how about *head circumference is normal*
Posted By: nm on 2008-08-08
In Reply to: Physical exam: Head is normalized normal. - anyone heard of this?
Subject: how about *head circumference is normal*
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Normal Head CT w/ and w/out contrast... s/m
Subject: Normal Head CT w/ and w/out contrast... s/m
The third, fourth and lateral ventricles are normal in size and position. The s/l (calcified pine needles) midline. s/l (Cory calication) is seen bilaterally. The base of ganglia, brain stem and basal sisterns are unremarkable.
I know these aren't even close... but I've listened so many times that is all I hear anymore... especially the 'pine needles' 
Physical exam: Head is normalized normal.
Subject: Physical exam: Head is normalized normal.
Just a well-child check, no special diagnosis or medical history.
found FOC fronto-occipital circumference? sm
Subject: found FOC fronto-occipital circumference? sm
http://www.medilexicon.com/ I use this a lot
no dont think so, the two line prior are LFTS normal and Chem-7 was normal
Subject: no dont think so, the two line prior are LFTS normal and Chem-7 was normal
I would use saline since it's the solution he's changing from half-normal to normal, not the
Subject: I would use saline since it's the solution he's changing from half-normal to normal, not the
s
normal Pap smear in there anywhere? Normal Pap in 2006?nm
Subject: normal Pap smear in there anywhere? Normal Pap in 2006?nm
normal motility? normal motilities? nm
Subject: normal motility? normal motilities? nm
You are probably hearing normal BUS or normal BUSV. sm
Subject: You are probably hearing normal BUS or normal BUSV. sm
BUS Bartholins/Urethra/Skene’s
BUSV Bartholins/Urethra/Skene’s/vagina.
Here is abbrev link for you.
http://www.healthsystem.virginia.edu/internet/obgyn-clerkship/UVA/Abbreviations.cfm
In LD says UA normal and then what sounds like C-MENT T is normal (maybe CMT)? nm
Subject: In LD says UA normal and then what sounds like C-MENT T is normal (maybe CMT)? nm
may be normal values or normal range? nm
Subject: may be normal values or normal range? nm
nm
limit of normal. sometimes hear "upper limit of normal", or "lower limit..." n/m
Subject: limit of normal. sometimes hear "upper limit of normal", or "lower limit..." n/m
CT head/esl doc
Subject: CT head/esl doc
CT brain showed central s/l "cortical and cerebellar" involutional changes, old infarct in the territory of the anterior s/l "BR" of the left middle cerebral artery.
Not sure on the wording in first one. I am coming up with a blank on the second.
Ha ha! This doc is exactly enough of a bu**head to say this... (sm)
Subject: Ha ha! This doc is exactly enough of a bu**head to say this... (sm)
Thanks! I bet that's it!
CT of the head
Subject: CT of the head
The patient has a history of a remote-appearing lacunar infarct within the left frontal lobe adjacent to the left frontal horn of the left lateral ventricle and mild periventricular white matter chronic small-vessel disease on CT scan of the head without contrast.
I am just concerned with the ..periventricular white matter chronic small-vessel disease
How would you type this? the doctor just says it without any pausing.
ahhhhhhh!
s/l CVC of the head was done???
Subject: s/l CVC of the head was done???
Head. Thank you!
Subject: Head. Thank you!
xx
Help! Head CT. SM
Subject: Help! Head CT. SM
Elderly patient with transient alteration of awareness. It reads:
"Minor periventricular areas of low attenuation without definite evidence of s/l TRANS-UH-TIN-UH-MUL flow CSF to suggest acute hydrocephalus."
HEAD CT
Subject: HEAD CT
I am have troubles filling in the blanks here, can anyone lead me in the right direction?
HEAD CT
Contiguous axial image was obtained from base of the skull to the vertex without (intravenous) IV contrast. Multiple regions of decreased density are seen in the right and left internal capsule. There is no evidence of benign shift, common mass effect or (avastment) of cell _______intervals or cisterns. The cell _____intervals are_________ . Inspections of _________was unremarkable.
HEAD CT
Subject: HEAD CT
IMPRESSION
1. Multiple regions of low density in both sides of internal capsule. (cannot understand this word) represent old white matter infarcts.
head?
Subject: head?
CT of Head.
Subject: CT of Head.
Does this sound right: ...effacement of sulci, ventricles, or cisterns. Inspection of (bone or brain?) windows are unremarkable.
Head laceration still.
Subject: Head laceration still.
Doctor is referring to s/l "Harrow" arterial bleeders being cauterized. Can't find anything on this either?
Head CT scan.
Subject: Head CT scan.
Head CT scan per verbal report from the radiologist is that the patient has very large subdurals bilaterally. The largest component of these are chronic subdurals. Some small, newer, subdurals are also seen. This is causing some effacement of the __________ (s/l girye)
caudad, towards the head end of something
Subject: caudad, towards the head end of something
s
head at spines -7
Subject: head at spines -7
help on MRI of the head results
Subject: help on MRI of the head results
The patient had an MRI with gadolinium of the head. I'm having some trouble understanding the results because this is unfamiliar to me. She is a cancer patient with metastatic melanoma and the MRI was ordered due to severe vomiting and blurry vision. He says the MRI "revealed no definite metastatic disease, significant [s/l hypotense? maybe hypodense or hypertensive?] [s/l mara signal?] of the cervical spine of unclear significance, heterogeneous [s/l coabnormality?], for which in matter of fact these cannot be excluded." That last phrase sounds a little weird too, but I'm pretty sure that's what he says. Any ideas?
from the ipsilateral head
Subject: from the ipsilateral head
nm
Thank you! That is it! It just was not clicking in my head.
Subject: Thank you! That is it! It just was not clicking in my head.
nm
Thanks for the info. Never head them from our FPs. nm
Subject: Thanks for the info. Never head them from our FPs. nm
lol maybe his head is up his butt!
Subject: lol maybe his head is up his butt!
head trauma
Subject: head trauma
The patient had head trauma and a few months later was found to have a s/l flabomorphit adenoma.
This is an Asian dictator who is very difficult to understand. Any help would be appreciated.
I think you two got it. You know its there in your head you just can't extract it!
Subject: I think you two got it. You know its there in your head you just can't extract it!
..
banging head here
Subject: banging head here
That's my DUH for the week! Thanks!
Not unless the patient has his head up his @ss nm
Subject: Not unless the patient has his head up his @ss nm
.
Head exam: See
Subject: Head exam: See
"An s/l OMIRE reservoir is present on the left side of the patient's scalp."
Head injury
Subject: Head injury
S/L copidus calluseium ???
New at this, but could it be "of her head"?
Subject: New at this, but could it be "of her head"?
Of course! Where's my head today! LOL Thanks
Subject: Of course! Where's my head today! LOL Thanks
titribation of his head?
Subject: titribation of his head?
Dr says titribation of his head or something that sounds like that, anyoe know what that is?
titubation of head?
Subject: titubation of head?
could it be titubation of his head
trauma to the head?
Subject: trauma to the head?
humeral head. nm
Subject: humeral head. nm
Head: S/L no other symmetries are seen
Subject: Head: S/L no other symmetries are seen
In PE, doctor dictates Head: Normocephalic. No masses are appreciated. No (sound like "no other symmetries are seen." This is a new one on me! Thank you in advance for any help.
I have head that dictated before.
Subject: I have head that dictated before.
He's probably referring to a weak tendon, with no strength.
here are some examples off the top of my head.
Subject: here are some examples off the top of my head.
CMP (or electrolytes, SMA) - sodium, potassium, chloride, CO2 (or bicarb), BUN, creatinine, glucose, and calcium.
PT, PTT, INR.
Troponin, CK, CK-MB.
Think you just need Trendelenburg position (head down) here. nm
Subject: Think you just need Trendelenburg position (head down) here. nm
s
CT of head shows a lacune?
Subject: CT of head shows a lacune?
CT scan of the head shows an old left ____ , no acute findings.
Blank s/l lacune, lacoon?
OB/GYN term help....The head was noted to be..sm
Subject: OB/GYN term help....The head was noted to be..sm
in an ROP position at +4 out of 5 with some "campt" or "campet". I cannot find either term, but spell check corrects to CAMPT?
TIA and Happy Thanksgiving!
my eyes just rolled out of my head...
Subject: my eyes just rolled out of my head...
I worked hard to become a Miss instead of a Mrs. Guess I'll have to start filing complaints about that! I think it is just a typo..not a major deal.
First thing that pops into my head is
Subject: First thing that pops into my head is
plain old contralateral. Are they checking the other side?
possibly supratentorial (all in her head?)
Subject: possibly supratentorial (all in her head?)
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