you're real close, it's dermatochalasis (nm)

Therapeutic Category

• Antibiotic, Oral Rinse
  
• Antibiotic, Topical

Use

  Dental:
  Antibacterial dental rinse; chlorhexidine is active against gram-positive and gram-negative organisms, facultative anaerobes, aerobes, and yeast
  Chip, for periodontal pocket insertion; indicated as an adjunct to scaling and root planing procedures for reduction of pocket depth in patients with adult periodontitis; may be used as part of a periodontal maintenance program
  Medical: Skin cleanser for surgical scrub, cleanser for skin wounds, germicidal hand rinse

Usual Dosage

Oral rinse (Peridex®)
  Precede use of solution by flossing and brushing teeth, completely rinse toothpaste from mouth; swish 15 mL undiluted oral rinse around in mouth for 30 seconds, then expectorate. Caution patient not to swallow the medicine; avoid eating for 2-3 hours after treatment. (The cap on bottle of oral rinse is a measure for 15 mL.)
  When used as a treatment of gingivitis, the regimen begins with oral prophylaxis. Patient treats mouth with 15 mL chlorhexidine; swish for 30 seconds, then expectorate; this is repeated twice daily (morning and evening). Patient should have a re-evaluation followed by a dental prophylaxis every 6 months.

Dosage Forms

  Chip, for periodontal pocket insertion (PerioChip®): 2.5 mg
  Foam, topical, with isopropyl alcohol 4% (BactoShield®): 4% (180 mL)
  Liquid, topical, with isopropyl alcohol 4%:
  Dyna-Hex® Skin Cleanser: 2% (120 mL, 240 mL, 480 mL, 960 mL, 4000 mL); 4% (120 mL, 240 mL, 480 mL, 4000 mL)
  BactoShield® 2: 2% (960 mL)
  BactoShield®, Betasept®, Exidine® Skin Cleanser, Hibiclens® Skin Cleanser: 4% (15 mL, 120 mL, 240 mL, 480 mL, 960 mL, 4000 mL)
  Rinse:
  Oral (mint flavor) (Peridex®, PerioGard®): 0.12% with alcohol 11.6% (480 mL)
  Topical (Hibistat® Hand Rinse): 0.5% with isopropyl alcohol 70% (120 mL, 240 mL)
  Sponge/Brush (Hibiclens®): 4% with isopropyl alcohol 4% (22 mL)
  Wipes (Hibistat®): 0.5% (50s)

eMedicine - Dermatochalasis : Article by Grant G Gilliland, MD

Handbook of Ocular Disease Management

What is the basis for any jealousy here?  That concept baffles me.  You obviously spent a lot of time into the events of today and I would suggest an alternate outlet...like a l-i-f-e.  I do not always come here to flame or denigrate others.  That you consider me trouble is of no consequence to me.  I have no concern for how my posts are perceived and when I post, I'm usually my ADD and dyslexic self with multiple lines of thinking bouncing around in my head at the same time.  I do not self check my grammar or spelling.  I'm happy with my QA score of greater than 99.5% monthly because when I work, I allow no distractions.  Before I was out of high school, I had the skill set I needed that today's poster lacked and that you commented on as a general rule for all newbies.

If you do not understand my point, that is your failing, not mine.  Others have repeated my point so I hope it is a bit more clear to you by now.  I will not "leave this newbie" alone (not that I now have a vendetta against her/him now) but you hold no power over my actions, just as I have none over yours.  I feel no threat from you, do not feel diminished by you and feel sorry that you are so worked up over today's events.

I had no one to ask questions of at all when I entered MT as I came in as the MT supervisor with years of experience in being a records auditor.  When I went home and entered the acute care arena, I had more books than I could count, with my favorite being "A Syllabus for the Surgeon's Secretary" (first published in the 50s).  I didn't make a lot of money my first year at home but every report was superior to those of the other MTs on the account.  I feel today's newbie has no excuse for  not being able to find many of the answers to many of the issues that were addressed today other than by posting entire reports for strangers who may only think they are qualified to answer.  Asking for QA help on entire reports is a crap shoot.  On a forum where no one knows who anyone really is in real life, you can easily get crappy help anot not know the difference.  Your mileage may vary.

I hope you find some peace and a healthy outlet for your frustrations.

Dr. just dictated thoracic *s/l cervingeal  *s/l myedia 

Any suggestions please? Thanks!

She is describing some symptoms possibly consistent with ADHD.  We discussed the differential diagnosis and possibly overlap of S/L: subsymptoms between anxiety and ADHD and possibly that these were comorbid disorders.   

I cannot find subsymptoms as a legit word..

Thanks for any help!

S/L propoxycet. I was thinking some form Darvocet or Percocet? Thanks lots.

 Really - you did great - you figured it out on your own.  Clostridium difficile!!  GREAT...shows me just how resourceful you ARE!!! 

Definitions of peau d'orange

A dimpled condition of the skin of the breast, resembling the skin of an orange, sometimes found in inflammatory breast cancer.

adenotonsillitis.

The patient is having adenoids and tonsils removed.

Thanks!

Real word, or should I rearrange the sentence to read peristolsis??  "Ureters were peristolsing bilaterally." 

Thanks in advance! 

Or is my dictator mispeaking and I should edit it to Caltrate?

If calcitrate is an actual product name, is it generic, brand name, or OTC?

Thank you!!  

but it DOES depend on the client profile/preference like the other poster said.....I get this format all the time in REAL consult reports (not letters) and I just type *Dear Dr. Smith* - I have just seen your patient....blah blah (can usually go under reason for consult or HPI) and then do my headings as dictated. 

Good question, though! 

I tried googling this but the results weren't very satisfying. Does anyone know if "pulmonary cripple" is a legitimate term? This was dictated during a physical exam under General Appearance about a person in a wheelchair on oxygen.