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Breast exam - She does have asymmetry in both breasts from previous s/l brain ansatangias. please sm

Posted By: Barbara on 2009-02-03
In Reply to:

Subject: Breast exam - She does have asymmetry in both breasts from previous s/l brain ansatangias. please sm

I know that makes no sense at all but that's what it sounds like. This doctor is from Puerto rico. Up until this point, she has been pretty clear. Thanks for any help


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patient undwent menarche and s/l sealarche at 15. Has asymmetry of breasts. nm
Subject: patient undwent menarche and s/l sealarche at 15. Has asymmetry of breasts. nm

x


 


The problem is that I can never tell whether he is saying breast OR breasts.
Subject: The problem is that I can never tell whether he is saying breast OR breasts.


Which is correct? self-breast exam or breast self-exam (nm)
Subject: Which is correct? self-breast exam or breast self-exam (nm)

xx
pt is on "bela-paz", fish oil, and vitamins. had breast cancer that went into the brain. nm T
Subject: pt is on "bela-paz", fish oil, and vitamins. had breast cancer that went into the brain. nm TIA.

k
breast exam
Subject: breast exam

peau d'orange
breast exam ?
Subject: breast exam ?

s/l; The talus bend??? seems somewhat thickened on each...breast exam...
Self-breast exam or self-breast-exam or.......TIA!
Subject: Self-breast exam or self-breast-exam or.......TIA!

a
self-breast exam
Subject: self-breast exam


breast self-exam
Subject: breast self-exam

This is the way we have been told to use it.


breast exam help sm
Subject: breast exam help sm

Patient with breast cancer.


Patient has nipple retraction and s/l tepicular thickening in the posterior region of the right breast. 


breast self-exam...nm
Subject: breast self-exam...nm

x
Help with one word on breast exam, please.
Subject: Help with one word on breast exam, please.

Doctor dictates:


"I think the largest of her multiple breast nodules should be ultrasound core-biopsied in order to exclude the possibility of a Fah-LOI-dees," although given their size, this is unlikely, but given that they have increased in size, it may be possible."       


Thank you for your help! 


 


Breast exam: CMP or CMT normal bilaterally? nm
Subject: Breast exam: CMP or CMT normal bilaterally? nm

nm
there's ER and PR assays in breast tissue exam
Subject: there's ER and PR assays in breast tissue exam

PR/ER positive or negative - it's used in tissue diagnosis for breast cancer I do believe....or some sort of cancer and DNA is correct.......not sure about what you are asking about the PRA/ERA....PR Assay or ER Assay but it's assay........not capital in the word, itself......
Breast exam: No *dominant melasis*......TIA : ))
Subject: Breast exam: No *dominant melasis*......TIA : ))

xxxx
On exam for breast reduction surgery,
Subject: On exam for breast reduction surgery,

physician states "disproportionately large breasts that are very s/l cotic.
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Subject: Breast exam showed no s/l antroversion.


breast exam normal no _____ ORANGE?
Subject: breast exam normal no _____ ORANGE?

PE report - Breast exam normal.  No (undetectable word) or S/L orange. 


Any help out there??? 


 


That's what I thought, but they always say self-breast exam. Glad it's not verbatim.TY!!(nm)
Subject: That's what I thought, but they always say self-breast exam. Glad it's not verbatim.TY!!(nm)

xx
Ok, brain overload, cranial nerve exam...sm
Subject: Ok, brain overload, cranial nerve exam...sm

Normal eye movement.  Face is symmetric.  Normal facial sensation.  Tongue and palate are in the midline.  Negative s/l "paulpeck" maneuvers. 
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Subject: Breast exam S/L slight FLYBO or FIBER tender tissue

Breasts:  Bilaterally without dimpling or retraction.  There are no firm, fixed, or dominant masses.  There is some slight FLYBO or FIBER tender tissue in the upper quadrants bilaterally.  There is no adenopathy.  Nipples are benign.


s/l 'axillae are stable', but his exam is on liver area. Brain freeze here? nm
Subject: s/l 'axillae are stable', but his exam is on liver area. Brain freeze here? nm

..
Breast exam reveals no masses in the tail or s/l spence. Pt with a gunshot wound to the chest. TIA
Subject: Breast exam reveals no masses in the tail or s/l spence. Pt with a gunshot wound to the chest. TIA


Definitely not asymmetry, thanks though. nm
Subject: Definitely not asymmetry, thanks though. nm


asymmetry?
Subject: asymmetry?


Maybe scapular asymmetry. nm
Subject: Maybe scapular asymmetry. nm

.
Can you hear asymmetry? nm
Subject: Can you hear asymmetry? nm

nm
Possibly...no asymmetry in the neck?
Subject: Possibly...no asymmetry in the neck?


Breasts on male?
Subject: Breasts on male?

This new doctor has a review of systems normal.  It includes a 'Breasts' normal.  Do I keep that if it is a man?  I'm confused because I've heard men can get breast cancer.  should I leave it/delete it? 


s/l "galding or gualding" under breasts sm
Subject: s/l "galding or gualding" under breasts sm

but not in Stedman's (of course) and unable to verify online either.  These are elderly nursing home patients (female).  Thanks kindly.
Men do have breasts, oftentimes doctors
Subject: Men do have breasts, oftentimes doctors

include their breast exam in a report.
If breast, sentinel node breast biopsy.
Subject: If breast, sentinel node breast biopsy.


So...does it s/l a foraneous salve going under the breasts or what? Sentence, please! nm
Subject: So...does it s/l a foraneous salve going under the breasts or what? Sentence, please! nm

s
after a birth, breasts were non-tender, non s/l ag-ra-nay-shish
Subject: after a birth, breasts were non-tender, non s/l ag-ra-nay-shish


BOS2 says both breasts removed - mastectomies. nm
Subject: BOS2 says both breasts removed - mastectomies. nm

nm
mycotic ? (does she have any fungal infection under the breasts?)
Subject: mycotic ? (does she have any fungal infection under the breasts?)


mastomegaly (large breasts) http://forums.obgyn.net/ob-gyn-l/OBGYNL.0705/0464.html
Subject: mastomegaly (large breasts) http://forums.obgyn.net/ob-gyn-l/OBGYNL.0705/0464.html


No previous MI. Tx anyway! nm
Subject: No previous MI. Tx anyway! nm

xx
You might not like this one, but I would go by what QA said on the previous report. This way you hav
Subject: You might not like this one, but I would go by what QA said on the previous report. This way you have verification in writing of why you chose to keep it this way in case you are questioned on your choice of interpretation. I know we are looking for common sense but we are transcriptions and as we know that is not even close to always being the case in MD dictations.


could it be part of previous ??
Subject: could it be part of previous ??

could it be the dosing of the med before and you think he is going to the next number in the list? The "million" part is making me question this. Otherwise I have no idea. I hope you find your answer!
a previous post
Subject: a previous post

had this same sentence and it was "early satiety"
brain freeze. Is it mass effect or mass affect (CT of brain) THANKS
Subject: brain freeze. Is it mass effect or mass affect (CT of brain) THANKS


PS to clarify my previous post
Subject: PS to clarify my previous post

2 drugs:


s/l Cadawa NHCTC; I think it's for hypertension or hyperlipidemia.


s/l Rocethrin. For lesions? Could also be a pain med.


TIA!


 


I took this from a previous post about eponyms... sm
Subject: I took this from a previous post about eponyms... sm

According to BOS

eponyms

"While the use of the possessive form with eponyms remains acceptible, AAMT's preference is generally to drop the possessive form.

Apgar score, Babinski sign, Down syndrome, Gram stain, Hodgkin lymphoma.

Sometimes an awkward construction calls for use of the possessive form. This patient suffers from Hodgkin's."


just a thought..how about no change to previous?
Subject: just a thought..how about no change to previous?


Previous surgery for s/l lat pulley. TIA nm
Subject: Previous surgery for s/l lat pulley. TIA nm


aaaahh, my previous note should be SM!
Subject: aaaahh, my previous note should be SM!


did the link show up with the previous message?
Subject: did the link show up with the previous message?


Found previous note. It was Sigma...nm
Subject: Found previous note. It was Sigma...nm

nm
Says this patient has previous CVT/CBT..have to expand and not sure what it could be for a PMH term,
Subject: Says this patient has previous CVT/CBT..have to expand and not sure what it could be for a PMH term,

any ideas? 


Thanks


Here's a link to a previous MTStars post
Subject: Here's a link to a previous MTStars post

on this same question.  Is this an ENT account?  The best thing would be see if you can get verification from the account, might be some name they have for their own conconction of Maalox, Benadryl and Xylocaine.  I've seen plenty of things misspelled in reports, even standards handed out by an account itself...