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nothing about a scar, still unsure

Posted By: not very clear with this one word. Tx for trying on 2007-09-22
In Reply to: does the patient have a scar from surgery maybe it is like incisional??? - ME

Subject: nothing about a scar, still unsure




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Still unsure. Sent to QA:)
Subject: Still unsure. Sent to QA:)

I tried to fit something like vesicles or bubbles in, but it just didn't match what he said...oh well.
Unsure
Subject: Unsure

Patient is an 18-year-old gravida 1, para 0 who comes in for her first prenatal appointment. 


 


ASSESSMENT:  This is about a 27-week pregnancy with uncertain dating in a  _____ (s/l pri nep or pri mep??) with late prenatal care.


 



Unsure
Subject: Unsure

The fact that he has both retinopathy and nephropathy does bouge ill if he continues to have uncontrolled blood sugar readings.


ESL doctor, not sure what he's saying.  s/l bouge ill but that really doesn't make sense to me...lol


Unsure
Subject: Unsure

LOWER EXTREMITIES:  No edema.  No breakdown.  The right foot shows an irregularly cut great toenail, but no evidence of infection or tenderness.  He continues to have dependent  _______________ , more noticeable on the right foot.  Pulse is minimal, 0 to 1+.


 


Blank s/l roo-war


 


The patient is a diabetic.


Im just unsure. SBN, SDN ? nm
Subject: Im just unsure. SBN, SDN ? nm

?
Unsure of something
Subject: Unsure of something

An ABI was attempted but no pulse could be found around his “ankle.”


ABI means ankle-brachial index?  Another way of checking pulse?  Just need to understand what is being talked about.  Unsure 


Unsure
Subject: Unsure

Would it be possible to address with name, title?
so unsure
Subject: so unsure

It is so hard to say. He could be slurring the S in from diagnosis with ac contusion. He does not make sense with any of his sentences. For example exact words ?? contusion foot contusion shin. He ends with shin. I have no clue. I am new at this with a doc with marbles in his mouth and doesn't finish sentences correctly. It is going to be a long night. Three reports from the same doc. :-( Calgon take me away.
Lay scar????
Subject: Lay scar????

My doctor is dictating what sounds like "lay scar" from previous CABG procedure.  Is there such a thing?  Cannot seem to find it.    Thanks.
Please help, unsure of a sentence....sm
Subject: Please help, unsure of a sentence....sm

I am having a hard time understanding something a dictator is saying.  She is new to me.  Would you mind telling me which makes sense.  She is a bit quick and I am unsure.  I tried looking it up without any success.  The sentence is below.


has had years of varicose veins.  She has had stripping on the right side and also it appears sclerotic therapy or arteriosclerotic therapy ? s/l sclerotic therapy but not sure.   Thank you.


 


Really unsure of this word
Subject: Really unsure of this word

The patient was sent to the pain clinic because of cervical neuropathy turned to _____.


s/l rec-noid-itis


looks correct - unsure what the s/l is though nm
Subject: looks correct - unsure what the s/l is though nm


I would flag it if unsure.
Subject: I would flag it if unsure.


Unsure of words
Subject: Unsure of words

I need help on a couple of sentences.  Not sure if I am hearing correctly.


CT scan of the ________ revealed 2 small calcifications in the middle and lower poles of the right kidney measuring 3 mm with no hydrophrosis.  (The blank could be one or two words and it sounds like "other-in-pelva".  No idea where to begin looking.


Next one


On digital rectal exam, the prostate is "flat" without firmness nodularity.  Also sounds like "flask". 


 


unsure of words
Subject: unsure of words

That's it thanks so much.
s/l Vansteel scar (sm)
Subject: s/l Vansteel scar (sm)

re: she has a well healed Vansteel scar present"  pt status post TAH/BSO...
buttonhole scar? nm
Subject: buttonhole scar? nm

s
Pfannenstiel scar nm
Subject: Pfannenstiel scar nm

x


glial scar?
Subject: glial scar?

It may be "glial scar"
sternotomy scar
Subject: sternotomy scar

nm
delayed scar?
Subject: delayed scar?


cicatrix (scar)
Subject: cicatrix (scar)


BUCG scar
Subject: BUCG scar

Anyone heard of BUCG or PUCG scar to upper arm?
BCG vaccination scar
Subject: BCG vaccination scar


Where is the scar?? If in the hand could
Subject: Where is the scar?? If in the hand could

be using it for exercises???
Try google when you are unsure of a term -sm
Subject: Try google when you are unsure of a term -sm

put in the word as best you can with part of the sentence and see what comes up. I do that when I am unsure of a term and can usually find what I am looking for that way, its a lot faster than posting here, and it teaches you how to reference.
I would think it is lytic then, but if unsure flag it
Subject: I would think it is lytic then, but if unsure flag it

It seems your patient either had a replacement or fracture earlier (is there arthritis in the hx?) I often hear lytic lesions or lytic lines in the areas you mention on patients with arthritis/oseoarthritis. Lysis is the process of destruction of something (in this case, bone), which seems to have been ruled out by these x-rays.
Guess I just won't expand it, still unsure....
Subject: Guess I just won't expand it, still unsure....

because too many times when he uses the term PFC there is no other indication of a joint replacement system having been done or anticipated, so I still have my doubts that that is really what he means by these initials.  Thanks for your help.
two thoughts; unsure how helpful, but,
Subject: two thoughts; unsure how helpful, but,

This is 1 of many definitions from an "URBAN" dictionary: MACK

mack is a flexible word as a verb; it can be used in pretty much any situation and its meaning will be understood.
Thus, in your case, maybe the dictator chose the word mack as slang for height?.....because 23.5 cm is equal to 9.25 inches. I used this as an example, as I believe you were referring to dietary in a Parkinson patient?....Wish I could assist more.
If unsure blank it and don't waste your
Subject: If unsure blank it and don't waste your

x
Then leave it blank if you are unsure.
Subject: Then leave it blank if you are unsure.

x
Unsure, but maybe you could compare this word with what you hear.
Subject: Unsure, but maybe you could compare this word with what you hear.

Not sure, but there is a pericentromeric marker....Maybe you could take a listen and compare it to this word - again, unsure, but maybe...
unsure of spelling cardio term
Subject: unsure of spelling cardio term

Mild s/l baling of the posterior leaflets.


Thank you Deborah


MR as in mitral regurgitation but unsure if there of 2 MRs in that sentence? nm
Subject: MR as in mitral regurgitation but unsure if there of 2 MRs in that sentence? nm

nm
Thanks. I was listening for him to say thecal, but he didn't, so I was unsure.
Subject: Thanks. I was listening for him to say thecal, but he didn't, so I was unsure.


I'm unsure. That was given in past history info and...
Subject: I'm unsure. That was given in past history info and...

patient is in for abdominal pain... hepatic flexure of colon suggesting intraluminal lipoma. I don't know if they are related or not. Also, am wondering if my s/l is an "uh" before "kine-o-chocal" cyst.
Unsure how to write this regarding laser surgery..sm
Subject: Unsure how to write this regarding laser surgery..sm

The patient said that the laser was utilized for 250 one seconds ? for a total of 43 cm from the top of her leg......


TIA


listened again and it is scar tissue
Subject: listened again and it is scar tissue

No not erosion but I listened again and he is saying "scar tissue"


Thanks for the effort!!


butt-healed scar
Subject: butt-healed scar

Is there such a thing.  I am thinking to blunt ends pushed together would be the "butt" ends.  The sentence is:  She has a butt-healed surgical scar.  or could be blunt-healed, but it sure s/l butt.  Thanks!
Proferlinear scar of lung?
Subject: Proferlinear scar of lung?

right mid lung ______ scar. 


Blank s/l profer linear


major scar tissue? nm
Subject: major scar tissue? nm

ssd
scar revision surgery
Subject: scar revision surgery

A triangle was excised with a s/l "bros" triangle. 


Can anyone help?


glial scar. Here is a link
Subject: glial scar. Here is a link

http://books.nap.edu/openbook.php?record_id=11253&page=43
Cicatrix means scar, so
Subject: Cicatrix means scar, so

she may like to form scars becuase she likes to see them.
WAG - scar remodeling exercises?
Subject: WAG - scar remodeling exercises?

trying to soften existing scars?
Location of thymectomy scar. sm
Subject: Location of thymectomy scar. sm

Under physical exam, my doc says "There is a healed right upper parasternal surcigal scar."  The patient had a thymectomy.  I'm supposed to put this under one of the usual headings for a PE, should it be Neck or Thorax?  (The dcotor usually dictates the heading, but did not this time.) Thanks for any help!


well healed s/l fan and steel scar
Subject: well healed s/l fan and steel scar

n/t
scar lying or laying centrally?
nm
patient going to PT for deep scar massage and
Subject: patient going to PT for deep scar massage and

TIA!
keloid always for scar tissue. see def of cheilo etc. sm
Subject: keloid always for scar tissue. see def of cheilo etc. sm

keloid


kTcloyd



A nodular, firm, movable, nonencapsulated, often linear mass of hyperplastic scar tissue, tender and frequently painful, consisting of wide irregularly distributed bands of collagen; occurs in the dermis and adjacent subcutaneous tissue, usually after trauma, surgery, a burn, or severe cutaneous disease such as cystic acne, and is more common in blacks. Syn: cheloid.










 


cheilo-, cheil-



Lips. See Also: chilo-, labio-.


Origin



[G. cheilos, lip]


as in cheilosis


cheilosis, chilosis


kU-lbcsis



A condition characterized by dry scaling and fissuring of the lips, attributed by some to riboflavin and other nutritional deficiencies. See Also: cheilitis.


Origin



[cheil- + G. -osis, condition]










does the patient have a scar from surgery maybe it is like incisional???
Subject: does the patient have a scar from surgery maybe it is like incisional???

.