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Another head CT, this time with heavily accented ESL.

Posted By: PoodleLady on 2008-11-04
In Reply to:

Subject: Another head CT, this time with heavily accented ESL.

The pt has multiple myeloma.  He says "Small acute infarct seen in the left cerebellum with evidence for acute s/l cerebrum FOW-SHA'S."


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I type CT head all the time but I guess it depends sm
Subject: I type CT head all the time but I guess it depends sm

on the sentence and client's preferences. 
what time are we using here in mtStars? US time or India time?
Subject: what time are we using here in mtStars? US time or India time?


is it protime, pro-time, or spelled out prothrombin time? also, where did you find it.. i've look
Subject: is it protime, pro-time, or spelled out prothrombin time? also, where did you find it.. i've looked.

xx
with time are you supposed to put the word hour after the time, i.e. 1600 hours
Subject: with time are you supposed to put the word hour after the time, i.e. 1600 hours

nm
that would be two weeks' time. 's is singular (one week's time) and s' is pleural (two
Subject: that would be two weeks' time. 's is singular (one week's time) and s' is pleural (two weeks' time)

nm
pro time, no hypen, two words, as if your typing prothrombin time
Subject: pro time, no hypen, two words, as if your typing prothrombin time


prothrombin time, partial thromboplastin time
Subject: prothrombin time, partial thromboplastin time


?? PTT is partial thromboplastin time, PT is prothrombin time
Subject: ?? PTT is partial thromboplastin time, PT is prothrombin time

so that didn't answer my question at all -- and in fact was incorrect info
2 years' time or 2 year's time- Which is correct?
I put 2 years' time and was marked off on QA.
One Weeks' Time or One Week's Time
Subject: One Weeks' Time or One Week's Time

Which one is correct?


Thanks! 


fourth time she has used this she is saying on-cora..each time in the..
Subject: fourth time she has used this she is saying on-cora..each time in the..

paragraph she talks about Omega 3 fatty acid maybe she means Omacor, but is saying Oncora instead of Omacor?? any ideas on this one?? thanks
I agree - we all do it from time to time - we try to make something else out of it
Subject: I agree - we all do it from time to time - we try to make something else out of it

nm
PT or Pro time stands for prothrombin time
Subject: PT or Pro time stands for prothrombin time


Three month's time or three months' time? TIA!
Subject: Three month's time or three months' time? TIA!


I found Real-Time, Real-time, real-time ultrasound...
Subject: I found Real-Time, Real-time, real-time ultrasound...

nm
I believe it is one of those words that over time MDs have been using (I get it all the time) see be
Subject: I believe it is one of those words that over time MDs have been using (I get it all the time) see below:

From www.techortho.com

With the biceps tenodesis procedure, the biceps tendon is left attached to the fibular head and is then "tenodesed" to the anterior aspect of the ...

CT head/esl doc
Subject: CT head/esl doc

CT brain showed central s/l "cortical and cerebellar" involutional changes, old infarct in the territory of the anterior s/l "BR" of the left middle cerebral artery.


Not sure on the wording in first one.  I am coming up with a blank on the second.


Ha ha! This doc is exactly enough of a bu**head to say this... (sm)
Subject: Ha ha! This doc is exactly enough of a bu**head to say this... (sm)

Thanks! I bet that's it!
CT of the head
Subject: CT of the head

The patient has a history of a remote-appearing lacunar infarct within the left frontal lobe adjacent to the left frontal horn of the left lateral ventricle and mild periventricular white matter chronic small-vessel disease on CT scan of the head without contrast.


I am just concerned with the ..periventricular white matter chronic small-vessel disease


How would you type this? the doctor just says it without any pausing.


ahhhhhhh!


s/l CVC of the head was done???
Subject: s/l CVC of the head was done???


Head. Thank you!
Subject: Head. Thank you!

xx
Help! Head CT. SM
Subject: Help! Head CT. SM

Elderly patient with transient alteration of awareness.  It reads:


"Minor periventricular areas of low attenuation without definite evidence of s/l TRANS-UH-TIN-UH-MUL flow CSF to suggest acute hydrocephalus."


HEAD CT
Subject: HEAD CT


I am have troubles filling in the blanks here, can anyone lead me in the right direction?


HEAD CT


Contiguous axial image was obtained from base of the skull to the vertex without (intravenous) IV contrast. Multiple regions of decreased density are seen in the right and left internal capsule. There is no evidence of benign shift, common mass effect or (avastment) of cell _______intervals or cisterns. The cell _____intervals are_________ . Inspections of _________was unremarkable.


HEAD CT
Subject: HEAD CT


IMPRESSION


1. Multiple regions of low density in both sides of internal capsule. (cannot understand this word) represent old white matter infarcts.


head?
Subject: head?


CT of Head.
Subject: CT of Head.

Does this sound right: ...effacement of sulci, ventricles, or cisterns. Inspection of (bone or brain?) windows are unremarkable.
Head laceration still.
Subject: Head laceration still.

Doctor is referring to s/l "Harrow" arterial bleeders being cauterized.  Can't find anything on this either?


 


Head CT scan.
Subject: Head CT scan.

Head CT scan per verbal report from the radiologist is that the patient has very large subdurals bilaterally. The largest component of these are chronic subdurals. Some small, newer, subdurals are also seen. This is causing some effacement of the __________ (s/l girye)


 


caudad, towards the head end of something
Subject: caudad, towards the head end of something

s
head at spines -7
Subject: head at spines -7


help on MRI of the head results
Subject: help on MRI of the head results

The patient had an MRI with gadolinium of the head.  I'm having some trouble understanding the results because this is unfamiliar to me.  She is a cancer patient with metastatic melanoma and the MRI was ordered due to severe vomiting and blurry vision.  He says the MRI "revealed no definite metastatic disease, significant [s/l hypotense? maybe hypodense or hypertensive?] [s/l mara signal?] of the cervical spine of unclear significance, heterogeneous [s/l coabnormality?], for which in matter of fact these cannot be excluded."  That last phrase sounds a little weird too, but I'm pretty sure that's what he says.  Any ideas?
from the ipsilateral head
Subject: from the ipsilateral head

nm
Thank you! That is it! It just was not clicking in my head.
Subject: Thank you! That is it! It just was not clicking in my head.

nm
Thanks for the info. Never head them from our FPs. nm
Subject: Thanks for the info. Never head them from our FPs. nm


lol maybe his head is up his butt!
Subject: lol maybe his head is up his butt!


head trauma
Subject: head trauma

The patient had head trauma and a few months later was found to have a s/l flabomorphit adenoma.


This is an Asian dictator who is very difficult to understand.  Any help would be appreciated.


I think you two got it. You know its there in your head you just can't extract it!
Subject: I think you two got it. You know its there in your head you just can't extract it!

..
banging head here
Subject: banging head here

That's my DUH for the week! Thanks!
Not unless the patient has his head up his @ss nm
Subject: Not unless the patient has his head up his @ss nm

.
Head exam: See
Subject: Head exam: See

"An s/l OMIRE reservoir is present on the left side of the patient's scalp."
Head injury
Subject: Head injury

S/L copidus calluseium ???


New at this, but could it be "of her head"?
Subject: New at this, but could it be "of her head"?


Of course! Where's my head today! LOL Thanks
Subject: Of course! Where's my head today! LOL Thanks


titribation of his head?
Subject: titribation of his head?

Dr says titribation of his head or something that sounds like that, anyoe know what that is?
titubation of head?
Subject: titubation of head?

could it be titubation of his head
trauma to the head?
Subject: trauma to the head?


humeral head. nm
Subject: humeral head. nm


Head: S/L no other symmetries are seen
Subject: Head: S/L no other symmetries are seen

In PE, doctor dictates Head: Normocephalic. No masses are appreciated. No (sound like "no other symmetries are seen."  This is a new one on me! Thank you in advance for any help.
I have head that dictated before.
Subject: I have head that dictated before.

He's probably referring to a weak tendon, with no strength.
here are some examples off the top of my head.
Subject: here are some examples off the top of my head.

CMP (or electrolytes, SMA) - sodium, potassium, chloride, CO2 (or bicarb), BUN, creatinine, glucose, and calcium.

PT, PTT, INR.

Troponin, CK, CK-MB.
Think you just need Trendelenburg position (head down) here. nm
Subject: Think you just need Trendelenburg position (head down) here. nm

s