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"An" is not always used with a vowel...sm

Posted By: casey on 2006-07-26
In Reply to: Ok this may be a stupid question but is it an UA or a UA - me

Subject: "An" is not always used with a vowel...sm

It is used with a vowel "sound."   People really misunderstand the use of "a" and "an."  Just remember, it's the sound, not the vowel.  Ah, uh, eh....


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The "an" before the vowel
Subject: The "an" before the vowel

works with other words but here it just does not. Some docs even say "an MI" and the M is not a vowel. Go figure.
Doc atually says "an" before so don't think it would "an a ptotic gait". sm
Subject: Doc atually says "an" before so don't think it would "an a ptotic gait". sm

Speech and motor were normal, although his gait, he has an "____" gait, although he has no stiffness or dystonia or other movement disorders when sitting and speaking with us or on exam when sitting.
It's when it has a short vowel sound rather than a long vowel sound.
Subject: It's when it has a short vowel sound rather than a long vowel sound.

x
Sorry, meant to say "an MI"...same with "an MRI" though...nm
Subject: Sorry, meant to say "an MI"...same with "an MRI" though...nm

nm
it definitely starts with a vowel NM
Subject: it definitely starts with a vowel NM

nm
That's it! I checked every vowel spelling but Sy..he pronounced it like So or Su! Thank you both
Subject: That's it! I checked every vowel spelling but Sy..he pronounced it like So or Su! Thank you both!

nm
a or an refers to the SOUND of the word, not necessarily a vowel
Subject: a or an refers to the SOUND of the word, not necessarily a vowel

therefore YURanalysis sounds like it has a consonant and so A is used. With MI and MRI, it sounds like EM-I or EM-R-I. It sounds like a vowel and so AN is used.
It is "an MRI." M is an ih sound...see above...nm
Subject: It is "an MRI." M is an ih sound...see above...nm

nm
could it be, "an avulsion" fracture?
Subject: could it be, "an avulsion" fracture?


Yep, "an echogenic density" (nm)
Subject: Yep, "an echogenic density" (nm)

...
sure they're not saying "an exostosis" ? sm
Subject: sure they're not saying "an exostosis" ? sm

perhaps something like, "an exostosis off the radial and distal wrist?"
"An additional" port was placed.....
Subject: "An additional" port was placed.....


Per AAMT BOS ... "an" (see message)
Subject: Per AAMT BOS ... "an" (see message)

a, an
The indefinite articles are a and an, and the definite article is the.

a chair (may be any chair)
the chair (a specific, or definite, chair)

See: articles
before consonants, h's, u sounds, vowels
Use a before a consonant, a sounded (aspirate) h, or a long u sound. Use an before a vowel or an unsounded h.

a patient
a hemorrhoid
a unit
an indication
an hour
a 1-mile run
a CMT
an 8-hour delay
an MT

HINT: Pronunciation determines whether a word is preceded by a or an; this is most useful with abbreviations and numerals.

how about "an element" of Parkinson.... nm
Subject: how about "an element" of Parkinson.... nm

no m
just a guess, but maybe "an herbal oil" ??
Subject: just a guess, but maybe "an herbal oil" ??


"an adrenergic type of sweating" ??? nm
Subject: "an adrenergic type of sweating" ??? nm


Found it. He was saying "an OpSite" applied...nm
Subject: Found it. He was saying "an OpSite" applied...nm


could he just be stumbling over "an arthritic knee" ?
Subject: could he just be stumbling over "an arthritic knee" ?


WAG at maybe..."an exudative patina" or shiny appearance? nm
Subject: WAG at maybe..."an exudative patina" or shiny appearance? nm

s
certainly not trying to be mean..but it is a unique type of work, and takes "an ear" in additi
Subject: certainly not trying to be mean..but it is a unique type of work, and takes "an ear" in addition to training.


Abnormal CT scan: Lesion that appears to be "an algomized" effusion or soft tissue. sm
Subject: Abnormal CT scan: Lesion that appears to be "an algomized" effusion or soft tissue. sm

She has a pleural-based lesion in the right lower lobe that appears to be either an algomized effusion or soft tissue. She also has multiple pulmonary nodules bilaterally suggestive of either a metastatic neoplastic disease or granulomatis changes.