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Diskal herniation or distal herniation (rule out HNP). Thanks (nm)

Posted By: Aaack on 2005-08-15
In Reply to:

dd


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Distal herniation
distal herniation
Is it L5/S1 or L5-S1 disk herniation?
Subject: Is it L5/S1 or L5-S1 disk herniation?

Is it written with a slash or dash???


Thanks!


"hunkle" herniation?
Subject: "hunkle" herniation?

Here is the sentence...sounds like she says "hunkle" herniation???


An MRI done on September 11th showed a 6.2 cm, necrotic mass in the right temporal lobe with a 12 mm shift and moderate, right "hunkle" herniation
Paracentral disc herniation perhaps.
Subject: Paracentral disc herniation perhaps.


paracentral disc herniation
Subject: paracentral disc herniation

nm
pretty simple disk herniation
Subject: pretty simple disk herniation


sounds like right ***parameanial*** disc herniation
Subject: sounds like right ***parameanial*** disc herniation


could be "to prevent" future herniation
Subject: could be "to prevent" future herniation


thoracic or cervical disc herniation
Subject: thoracic or cervical disc herniation

nm
WAG but maybe she's reading some bad handwriting and could be "and herniation?"-nm
Subject: WAG but maybe she's reading some bad handwriting and could be "and herniation?"-nm


The MRI did show a very small amount of fluid edema along the distal radius and distal ulnar *fices*
Subject: The MRI did show a very small amount of fluid edema along the distal radius and distal ulnar *fices*

nm
I actually concluded that diskal (my co. preference) was correct due to anatomic considerations.
dd
distal translation across the epiphysis of distal fragment
Subject: distal translation across the epiphysis of distal fragment


distal one third
Subject: distal one third

I would go with distal one-third of the tibia, two-thirds, one-quarter. Whether right or wrong, that's how I type it and it never gets changed by QA.
Distal
Subject: Distal

could refer to the farthest point of any body part. If talking about the leg, probably saying distal tib-tibial.
probably distal pulses
Subject: probably distal pulses


distal Galeazzi maybe? - nm
Subject: distal Galeazzi maybe? - nm


distal arthralgias?
Subject: distal arthralgias?


Distal embolization?
Subject: Distal embolization?


distal vessels?
Subject: distal vessels?


DIP (distal interphalangeal)
Subject: DIP (distal interphalangeal)


Maybe DIP? Distal interphalangeal
Subject: Maybe DIP? Distal interphalangeal


distal phalanges????
Subject: distal phalanges????


may just be saying distal fibula..nm
Subject: may just be saying distal fibula..nm

x
distal neurocirc
Subject: distal neurocirc

distal neurocirc is intact. Should this be transcribed:


Distal neurocirculatory is intact


Distal neurocirc is intact


Distal neuro and circ is intact


or what??? I'm lost! Any help is greatly appreciated!


Could he be saying distal before syndesmosis?
Subject: Could he be saying distal before syndesmosis?


the rule is ....
Subject: the rule is ....

... x2 ....2 times

If the "times" comes before the number use the x (no space). If the "times" comes after use the word.
don't know if there is a rule but....
Subject: don't know if there is a rule but....

 


I think if you would substitute "bilateral"  (mentally)  and say  "both" you might have a better idea how to say it.   Like would it sound better iff you said "both hand"  or "both hands."   To me bilateral hands sounds better.  But again, I don't know if there is actually a rule.  I looked for an answer in "style Guide for Medical Transcription" (Tessier and Pitman) and couldn't find an answer.   


I think if you wrote what the doctor said ....you can't go wrong there either.  Good luck!.    


What is the rule now for cc?
Subject: What is the rule now for cc?

should we put mL or what the doc says as cc?  I got so beat up over this one time with a different company I worked for; however, I am with a wonderful new company and want to make sure I am typing it correctly.


 


Thank you


Does anybody know a rule regarding
Subject: Does anybody know a rule regarding

to para or not to para, that is the question..... okay, so that was dumb, but so many words are not actually in the dictionary.... is there a rule regarding when to use peri as opposed to para ??? sometimes I'm confused.


As a rule yes, but not always
Subject: As a rule yes, but not always

I find way too many exceptions to that rule so I always look them all up the first time and add them to my ever-growing list.  I wish there was a list out there somewhere with most of them already catagorized for us. 


cannot rule out?
Subject: cannot rule out?


Is this a new rule????
Subject: Is this a new rule????

x
maybe saying rule out again? nm
Subject: maybe saying rule out again? nm

x
I'm all yours - you rule! :) :) :) :) - nm
Subject: I'm all yours - you rule! :) :) :) :) - nm

x
I'm all yours - you rule! :) :) :) :) - nm
Subject: I'm all yours - you rule! :) :) :) :) - nm

x
widening of the distal clavicle
Subject: widening of the distal clavicle

I searched google and all I can find is widening of the AC joint.. nothing about clavicle? Any ideas, suggestions?
clouding of the distal esophagus? (nm)
Subject: clouding of the distal esophagus? (nm)

...


Should it be...distal comma bilateral or distal no comma bilateral? nm
nm
distal ulnar physis
Subject: distal ulnar physis


Try "faint distal collaterals". nm
Subject: Try "faint distal collaterals". nm

.
distal radius ORIF
Subject: distal radius ORIF

The patient was given s/l cephanicol for muscle relaxation.


sulfanicol? cefanical?  Can't find anything that s/l these.


Thank you!


oscial and distal cuff
Subject: oscial and distal cuff

I am still trying to figure out this one dictation that I "tabled" for a while. In relistening to it it sounds like "Native coronary artery disease with both "oscial" and distal cuff by left main disease"  Interpretation anyone? 
oscial and distal cuff
Subject: oscial and distal cuff

I tried googling this combination and did not come up with any relevant matches.  Does this ring a bell with anyone?  I am really striking out.
DIP (distal interphalangeal joint)
Subject: DIP (distal interphalangeal joint)


distal radius crinkle? nm
Subject: distal radius crinkle? nm

nm
distal femoral metaphysis. sm
Subject: distal femoral metaphysis. sm

They also sometimes use metaphyseal


 


metaphysis, pl. metaphyses


 



[TA]; A conical section of bone between the epiphysis and diaphysis of long bones.


distal anterior. Where in the body are we? nm
Subject: distal anterior. Where in the body are we? nm


distal ventricular tachycardia?
Subject: distal ventricular tachycardia?

I am struggling with what sounds like either distal or dysvul or something like that - ventricular tachycardia wtih an implantable difibrillator- any ideas? 
distal superficial artery
Subject: distal superficial artery

I have read so many searches that is the only thing I can come up with also.  Thanks.
distal radial ulnar or sm
Subject: distal radial ulnar or sm

distal radioulnar joint. Which is correct? tia.