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Or, depending, could be forward flexion. Have to listen carefully and keep in context.

Posted By: nm on 2008-03-04
In Reply to: volar flexion - nm

Subject: Or, depending, could be forward flexion. Have to listen carefully and keep in context.




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Listen carefully
Subject: Listen carefully

to make sure the author is not saying Neck is supple; no JVD. 
Listen carefully..
Subject: Listen carefully..

may be saying acetate.
Listen very carefully to dictator...
Subject: Listen very carefully to dictator...

there are indeed PVCs (premature ventricular contractions) as well as SVT and PACs.  Hope this helps. 
listen very carefully while he spells
Subject: listen very carefully while he spells

and I'll bet he is actually saying h-i-a-t-u-s


or maybe he is off a little in his spelling, but close enough for you to know he means hiatus hernia.


listen carefully could also be asystole
Subject: listen carefully could also be asystole


for: need help: could you please listen carefully to 'starting sutures)' again ?
Subject: for: need help: could you please listen carefully to 'starting sutures)' again ?


yes she did...small step forward, I guess. nm
Subject: yes she did...small step forward, I guess. nm

nm
You too, Dr. SS. I will look forward to consulting you in the future when I get jobs that are non-h
Subject: You too, Dr. SS. I will look forward to consulting you in the future when I get jobs that are non-hem/onc resident ESLs :) NM


when the doc does this, I usuall separate with a forward slash if there are no other diagnoses...nm
Subject: when the doc does this, I usuall separate with a forward slash if there are no other diagnoses...nm

x
Is this enunciated carefully or is he in a hurry?
Subject: Is this enunciated carefully or is he in a hurry?

Still I got nuthin.
A few mentions of this on Google. It's that slight leaning forward and pushing action if using a
Subject: A few mentions of this on Google. It's that slight leaning forward and pushing action if using a

s
Sheesh, didn't read carefully; you could be right! nm
Subject: Sheesh, didn't read carefully; you could be right! nm

nm.
Pt with cervical strain. s/l Flannel or closure maneuvers exacerbate his pain as does forward
Subject: Pt with cervical strain. s/l Flannel or closure maneuvers exacerbate his pain as does forward

flexion and extension. 



Ruminating: Thinking carefully and for a long period.
Subject: Ruminating: Thinking carefully and for a long period.

nm
Depending on where it is...(sm)
Subject: Depending on where it is...(sm)

could possibly be:


pilon fracture:  fracture of the distal metaphysis of the tibia extending to the ankle joint


or


ping-pong fracture:  regular cranial concavity in infants; may or may not be associated with fracture (also known as derby hat fracture)


maybe 2 through 8, depending on where it's being given? nm
Subject: maybe 2 through 8, depending on where it's being given? nm

s
Depending
Subject: Depending

on the context...could be saying negative log roll.
Depending
Subject: Depending

on where the patient is, it could be referring to The Neuroscience Institute ??
depending on what type of PEG it is sometimes
Subject: depending on what type of PEG it is sometimes

they can just "pop" it out without actually doing a surgery.
It is actually both, depending on the situation sm
Subject: It is actually both, depending on the situation sm

The patient has Alzheimer's. That is correct.
The patient has Alzheimer disease. That is correct.

You add the 's only if it stands alone.

I used Kocher clamps.
I used the Kocher's.

See what I mean?
depending on what doc says prior to this, could the
Subject: depending on what doc says prior to this, could the

first one be ..."similarly" show marked congestion ??
depending on hx, maybe "..has had no..." or "has
Subject: depending on hx, maybe "..has had no..." or "has

had known..."
Maybe plexus for box, depending on how mangled it's getting? nm
Subject: Maybe plexus for box, depending on how mangled it's getting? nm

s
Probably either, but would make a choice depending on the
Subject: Probably either, but would make a choice depending on the

s
without any context, maybe concha bullosa? next time give context. thanks!
Subject: without any context, maybe concha bullosa? next time give context. thanks!


I think the patient's dosage is just different depending what problem it's being used for.
Subject: I think the patient's dosage is just different depending what problem it's being used for.

.
or even 0023 and 0158 depending on when they were admitted? nm
Subject: or even 0023 and 0158 depending on when they were admitted? nm

s
Depending on surgical site there is "seton."
Subject: Depending on surgical site there is "seton."

 A cutting seton (usually a silk ligature)
how about "attempts at" ? (depending on rest of sentence)
Subject: how about "attempts at" ? (depending on rest of sentence)


another possibility - Zaroxolyn, depending on dialect?
Subject: another possibility - Zaroxolyn, depending on dialect?


Depending on age of patient,, maybe anxiety about world issues
Subject: Depending on age of patient,, maybe anxiety about world issues

xx
Yep, shiny Schultz or dirty Duncan, depending on placental
Subject: Yep, shiny Schultz or dirty Duncan, depending on placental

s
I expand CC to cubic centimeters or milliliters depending on which is correct.
Subject: I expand CC to cubic centimeters or milliliters depending on which is correct.

I always spell abbreviations out such as this one that follows a vague number , i.e., few, several, many, etc. It just doesn't look right having the abbreviation in that sort of sentence to me. If you adhere to the BOS, it suggests spelling them out in this instance as well.
What kind of surgery, there are a few sound alikes depending on procedure????NM
Subject: What kind of surgery, there are a few sound alikes depending on procedure????NM

nm
could be flexion
Subject: could be flexion


Context, context, context. There is a lott
Subject: Context, context, context. There is a lott

of help out here but what is this?


more likely flexion/extension
Subject: more likely flexion/extension


Could he be saying flexion mode?
Subject: Could he be saying flexion mode?


flexion? extension?
Subject: flexion? extension?

.
volar flexion
Subject: volar flexion


plantar flexion
Subject: plantar flexion

Okay - maybe this is a stupid question, but dorsiflexion is a word - I looked it up in Dorland's (but I have an older version).   But, plantarflexion seems not to be a word;  I thought it was - modeling it after dorsiflexion.  So, is plantarflexion a real word or is it just plantar flexion? 
knee flexion?
Subject: knee flexion?


The latter, flexion contracture nm
Subject: The latter, flexion contracture nm


flexion, semicolon...sm
Subject: flexion, semicolon...sm

The second and third toes have fixed flexion deformities; fourth and fifth are dynamic, but she does have a large callus on the dorsal lateral aspect of her fifth toe.
bowler flexion?
Subject: bowler flexion?

postoperative from 02/24 ORIF of the wrist. She is doing really well except she has a little difficulty with s/l bowler flexion.
volar flexion..
Subject: volar flexion..

xx
cervical flexion and extension? nm
Subject: cervical flexion and extension? nm

m
Probably good anterior flexion.
Subject: Probably good anterior flexion.


Sounds like flexion mobe?
Subject: Sounds like flexion mobe?

This would be a treatment by a physical therapist.  It sounds like he is saying flexion mobe?  I have never heard of mobe.  Is this correct?
it's 2 words - plantar flexion......
Subject: it's 2 words - plantar flexion......


Normally they say dorsiflexion and plantar flexion.
Subject: Normally they say dorsiflexion and plantar flexion.

x