first one maybe "ductal dilatation" - thinking other
Posted By: vn on 2009-06-20
In Reply to: Word help - mtmomma
Subject: first one maybe "ductal dilatation" - thinking other
one might be "these findings are preliminary" ??
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- Word help - mtmomma
- first one maybe "ductal dilatation" - thinking other - vn
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dilatation
Subject: dilatation
Sounds like... pt has a win dilatation on the rt leg..
??
wen dilatation?
Subject: wen dilatation?
exactly what is a wen dilatation??
Subject: exactly what is a wen dilatation??
x
Yes, dilatation is a word
Subject: Yes, dilatation is a word
From Dorland's:
dilatation (dil·a·ta·tion) (dil”ə-ta´shən) 1. the condition, as of an orifice or tubular structure, of being dilated or stretched beyond the normal dimensions. 2. dilation (def. 1).
First may be dilatation, second - thoracolumbar maybe,
Subject: First may be dilatation, second - thoracolumbar maybe,
and third might be ischial or ischemic destruction.
then maybe ductal dilatation
Subject: then maybe ductal dilatation
vein dilatation???
Subject: vein dilatation???
x
vein dilatation
Subject: vein dilatation
Yes, I think that is it. Thanks!
Extraocular ? dilatation of the adjacent
Subject: Extraocular ? dilatation of the adjacent
lateral ventricle, the doctor states I believe. But, this does not make sense to me. However, I am feeling rather stupid today so am probably wrong. Anyone know if extraocular dilation makes sense? It is not extraaxial I am fairly certain after listening to him 100 times.
i found it.... biliary dilatation
Subject: i found it.... biliary dilatation
It is not dilation. It is dilatation and curettage.
Subject: It is not dilation. It is dilatation and curettage.
Transient ischemic dilatation (TID)
Subject: Transient ischemic dilatation (TID)
Thanks, one QA I had used to change dilatation to dilation, thanks for the input. nm
Subject: Thanks, one QA I had used to change dilatation to dilation, thanks for the input. nm
x
Intra- or extrahepatic biliary dilatation
Subject: Intra- or extrahepatic biliary dilatation
too late?
Question, is dilatation a real word, or should it be dilation, SM
Subject: Question, is dilatation a real word, or should it be dilation, SM
I was told to change dilatation to dilation at one place, but something else at another. What is your opinion? TIA
try this again...s/l fearson or vearson instillations and urethral dilatation
Subject: try this again...s/l fearson or vearson instillations and urethral dilatation
I was offered the suggestion of filiforms or versed earlier today, and neither of those work. This patient receives these instillations every three months. I'm think along the lines of BCG instillations, but that is definitely not what the doc says. No mention of the patient's diagnosis to help
s/l vearson or fearson instillation and urethral dilatation
Subject: s/l vearson or fearson instillation and urethral dilatation
Doc is a urologist
My guess...get rid of the A and "No biliary ductal dilatation"...nm
Subject: My guess...get rid of the A and "No biliary ductal dilatation"...nm
nm
last stab: pneumostatic response like in esophageal dilatation studies etc.? nm
Subject: last stab: pneumostatic response like in esophageal dilatation studies etc.? nm
The pigtail catheter was then removed over a Rosen wire, and dilatation of the s/l "odonomy" s
"Gaseous" dilatation is noted in the small bowel.. does this sound correct?
Subject: "Gaseous" dilatation is noted in the small bowel.. does this sound correct?
Head CT: some s/l ex vack E O dilatation of the posterior aspect of the right lateral ventricle
Subject: Head CT: some s/l ex vack E O dilatation of the posterior aspect of the right lateral ventricle
Long shot here... "outpouching or uniform dilatation along a short segment of small bowel." nm
nm
still thinking
Subject: still thinking
Turns out that the patient is having very high fevers giving impression of left lower lobe pneumonia. Came across a brand name of a drug used in mouthwash called Advexin. They were talking about oral cancers...but then cross-referenced on http://www.pharma-lexicon.com/ and found (generic Mepron) atovaquone, classified as an anti-infective used in both adults and children who are at risk for PCP with initial doses of 750 mg per 5 mL. Since Hodgkin's lymphoma and bone marrow transplant would put this girl in a severely immunocompromised state, I would bet they are giving her a pretty hefty dose of the stuff. Atovaquone it is.
Thanks for helping me.
Thanks, I was thinking along
Subject: Thanks, I was thinking along
those lines, just wanted a second opinion. :-)
that's actually what I was thinking too - nm
Subject: that's actually what I was thinking too - nm
x
Tks. I kept thinking there is another
Subject: Tks. I kept thinking there is another
Like ...there were lewes....or something. You are probably right, and I finally found it in stedman's and it says *sternal angle* and that seems to fit the way the doctor used it. Thanks again.
that's what i am thinking
Subject: that's what i am thinking
I was thinking along the lines of this from the begining....compression over lower extremities.....just wish I didn't hear otherwise! (I hate Monday's)
That's exactly what I was thinking
Subject: That's exactly what I was thinking
but I have this doc all the time and she's never dictated time like that before, so I just wasn't sure. Thanks to all who replied.
I was thinking that too...I'd have to say it was:
Subject: I was thinking that too...I'd have to say it was:
Past history notable or is notable for ______.
That's what I was thinking..maybe she
Subject: That's what I was thinking..maybe she
just got ahead of herself when dictating it in the assessment..because I definitely didn't hear an itis at the end...just a gingival or gingivo sound.
Thanks 
that is what I am thinking..thanks
Subject: that is what I am thinking..thanks
What was I thinking
Subject: What was I thinking
of course, para anything with twins, triplets, etc. Thanks for fixing my answer!
I'm thinking it's probably
Subject: I'm thinking it's probably
R&M for "routine and microscopic"
That's what I was thinking, too.
Subject: That's what I was thinking, too.
.
I am thinking it
Subject: I am thinking it
may be (LIMA) or left internal mammary artery ..... of course you are hearing it.
That's what I was thinking...
Subject: That's what I was thinking...
but was unsure. It's an ESL doctor and she says it twice. It doesn't really sound like there is an F in the pronunciation, though.
that's what I was thinking.
Subject: that's what I was thinking.
That is what I have been doing but I guess I just wanted extra reassurance! Thanks.
I am thinking that is what she must be saying. Thanks. nm
Subject: I am thinking that is what she must be saying. Thanks. nm
I am thinking it might be SM
Subject: I am thinking it might be SM
some kind of rowing exercise...____ rows, but I can't come up with anything better than that.
Thanks, I was thinking that or 0.1. nm
Subject: Thanks, I was thinking that or 0.1. nm
xxx
I was thinking that myself, but just not sure so I sent to QA
Subject: I was thinking that myself, but just not sure so I sent to QA
I was thinking the same, but (sm)
Subject: I was thinking the same, but (sm)
why would he dictate this along with vital signs? Seems strange  ...
I was thinking that too! Thanks!
Subject: I was thinking that too! Thanks!
Thank you for your input!!!
That's what I'm thinking..sm
Subject: That's what I'm thinking..sm
This client requires headings whether or not dictated, so I wanted to make sure I'm correct.
Anyway, I have always typed it under abdomen, but I went looking to make sure, and I did find it in a sample report with it listed under back.
However, I just found a very good article called "Varney's Midwifery" that says it is part of the abdominal exam.
Thanks!
That's what I was thinking.
Subject: That's what I was thinking.
Most of the references I found say that if a patient is unable to consent to surgery, two doctors can sign the consent form on the patient's behalf. I am just not sure if the dictators mean double-doctored or double-documented when they say double doc'd. I do all ops, so it comes up fairly often.
that's what i was thinking too - nm
Subject: that's what i was thinking too - nm
I was thinking that too . . .
Subject: I was thinking that too . . .
He is in rare form today. I think he meant to say compression but it honestly sounds like inspriation. Sigh*** I mightjust sent it through with a flag.
not thinking-- thanks!!
Subject: not thinking-- thanks!!
nm
thanks, that is what I was thinking also. nm
Subject: thanks, that is what I was thinking also. nm
nm
thinking...
Subject: thinking...
The left wrist is inspected showing there to be a visible soft tissue swollen area of the dorsal wrist closer to the radial aspect of the wrist. It is approximately 3 cm in diameter. Mobile tender to palpation and consistent with the ganglion cyst.
I was thinking a comma should go after diameter and before mobile. (where I have a period) What do you think?
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