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"and is having a lot of swelling and edema in the nasal mucosa." .nm

Posted By: alm on 2006-09-26
In Reply to: Okay, now I'm really confused - Kathy

Subject: "and is having a lot of swelling and edema in the nasal mucosa." .nm

.


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nasal mucosa was quite (s/l) boggy?
Subject: nasal mucosa was quite (s/l) boggy?


...probably "and edema of the...", not "at the dame"
Subject: ...probably "and edema of the...", not "at the dame"


physical exam: The nasal mucosa is crowded w/o *cobofonin*. Any ideas? Thanks. sm
Subject: physical exam: The nasal mucosa is crowded w/o *cobofonin*. Any ideas? Thanks. sm

This is a physical exam for a patient with severe obstructive sleep apnea.
oral mucosa *apyrric" mucosa...thx nm
Subject: oral mucosa *apyrric" mucosa...thx nm

nm
Pt on hospice...Peripheral edema, woody, heavy edema, "rabatik" appearance of bilateral legs,
Subject: Pt on hospice...Peripheral edema, woody, heavy edema, "rabatik" appearance of bilateral legs,


Merocel nasal packing and MeroGel nasal dressing
Subject: Merocel nasal packing and MeroGel nasal dressing

nm
...mucosa, etc. NM
Subject: ...mucosa, etc. NM

s
mucosa?? just a thought. nm
Subject: mucosa?? just a thought. nm

nm
hilar mucosa?
Subject: hilar mucosa?

nm
Oral mucosa...
Subject: Oral mucosa...


Buccal Mucosa
Subject: Buccal Mucosa

The doc is aspirating a cyst...states "The cyst wall was perforated and approximately 2 cc of s/l sebrin or severum was evacuated."  Any clues?


The other area is "A portion of the s/l sensory wall was sent for histologic exam." 


He is aspirating the cyst from the buccal mucosa.  Appreciate your help!


puprical mucosa?
Subject: puprical mucosa?

complains of pain in the right upper portion of the mouth. There is an area on the puprical mucosa just above the gum line behind the right upper last tooth


Papular mucosa? nm
Subject: Papular mucosa? nm

xxx
moist mucosa? nm
Subject: moist mucosa? nm


She's definitely saying erythematous mucosa.
Subject: She's definitely saying erythematous mucosa.


perhaps tracheal mucosa
Subject: perhaps tracheal mucosa


buchal mucosa?
Subject: buchal mucosa?

Just a guess.
I would go with "and."
Subject: I would go with "and."


Either the way you have it or use "and"
Subject: Either the way you have it or use "and"

x
I don't think the "and" is necessary -
Subject: I don't think the "and" is necessary -

those are the upper sacroiliac joints.
Yes, use the "and." SIJ is different from
Subject: Yes, use the "and." SIJ is different from

x
another possibility is buccal mucosa nm
Subject: another possibility is buccal mucosa nm

/
Nose has erythematous mucosa?
Subject: Nose has erythematous mucosa?


Why can't the mucosa be pale? I think pallor is okay.
Subject: Why can't the mucosa be pale? I think pallor is okay.


oral buccal mucosa?
Subject: oral buccal mucosa?

xx
mucal mucosa or mucomucosa
Subject: mucal mucosa or mucomucosa

I know this is a common question, but can't remember if either/or is correct? Please help!!


Could doc being saying "and as well as" paraspinal...? sm :)
I took out my huge A&P book(from a prenursing course), and could not find muscles with a similar sound. The muscles I found near the thoracic vertebrae were trapezius, levator scapulae, supraspinatus and infraspinatus.
Could it be "and Tisseel"
Subject: Could it be "and Tisseel"

nm
may be "and diphteroid" nm
Subject: may be "and diphteroid" nm

nm
probably "and cardia"
Subject: probably "and cardia"

The cardia (or esophagogastric junction[1][2] or gastroesophageal junction[3][4][5][6]) is the anatomical term for the junction orifice of the stomach and the esophagus. At the cardia, the mucosa of the esophagus transitions into gastric mucosa.


could this be "involving" instead of "and ..."
Subject: could this be "involving" instead of "and ..."

multiple fractures involving the second toe. (ESL?)
That's it! "And" sounded like "N". Thank you very much!
Subject: That's it! "And" sounded like "N". Thank you very much!


I would make it 1 with an "and" between
Subject: I would make it 1 with an "and" between

x
If he said "and" then no, I would not hyphenate it.
Subject: If he said "and" then no, I would not hyphenate it.

x
Swelling?
Subject: Swelling?

I've done orthopedic examinations where "symmetrical with no swelling" was used.  I know that doesn't sound like "farming," but a lot of doctors don't speak clearly and if you listen to it again with "swelling" in mind, see if it could possibly be swelling.
swelling?
Subject: swelling?

swelling?
Probably saying the oral mucosa at the speed of light. nm
Subject: Probably saying the oral mucosa at the speed of light. nm


really bad ESL says oral mucosa and lips show
Subject: really bad ESL says oral mucosa and lips show

whitish colored s/l pus, crust, ?? which is consistent with oral strep.  Any ideas?
The next sentence was "We then elevated the mucosa." nm
Subject: The next sentence was "We then elevated the mucosa." nm

.
there is good s/l esterization of the vaginal mucosa.
Subject: there is good s/l esterization of the vaginal mucosa.


Desiccating pneumonia? (breakdown of mucosa)?? nm
Subject: Desiccating pneumonia? (breakdown of mucosa)?? nm

nm
I wonder if it could be Protonix "and Lomotil"? nm
Subject: I wonder if it could be Protonix "and Lomotil"? nm

any chance?
I would guess "marking pen" and maybe "and um" or something else after.
Subject: I would guess "marking pen" and maybe "and um" or something else after.


"and TMs" (tympanic membranes) nm
Subject: "and TMs" (tympanic membranes) nm


"as well as" does not equal "and"
Subject: "as well as" does not equal "and"

i.e., the phrase isn't a conjunction and doesn't get treated the same way in a sentence. So your first choice is correct. I find that a lot of docs dictate w, x, y as well as z. I always change this to w, x and y as well as z.

Good catch.
"as well as" does not equal "and"
Subject: "as well as" does not equal "and"

i.e., the phrase isn't a conjunction and doesn't get treated the same way in a sentence. So your first choice is correct. I find that a lot of docs dictate "w, x, y as well as z." I always change this to w, x and y as well as z.

Good catch.
possibly "and conical"?
Subject: possibly "and conical"?


maybe saying urticaria "and" dermatitis ??
Subject: maybe saying urticaria "and" dermatitis ??


lymphoid swelling nm
Subject: lymphoid swelling nm

x
Maybe corona swelling?
Subject: Maybe corona swelling?


could he be stumbling over swelling?
Subject: could he be stumbling over swelling?

just a guess