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"An additional" port was placed.....

Posted By: mmk on 2007-12-05
In Reply to: s/l apple port - jmr

Subject: "An additional" port was placed.....




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Doc atually says "an" before so don't think it would "an a ptotic gait". sm
Subject: Doc atually says "an" before so don't think it would "an a ptotic gait". sm

Speech and motor were normal, although his gait, he has an "____" gait, although he has no stiffness or dystonia or other movement disorders when sitting and speaking with us or on exam when sitting.
Sorry, meant to say "an MI"...same with "an MRI" though...nm
Subject: Sorry, meant to say "an MI"...same with "an MRI" though...nm

nm
Pt getting chemo - "Life port to be inserted". Never heard of life port
Subject: Pt getting chemo - "Life port to be inserted". Never heard of life port

NM
Whis is correct?: Port-A-Cath, port-a-cath or portacath
Subject: Whis is correct?: Port-A-Cath, port-a-cath or portacath


E. port (for exhalation port??) maybe???
Subject: E. port (for exhalation port??) maybe???


yes, additional views
Subject: yes, additional views

i guess i would go with add-views
Additional note (sm)
Subject: Additional note (sm)

Solcotrans autotransfusion system can also be referenced in Stedman's Medical/Surgical Equipment Word Book.
Additional Information
Subject: Additional Information

Thanks Grace. They have me stumped as well. The doctor didn't seem to change his mind at all in this section of the report, and the only other thing he mentions about hypertension is: A history of hypertension with treatment on dyazide daily. In the report the first and second phrases are actually combined, so I've revised them a bit.

1. Past Medical History: A transient ischemic attack, [s/l a critizens that time with aspirin]. Appendectomy in the [s/l 3-D] and [s/l Cs]. Tonsillectomy.

2. Impression: Secondary [s/l dientness] hypertension.
Additional info
Subject: Additional info

Her PMH is hypertension, CHF, dementia, depression, osteoarthritis, diverticulosis, left hip fracture and she is in the ER for vomiting.  She is hypotensive & saturating 84%.  Her other PSH is hyesterectomy & thyroidectomy.  Other than that, I haven't a clue yet.  Still typing.  The PA is ESL which could be a factor, but I've been typing him for years and he clearly says TUD surgery. 


Thanks for your help.


Other post is probably right. Another possibilty might be additional.
Subject: Other post is probably right. Another possibilty might be additional.


Mammogram additional views
Subject: Mammogram additional views

Sounds like additional Presop views.


PORT-A-CATH® is on company site, I usually use Port-A-Cath
Subject: PORT-A-CATH® is on company site, I usually use Port-A-Cath


Medication - s/l back-lep-ree-on. No additional information. TIA
Subject: Medication - s/l back-lep-ree-on. No additional information. TIA


It is Dumas' novel, no additional s, difficult to pronounce...nm
Subject: It is Dumas' novel, no additional s, difficult to pronounce...nm

nm
Thought I should follow up in view of the additional posts below. sm
Subject: Thought I should follow up in view of the additional posts below. sm

While the gastrocnemius and soleus are 2 separate muscles, they come together in a common insertion to form the Achilles tendon, hence the frequent references to the "gastrocsoleus complex." The term "gastrocsoleus" would not be seen in Grey's because the information deals with the anatomy of each muscle individually, but that does not mean the two cannot be referred to and transcribed in the above manner.

Stedman's shows it as "gastrocnemius-soleus complex" while HPI Orthopedic Words and Phrases makes a reference to "gastroc/soleus." I have typed it as one word for many years and have never seen any QA objection to it. The bottom line will be, if your particular company or account has a preference, then go with that. In the absence of such a stated preference, however, it is acceptable to transcribe "gastrocsoleus" when dictated. Some will view it perhaps as slang or whatever while others will see it as merely constructing a medical term as done within the acceptable parameters of medical terminology for the purpose of referencing anatomical structures that share a point of commonality.
It is "an MRI." M is an ih sound...see above...nm
Subject: It is "an MRI." M is an ih sound...see above...nm

nm
"An" is not always used with a vowel...sm
Subject: "An" is not always used with a vowel...sm

It is used with a vowel "sound."   People really misunderstand the use of "a" and "an."  Just remember, it's the sound, not the vowel.  Ah, uh, eh....
The "an" before the vowel
Subject: The "an" before the vowel

works with other words but here it just does not. Some docs even say "an MI" and the M is not a vowel. Go figure.
could it be, "an avulsion" fracture?
Subject: could it be, "an avulsion" fracture?


Yep, "an echogenic density" (nm)
Subject: Yep, "an echogenic density" (nm)

...
sure they're not saying "an exostosis" ? sm
Subject: sure they're not saying "an exostosis" ? sm

perhaps something like, "an exostosis off the radial and distal wrist?"
Per AAMT BOS ... "an" (see message)
Subject: Per AAMT BOS ... "an" (see message)

a, an
The indefinite articles are a and an, and the definite article is the.

a chair (may be any chair)
the chair (a specific, or definite, chair)

See: articles
before consonants, h's, u sounds, vowels
Use a before a consonant, a sounded (aspirate) h, or a long u sound. Use an before a vowel or an unsounded h.

a patient
a hemorrhoid
a unit
an indication
an hour
a 1-mile run
a CMT
an 8-hour delay
an MT

HINT: Pronunciation determines whether a word is preceded by a or an; this is most useful with abbreviations and numerals.

how about "an element" of Parkinson.... nm
Subject: how about "an element" of Parkinson.... nm

no m
just a guess, but maybe "an herbal oil" ??
Subject: just a guess, but maybe "an herbal oil" ??


"an adrenergic type of sweating" ??? nm
Subject: "an adrenergic type of sweating" ??? nm


Found it. He was saying "an OpSite" applied...nm
Subject: Found it. He was saying "an OpSite" applied...nm


could he just be stumbling over "an arthritic knee" ?
Subject: could he just be stumbling over "an arthritic knee" ?


WAG at maybe..."an exudative patina" or shiny appearance? nm
Subject: WAG at maybe..."an exudative patina" or shiny appearance? nm

s
certainly not trying to be mean..but it is a unique type of work, and takes "an ear" in additi
Subject: certainly not trying to be mean..but it is a unique type of work, and takes "an ear" in addition to training.


Abnormal CT scan: Lesion that appears to be "an algomized" effusion or soft tissue. sm
Subject: Abnormal CT scan: Lesion that appears to be "an algomized" effusion or soft tissue. sm

She has a pleural-based lesion in the right lower lobe that appears to be either an algomized effusion or soft tissue. She also has multiple pulmonary nodules bilaterally suggestive of either a metastatic neoplastic disease or granulomatis changes.
i believe it would be port.
Subject: i believe it would be port.

x
Port
Subject: Port

Is the dictator possibly just saying "Port" as a caption (i.e. Port: Right IJ single-lumen power port)?
Port
Subject: Port

Maybe saying... right site position meaning port site. It sounds like there is already a port site and doc is placing an "additional" port. ??
(s/l husan) port was placed.nm
Subject: (s/l husan) port was placed.nm


Hasson port
Subject: Hasson port

Have fun!
cautery pod/port???
Subject: cautery pod/port???

Bronchoscopy w/ argon plasma coagulation..."used the argon plasma coagulator with the cautery pod/port to burn off the residual tumor."  Anybody know what follows cautery?   Thanks!
s/l port score
Has anyone every heard of what s/l "port score" as in lower lobe infiltrate with a port score of... thanks.
PORT score
Subject: PORT score

www.mdcalc.com/capneumoniarisk

note3.blogspot.com/2003/01/pneumonia-protocol-and-port-score.html
s/l port score
Subject: s/l port score

Thanks so much!
Port-a-Cath
Subject: Port-a-Cath

left subclavian s/l Vacsill Port-a-Cath
s/l amayo port help
Subject: s/l amayo port help

Patient having this s/l amayo or mio port put in to admin methotrexate.


 


help, I'm really stuck


 


Thanks


Infus-A-Port? nm
Subject: Infus-A-Port? nm

xxx
Infuse-a-Port
Subject: Infuse-a-Port

PICC line
Port-A-Cath?
Subject: Port-A-Cath?


s/l apple port
Subject: s/l apple port

s/l apple port was placed in the midline suprapubically. Procedure is laparoscopic-assisted vaginal hysterectomy. Thanks.
Apple port
Subject: Apple port

Actually was Apple port. Made by Apple Medical. Thanks.
Port Authority
Subject: Port Authority


port scissors?
Subject: port scissors?

The radial artery was clamped proximally and distally and a longitudinal arteriotomy was performed with a #11 blade.  This was extended proximally and distally with port? scissors. 


 


This is an ESL..he may be saying Pott scissors, Pollack scissors? port scissors? 


port-a-cath
Subject: port-a-cath

Insertion of Power Port-a-Cath via the left subclavian vein using C-arm imaging. 


Should Power be capitalized or not? Cant tell if that is part of the cath name or what?  


Chemo-Port? nm
Subject: Chemo-Port? nm

.
port-a-catheter? tks. nm
Subject: port-a-catheter? tks. nm

sss