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fluctuance? just a guess NM

Posted By: mt on 2008-06-10
In Reply to: s/l firtuous - juliajaj

Subject: fluctuance? just a guess NM




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what is that? I do know fluctuance....
Subject: what is that? I do know fluctuance....


fluctuance? sm
Subject: fluctuance? sm

right small finger nail bed injury and distal phalanx fracture.

There is decreased sensation to the distal small fingertip. No erythema is seen. There is no s/l fluctuance to the swollen area

Thanks
it's fluctuance (nm)
Subject: it's fluctuance (nm)


fluctuance is correct
Subject: fluctuance is correct

.
fluctuants, not fluctuance
Subject: fluctuants, not fluctuance

:
fluctuans or fluctuance
Subject: fluctuans or fluctuance

i have an ortho acct where the doc always says erythema, warmth, or fluctuans.  Is that correct??
Too late, but the word fluctuance
Subject: Too late, but the word fluctuance

doesn't record well in my experience, so I would have suggested that.
Fluctuance: Taken from Stedman's Medical dictionary
Subject: Fluctuance: Taken from Stedman's Medical dictionary

fluctuation (flk-t-shn)


  1. The act of fluctuating.
  2. A wavelike motion felt on palpating a cavity with nonrigid walls, especially one containing fluid. Syn: fluctuance

Fluctuance - presence of pus in an infected site - nm
Subject: Fluctuance - presence of pus in an infected site - nm


I guess it could be intravenous, but I'll turn in a blank rather than guess. Thanks!!!
Subject: I guess it could be intravenous, but I'll turn in a blank rather than guess. Thanks!!!


Avelox is a guess...might not be a good guess, though! nm
Subject: Avelox is a guess...might not be a good guess, though! nm

nm
My only other guess would be "anger burst." Just a guess.
Subject: My only other guess would be "anger burst." Just a guess.

x
I'd guess
Subject: I'd guess

stercoral colitis
My guess
Subject: My guess

maybe he's saying "pyelo" short for pyelonephritis
My guess sm
Subject: My guess sm

My guess would be candida esophagitis. 
just a guess
Subject: just a guess

but i think he is abbreviating -- so i would just put it inside quotes as you have it -- as it could refer to too many different things, if that is what he is doing.
and guess what?
Subject: and guess what?

depending on what lab you work in, all specs and values are different also. i worked in two different labs so I KNOW
Guess
Subject: Guess

I'm guessing the "caphate tethose" is ______ TED hose. The word prior, I don't know.

Without more...this is only a guess.
just a guess here....
Subject: just a guess here....

demonstrated increased L3-4
THAT was my next guess!!! lol nm
Subject: THAT was my next guess!!! lol nm

nm
my best guess...
Subject: my best guess...

maybe Denonvilliers fascia and transversalis fascia.
just a guess
Subject: just a guess

Decadron ?
This is a guess
Subject: This is a guess

I have never had a doc dictate it, but a list I obtained several years back from MT Desk that lists lots of "normal" physical exam phrases lists, under HEENT, flattening of the (left/right) nasolabial fold . . . maybe?
OA would be my guess too. nm
Subject: OA would be my guess too. nm

m
not sure but my guess would be SM
Subject: not sure but my guess would be SM

that the doctor will use a dye or ink of some kind to mark a spot where they remove a polyp or see something, so that they can locate the area more readily on followup.

but thats just a guess. I do rad and pathology and never have done gastroenterology procedure stuff.
I guess you mean that SM
Subject: I guess you mean that SM

there must be two openings in the nasal cavity.  Ostium means opening.  Meatus means opening also.  So if it is as you say, then ostium (opening) meatal (opening) complex is what you are referring to.   Plus that, there is no such word as ostio. 


I was referring to the osteum (bone) and meatus (opening) or the osteomeatal complex of the nose.   


just a guess
Subject: just a guess

Could it be primary biliary cirrhosis?
Thanks so much. Should have gotten that, I guess.
Subject: Thanks so much. Should have gotten that, I guess.


482,000? GUESS
Subject: 482,000? GUESS

Normal platelet counts range from 150000 to 400000 per cu/ml, so maybe he/she is saying 482000
Okay, thanks. I guess he
Subject: Okay, thanks. I guess he

is just adding an r there at the beginning!


Here is my guess
Subject: Here is my guess

"Status post left hemispheric CVA with resultant mild right hemiparesis."
guess....sm
Subject: guess....sm

Just guessing here, but first sentence might be uterus normal tone, size and position.  Second sentence - about *____ dilated, should probably be  a number, not "already"  Uterus was sounded to 10 cm.   Sorry, can't help with the next sentence.


Best guess :)
Subject: Best guess :)

You're right on the "marrow" portions, but the only thing I can even hazard a guess at on the morphology is "an echoic." 


Maybe this will help - just saw your post and feel your pain! 


Just a guess
Subject: Just a guess

but could it be "1 to 2?"
This is just a guess, but
Subject: This is just a guess, but

Perhaps dacryon solution. This would just mean generic artificial tears.
That would be my guess too nm
Subject: That would be my guess too nm

nm
Sorry. My guess was way off.
Subject: Sorry. My guess was way off.

Glad you found it.
My GUESS is
Subject: My GUESS is

I do not know. My guess is rad/cm2, which would be spoken as rad per centimeter squared.

Rad as the unit of radiation, and cm2 as the area of application.

But again, I don't know. Maybe someone can verify or deny that guess.


I don't think so, but I guess it's
Subject: I don't think so, but I guess it's

possible. I think they usually use that for somebody who is depressed or anxious rather than somebody who is losing their memory. I finally sent the report in. Maybe I'll here something back.
Just a guess ...
Subject: Just a guess ...

but I'm picturing how they have the rectum packed and they might use a dam to control fluid and stuff, and this defect is actually situated outside of where the dam is.
just a guess
Subject: just a guess


heart without murmur??
extremities otherwise or maybe excess-something? .....

I guess that must be it, but..
Subject: I guess that must be it, but..

he is pretty clear on the gl sound.  I did find out that the gauntlet goes on the hand, so that should be it.   Thanks.
Just a guess
Subject: Just a guess

but could it be Z-Pak
just a guess sm =)
Subject: just a guess sm =)

maybe Ultra Zinc? it contains 20 mg of zinc so that may be it.
Just a guess
Subject: Just a guess

maybe left-sided
Just a guess
Subject: Just a guess

but used to have a podiatrist that used slant-back avulsion for ingrown nail. 
Just a guess
Subject: Just a guess

First, I'd say it is 12 o'clock position; hypoareolar specimen.
Just a Guess
Subject: Just a Guess

There is a company called AeroScents that makes a product to get rid of unwanted odors. Maybe working around jet fuel, etc. This is just a wild guess.
Not the OP, but I like your guess! :) nm
Subject: Not the OP, but I like your guess! :) nm

s
I guess.....
Subject: I guess.....

I guess that is what he is saying he just kinda runs it all together. Thanks to both of you.
Just a guess here...
Subject: Just a guess here...

Wonder if he means cilia (eyelashes) and does not realize that is the plural form of cilium (singular), therefore, instead of cilia (plural) he is sayign cilias?