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No effusion. Positive s/l postbursal tenderness ??? This is a new doc for me. TIA

Posted By: new doctor on 2009-05-03
In Reply to:

Subject: No effusion. Positive s/l postbursal tenderness ??? This is a new doc for me. TIA




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scarification? or serous effusion, cloudy effusion?
Subject: scarification? or serous effusion, cloudy effusion?


or calf tenderness? cords or tenderness? nm
Subject: or calf tenderness? cords or tenderness? nm

s
I know CVA tenderness is what is used, .my question was when was it changed from c.v.a. tenderness?
Subject: I know CVA tenderness is what is used, .my question was when was it changed from c.v.a. tenderness?

I learned from from a QA's report.  How are we to know there are changes on things that were done one way for so long and now done another?  geesh
the she finds tenderness is C-spine tenderness
Subject: the she finds tenderness is C-spine tenderness

otherwise, the way you've typed the paragraph with the headings looks correct.


 



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. 
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!!!


Do you type; c.v.a. tenderness or CVA tenderness?
Subject: Do you type; c.v.a. tenderness or CVA tenderness?

I am getting two different opinions on this one and was wondering what is actually correct....Thanks in Advance!
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.

:-)
"CV angle tenderness" or "CVA tenderness" as A=angle nm
Subject: "CV angle tenderness" or "CVA tenderness" as A=angle nm


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

..
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


3-4 mm effusion is how I'd do it. Anyone else?
Subject: 3-4 mm effusion is how I'd do it. Anyone else?


Same here I would use 3-4 mm effusion....nm
Subject: Same here I would use 3-4 mm effusion....nm

x
TU effusion
Subject: TU effusion


EKG shows sinus bradycardia with possible hypocalcemia or TU effusion.


Can possible hypocalcemia be found on an EKG and any clues on TU effusion (can this be found on EKG)?????


Effusion - Is there
Subject: Effusion - Is there

such thing as a plural form?  Doesn't seem like there would be but dictators say that way (effusions) often.
Ott effusion? Odd effusion?
Subject: Ott effusion? Odd effusion?

The context is degenerative changes of the spine with osteophyte and s/l "odd effusion".
There is a 3- to 4-mm effusion noted.
Subject: There is a 3- to 4-mm effusion noted.

Is this correct?


Thank you very much!


Then it may be pulmonary effusion. nm
Subject: Then it may be pulmonary effusion. nm


intense effusion
Subject: intense effusion

nm
how about "a tense effusion"
Subject: how about "a tense effusion"


tense effusion
Subject: tense effusion

Rapid onset (within two hours) of a large, tense effusion suggests rupture of the anterior cruciate ligament or fracture of the tibial plateau

(www.aafp.org/afp/20030901/907.html)
Yes, plural effusion
Subject: Yes, plural effusion


pleural effusion
Subject: pleural effusion

I keep hearing laryn- with L beginning
syringopleural effusion......nm
Subject: syringopleural effusion......nm


Serous effusion sm
Subject: Serous effusion sm

and he is saying something to do with decreased TM movement on insufflation.
s/l perishable effusion?? nm
Subject: s/l perishable effusion?? nm

v
Pleural effusion?
Subject: Pleural effusion?


OM with scarring and effusion? nm
Subject: OM with scarring and effusion? nm


Right-sided pleural effusion
Subject: Right-sided pleural effusion

Evidence of old TBC. I'm thinking he means tuberculosis. Is that right. Also under discharge medications he has Rifamate, Theo-Dur and it sounds like he's saying prinsom or primson and taper down over two weeks. Any ideas? Thanks a bunch.
OME= otitis media with effusion.
Subject: OME= otitis media with effusion.


Loculated pleural effusion......
Subject: Loculated pleural effusion......

pleural fluid which has been loculated or encysted between layers of visceral pleural within the fissures or between partially fused visceral and parietal layers adjacent to the chest wall, diaphragm or mediastinum. 
cardio again... s/l chloral effusion
Subject: cardio again... s/l chloral effusion


never mind. i got it....pleural effusion..thanks anyways
Subject: never mind. i got it....pleural effusion..thanks anyways


malignant pleural effusion?
Subject: malignant pleural effusion?


Is it possible to have effusion with metal cage around it?
Subject: Is it possible to have effusion with metal cage around it?

 
Don't know what the O word is, but it's most like fusion not effusion
Subject: Don't know what the O word is, but it's most like fusion not effusion


should this be effusion or fusion? see note
Subject: should this be effusion or fusion? see note

PROCEDURES


1.  L4-5 posterolateral effusion or fusion.


2.  L4-5 posterior monosegmental instrumentation.


3.  L4 central decompressive laminectomy.


usually hear pericardial effusion
Subject: usually hear pericardial effusion

n.m
ESL: pleural effusion phrases
Subject: ESL: pleural effusion phrases

Doctor with a fairly thick Indian accent dictates the following:


Large left pleural effusion with probable s/l "ectelectisis" or organization. Moderate to large right pleural effusion and s/l "side diesease" is noted.


OME = otitis media with effusion or effusions. nm
Subject: OME = otitis media with effusion or effusions. nm


Any chance you might be hearing "uveal effusion?" nm
Subject: Any chance you might be hearing "uveal effusion?" nm

x
Could be "pleurisy" causing a pleural effusion - nm
Subject: Could be "pleurisy" causing a pleural effusion - nm


Plexus tube for pleural effusion
Subject: Plexus tube for pleural effusion

Thanks!
Otitis media with "scaral" effusion
Subject: Otitis media with "scaral" effusion

This is a young child with otitis media and a previous history of ear tubes. He says what sounds like otitis media probably with "scaral or skaral" effusion.  Any ideas? 
Patient has s/l blig-a-ma-sy causing a pleural effusion.
Subject: Patient has s/l blig-a-ma-sy causing a pleural effusion.

Thanks so much!!!
Pt with history of pleural effusion and had s/l talc procedure
Subject: Pt with history of pleural effusion and had s/l talc procedure


Past medical history: Bilateral pleural effusion, then s/l
Subject: Past medical history: Bilateral pleural effusion, then s/l

chronic stasis - period.  Would that be right?