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sharp and dull, I would expect. (nm)

Posted By: Z on 2007-12-18
In Reply to: sharp Doppler perception? - lola

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

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sharp/dull discrimination
Subject: sharp/dull discrimination


sharp-dull discrimination
Subject: sharp-dull discrimination


Chest exam on H&P, chest is symmetrical, free of dull s/l dull suspence straight, and without pectus
Subject: Chest exam on H&P, chest is symmetrical, free of dull s/l dull suspence straight, and without pectus

excurvatum.  No sure of "free of dull suspence straight"
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Subject: Dull sounds?


I'd expect
Subject: I'd expect

Bleeders were controlled with suction coagulators set at about 9 watts.

They don't aid bleeding, they control bleeders, so either the dictator isn't listening to himself and misspoke or for some other reason it didn't record right IMO.
I expect
Subject: I expect

it means "microorganisms."
so...dull, aching sensation... but your QA may
Subject: so...dull, aching sensation... but your QA may

s
I'd expect him to say crust
Subject: I'd expect him to say crust

but then I'd also have expected him to be talking about candidiasis instead of strep because he mentioned white substance on lips and oral mucosa.
How in the world do they expect us to know??

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I would expect him to say restless legs
Subject: I would expect him to say restless legs

or even itchy legs. Unfortunately it is possible he is quoting the patient's description. If you are sure, I'd do it as you have it, with the quotes. If you aren't sure, then I'd blank it.
Never mind - Nexavar. These guys can't even pronounce correctly, yet expect us to know how to sp
Subject: Never mind - Nexavar. These guys can't even pronounce correctly, yet expect us to know how to spell

correctly!  GHEESH!!
sharp?
Subject: sharp?


A sharp awl?
Subject: A sharp awl?


sharp awl
Subject: sharp awl

Can you hear this?
sharp
Subject: sharp

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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.

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Super Sharp?  Supersharp?  Super-Sharp?


TGIF!


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.


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


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


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

s
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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!