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the patient is thin appearing on today’s exam, almost s/l morphonoid like.

Posted By: HELP. I don't have a clue. NM on 2005-10-20
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Subject: the patient is thin appearing on today’s exam, almost s/l morphonoid like.




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appearing ill today? --- in demeanor (conduct) ? nm
Subject: appearing ill today? --- in demeanor (conduct) ? nm


I know this but don't - on exam she is very thin and s/l
Subject: I know this but don't - on exam she is very thin and s/l

aesthetic in her appearance (not cachetic) - I know this word but can't find it - HELP!
Well-nourished appearing patient.
Subject: Well-nourished appearing patient.


I transcribe well-nourished-appearing patient, as
Subject: I transcribe well-nourished-appearing patient, as

patient is the noun being modified
Exam on patient with MS
Subject: Exam on patient with MS


Cranial nerve exam revealed left homonymous hemianopsia, as well as *slowsecots* to the left, ocular dysmetria.


Thank you so much for any ideas.  This is backup account.  Never heard this before. 


Musculoskeletal exam: The patient has good s/l RAM.
Subject: Musculoskeletal exam: The patient has good s/l RAM.

She says this twice. Clearly not sounding like range of motion.  Thanks for any help!


Neuro exam - patient had cervicothoracic laminectomy - sm
Subject: Neuro exam - patient had cervicothoracic laminectomy - sm

Exam: Her wound is healed. She has got mild paraspinal tenderness with some evidence of spasm. No **rubo or corlora delora** noted. She is awake. She is oriented x3.


I have no idea what I am hearing or if my spaces are correct in my s/l. I'd love any help!! Thanks.


Are you in the hands? The back? Doing an exam or talking about a patient's test? nm
Subject: Are you in the hands? The back? Doing an exam or talking about a patient's test? nm

f
JUDE or JUTE exam. Patient has normal genitalia.
Subject: JUDE or JUTE exam. Patient has normal genitalia.

I've been listening and searching on this one - it's probably something simple.... Hope someone can help me - thanks in advance. 
patient has shoulder pain. On exam no cerva-chromal crepitus. nm
Subject: patient has shoulder pain. On exam no cerva-chromal crepitus. nm

thanks.
physical exam under general: the patient appeared s/l kick ectic? nm
Subject: physical exam under general: the patient appeared s/l kick ectic? nm


Patient with below knee amputation. On exam, there is s/l communication to the drainage sites. TIA
Subject: Patient with below knee amputation. On exam, there is s/l communication to the drainage sites. TIA


thin
Subject: thin


thin skin
Subject: thin skin

follicular?
yes, they say thin/thick drainage
Subject: yes, they say thin/thick drainage

nm
I thin the O stands for optical
Subject: I thin the O stands for optical


s/l afiable in reference to thin tissue.
Subject: s/l afiable in reference to thin tissue.

"it was noted that the patient had an extremely thin and loose pelvic floor with an extremely (s/l afiable) and thin tissue."


This is for an inguinal hernia repair op report.


Any ideas?


Would think just 'extremely friable and thin tissue.' nm
Subject: Would think just 'extremely friable and thin tissue.' nm

s
They're usually very thin. I've only had them with the zeros in there like 0.035
Subject: They're usually very thin. I've only had them with the zeros in there like 0.035

s
en caul . . . a thin membrane covering
Subject: en caul . . . a thin membrane covering

xx
Patient with gangrene of foot. On exam, the entire foot is ulcerated with s/l us-i-nest debris.
Subject: Patient with gangrene of foot. On exam, the entire foot is ulcerated with s/l us-i-nest debris.

:-)
thin foot plate Kerrison rongeur
Subject: thin foot plate Kerrison rongeur


Thoracentesis s/l "ten or thin" serosanguineous fluid
Subject: Thoracentesis s/l "ten or thin" serosanguineous fluid

.  A 22-gauge needle was inserted and 60 mL of blood s/l "ten or thin" serosanguineous fluid was easily withdrawn
Slip of plica would be okay, just a thin sliver of tissue. Or maybe it's synovial
Subject: Slip of plica would be okay, just a thin sliver of tissue. Or maybe it's synovial

s
last one (hoping)..s/l towel thin paper tape was used to dress the wound. nm
Subject: last one (hoping)..s/l towel thin paper tape was used to dress the wound. nm

is it really towel thin...or am I hearing a name brand?  nm
Well-appearing.
Subject: Well-appearing.

Here is what I was taught. Well-appearing young man. Hyphen. The patient is well appearing. However, I have had some QA say the latter should also be well-appearing. I guess go with company rules. I personally do not use the hyphen after a verb.
Well appearing
Subject: Well appearing

Well-developed, well-nourished appearing male or female has nothing to do with the verb in the sentence.
non ill-appearing man.
Subject: non ill-appearing man.

nm
The galea is a flat, thin, fibrous membrane covering the crown of the head.
Subject: The galea is a flat, thin, fibrous membrane covering the crown of the head.


well, Sarcolemmal means: A thin membrane enclosing a striated muscle fiber.
Subject: well, Sarcolemmal means: A thin membrane enclosing a striated muscle fiber.

.
Well-appearing after the verb????
Subject: Well-appearing after the verb????

I'm so confused about this.  The patient is well-appearing.  Should there be a dash there even though it's after the verb?  I think there should be because you can't be appearing so it seems like you'd have to make a compound word there.  I think the BOS backs me up on this but that's a little confusing too.  I know it shouldn't be there if the patient is well known, well hydrated, etc...Anybody know for sure?
Well-appearing after the verb????
Subject: Well-appearing after the verb????

I always put the dash there as in well-appearing patient.

nontoxic-appearing ? nm
Subject: nontoxic-appearing ? nm


medial-appearing maybe?
Subject: medial-appearing maybe?

x
Cachectic appearing?
Subject: Cachectic appearing?

x
something.... appearing skin lesion....
Subject: something.... appearing skin lesion....

There is erythema and almost s/l dexametaous appearing skin lesions noted.  HELP anybody?? 


Thanks in advance for your help...


I personally would put "not ill-appearing". nm
Subject: I personally would put "not ill-appearing". nm

x
she still needs the hyphen in "ill-appearing" nm
Subject: she still needs the hyphen in "ill-appearing" nm

x
if no noun after appearing, then do not hyphen
Subject: if no noun after appearing, then do not hyphen

nm
wan-appearing means pale
Subject: wan-appearing means pale


Could it be FLESH-appearing lesion
Subject: Could it be FLESH-appearing lesion


the s/l media-appearing tissue
Subject: the s/l media-appearing tissue

The cervix is consistent with a multiparous cervix.  The epithelial tissue appears to be normal.  The transition zone is normal, and the s/l media-appearing tissue is actually glandular tissue from down below.


 


Thanks for any help!


LOL. I think I figured it out. Two benign appearing nevi LOL
Subject: LOL. I think I figured it out. Two benign appearing nevi LOL


numerous wretched appearing blood?
Subject: numerous wretched appearing blood?

The right ear shows the tympanic membrane to be erythematous and bulging with numerous _____ appearing blood


Blank s/l wretched, or ratchet?!


Assessment is bullous myringitis


TM is bullous-appearing? Does this make sense? tia nm
Subject: TM is bullous-appearing? Does this make sense? tia nm

x
Sorry sassee, you probably already knew that, but it is wan-appearing and he/she is prouncing it way
Subject: Sorry sassee, you probably already knew that, but it is wan-appearing and he/she is prouncing it wayne


Dictator says MVI for s/l "over appearing" headaches.
Subject: Dictator says MVI for s/l "over appearing" headaches.

Thanks for the help!!

:)

Abby
i know you already sent to QA, but my guess would be "numerous hemorrhagic-appearing bullae" n
Subject: i know you already sent to QA, but my guess would be "numerous hemorrhagic-appearing bullae" nm


DERM pendulous flush-appearing lesion????
Subject: DERM pendulous flush-appearing lesion????

pendulous flush-appearing lesion that is 1 centimeter in diameter.  ?
He has a 4 mm nevus on his right cheek with some color variation and TYMPANINE appearing nevi of the
Subject: He has a 4 mm nevus on his right cheek with some color variation and TYMPANINE appearing nevi of the

He has a 4 mm nevus on his right cheek with some color variation and TYMPANINE appearing nevi of the neck.   He also has lipomas which are nontender over the left flank and left posterior quad.   


 


MD slurring his words again.  any guess?


cardio.. Mitral valve significantly thickened and s/l mic-zoma-tus appearing..thanks
Subject: cardio.. Mitral valve significantly thickened and s/l mic-zoma-tus appearing..thanks