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HER2/neu positive, tumor measured 8cm, _____ (s/l lymph-edger) positiv

Posted By: NM.. not on my usual acct on 2007-10-05
In Reply to:

Subject: HER2/neu positive, tumor measured 8cm, _____ (s/l lymph-edger) positiv

Sorry for all of these, I have never worked on breast cancer reports before. I am doing overflow from another acct.


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We have a winner! *fat and 8* positive lymph nodes. Thanks!! Time for bed obviously. nm
Subject: We have a winner! *fat and 8* positive lymph nodes. Thanks!! Time for bed obviously. nm

nm
Could be lymphazurin blue positive? Used for staining lymph nodes.
Subject: Could be lymphazurin blue positive? Used for staining lymph nodes.


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

I believe. gastrointestinal stromal tumors (GIST) are a rare tumor of the gastrointestinal tract (1-3% of all gastrointestinal malignancies).

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

periaortic lymph nodes, paraaortic lymph nodes...I can never remember
Subject: periaortic lymph nodes, paraaortic lymph nodes...I can never remember

ugh


subcarinal lymph node in the chest. Google subcarinal lymph node to check. nm
Subject: subcarinal lymph node in the chest. Google subcarinal lymph node to check. nm


HER2/neu
Subject: HER2/neu


HER2/neu 3+ is how I do it NM
Subject: HER2/neu 3+ is how I do it NM


HER2/neu.
Subject: HER2/neu.

x
could be, although trough not usually measured in a ratio (1:512) sm
Subject: could be, although trough not usually measured in a ratio (1:512) sm

trough is usually indicating the amount of a treating medication in the bloodstream and it's measured in mg/L...don't know if that applies here....whereas a cryptococcal titer is measured in a ratio and they look for 1:512 or 1:1024...
HER2/neu negative..........nm
Subject: HER2/neu negative..........nm


my Onc book has HER2/neu nm
Subject: my Onc book has HER2/neu nm


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

:
laryngoscopy: s/l sanguous noses measured 3 mL.
Subject: laryngoscopy: s/l sanguous noses measured 3 mL.


HER2 FISH, plse see msg.
Doc says HER2 FISH is positive. Is this the correct way to type this, should it be FSH instead of FISH? I would always hear HER2/neu, now he threw me a curve! Thx
no no no - it's wrong - it's HER2/neu negative
Subject: no no no - it's wrong - it's HER2/neu negative

PR/ER-positive, HER-negative disease"


 


ER/PR positive (or PR/ER positive) and HER2/neu negative!!!  I've been doing oncology for 15 years now *S*


 



Abdomen: Positive wave sign appreciated, "caps out" is positive as well. sm
Subject: Abdomen: Positive wave sign appreciated, "caps out" is positive as well. sm

Abdomen tympanic to percussion, diffuse tenderness, no point tenderness appreciated.  Positive wave sign appreciated, "caps out" is positive as well. 
abdominal exam: obturator sign, and positiv s/l Zoe-is sign
Subject: abdominal exam: obturator sign, and positiv s/l Zoe-is sign


Volume is measured as liters. Please see link in message.
Subject: Volume is measured as liters. Please see link in message.

http://oac.med.jhmi.edu/res_phys/Encyclopedia/ForcedExpiration/ForcedExpiration.HTML
Cardiac output measured by the FICK?? principle
Subject: Cardiac output measured by the FICK?? principle

not really sure about the begining of this word.  Could be Thick or may be I am not even close.  This guy is talking a mile a minute.  Doc is doing a cardiac cath.  Thanks.
ACTH is measured in picograms - abbrev "pg"
Subject: ACTH is measured in picograms - abbrev "pg"


Positive grasp response and positive s/l palmo mentonian on the right. TIA!!!
Subject: Positive grasp response and positive s/l palmo mentonian on the right. TIA!!!


Breast cancer was ER/PR/HER2- Is this correct? TIA nm
Subject: Breast cancer was ER/PR/HER2- Is this correct? TIA nm

x
metric; 0.5+ (hypertrophy is measured using 0-10 cm Visual Analog Scale) nm
Subject: metric; 0.5+ (hypertrophy is measured using 0-10 cm Visual Analog Scale) nm


estrogen-progesterone receptor positive (as in ER-positive),
Subject: estrogen-progesterone receptor positive (as in ER-positive),


In Ortho, positive s/l Meniere, positive Hawkins?
Subject: In Ortho, positive s/l Meniere, positive Hawkins?

xx
no just saying positive pH or KOH? Not exactly your S/L though. Or positive whiff test said fast? nm
Subject: no just saying positive pH or KOH? Not exactly your S/L though. Or positive whiff test said fast? nm


She has a positive Tinel's sign, positive Phalen's sign, and positive s/l Durkin's sign.
Subject: She has a positive Tinel's sign, positive Phalen's sign, and positive s/l Durkin's sign.

:-)
A positive, direct "Kums" positive
Subject: A positive, direct "Kums" positive

This is for a 3-day-old baby with hyperbilirubinemia.  He is A positive and "Kums"positive.  What is the Kums positive? 
She has a grayish, frothy discharge that is KOH ____ test positive. S/l 'with' test positive?
Subject: She has a grayish, frothy discharge that is KOH ____ test positive. S/l 'with' test positive? nm

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

S/l H nerve tumor or aged nerve tumor?? 
neuroma s/l _____
Subject: neuroma s/l _____

Unfortunately this is all there is: PAST MEDICAL HISTORY: Neuroma ____________.

Sorry, but this is it!
syphilis or _____
Subject: syphilis or _____


it may be _____ or strain.
Subject: it may be _____ or strain.

No idea what ____ is.
_____ appendical?
Subject: _____ appendical?


_____ appendical?
Subject: _____ appendical?


Sorry meant ER-positive or PR-positive) might also be HER-2/neu
Subject: Sorry meant ER-positive or PR-positive) might also be HER-2/neu


not sure of 1st, but _____, gait and Romberg...SM
Subject: not sure of 1st, but _____, gait and Romberg...SM


Romberg sign

with feet approximated, the subject stands with eyes open and then closed; if closing the eyes increases the unsteadiness, a loss of proprioceptive control is indicated, and the sign is positive
s/l _____-negative polyarthralgias
Subject: s/l _____-negative polyarthralgias

in past medical history so not much info on this either but s/l

_______ero-negative polyarthralgias


 


intra-articular _____??
Subject: intra-articular _____??

I do believe this would be something we can correct with intra-articular (s/l) huts or touch or tuts or hutch, but may require some type of extra-articular osteotomy based on the findings of the long-alignment films. 


I'm auditing, so I'm the third set of ears to listen to this and not figure it out... help???


Could it be _____ hyperlipidemia...See Inside
Subject: Could it be _____ hyperlipidemia...See Inside

Could it be one of these:
Hyperlipidemia, hyperlipoproteinemia or dyslipidemia
Lungs _____ at the bases???
Subject: Lungs _____ at the bases???

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


thx everyone.


infarction associated with _____ petechial hemorrhage.
Subject: infarction associated with _____ petechial hemorrhage.

nm
70 degree *toro _____* telescope ??? Thanks.nm
Subject: 70 degree *toro _____* telescope ??? Thanks.nm

nm


_____ status? (Psychiatric word help)
Subject: _____ status? (Psychiatric word help)

Mr... appears for this appointment neatly and appropriately dressed and groomed.  He is cooperative.  His speech is fully understandable to the examiner.  He smiles much of the time; he is cooperative.  ______ status revealed that he knew that George Bush was the current president and that Bill Clinton preceded him.  He denies hearing any voices.  He denies any other significant psychiatric problems.  He did not show any unusual or bizarre behaviors or manorisms.  He is not currently on any medication.


(Sorry, I posted this yesterday but am still unclear and think I may have been misleading in my wording)


Thanks!


any idea? inspiratory and expiratory _____.
Subject: any idea? inspiratory and expiratory _____.

Flow volume loop shows normal.  Inspiratory and expiratory _____.  Peak flow is normal.
Infected abdominal _____ (alloderm?)
Subject: Infected abdominal _____ (alloderm?)

He became infected and he subsequently had an Alloderm inserted about 2005
Lymph node

I'm working on an autopsy report for school


 Lymph node: Sinus histiocytosis, stellicular depletion and birefringent crystals.


I cannot figure out what this word is supposed to be. Any ideas?


lymph node
Subject: lymph node

The patient is having a right upper lobe lung resection and thoracic lymph node dissection.


SPECIMENS:  s/l azgus lymph node, level 12 lymph node, etc.


I cannot figure out the "azgus" lymph node part.  He is a big time mush mouth and this is a loooooooong dictation.  Any help would be greatly appreciated.


TIA!!


sub cm lymph node?
Subject: sub cm lymph node?

Context is oncology. 
lymph nodes?
Subject: lymph nodes?


lymph node
Subject: lymph node

He performed a bronchoscopy and biopsy, which, from a s/l (subcrinal) lymph node, was suggestive of melanoma.