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"an adrenergic type of sweating" ??? nm

Posted By: Okie MT on 2007-10-13
In Reply to: Word help sweating - ML

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




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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.


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.
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
Word help sweating
Subject: Word help sweating

DOC is saying:


She is still experiencing a SL" Naganergic", I found "adrenergic":  


type of sweating, which is really causing her to have to take showers several times a day and makes it hesitant to go out. It sounds like something that medication would do.  The only medication that she is on currently that I think could do that is her estrogen. 


But I keep hearing NA in the beginning


Any help anyone?


THanks


diaphoretic rash from sweating?
Subject: diaphoretic rash from sweating?

nm
sweating, wheezing, hemoptysis, fever, chills, or headaches??? nm
Subject: sweating, wheezing, hemoptysis, fever, chills, or headaches??? nm

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


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
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.
same here. Type out numbers at beginning of sentences. Otherwise type numeral if in sentence itself.
Subject: same here. Type out numbers at beginning of sentences. Otherwise type numeral if in sentence itself.

nm
Patient with type 2 diabetes prescribed a s/l glutisone type drug. nm
Subject: Patient with type 2 diabetes prescribed a s/l glutisone type drug. nm


which is preferred ~ diabetes mellitus type II or type 2?
Subject: which is preferred ~ diabetes mellitus type II or type 2?


I get confused, how do you type out grade, class, type SM
Subject: I get confused, how do you type out grade, class, type SM

I forget which ones  use Roman and which do not.  TIA


When doctor says tib-fib, do you type it like that or do you type tibiofibular? Thanks
.
Siewart type I or Siewert type I
Subject: Siewart type I or Siewert type I

When I google it, I'm finding both.  Cannot locate it in a Stedman's book.  Doctor spells with "a" but you can't always go by the spellings!
How do I type this particular type of dialysis bath? sm
Subject: How do I type this particular type of dialysis bath? sm

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acromion process - type 2 or type II
Subject: acromion process - type 2 or type II


Could it be hollowing-type or hollow-end-type? - nm
Subject: Could it be hollowing-type or hollow-end-type? - nm

xx
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Subject: how to type out Type I Aortic aneurysm

Would you use a roman numeral for Type I Aortic aneurysm or use Type one or type 1 ... I am thinking it is Type I but I am unsure. I am new to this all. Thanks for any help.
I would type it under PLAN and type what is dictated.
Subject: I would type it under PLAN and type what is dictated.

I have had that happen to me before, and I was told by QA to not move things around in the report, maybe that is the same for you, but if I were typing this report, I would type it in the order as is dictated, even if that means typing it under the heading PLAN.  Also, his vitals were probably taken at the end of the exam as they were repeated, so it would make sense to type them again under that heading.  Hope that helps! 
Type II diabetes vs. Type 2....sm
Still running into confusion about this....which is it?  If Type 2, was this a medical community change accepted by all?
Could it be pincer-type and cam-type?
Subject: Could it be pincer-type and cam-type?

x
Type 2 DM or type II DM, which is correct? nm
Subject: Type 2 DM or type II DM, which is correct? nm


what type of dictation do you type?
Subject: what type of dictation do you type?

It might help to know the specialty.  I am finding a lithiasis, but I don't think it would relate to gonorrhea, are you sure it is gonorrhea? 
how to type a blood type
Subject: how to type a blood type

simple question but how is a blood type transcribed .. such as 0+ .. is there a space between the 0 and + or is the word positive typed out? Thanks for your help.
ONCOtype, ONCO type, ONCO Type, found all three...
Subject: ONCOtype, ONCO type, ONCO Type, found all three...

nm
MRI of the C-spine - which is correct Modic type II changes or Modic type 2 changes.....nm
Subject: MRI of the C-spine - which is correct Modic type II changes or Modic type 2 changes.....nm


pincer-type nail or pincher-type nail? nm
Subject: pincer-type nail or pincher-type nail? nm


Of course you should type it. Why would you not type it? nm
Subject: Of course you should type it. Why would you not type it? nm

;
I would type it like this
Subject: I would type it like this

It sounds like a direct quote from the patient and not the doctor’s words. I would type it:


The patient reports, "When he tried to pee, he got weak, dizzy, hit the floor, did not feel right."


Would type exactly the way you have it.
Subject: Would type exactly the way you have it.

x
I just type re-x-ray as that is what they say. nm
Subject: I just type re-x-ray as that is what they say. nm


Would you type I&D'd?
Subject: Would you type I&D'd?

The toe was then I&D'd
Type 2
Subject: Type 2

Yes, it used to be Type II, but clarity is more important, so it was changed. Either would be acceptable in transcription, however.
Ah, eye-type
Subject: Ah, eye-type

good subject for you, huh? ;)  Thanks for the correction.  It's good to know so I can be right for a change!! :)
T1/2 is the way I type it....
Subject: T1/2 is the way I type it....

T1/2 is the way I've always seen it.  (I've been doing radiology transcription for 3+ years)  Hope this helps.


I type it just as you have it. nm
Subject: I type it just as you have it. nm

ss
yes, that's how I'd type it NM
Subject: yes, that's how I'd type it NM

x
How to type this?
Subject: How to type this?

What is the best way to type this:


She has diffusely diminished strength at "four plus to five minus over five" in the right upper extremity.


 


Thanks


 


I type 2/5 , 3/6, etc. nm
Subject: I type 2/5 , 3/6, etc. nm

nm