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Same ESL. DTRs are diminished both s/l roturian and Achilles. Any ideas?

Posted By: dsmt on 2006-08-30
In Reply to:

Subject: Same ESL. DTRs are diminished both s/l roturian and Achilles. Any ideas?




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got it-diminished
Subject: got it-diminished


Can someone help me with DTRs?
Subject: Can someone help me with DTRs?

Dr. is dictating ...


Deep tendon reflexes:  (s/l) B, TDR and QA absent.  Does this make sense.


Thanks


DTRs?
Subject: DTRs?

.
What are DTRs?
Subject: What are DTRs?

I have not come across this abbreviation more than twice in my short time as an MT.  Anyone know what DTRs are?
maybe globally diminished? have heard that before
myself
DTRs were 2+ of the bicipital ? bilaterally.
Subject: DTRs were 2+ of the bicipital ? bilaterally.

Any ideas?  I'm a newbie!  Thanks!
Motor Exam: s/l diminished tone, normal (sm)
Subject: Motor Exam: s/l diminished tone, normal (sm)

no atrophy.


the patient had a stroke and has no residual except for dysarthria. Can a motor exam show diminished tone and still be considered normal?


Abnormal DTRs can be a sign of being euthyroid.
Subject: Abnormal DTRs can be a sign of being euthyroid.

x
On neck exam: s/l Crackle middle space diminished. nm
Subject: On neck exam: s/l Crackle middle space diminished. nm

Not cricopharyngeal space.  Second time doc has said this exact thing in two different documents.  Any ideas?  She is a sleep/wake doctor. 
DTRs were dictated in sensory exam. Thanks for your help! Still stumped!
Subject: DTRs were dictated in sensory exam. Thanks for your help! Still stumped!


Pt with cardiomyopathy. Neck Exam: s/l "Craco middle" space is slightly diminished. nm
Subject: Pt with cardiomyopathy. Neck Exam: s/l "Craco middle" space is slightly diminished. nm


And you need Achilles in there, too. nm
Subject: And you need Achilles in there, too. nm

s
Achilles. NM
Subject: Achilles. NM

x
Achilles' ***iopathy.
Subject: Achilles' ***iopathy.

Definitely not sounding like tendinopathy.  The patient also has Haglund's deformity.  TIA!


Tendo-Achilles (?)
I am drawing a blank.  Is tendo-Achilles hyphenated or is it one word?
it is actually the insertion of her Achilles nm
Subject: it is actually the insertion of her Achilles nm


I always hear patellar and Achilles
Subject: I always hear patellar and Achilles

Can you take out the "both" and see if the s/l is "for patellar and Achilles?"  Longshot for you :)
Achilles tendon repair
Subject: Achilles tendon repair

Surgical repair and tenodesis with s/l plantara? 


s/l "worsened achilles or acuity"
Subject: s/l "worsened achilles or acuity"

He also has "worsened achilles/acuity" because of rapid atrial fibrillation.
First thought is Achilles tendinitis. nm
Subject: First thought is Achilles tendinitis. nm


There is a Thompson test for ruptured Achilles
Subject: There is a Thompson test for ruptured Achilles


Can you give any more info...something Achilles tendinitis.
Subject: Can you give any more info...something Achilles tendinitis.


does it sound like Chronic Achilles tendinitis?
Subject: does it sound like Chronic Achilles tendinitis?


it is actually the insertion of her Achilles as well as her calcaneal tuberosity spur?? nm
Subject: it is actually the insertion of her Achilles as well as her calcaneal tuberosity spur?? nm


Achilles regional skin ulcer and left foot ulcer following venotomy?
Subject: Achilles regional skin ulcer and left foot ulcer following venotomy?


Achilles tendon repair, s/l Acculon repair system. TIA - nm
Subject: Achilles tendon repair, s/l Acculon repair system. TIA - nm

nm
Thanks though. Anyone else have ideas?
Subject: Thanks though. Anyone else have ideas?

Thanks.
for the ideas!
Subject: for the ideas!

.
Other ideas?
Subject: Other ideas?

Was TRYING to hear Seldinger but, no, it's definitely SANDWICH (thinking perhaps it has to do with the approach used for the vein/artery?
any ideas?
Subject: any ideas?

s/l cortex


Diastat cortex AV fisture..


any ideas


Anyone else with ideas? sm
Subject: Anyone else with ideas? sm


any ideas what the s/l is?? sm
Subject: any ideas what the s/l is?? sm

"proximal femoral ____ of the hip prosthesis"  sounds like malliety-


Any ideas of what this could be?
Subject: Any ideas of what this could be?

Psych eval on a boy with ADHD and disorder of central nervous system - this is just under general discussion:


 


He has had no aggression.  His mother still has not noted any abnormal, involuntary movements.  His S/L: AGE today remains 0.


 


Any ideas??  TIA


Hmm, sorry, no ideas here - hopefully someone else can help. nm
Subject: Hmm, sorry, no ideas here - hopefully someone else can help. nm


Does anyone have any ideas what this could be?
Subject: Does anyone have any ideas what this could be?

He talks so fast, and his voice is so low, slowing it down makes it worse!


"Past psychiatric history:  None other than therapy with her, S/L: TRIBES approximately 1 year."


Thanks for any ideas!


So any other ideas??
Subject: So any other ideas??


Some ideas
Subject: Some ideas

traditional esophagectomy, invasive or minimally invasive esophagectomy and also, curative esophagectomy
Some ideas ...
Subject: Some ideas ...

Go to google.com and type in "suntuf." You will get 8900 hits. See if any of those look like a medical word to you.

If not, then you have almost done your due diligence in terms of searching on your own.

Now, open up your reference books (of which you should have several), and pour through them, looking for something that makes sense in the context of the patient's visit and history. If you find nothing, then you have almost completed the due diligence for which you're responsible before you ask for help.

Now, go to Google and type in all of the words you think it sounds like. If none of those come up as medical terms (on reputable sites) that make sense in the patient's history and reason for visit, and sound exactly like what the doctor is saying, you have completed the due diligence you're responsible for in order to post here with your question.

Please, only post your question once. You may follow up to replies on that one post, but do not continue to post the same question as separate threads. If no one answers your question to your liking, it is time to either ask your supervisor or leave a blank. Repeating the same question over and over will not lead to an answer - it will lead to the frustration of people trying to help you.

If this is a term the doctor says repeatedly, you need to ask your supervisor for examples of that doctor's report. In it, you will most likely find exactly what you're looking for, and you will also have samples for further questions you may have.

If not, leave a blank and ask whomever QAs your work for the answer to your blank.

The word help board is not here to type your reports for you. It is here after you have exhausted all other means of finding an answer. Otherwise, it not only appears as if you're taking the help of others for granted, you're expecting someone else to do your work for you.

Good luck finding the words you're looking for. I'm sure we're all curious to hear what the real phrase was, once you are given the answer to your blank. Please keep us updated.

Thanks!
I'm sorry..it's 6 mg not 60 mg...any ideas?
Subject: I'm sorry..it's 6 mg not 60 mg...any ideas?


any more ideas anyone???
Subject: any more ideas anyone???

GI: No ("osatity"), melena, or jaundice.
ideas
Subject: ideas

metoprolol, lisinopril, toprol?
Any ideas what this could be?
Subject: Any ideas what this could be?

Sounds like "Eich-Dooley" "Ike-Dewey"  ?!!  (whatever it is, the patient had recent stents placed --)...  Would appreciate any suggestions at all!  Thanks!


To Ideas?
Subject: To Ideas?

frontotemporal infarct with gel foam hemorrhage?
Just some ideas...
Subject: Just some ideas...

facetious... meaning not very serious drainage OR stretching even further and dare I say a "made up" word such as fascial/facial drainage only with an ous suffix. Lots of docs play with words to make our jobs even more delightful. Just some thoughts. Now walk 10 paces and draw out the reference books. ;-)
s/l end-on or in-on vessel? Ideas?
Subject: s/l end-on or in-on vessel? Ideas?

 


CT of the lungs showed an -- s/l in-on or enon or end-on -- vessel in the left lung. Any ideas? I am stumped!  Thanks! 


Any ideas? S/L vasodectomy
Subject: Any ideas? S/L vasodectomy

This is right on the tip of my brain, but can't seem to find the right spelling.  Thanks in advance.


No ideas here either, they usually say the # of pills
Subject: No ideas here either, they usually say the # of pills

at that point.
any ideas on blank
Subject: any ideas on blank

An MRI of her right knee showed evidence of some subcutaneous edema ____________ her soft tissue intensity within the suprapatellar effusion

blank sounded like quivaling or equivalent, something along those lines.
Any ideas of what this word
Subject: Any ideas of what this word

she may need to s/l asestate referral to a nursing home for assistance.


He used this word twice and they both sound the same, but I just can't think of what this is?!  Your help is always appreciated.


Any ideas? Under ENT exam: sm
Subject: Any ideas? Under ENT exam: sm

"... revealed normal nasal mucosa and normal s/l *seffin* and turbinate and normal gums." Thanks!
Doc doing review. Any ideas? sm
Subject: Doc doing review. Any ideas? sm

Available for review is a s/l “fair-row” seven page typewritten report.