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thank you, it was chronic and emphysematous, I never did figure out the "five gram" thanks ag

Posted By: mm on 2007-06-26
In Reply to: s/l conic five gram vesimatous, - mm

Subject: thank you, it was chronic and emphysematous, I never did figure out the "five gram" thanks again:)




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Two of the words are probably chronic and emphysematous
Subject: Two of the words are probably chronic and emphysematous

Not sure about the "five gram." And are you sure it is "decreased"? In this context, "increased" would make more sense.
No, don't cap gram-negative. The test Gram stain is capitalized - per Stedmans Inf Dis Book. -s
Subject: No, don't cap gram-negative. The test Gram stain is capitalized - per Stedmans Inf Dis Book. -sm

Also, I worked in a lab for many years, and gram-negative and gram-positive are not capitalized. Gram is the name of the doctor or scientist who came up with the staining test, Gram stain, so that is capped.
gram-position pleomorphic bacilli? (gram-positive should be small "g")
Subject: gram-position pleomorphic bacilli? (gram-positive should be small "g")


Sted's Path and Lab Words - gram-negative bacilli but Gram
Subject: Sted's Path and Lab Words - gram-negative bacilli but Gram

s
s/l "five hood lamina or spinous process"
Subject: s/l "five hood lamina or spinous process"

This patient had some lumbar spine x-rays which showed only a "five hood lamina" or spinous process.....


Has anyone heard of anything like "five hood lamina?"


Thanks!!


Abby


 


chronic chronic chronic! Good grief.
Subject: chronic chronic chronic! Good grief.


It should be Gram's stain, the formal name, or the result was gram negative.... then not.....nm
Subject: It should be Gram's stain, the formal name, or the result was gram negative.... then not.....nm

nm
Incorrect, it is gram-negative and cap only for Gram stain.
Subject: Incorrect, it is gram-negative and cap only for Gram stain.

x
Which is correct..Gram or gram negative?nm
Subject: Which is correct..Gram or gram negative?nm

nm
Gram stain, and gram-negative. (nm)
Subject: Gram stain, and gram-negative. (nm)

x
med for chronic myalgia/chronic arthritis
Subject: med for chronic myalgia/chronic arthritis

s/l  tow-ga-lax CR.  It is prescribed for chronic myalgia and chronic arthritis
emphysematous?
Subject: emphysematous?


could you be looking for emphysematous?
Subject: could you be looking for emphysematous?

nm
emphysematous? SM
Subject: emphysematous? SM

emphysematous cholecystitis (infection of gallbladder by gas-producing organisms).
The word before changes could be emphysematous, maybe.
Subject: The word before changes could be emphysematous, maybe.

Don't know about the others.
Never mind, he's saying emphysematous
Subject: Never mind, he's saying emphysematous


emphysematous and edematous THANKS for your help!!
Subject: emphysematous and edematous THANKS for your help!!


emphysematous s/l lavs and bullae
Subject: emphysematous s/l lavs and bullae

Lung cancer patient
There is an emphysematous cholecystitis in Stedman's.
Subject: There is an emphysematous cholecystitis in Stedman's.


Culture was sent for Gram's stain or gram stain. Which is correct? TIA!!
Subject: Culture was sent for Gram's stain or gram stain. Which is correct? TIA!!


there is such a thing as emphysematous cholecystitis... i mentioned that. NM
Subject: there is such a thing as emphysematous cholecystitis... i mentioned that. NM

x
Wild guess at emphysematous cholecystitis, air in the gallbladder? nm
Subject: Wild guess at emphysematous cholecystitis, air in the gallbladder? nm

s
depends on context: acute-on-chronic renal insufficiency or renal insufficiency, acute on chronic.
Subject: depends on context: acute-on-chronic renal insufficiency or renal insufficiency, acute on chronic.

x
Gram or gram
Subject: Gram or gram

It's gram negative, as in gram-negative rods. There is also a Gram stain, which IS capped.
A-gram
Subject: A-gram

Does anyone know if A-gram means angiogram or arteriogram?
gram-negative/Gram-negative
Subject: gram-negative/Gram-negative

I have an email in to my supe to clarify this, but how do you transcribe "gram-negative" in a report?


Capitalized or not?


I have done it both ways and have been counted off each time for it, so I am looking for a little clarity here!


TIA!


pt has pneumonia & given s/l pla-fa-rin 1 gram I.M. nm
Subject: pt has pneumonia & given s/l pla-fa-rin 1 gram I.M. nm

d
Gram-negative?
Subject: Gram-negative?

I know I'm a little old lady who is very fixed in my ways, but do I need to type this phrase with a capital G? I guess if I must I will, but it looks strange to me. Got QA'd on it and lost some points. Tx.
Gram stain? nm
Subject: Gram stain? nm


gm may be for gram..dunno about MT
Subject: gm may be for gram..dunno about MT

/
gram stain or Gram stain
Subject: gram stain or Gram stain

Is the g in "gram stain and culture" capitalized?  I keep finding it both ways and my brain is going numb here.
1 gram of Ancef was given s/l IB?
Subject: 1 gram of Ancef was given s/l IB?

xx
g versus gram
Subject: g versus gram

Agree with Elderberry. G for gram is correct, although I have run across it in account specifics wanting it spelled out or not spelled out.
gram-positive____emia
Subject: gram-positive____emia

It sounded like the doc said "the patient has Gram-positive sethisemia suspect secondary to MRSA."


What is the "sethisemia" part and how do you spell it??


Gram or gram--to capitalize or not to capitalize??
Subject: Gram or gram--to capitalize or not to capitalize??

I never got this right during training and I'm having flashbacks!  Is this word capitalized or not when it's the test? HEELLLPPP.
Gram stain
Subject: Gram stain

Culture and sensitivity done with s/l annagram stain  did not reveal any kind of organisms.


Could he be saying Gram stain? He clearly pronounces it as annagram!


Nervasa 1 gram
Subject: Nervasa 1 gram

which is an Omega 3....I can't be sure if he is saying Norvaza or Nervasa...but can't document this..  Any ideas? thanks a bunch!


gram stain
Subject: gram stain


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??
Given 2 gram IV piggy back
Subject: Given 2 gram IV piggy back


How would you type *10 to the 5th* gram-neg rods?
Subject: How would you type *10 to the 5th* gram-neg rods?

Hyphens, no hypens?  I can't do superscript, and I don't feel like I should change the numbers, though I *guess* I could...  Thanks
Occult Gram stain???
Subject: Occult Gram stain???

Is there an occult Gram stain?  If there is not, what could he be saying place of the occult?
yes, there is occult Gram stain
Subject: yes, there is occult Gram stain

/
s/l conic five gram vesimatous,
Subject: s/l conic five gram vesimatous,

 

A CT of the chest was done, which showed decreased s/l conic five gram vesimatous, (maybe vesi matters)? changes within the lungs.  


Stedman's says Gram negative
Subject: Stedman's says Gram negative

I knew Gram stain was in caps, and thought it was gram-negative until I saw Stedman's saying it was capped??? Is it wrong?