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CT of the apical lungs to check for a PANTOSE tumor.

Posted By: Clueless on 2006-12-27
In Reply to:

Subject: CT of the apical lungs to check for a PANTOSE tumor.




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I will check on the apical. What's WAG?
Subject: I will check on the apical. What's WAG?


GIST tumor, gastrointestinal stromal tumor
Subject: GIST tumor, gastrointestinal stromal tumor

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GIST is a form of connective tissue cancer, or sarcoma.

A cementoma is a bony tumor. Cementophytes are pieces of bony tumor. NM
Subject: A cementoma is a bony tumor. Cementophytes are pieces of bony tumor. NM

:
H nerve tumor, aged nerve tumor???
Subject: H nerve tumor, aged nerve tumor???

S/l H nerve tumor or aged nerve tumor?? 
It was apical! nm
Subject: It was apical! nm

nm
apical? WAG here.
Subject: apical? WAG here.


you sure it's not bi-apical ? (nm)
Subject: you sure it's not bi-apical ? (nm)


apical HCM--sm
Subject: apical HCM--sm

Apical hypertrophic cardiomyopathy (HCM)
apical rate?
Subject: apical rate?


apical rate
Subject: apical rate

I think that's it. Thanks!
anteroseptal apical
Subject: anteroseptal apical


apical peripheral
Subject: apical peripheral

apical peripheral bullae or apicoperipheral....peripheroapical...apical/peripheral??
could it be apical lordotic?
Subject: could it be apical lordotic?

nm
I do see apical in there. subapical?
Subject: I do see apical in there. subapical?


apical capping. nm.
Subject: apical capping. nm.

x
apical capping?
Subject: apical capping?


Apical s/l holcome??
Subject: Apical s/l holcome??

I have tried every spelling I can think of and can not get a confirming hit.  Anyone know what this is?


TIA!


Apical s/l holcome?? Don't know if this will help.
Subject: Apical s/l holcome?? Don't know if this will help.


3. Atrial fibrillation:  Per the CHADS2 criteria score it has a score of 1. However, given that he has an apical "holcome", I have however recommended we continue with Coumadin.


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Subject: apical thoracic curve?


apical access guidewire?
Subject: apical access guidewire?

This is a bunionectomy. s/l apical access guidewire
apical fixed infarct?
Subject: apical fixed infarct?


subhilar and apical regions? nm
Subject: subhilar and apical regions? nm


OB.. she returns for a string check?? or Estring check?? Thanks
Subject: OB.. she returns for a string check?? or Estring check?? Thanks


Maybe distal anterior septal and apical.
Subject: Maybe distal anterior septal and apical.


Point C is one of the apical vaginal points. sm
Subject: Point C is one of the apical vaginal points. sm


  • AccessMedicine | Williams Gynecology: Chapter 24. Pelvic Organ ...


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    ww

  • Lungs!
    Subject: Lungs!

    Her lungs reveal some prolonged expiratory breath sounds and occasional perihollow wheezing.  The bold is what it sounds like.  Any ideas? 


    Thanks.


    lungs cor RSR... please sm... ty
    Subject: lungs cor RSR... please sm... ty

    Doc is very hard to understand... i've been doing this for a long time, and I have always thought that cor belonged in heart exam.  This doc speaks very low, but s/l he continually says on physical exams, ...


    lungs cor rsr.  I figured lung exam was separate and i was missing something he said, and then i should type .... Cor, RSR (for regular sinus rhythm).  Can somebody please clarify for me?  I saw another transcriptionists report that said ... lungs cor rsr.  That does not look correct to me and many of these other MT's make a lot of mistakes.


     


    Please help!  Thank you much!


    Could you put Lungs/Cor: RSR?
    Subject: Could you put Lungs/Cor: RSR?

    xx
    Lungs
    Subject: Lungs

    Lungs
    lungs
    Subject: lungs

    Lungs, very harsh type cough with no s/l "eediae" changes.  Could it be ETA changes?
    LUNGS:
    Subject: LUNGS:

    What should this be?


    Lungs: Clear and s/l resident.


    LUNGS
    Subject: LUNGS

    my guess would be resonant.
    it's apical axis guide or guid or guidewire. nm
    Subject: it's apical axis guide or guid or guidewire. nm

    x
    I found apical fibrobullous disease on Google.
    Subject: I found apical fibrobullous disease on Google.

    He is probaby just saying it backwards. I would change to the apical fibrobullous.

    We describe a patient who developed noninfectious apical fibrobullous disease 12 years after the diagnosis of seropositive, nodular, deforming rheumatoid arthritis. Fibrobullous disease of the pulmonary apices is a rare entity that is usually found in association with ankylosing spondylitis. Its appearance with rheumatoid arthritis has not been reported. Speculative factors which may predispose to apical fibrobullous disease, such as a stiff chest wall, impaired esophageal motiligy, and HL-A antigen B27, were not present in our patient.

    On CXR: "There are some left apical s/l boa." Yes, sounds like the constrictor.
    Subject: On CXR: "There are some left apical s/l boa." Yes, sounds like the constrictor.


    Lungs - S/L CORE
    Subject: Lungs - S/L CORE

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    Question regarding lungs....sm..
    Subject: Question regarding lungs....sm..

    CT scan of her lungs, which showed interstitial fibrotic changes suggestive of ____ (s/l insip) and had progressed since the July 12, 1999 exam. 


    TIA


    COR: S1, S2, etc. - Just like LUNGS:, HEENT: , etc. (nm)
    Subject: COR: S1, S2, etc. - Just like LUNGS:, HEENT: , etc. (nm)

    x
    sonesent? lungs.
    Subject: sonesent? lungs.

    the impression is

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    There are fissures in the lungs.
    Subject: There are fissures in the lungs.

    x
    Yes, you can have TB other places besides the lungs. sm
    Subject: Yes, you can have TB other places besides the lungs. sm

    There is a link at the end of this.

    Active Tuberculosis
    To diagnose TB of the respiratory tract, 3 to 5 sputum specimens are collected first thing in the morning on different days when they are most likely to contain the most mycobacteria. If extrapulmonary TB is suspected, samples are collected based upon where in the body the infection is likely to be. Multiple samples of gastric (stomach) washings/aspirates or urine may be collected and submitted to the laboratory. Sometimes cerebrospinal fluid (CSF), biopsied tissue, or other body fluids are also collected.


    http://www.labtestsonline.org/understanding/conditions/tuberculosis-3.html
    Lungs are clear to auscultation....sm
    with ?GLOBAL? diminished breath sounds throughout.
    s/l S1, S2, regular. RS lungs: Clear
    Subject: s/l S1, S2, regular. RS lungs: Clear

    He runs the whole thing together with a heavy accent, so not sure if the RS goes with the S1, S2 or if it is RS lungs. TIA!


    no - pleurisy involves the lungs.....nm
    Subject: no - pleurisy involves the lungs.....nm


    The pleura is the lining of the lungs sm
    Subject: The pleura is the lining of the lungs sm

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    Lungs have no stridor or STURDOR?
    Subject: Lungs have no stridor or STURDOR?

    I cannot document this word anywhere; he is definitely saying "Sturdor", but only Stridor comes up.


    Or running together Lungs: Clear. Cor: RSR. nm
    Subject: Or running together Lungs: Clear. Cor: RSR. nm

    s
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    lungs are diffusely s/l rhoncherous ?? sm
    Subject: lungs are diffusely s/l rhoncherous ?? sm

    This one is new to me!  I've typed many times "lungs with rhonchi", but is there even such a word as "rhoncherous"??


     


    TIA


    There are some **coarse** or ** course** rhonchi throughout the lungs
    Subject: There are some **coarse** or ** course** rhonchi throughout the lungs


    Lungs _____ at the bases???
    Subject: Lungs _____ at the bases???

    geez.  anyway it sounds like "Lungs ___tric at the bases"?


    thx everyone.