that's strange...see inside
Posted By: EvaEv on 2008-05-14
In Reply to: Sorry, here it is - LinK
Subject: that's strange...see inside
Adrenal Metastases - Radiology
gastric fundus, gastric diverticulum, renal vein, splenorenal varices,
'retrocrural'
and retroperitoneal adenopathy, upper-pole renal cyst and/or neoplasm, ...
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I'm sorry. This looks really strange to me, sm
Subject: I'm sorry. This looks really strange to me, sm
and I really can't help. A second set of ears would be a good idea here.
getting more and more strange....(sm)
Subject: getting more and more strange....(sm)
would * muscular * distention make sense? What muscles? I have never heard of muscles being distended in a neck exam. That may not mean anything as I am sure I have not heard of everything in the world of MT. 
Could it be * vascular * distention? as in no vessels being distended, such as the jugular?
oh well, you have probably sent off the report by now.....
No, it's really strange
Subject: No, it's really strange
almost s/l sciatic something, but that wouldn't make sense
Strange
Subject: Strange
Ya know? They sound strange (the dictators) to me almost all of the time anyway! HA!
Hope all's goin' well with your day!
I have seen some strange ones
Subject: I have seen some strange ones
google nasal packing - wild names - maybe you'll see something - that's how I found RhinoRockets
yes, it is strange sm
Subject: yes, it is strange sm
I googled the image for Coversite, and on the packaging, it said CovRSite. I suppose either spelling would probably be okay, but I would feel safer using what is on the box.
That's strange, isn't it? Thanks a ton!
Subject: That's strange, isn't it? Thanks a ton!
:)
"Cervicalgia" ...... strange sm
Subject: "Cervicalgia" ...... strange sm
It's a CT scan cervical spine. Clinical history: Cervicalgia ?? I have Dorlands spell check which is not flagging the spelling as incorrect, but it's not in their 10 pound dictionary. Any suggestions??
This sounds strange, but could it be--sm
Subject: This sounds strange, but could it be--sm
that the consultation was from a referring physician and he was remarking that he concurred with the referring physician's diagnosis? just a thought.
That does seem kind of strange
Subject: That does seem kind of strange
Must be hyper then if they're putting on aspirin. Glad you figured out what to do. Just wanted to let you know that my oncology book does have hypocoagulable as a word and every place probably has their own terminology for things, bleeding studies, coagulopathy workup, etc. etc. Let us know how it turns out if you find out...
Yes, a new one on me too. Sounded very strange. nm
Subject: Yes, a new one on me too. Sounded very strange. nm
ss
Hmm, some docs say strange things
Subject: Hmm, some docs say strange things
new paragraph, new line, etc. Does dictator say that word you are hearing between paragraphs or headings?
thanks so much! it sounded so strange to me - thanks for verifying :)
Subject: thanks so much! it sounded so strange to me - thanks for verifying :)
frons? is spelling correct? Just looks strange to me.
Subject: frons? is spelling correct? Just looks strange to me.
However, cystoscopy revealed some fine papillary frons in the region of the left orifice.
I remember seeing that in the BOS. Freaky strange I thought.
Subject: I remember seeing that in the BOS. Freaky strange I thought.
I've always used either subcu or spelled it out unless account specified otherwise. I agree with the OP though that "subcu" still looks weird after all these years. :)
My hero! I just wasn't sure if it was a strange term I
Subject: My hero! I just wasn't sure if it was a strange term I
wasn't familiar with - thanks!
interesting! Strange that their tail does not grow back,
Subject: interesting! Strange that their tail does not grow back,
with lizards it does. So this species can only fool their preditors once? Poor fellows!
You are welcome. I have learned all sorts of strange stuff typing ED notes. nm
Subject: You are welcome. I have learned all sorts of strange stuff typing ED notes. nm
nm
Inside
as part of the neurological exam, you have sensory testing and withdrawing to pain or (some kind of) stimuli would be correct. Not sure about the phraseology in your report, maybe 'withdrawal sensation' ??
See Inside
Subject: See Inside
I would type it as "1-year-5-month-old girl"
See inside (sm)
Subject: See inside (sm)
That is probably mosaicism or punctation.
Changes Associated with High Grade SIL
- Blood Vessel changes (Coarse punctation or mosaicism)
- Abnormal blood vessels
- Erosions
- Dense Acetowhite staining of epithelium
Please see inside.
Subject: Please see inside.
On his hearing test, the patient could not hear frequencies at 1000-2000-4000 with his right ear at 40 decibels. He could not hear 1000 with his left ear at 40 decibels. However, during the whisper test, he was able to hear three items in each ear from at least 7 feet away.
I have no idea how to type the 1000 2000 4000. This is on a physical exam. Thanks for any help!!
see inside
Subject: see inside
s/l 'tramcentel' metered dose inhaler 4 puffs b.i.d.
see inside
Subject: see inside
that would be 8-French Judkins, left-4 coronary catheter.
see inside
Subject: see inside
Prolapse is assessed as none, grade 1 (in vagina), grade 2 (to introitus), and grade 3 (outside vagina).
see inside....*S*
Subject: see inside....*S*
Subject: I would do it like this...
I would do it this way...
CLINICAL IMPRESSION:
1. Fever.
2. Bronchitis. Rule out a right pneumonia.
3. Chronic lymphocytic leukemia.
4. Atrial fibrillation. Rule out arrhythmia.
The reason I do it that way is because way before, we used to line Rule out under let's say Atrial fibrillation, yielding 2 lines. It used to be done that way back in the early 90s. Now it is not done that way. So, I give the impression which would be atrial fibrillation and begin a new sentence....because they have to rule out an arrhythmia. I don't think it is etched in stone, so either/or would be fine. *S*
You had to look inside
Subject: You had to look inside
see inside
Subject: see inside
I have heard "estrogen receptor" and "progesterone receptor" positive in breast cancer, so think "estra septa" could be "estrogen receptor.
Not sure what "heptra" could be.
see inside...........
Subject: see inside...........
Mohs surgery, named after surgeon Frederick Mohs who
developed the Mohs procedure...........
See inside.
Subject: See inside.
PAST SURGICAL HISTORY: s/l-TAB or TAV x2.
Anyone now?
Thanks for the help!
See inside.
Subject: See inside.
A plastic wound exposure fish was placed overlying the bowel to allow placement of the composite Gore-Tex and Prolene mesh patch and the mesh was secured. At the end, he said it again and it was clear that he was saying "wound fish", but for the life of me I can't find it said this way anywhere.
I can only think of 2, see inside.
Subject: I can only think of 2, see inside.
bradyarrhythmia (brady·ar·rhyth·mia) (brad”e-ə-rith´me-ə) [brady- + arrhythmia] any disturbance in the heart rhythm in which the heart rate is abnormally slowed, usually to less than 60 beats per minute in an adult.
Or tachybradyarrhythmia aka tachybrady syndrome.
BUS, see inside.
Subject: BUS, see inside.
BUS - Bartholin's, Urethral and Skene's glands.
Good site for abbv lookup:
http://www.pharma-lexicon.com/
see inside
Subject: see inside
Surgical luminaire
Document: United States Patent 5709459
Abstract: A luminaire for use during a medical procedure utilizes a single optic fiber for providing a beam of light having an initial beam width and an initial beam energy. The width of the beam is adjustable without substantially decreasing the beam energy, and the beam of adjusted width can be directed onto a surgical field. A headband for mounting a luminaire is formed of a perspiration-absorbent cloth strip, has hook-and-clasp engagement, and includes a luminaire mount.
Doing basic research is very fulfilling.
Sorry - please see inside --
Subject: Sorry - please see inside --
..dyskeratosis in the form of CORE-ON, squarmous dysplasia...
See inside
Subject: See inside
You need to learn to use Google: type what it sounds like to you in quotes on Google.
It is Indermil (Indermil Tissue Adhesive).
Learn to use Google and then you can be independent with your research!
See inside. sm
Subject: See inside. sm
Truvada
Second word is most likely Sustiva. It is an HIV drug. Doctor's spelling...well, we know! 
see inside
Subject: see inside
maybe conus and torus tubarius -- but look it up as i am not very recent on this part of anatomy.
inside
Subject: inside
i believe it is:
'no cord or (blank?) or obstruction.
see inside
Subject: see inside
"paring" of the wart, not sure about varisel - could be variceal - need the sentence please
see inside
Subject: see inside
Probably nitroglycerin since patient has angina. Is there a new drug called Endura? Couldn't find that one. Anyway, could doc be say Lasik PCO?
I dont know about the 3rd drug.
see inside
Subject: see inside
for ATMs could it be TMs? What part of the exam is he/she in?
Not sure about the "fell" culture, sorry
see inside--sm
Subject: see inside--sm
Spurling's test Spine extended with head rotated to affected shoulder while axially loaded Cervical nerve root disorder
see inside
Subject: see inside
You're awesome! I even looked under tests in Dorlands. Where did you find it?
see inside
Subject: see inside
I would put 60s and 70s and calcium one every day, just the way it is dictated or one q.d.
see inside for some possible help....sm
Subject: see inside for some possible help....sm
."@#$#&*&(" : No recent skin rash. and then something else "@#$#$" : No anemia or lymph gland problems
--------------------------
DERMATOLOGIC: No recent skin rash.
HEMATOLOGIC/LYMPHATIC: No anemia or lymph gland problems.
Please see inside for s/l help
Subject: Please see inside for s/l help
She does note upon urination here that she has developed a thicker vaginal mucus; therefore, another indication that she is ovulating. She has never had middschmert’s pain. She denies any trauma to her abdomen. She denies any abnormal vaginal discharge or bleeding
see inside--sm
Subject: see inside--sm
Yersinia enterocolitica is an important human pathogen that researchers increasingly recognize as a cause of various clinical syndromes
see inside
Subject: see inside
can you give a s/l "sounds like". First may be contrast or intravenous contrast and second may air under the diaphragm.
see inside
Subject: see inside
http://www.medgadget.com/archives/2005/04/insorb_resorbab.html
See inside
Subject: See inside
Could he be saying "adult" ADHD or may be LLD for language and learning disabilities (LLT/ADHD)
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