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DUH - It is columella. Just needed more coffee!!

Posted By: Sue on 2008-01-19
In Reply to: Septoplasty - Injected the s/l cheilomella (nm) - Sue

Subject: DUH - It is columella. Just needed more coffee!!

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columella nasi or nasal columella?
Subject: columella nasi or nasal columella?


coffee-ground vs coffee-grounds
Subject: coffee-ground vs coffee-grounds

emesis.  My books say coffee-grounds emesis, although I'm hearing conflicting opinions. 
columella
Subject: columella


columella?
Subject: columella?

NM
I just found it-columella
Subject: I just found it-columella


first thought is columella . sm
Subject: first thought is columella . sm

columella nasi is the termination (fleshy lower margin) of the nasal septum.
columella and right mid axillary line?
Subject: columella and right mid axillary line?


That should be arthroscopy...LOL...coffee!
//
Ack! More coffee...that would be "hear." nm
Subject: Ack! More coffee...that would be "hear." nm

s
thanks.. so simple. need more coffee
Subject: thanks.. so simple. need more coffee


Ahhh! Thanks! Need more coffee!!!! nm
Subject: Ahhh! Thanks! Need more coffee!!!! nm

x
Reconsiderng after another sip of coffee
Subject: Reconsiderng after another sip of coffee

Could it possibly be diaphragm in situ? Sometimes they'll use that if they're describing the length of the diaphragm/hernia.
it is coffee-ground emesis.....sm
Subject: it is coffee-ground emesis.....sm

they sometimes do dictate *coffee grounds* but then no emesis would be after that.....coffee-ground material, coffee-ground emesis, or just coffee grounds........


HTH (hope that helps)


coffee-grounds in Stedman's
Subject: coffee-grounds in Stedman's

x
Sorry, my spelling is off without coffee yet, meant sure not sur (duh!)
Subject: Sorry, my spelling is off without coffee yet, meant sure not sur (duh!)


To early and coffee has not kicked in yet
Subject: To early and coffee has not kicked in yet

Under the physical examination, dullness at the left base goes under which heading, lungs or heart, sorry cant think yet.
** should be semicolon, not semicomma (need coffee).
Subject: ** should be semicolon, not semicomma (need coffee).

x
s/l coffee-needle biopsy?? nm
Subject: s/l coffee-needle biopsy?? nm

nm
He is saying prostate, not coffee (how embarassing
Subject: He is saying prostate, not coffee (how embarassing


Thanks - so sorry I didn't have coffee before thinking about this. lol
Subject: Thanks - so sorry I didn't have coffee before thinking about this. lol

I should have known that. It was early and I woke up late this morning. I should have given myself a little time to think about that one rather than jump and post on here so quickly. Thanks to both for your messages. :) Merry Christmas!
Ah, ya got me before my coffee kicked in. Thanks for pointing this out SO nicely. :) nm
Subject: Ah, ya got me before my coffee kicked in. Thanks for pointing this out SO nicely. :) nm

s
cafe au lait = coffee with milk....s/m
Subject: cafe au lait = coffee with milk....s/m

Just FYI, there are more french terms medically speaking, i.e., there is also *peau d'orange* which is *orange skin* used in medicine to describe something with the look (orange color) and texture (dimpled appearance) of an orange peel; for example the skin of the breast in inflammatory breast cancer or the retina in pseudoxanthoma elasticum.


 


So, you were right!! It was encourage!!! Sheesh. Need a whole caraf of coffee.
Subject: So, you were right!! It was encourage!!! Sheesh. Need a whole caraf of coffee.


I keep getting coffee, but sound quality is terrible
Subject: I keep getting coffee, but sound quality is terrible

It doesn't help that i can't find either of my surgery word books today
okay....I think this is "sock" distribution...which makes more sense, need more coffee this mo
Subject: okay....I think this is "sock" distribution...which makes more sense, need more coffee this morning


Funny, google "bailey's coffee" and you get 2,000,000 hits. nm
Subject: Funny, google "bailey's coffee" and you get 2,000,000 hits. nm

nm
fexofenadine I meant...my goodness, time for more coffee?
Subject: fexofenadine I meant...my goodness, time for more coffee?


She was smoking at least a pack of cigarettes a day, drinking a lot of coffee and s/l guinath pills
Subject: She was smoking at least a pack of cigarettes a day, drinking a lot of coffee and s/l guinath pills


more help needed same md sm
Subject: more help needed same md sm

Given the high incidence of MRSA, he was treated with extended CARO Penicillin of Unasyn
Thanks.Had to take a well needed
Subject: Thanks.Had to take a well needed

break and now done for the night.

I do not have that book but will have to invest. I get a lot of those and very confusing on how to write them.
help needed
Subject: help needed

I got cystoproctography, but does cystoproctoscopy exists as i could not find it in  stedman also,


 


 


thank u


james


Thanks, I needed that
Subject: Thanks, I needed that

:-)
Thanks! Exactly what I needed!!
Subject: Thanks! Exactly what I needed!!


Help needed MRI -
Subject: Help needed MRI -

MRI demonstrates marked narrowing of the patellofemoral joint, with subcortical signal s/l ontuation and marginal osteophytes.
Lab help needed
Subject: Lab help needed

Wet prep revealed 0 WBCs, moderate EPIs, no clue cells, slight trace bacteria, 0 yeast, 0 s/l trich.

Is trich correct - or should it be capped? Thanks.
Lab help needed
Subject: Lab help needed

Will send out LFTs, Epstein-Barr acute panel, and s/l CMV or CMB titer - Thanks
EKG help needed
Subject: EKG help needed

EKG showed normal sinus rhythm with a rate of 67. Normal intervals. Normal axis. No ectopy. There is T-wave flattening in s/l one, and T-wave inversion in aVL.

Does one sound correct? Would it be typed as I or 1? Thank you.
thanks - you don't know how much I needed that!
Subject: thanks - you don't know how much I needed that!


Lab help needed
Subject: Lab help needed

CBC reveals white blood cells of 5.1, hemoglobin 12.5, platelets 217. There were some s/l codes on the differential, so that was sent out.

Thanks.
help needed again....
Subject: help needed again....

Most likely, she will need calcaneal osteotomy and ___(FTL/FDL) tendon transfer to restore the alignment of her right foot  ___ (gentle/trying to stay in) place of this disease to degenerative posterior tibial tendon..............does it make sense..................
Thanks! That's what I needed!
Subject: Thanks! That's what I needed!

I really appreciate your help!
could it be p.r.n. (as needed)
Subject: could it be p.r.n. (as needed)

Thanks
Help is desparately needed.
Subject: Help is desparately needed.

How do you type this?  I never did ob/gyn before.  What does miss mean, and how do I format?  Any help is appreciated.  Thank you.


 


PAST MEDICAL HISTORY


1.      Gynecologic – G3, P2, 1 miss.  She had been followed by Dr. XXXXXXXX   Her last Pap smear was approximately two years ago, as was mammogram.  Menses are on a q 28-30 day cycle, but there are periods where she will skip and have a menses q.o. month.


Derm help needed sm
Subject: Derm help needed sm

Need help with words in bold.  Thank you.


 


SKIN:  Lots of seborrheic keratoses.  He does have an elevated 9 mm papule on left side of the face, which has some vascularization and central core.  It almost looks like acanthokeratosis, but basal cell carcinoma cannot be fully ruled out.  No other suspicious lesions.  He does have some miliary rubra on the back. 


Yes, the final s is not needed..sm
Subject: Yes, the final s is not needed..sm

leiomyoma, singular; leiomyomata, pleural. Leiomyomatas is not a word.


Your opinion needed
Subject: Your opinion needed

My doctor keeps saying psoricytic arthritis. I transcribe for him a lot, but this is what he is saying.


I am thinking he means psoriatic arhtritis. What do you think?


um I don't think they needed "grammar help"...nm
Subject: um I don't think they needed "grammar help"...nm


eye surgery help needed....
Subject: eye surgery help needed....

PREOPERATIVE DIAGNOSIS: Superior and temporal visual field loss due to s/l maglacoius, matiglacious, maniglacius?.

Procedure is bilateral blepharoplasty.

TIA.

Thanks! I just needed another opinion. nm
Subject: Thanks! I just needed another opinion. nm

nm
eye surgery help needed....
Subject: eye surgery help needed....

'PREOPERATIVE DIAGNOSIS: Dense nuclear sclerotic cataract with posterior subcapsular cataract right eye with s/l stroke exfoliation syndrome.'

Anyone know if 'stroke exfoliation syndrome' is correct? TIA.
psychiatry help needed....
Subject: psychiatry help needed....

'We put her on lorazepam for elevated SIWAS.'

Doc spells out SIWAS as above but am thinking it should be CIWAs. Please let me know what you think. TIA.