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but encephalopathic refers to the brain, not knee???? nm

Posted By: Smiley on 2006-01-11
In Reply to: ENCEPHALOPATHIC.... - MT for 27 years.......

Subject: but encephalopathic refers to the brain, not knee???? nm




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I was laughing at the brain being in the knee (encephalopathic) lol ;-) nm
Subject: I was laughing at the brain being in the knee (encephalopathic) lol ;-) nm


ENCEPHALOPATHIC....
Subject: ENCEPHALOPATHIC....

x
The knee is pain significant because she had a total knee replacement. Make sense? nm
Subject: The knee is pain significant because she had a total knee replacement. Make sense? nm

,,
X-ray of the knee shows arthritic change within the knee, but maintained s/l tibiofemoral stasis.
Subject: X-ray of the knee shows arthritic change within the knee, but maintained s/l tibiofemoral stasis.

Thanks :-)
Starting off great today...Rheo Knee prosthetic knee???
Subject: Starting off great today...Rheo Knee prosthetic knee???


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!


Knee x-ray: s/l RATTY knee joint erosions? NM
Subject: Knee x-ray: s/l RATTY knee joint erosions? NM


MRI of knee. Semimembranosus s/l pes-dens-a-ri-nus region of the knee.
Subject: MRI of knee. Semimembranosus s/l pes-dens-a-ri-nus region of the knee.

:-)
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
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.
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?


 


 


Third-spacing is correct. Refers to fluid shift
Subject: Third-spacing is correct. Refers to fluid shift

to interstitial space.
Dont know, but "sharp" usually refers to optic disc
Subject: Dont know, but "sharp" usually refers to optic disc

nm
S/P left total knee reconstruction. On exam, has a palpable s/l clod defect on the left knee.
Subject: S/P left total knee reconstruction. On exam, has a palpable s/l clod defect on the left knee.

:-)
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
brain freeze. Is it mass effect or mass affect (CT of brain) THANKS
Subject: brain freeze. Is it mass effect or mass affect (CT of brain) THANKS


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
knee sleeve? Neoprene knee sleeve?
Subject: knee sleeve? Neoprene knee sleeve?


brain
Subject: brain

Penfield.
On MRI of the brain sm
Subject: On MRI of the brain sm

A small amount of extra-axial perifaliceal hemorrhage cannot be excluded. 


My brain isn't working today.  there was a fluid collection in the falx.  maybe he means parafalcine?  Thanks


 


 


brain CT
Subject: brain CT

my docs say ventricles, sulci, and cisterns... could that be it?
help me with my brain please
Subject: help me with my brain please

Patient had MRI of the brain with enhancement in the corpus callosum, the septum, and thalindum or the lindum.  I can't figure this one out, help please?
yes it is in the brain
Subject: yes it is in the brain

TIA you are greatly appreciated. 
brain
Subject: brain

nm
CT Brain.....
Subject: CT Brain.....

now hearing as 5-mm thick and coronal images were obtained...
mid brain
Subject: mid brain


Yes, that's what she's saying..I need a new brain. Thank you.
Subject: Yes, that's what she's saying..I need a new brain. Thank you.


brain parenchyma
Subject: brain parenchyma


Having a brain fart. Please help. sm
Subject: Having a brain fart. Please help. sm

Patient with a history of recurrent pregnancy loss and s/l heterodexity for the MTHFR mutation  Thanks.


brain terminology?
Subject: brain terminology?

Typing exam of brain and radiologists dictates what sounds like perianal craniectomy defect. At least is sounds like perianal!  HELP, please.
Thanks . . . that is how my brain told me
Subject: Thanks . . . that is how my brain told me

But my Stedman's disagreed (LOL) . . . intertrigonal is what netscape said "did you mean . . ." when I googled, and I actually went with intertriginous, which is what came up in the archives here when I asked the question, and Stedman's liked that too (although the PA did say "al" v. "ous".
Brain fart = help lol
Subject: Brain fart = help lol

hello i just can NOT get this word and i feel retarded like i'm having the biggest brain fart. Any help would be appreciated thanks!


Lower extremity duplex scan notes a right posterior tibial (increments) ? and then right away again with "dorsalis pedis increments" and again with left _____


Thanks!


that is it. thanks so much..should have known...brain block
Subject: that is it. thanks so much..should have known...brain block

thanks
Thank you both..I am brain dead over here...
Subject: Thank you both..I am brain dead over here...

I just realized how stupid my question was. Please excuse me but I am really exhausted today and basically missed the boat on that one.

Thank you both.
Thank you. I should have known this one. Brain lock! -nm-
Subject: Thank you. I should have known this one. Brain lock! -nm-


Thx. My brain just couldn't seem to go there. Thx again! nm
Subject: Thx. My brain just couldn't seem to go there. Thx again! nm


Help!! Brain dead!! What is the
Subject: Help!! Brain dead!! What is the

abbreviation for millisecond??