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Her cervix on initial exam was 0 in 50% effaced.

Posted By: Mary on 2009-04-29
In Reply to:

Subject: Her cervix on initial exam was 0 in 50% effaced.

Is this the proper way to transcribe this- 0 in 50%?  It looks akward. 




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cervix 3 (cm), 90(% effaced), 0 (station)
Subject: cervix 3 (cm), 90(% effaced), 0 (station)

nm
Cervix exam: s/l No liperus.
Subject: Cervix exam: s/l No liperus.

n/t
Physical exam - cervix is s/l paris/pearus
Subject: Physical exam - cervix is s/l paris/pearus


Exam: Cervix and uterus are missing. Her s/l S-string is removed.
Subject: Exam: Cervix and uterus are missing. Her s/l S-string is removed.


Would think it would be fungating lesion of the cervix which covers the entire portio of the cervix.
Subject: Would think it would be fungating lesion of the cervix which covers the entire portio of the cervix.


0 in 50% effaced
Subject: 0 in 50% effaced

0 and 50% effaced


probably zero and 50% effaced.
Subject: probably zero and 50% effaced.

effacement is thinning of the cervix that occurs during pregnancy as delivery nears. Zero could be dilation of cervix or baby's station.
0 and 50% effaced (1st time here)
Subject: 0 and 50% effaced (1st time here)


50% effaced (dilated), then usually mention a "station" going from -5 to +5. nm
Subject: 50% effaced (dilated), then usually mention a "station" going from -5 to +5. nm

s
Usually hear how much dilated, how much effaced, and where the head is, so sm...
Subject: Usually hear how much dilated, how much effaced, and where the head is, so sm...

it would be something like patient presents at 7 cm dilation, 50% effaced, with the head at -1, or sometimes just as numbers with slashes 7/50/-1. I'm not positive of the order of the values, though. Maybe someone more experienced with OB notes can help you there. You wouldn't have specific numbers like 6.9 etc., at least not that I've ever heard of. nm
I think it may be just initial cap
Subject: I think it may be just initial cap


I'd use it. Just another way of saying first or initial, so this must be a repeat. nm
Subject: I'd use it. Just another way of saying first or initial, so this must be a repeat. nm

s
an initial procedure? Just a WAG. nm
Subject: an initial procedure? Just a WAG. nm


got it - - initial presentation
Subject: got it - - initial presentation


No initial cap for fentanyl. nm
Subject: No initial cap for fentanyl. nm

nm
I re-read the initial post
Subject: I re-read the initial post

I misunderstood the original question, so you are probably right.
After I posted the initial question...
Subject: After I posted the initial question...

Doc mentions later and says, "I think it's x-a-n-o-x-l"


Anyone heard of xanoxl?


heparin and it is not initial capped either...
Subject: heparin and it is not initial capped either...


WAG, "over initial doses"
Subject: WAG, "over initial doses"


numeric and nylon is not capped initial.....nm
Subject: numeric and nylon is not capped initial.....nm


AAMT BOS prefers us to just initial caps these terms, sm
Subject: AAMT BOS prefers us to just initial caps these terms, sm

so they don't stand out in a report. You'll see many trademarked names in all caps.
I think it is "index" and he means it as the initial procedure since she had follow up procedu
Subject: I think it is "index" and he means it as the initial procedure since she had follow up procedures that included lenthening and so on. Does that make sense?


Thought it had more to do with her sources of information on the patient prior to initial visit. nm
Subject: Thought it had more to do with her sources of information on the patient prior to initial visit. nm

x
"The loop memory of each lens is expressed as the difference between the initial overall diameter
Subject: "The loop memory of each lens is expressed as the difference between the initial overall diameter measurement (pretest) and the measurement at each time point; the lower the value, the higher the memory. " Per the Cataract Institute


"maliporous" cervix ????
Subject: "maliporous" cervix ????

Definately NOT malodorous.....any ideas??  Google only pulled up one site!  Thanks!!
nullipara cervix
Subject: nullipara cervix

nm
OB/GYN help...SL "poorshoe" of the cervix
Subject: OB/GYN help...SL "poorshoe" of the cervix


The cervix was virgil? sm
Subject: The cervix was virgil? sm

I'm not used to doing GYN reports.  It virgil right?  TIA


Is it possibly cervix?
Subject: Is it possibly cervix?


Cervix is oliparous?
Subject: Cervix is oliparous?

The patient has never been pregnant and under the physical exam the doctor states the cervix is "oliparous"? I have heard of nonparous but not anything that sounds like this- any guesses? 
s/l "Osfinder" evaluation of cervix
Preoperative diagnosis is:
RECURRENT HIGH-GRADE SQUAMOUS INTRAEPITHELIAL LESION FOLLOWING CONE BIOPSY AND CERVICAL STENOSIS PENDING PATHOLOGY.

Procedure is:
EXAMINATION UNDER ANESTHESIA, **OSFINDER** EVALUATION AND DILATATION OF THE CERVIX.

vVery muffled, but "--finder" seems clear (??).
Cervix 690 minus 1 with swelling. sm
Subject: Cervix 690 minus 1 with swelling. sm

Should I type this as 6.90 minus 1 with swelling? Just had the same doctor with another patient coming in with labor, and she says "Cervix is 390 and 0." That should be 3.90, meaning the cervical length, right? But what about this patient of 690 minus 1 with swelling? Is that cervical length of 6.90? Thank you.
os of the cervix or cervical os is probably what he means.
Subject: os of the cervix or cervical os is probably what he means.


patient had cor-i-ni-zation of cervix. nm
Subject: patient had cor-i-ni-zation of cervix. nm

thanks
OB... cervix is s/l perisome and without lesions.. thank you
Subject: OB... cervix is s/l perisome and without lesions.. thank you


nulliparous cervix (never pregnant)
Subject: nulliparous cervix (never pregnant)


? cervical or cervix area
Subject: ? cervical or cervix area


cervix is painted with lou galls?
Subject: cervix is painted with lou galls?

The cervix is painted with Lou Galls and there is a large area of decreased Lou Galls uptake.  I've heard it before but am drawing a blank.


 


 


cervix ...saddle brush?
Subject: cervix ...saddle brush?

doctor says  "Cervix:  Stenotic.  Unable to pass the (s/l)saddle brush.  A spatulae was used."


Does this sound right, or anyone know what it sould be? 


A patient can have a parous cervix and
Subject: A patient can have a parous cervix and

not have given birth vaginally or at all. The doctors will sometimes open the cervix during a vaginal surgery or C-section to make it "parous."
localized is fine. It means the cervix sm
Subject: localized is fine. It means the cervix sm

could not be found in its usual place or in any place. The doc could not find it on PE. This is a common term.

Cervix was visualized and the s/l Leuko? solution
Subject: Cervix was visualized and the s/l Leuko? solution

was applied
s/l wysop size B catheter was placed against the cervix... Please sm
Subject: s/l wysop size B catheter was placed against the cervix... Please sm

this is during a hysterosalpingogram to to document tubal occlusion from Essure tubal ligation


thanks for any help


Cervix size- delivering woman
Subject: Cervix size- delivering woman

Can someone tell me how to properly transcribe these figures. 


On admission her cervix was 1.5, 60 and minus 2.  Thanks. 


 


maybe colpocervical -pertaining to the vagina and the cervix uteri
Subject: maybe colpocervical -pertaining to the vagina and the cervix uteri


Cervix was dilated with s/l anti or hani dilators. TIA.
Subject: Cervix was dilated with s/l anti or hani dilators. TIA.


Her cervix and organ s/l insegment appear to be quite mobile and nontender.
Subject: Her cervix and organ s/l insegment appear to be quite mobile and nontender.


cervix is parous, freely moveable, midline and
Subject: cervix is parous, freely moveable, midline and


OB/GYN s/l sadderdick (for stenotic cervix), on the tip of my tongue, tired, help please
Subject: OB/GYN s/l sadderdick (for stenotic cervix), on the tip of my tongue, tired, help please

I know this and is on the tip of my tongue... Sounds like "sadderdick" placement. Patient is having OB/GYN surgery but has a stenotic cervix. Could somebody help me? Gosh, tired.


 


Thanks!


This may sound a little crazy, but has anyone ever heard of a part of the cervix called the oos ?
Subject: This may sound a little crazy, but has anyone ever heard of a part of the cervix called the oos ?

I am not sure if I even have this spelled correctly.  It almost sounds like MOUSE without the M!


It is dicated:  There is some abnomal green colored vaginal discharge from the ___ of the cervice. 


Laparoscopic hysterectomy...s/l circumcised incision made on cervix? nm
Subject: Laparoscopic hysterectomy...s/l circumcised incision made on cervix? nm

nm