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They can be seen sharp and clear, not obscured with exudates, tumors, etc. nm

Posted By: Yup on 2006-02-13
In Reply to: The costophrenic angles are acute. Acute? - Chest x-ray

Subject: They can be seen sharp and clear, not obscured with exudates, tumors, etc. nm

s


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exudates....NM
Subject: exudates....NM

s
Exudates?
Subject: Exudates?

Is there a plural form of exudate (exudates) or is it just exudate?  If no S, do you always use "is" or can "are" work also?  (There is no exudate or can it sometimes be, there are no exudate) Thanks.  


Oropharynx without exudates without s/l malipoty 3. TIA
Subject: Oropharynx without exudates without s/l malipoty 3. TIA

nm
exudates is correct just like you have fluids. nm
Subject: exudates is correct just like you have fluids. nm


tumors?
Subject: tumors?

x
agree with tumors
Subject: agree with tumors

x
pathologic grading of tumors
Subject: pathologic grading of tumors

dr. says tumor was a "pathologic PT1ANTNXPMX"- should there be spaces in here anywhere? is there a web site that would help for this? this does not come up very often for me but would be nice to know how to write it when it does. thanks in advance.


See4 link for types of tumors.
Subject: See4 link for types of tumors.

Hope this helps. Cribiform tumor maybe? 


 


http://www.breastcancer.org/dcis_type_grade.html


Probable a stretch ... meningeal tumors?
Subject: Probable a stretch ... meningeal tumors?


bladder was 2+ _____ with no mucosa, lesions or tumors.
Subject: bladder was 2+ _____ with no mucosa, lesions or tumors.


Do you hear zoledronate? used for bone mets of solid tumors. nm
Subject: Do you hear zoledronate? used for bone mets of solid tumors. nm

nm
There are flare effects of the breast tumors with hormone therapy, I believe you are hearing right!
Subject: There are flare effects of the breast tumors with hormone therapy, I believe you are hearing right!


sharp?
Subject: sharp?


A sharp awl?
Subject: A sharp awl?


sharp awl
Subject: sharp awl

Can you hear this?
sharp
Subject: sharp

Maybe...His cup to disk margin is not as sharp...........???
that's me, sedated but sharp
Subject: that's me, sedated but sharp

gotta love those vices... hey, quit working so hard



what's in the pipe?


s/l tiger sharp wires
Subject: s/l tiger sharp wires

This is a distal radius fracture repair. Doctor states that the plate is being secured with s/l tiger sharp wires.

TIA


Super sharp blade?
Subject: Super sharp blade?

Super Sharp?  Supersharp?  Super-Sharp?


TGIF!


sharp/dull discrimination
Subject: sharp/dull discrimination


sharp-dull discrimination
Subject: sharp-dull discrimination


sharp Doppler perception?
Subject: sharp Doppler perception?

Sensory intact to fine touch, sharp Doppler perception, and vibration.


This is listed under neurological part of physical exam. It definetely sounds like sharp Doppler perception. I am not sure what this is.


sharp and dull, I would expect. (nm)
Subject: sharp and dull, I would expect. (nm)

.
Sorry, only have transcribed sharp in that instance.
Subject: Sorry, only have transcribed sharp in that instance.


S/l sharp linging pains...sm
Subject: S/l sharp linging pains...sm

First she describes localized spots of sharp s/l  linging   pains that are random throughout the day.  They last only seconds.  She has felt them on the top of either foot, in a separate area of both of her thighs, her right low calf and her left lower back. 


I cannot figure this out.  It clearly starts with an "L" and I have tried every word I can think of but just cannot figure out what this could be. It is not lingering as the pain last only seconds.  TIA


It is so clear Fair a con FE, can't get Femcon FE, it is just so clear. :(
Subject: It is so clear Fair a con FE, can't get Femcon FE, it is just so clear. :(


followed by sharp curettage with a good uterine cyr/cri sm
Subject: followed by sharp curettage with a good uterine cyr/cri sm

This was followed by suction curettage with a 10- mm suction cannula, then followed by sharp curettage with a good uterine cyr/cri
s/l *sharp close* hemostasis device
Subject: s/l *sharp close* hemostasis device

used at the end of a heart catheterization


lancinating pain? sharp/cutting/tearing? nm
Subject: lancinating pain? sharp/cutting/tearing? nm


sharp curetting of the endometrium until a _____ cry could be felt
Subject: sharp curetting of the endometrium until a _____ cry could be felt

This sounds, and is, for all intents and purposes, the word "cat's"  I have never heard it reference this way, although it does make sense.  Was wondering if anyone else had heard of it.  Thanks, and happy typing!
just to be clear...
Subject: just to be clear...

I just want to be sure about whether since she specified it is left side only that extensor hallucis "is" and not extensor hallucis "are". If she said bilateral then it would read extensor hallucis are 4+/5 -- am I getting that part correct? TIA
To be clear?
Subject: To be clear?

Hallucis IS.......halluces ARE. You will know when she is talking about a different side or bilateral. Don't over-think your dictator, okay? I'm thinking you may be new (I hope) and these things will become more clear as you go.

I know you're trying to get it perfect, but she knows what she's doing with the foot/feet. :)
it is very clear
Subject: it is very clear

She keeps referring to white matter abnormalities with signal loss and T2 prolongation through the entire report, so I am thinking leuko (white) something....no idea
I wish...but it's very clear. Thanks
Subject: I wish...but it's very clear. Thanks


Just to be clear
Subject: Just to be clear

My "duh" in the other post was for ME, not you. Didn't want any misunderstanding. Thanks for your help!
Clear? Nm
Subject: Clear? Nm

nm
Yes, it is clear. Thank you!
Subject: Yes, it is clear. Thank you!

x
I think if it's not clear
Subject: I think if it's not clear

I would leave a blank, although it is probably hypocoagulable (my Stedman's oncology book has this word) and we used it in the lab, such as defective clotting with factor deficiences such as hemophilia, von Willebrand (which heavy menstrual flow can be a sign), low platelet count, ITP, liver disorders that affect vitamin K production, etc.  But it's really hard to say without knowing more about this patient because, if I can explain this right, there are conditions or situations that can cause hypercoagulable states that then use up all the clotting factors, etc., and then cause bleeding.  So really need to know more on what the patient's other symptoms, family history, etc. to be sure on something like this when you can't hear for sure, I think anyway.  Sorry for the long essay here, used to be one of my areas of interest a long time ago.  Once worked up a lady who had heavy, heavy vaginal bleeding after childbirth, was in really bad DIC, docs had a heck of a time saving her.  You can google on some of this if you're interested.
not clear
Subject: not clear

it is urine drug screen and delirium tremens but 17a not clear
tks... really not sure... the K is VERY clear.
Subject: tks... really not sure... the K is VERY clear.

could be s/l Akiva maybe, but it definitely is not a V at the beginning. Unless the doc is reading it wrong from paper... not sure.

Thanks for the input!
THANK YOU SO MUCH! That is it! It is so clear now...THANKS AGAIN!
Subject: THANK YOU SO MUCH! That is it! It is so clear now...THANKS AGAIN!

nm
Everything else she said was so clear but I bet that is it! Thanks! nm
Subject: Everything else she said was so clear but I bet that is it! Thanks! nm


What is T1T? He is clear. thanks
Subject: What is T1T? He is clear. thanks


There is no evidence for ureteral obstruction. He may be a candidate for a minimal invasive therapy such as T1T or even laser prostatectomy.


I think the OP could have been a little more clear sm
Subject: I think the OP could have been a little more clear sm

in what they were asking, like perhaps given the whole sentence.  I assumed they were asking about a possessive but it could also be seen as asking about a pleural. 


doc is very clear. sm
Subject: doc is very clear. sm

he is spelling it out exactly like this "vobenzin", or could be "zobenzim"; and, "artron".  Definitely not Benzig and artane.  No mention of Parkinson's disease which Artane is used for, and doc is clearly not saying Artane.  I went to rxlist on Internet and nothing came up either!


to be more clear - s/m
Subject: to be more clear - s/m

i'm not questioning whether to hypen or use the word "and". What I'm questioning is can you use 2 different measurement systems for the same measurement - isn't the 3/8 referring to an inch? how do you have 157 cm and 3/8 of an inch?
it's very clear...
Subject: it's very clear...

He definitely says Levoryl (now that I know how to spell it).  :)  When I do a google search on Levoryl, there are only two pages that come up.  I can't find it in RxList.com.  Is it an old drug that doesn't exist anymore?
clear
Subject: clear

dd
Clear?
Subject: Clear?

Could it be "skin is clear?"
if its clear then why you asking?
Subject: if its clear then why you asking?

I love it when people ask and then argue.
No, he's being very clear.
Subject: No, he's being very clear.

That's why it has me so stumped.  The previous line says it was an enlarged lesion on his buttock that was excised and felt to be a "fiddle" lymphoma.