-tids?) were placed in the Scarpa's fascia and the skin was closed with staples.
Thanks to those who helped me this morning!
..who did last inguinal hernia? Meaning the prior surgeon? nm
Subject: ..who did last inguinal hernia? Meaning the prior surgeon? nm
s
I don't think so. earler he says questionable inguinal hernia so it doesn't sound like he had
Subject: I don't think so. earler he says questionable inguinal hernia so it doesn't sound like he had surgery for it before
How about "defer to surgery what to do as to inguinal hernia" -- not best grammar, but fits.
Subject: How about "defer to surgery what to do as to inguinal hernia" -- not best grammar, but fits. nm
Is typing biapical ok or should I put bilateral apical as he does say bilateral towards the end of t
Subject: Is typing biapical ok or should I put bilateral apical as he does say bilateral towards the end of the dictation?
Incisional hernia hernia repar, s/l Pyriatec mesh? nm
Subject: Incisional hernia hernia repar, s/l Pyriatec mesh? nm
Thanks
Pt with bilateral breast reconstruction. She had bilateral
Subject: Pt with bilateral breast reconstruction. She had bilateral
s/l NoWet sponges in the area of both breasts. Ideas????
bilateral conjunctivae...example...bilateral knees..nm
Subject: bilateral conjunctivae...example...bilateral knees..nm
maybe inguinal - nm
Subject: maybe inguinal - nm
yes - inguinal
Subject: yes - inguinal
inguinal
inguinal approach
inguinal ligament
inguinal ligament syndrome
inguinal TEPP repair
low inguinal? nm
Subject: low inguinal? nm
can you hear inguinal??nm
Subject: can you hear inguinal??nm
//
inguinal sprain?
Subject: inguinal sprain?
patient has a hx of a right inguinal sprain
He was given a soft-tissue injection. He went to orthopedics and is in a wheelchair now.
Inguinal floor???
Subject: Inguinal floor???
Looking for a word to go with this. The sentence is ...Previous surgeries include a hydrocele repair, left inguinal hernia repair then s/l next floor... to a laparotomy. Any suggestions?
no inguinal bruits maybe
Subject: no inguinal bruits maybe
There is no CEFFAGLORY inguinal adenopathy.
Subject: There is no CEFFAGLORY inguinal adenopathy.
. .
probably no cervical or inguinal adenopathy...NM
Subject: probably no cervical or inguinal adenopathy...NM
d
could the word engloid be inguinal?
Subject: could the word engloid be inguinal?
intact inguinal floor and canal - maybe?
Subject: intact inguinal floor and canal - maybe?
So I got- inguinal ?? truss biopsy. Still missing the s/l ...
Subject: So I got- inguinal ?? truss biopsy. Still missing the s/l ...
Could it be inguinal hemroid truss biopsy?
inguinal cystocele..possible complication is loss of testicular s/l par-an-ca-ma. nm
Subject: inguinal cystocele..possible complication is loss of testicular s/l par-an-ca-ma. nm
d
Bilateral? TAH, BSO.
zz
I would think that because it is bilateral--sm
Subject: I would think that because it is bilateral--sm
to me...it would sound better if it was *there ARE cerumen impactions bilaterally which are removed.* Since bilateral already denotes plural, I, personally would use the plural form. JMO.
bilateral?
Subject: bilateral?
xxx
bilateral?
Subject: bilateral?
No, definitely not saying bilateral. Thanks!
Subject: No, definitely not saying bilateral. Thanks!
i mean, if bilateral is before is it singular and sm
Subject: i mean, if bilateral is before is it singular and sm
how do you hand bilaterally. I am very confused on the singular and plural regarding these because doctors say it both ways.
For example, examination of the hip, knee, and ankle is normal bilaterally...singular.
So, is it always singular when you use these words? or an equivalent (left and right lower extremity or extremities, etc)
I have been doing this for 3 months but this seems to keep coming up and i am hearing it dictated both ways. Thanks ahead of time for any help :)
bilateral s/l orkasinilis.sm
Subject: bilateral s/l orkasinilis.sm
HEENT: Extraocular movements intact. He has bilateral s/l orkasinilis. Pupils are mid and reactive to light stimulus.
bilateral hallucis.
Subject: bilateral hallucis.
x
equilateral? bilateral? nm
Subject: equilateral? bilateral? nm
s
bilateral s/l qua toes? TIA.nm
Subject: bilateral s/l qua toes? TIA.nm
xx
Bilateral mastectomy
Subject: Bilateral mastectomy
bilateral mastectomy
Subject: bilateral mastectomy
Bilateral mastectomy
Subject: Bilateral mastectomy
Only one mastectomy is being performed each on the right and left side. The same thing for bilateral tubal ligation, you would not put bilateral tubal ligations. If a person had four breasts and two were being removed from each side, then it would be bilateral mastectomies!
bilateral eyes
Subject: bilateral eyes
Okay, doc keeps correcting me when I correct his dictation, stating bilateral knees, bilateral breasts, etc. to bilateral knee, bilateral breast - am I wrong? It seems redundant his way. He said today bilateral eyes but it seems to type bilateral eye is just weird. Would you type just eyes or bilateral eye or bilateral eyes? Thanks,
maybe bilateral edema? n/m
Subject: maybe bilateral edema? n/m
bilateral foot?
Subject: bilateral foot?
or bilateral feet?
bilateral feet
Subject: bilateral feet
decreased skin turgor of bilateral feet
cold skin temperature on bilateral feet
bilateral hips DDH
Subject: bilateral hips DDH
please help: We found s/l soaked-bedded over the spica with urine matter...pls ASAP
are you sure it isn't just "BSO" (bilateral
Subject: are you sure it isn't just "BSO" (bilateral
salpingo-oophorectomy) ??
hernia again
Subject: hernia again
s/l max meshes
TIA
hernia?
Subject: hernia?
pt has a paraumbilical ventral hernia.
It is chronically incarcerated most likely with s/l ohmistal of fat. or maybe old mistal
use of bilateral with pleural forms
Subject: use of bilateral with pleural forms
That's always ben a puzzle to me too, but I think that either way might be acceptable. The qualifying adjective (bilateral) suggests an "augmentation" was performed on both sides, and more often than not, MDs will dictate singular nouns following bilateral. Sometimes, though, if it sounds strange, I will use the pleural, i.e., one of my docs says "bilateral lower extremity" which I change to extremities. Would be interested in further input or if AAMT has a directive on this.
for example, doc dictated bilateral tibea and sm
Subject: for example, doc dictated bilateral tibea and sm
i have heard "cornea and iris of both eyes" instead of corneas and irises of both eyes. I am just looking for some kind of general rule to know what to do because i find that the doctors now even less about grammar than i do LOL i am unsure if a doctor is talking about something plural like both eyes or both extremities of bilateral if what you are talking about should be made plural or singular. Does that make sense? I am sorry....complicated question.
Should it be...distal comma bilateral or distal no comma bilateral? nm
nm
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