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Dont know, but "sharp" usually refers to optic disc

Posted By: margin. nm on 2008-11-02
In Reply to: Eye exam - NYMT

Subject: Dont know, but "sharp" usually refers to optic disc

nm


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it is definitely optic disc pallor; I type it quite often. nm
Subject: it is definitely optic disc pallor; I type it quite often. nm


herniated disc of her lumbar spine with s/l suporsis.. I dont hear scoliosis
Subject: herniated disc of her lumbar spine with s/l suporsis.. I dont hear scoliosis

. ,
Dont you get tired of being rude? If you dont want to help, then dont reply. nm
.
optic ? nm
Subject: optic ? nm

x
It's a far stretch from optic...
Subject: It's a far stretch from optic...

but maybe lung volume?
optic or haptic?
Subject: optic or haptic?

In a cataract extraction, would a haptic or an optic be captured in the ciliary sulcus? He later says that the optic was captured in the capsular bag with the haptics being latched securely in the sulcus.


TIA


optic/haptic
Subject: optic/haptic

I don't exactly know what you are asking.  If the question is regarding what he meant and you have any question, flag it and send it to your Q.A. or whereever you send reports with blanks.  Not a good idea to try to "correct" the doc's dictation and an even worse idea to guess. 


Patient is having an optic nerve
Subject: Patient is having an optic nerve

sheath fenetration and he is using s/l B&N scissors "a large window was created by incising the optic nerve." TIA
optic nerve pallor SM
Subject: optic nerve pallor SM

In Stedman's Ophthalmology 4th Edition, optic nerve pallor is listed... could your doc be stuttering or correcting himself with the "haired" part?
optic dyspallor or dispallor?
Subject: optic dyspallor or dispallor?

This is used in a neurology examination, optic dyspallor or optic dispallor, not sure what it should be here?
Is he saying optic disk pallor? (sm)
Subject: Is he saying optic disk pallor? (sm)

xx
yes, I am thinking it is laser optic. I will QA to be sure. Thanks. nm
Subject: yes, I am thinking it is laser optic. I will QA to be sure. Thanks. nm


s/l hemnio optic (opthamology)
Subject: s/l hemnio optic (opthamology)

Hi all,

Once again need some ideas. I swear it sounds like she is saying hemnio-optic but no work exists like that...

The context is: "...her history of Alzheimer’s and her visual field defects which are ??optic in nature..."

Any ideas?

Thank you much!!!
Mo
I think the optic is "captured.." and the haptic...
Subject: I think the optic is "captured.." and the haptic...

relates to the "sulcus"
QE&A - anyone know what this refers to?
Subject: QE&A - anyone know what this refers to?

I know the phrase is what is dictated because I sent to QA the first time I heard it.  I have a doc who says it infrequently.  I can't document it and am just curious. 


THANKS!


SOD septo-optic dysplasia? OU both eyes?
Subject: SOD septo-optic dysplasia? OU both eyes?

nm
pt with wart given s/l Aqusol SC Optic?? Solution w
Subject: pt with wart given s/l Aqusol SC Optic?? Solution w

with Centrusin on wart??
Grave/Graves' optic neuropathy???-nm
Subject: Grave/Graves' optic neuropathy???-nm


on echo s/l lung optic was also normal? nm
Subject: on echo s/l lung optic was also normal? nm

x
0.2 to 0.22 (think it refers to seconds)
Subject: 0.2 to 0.22 (think it refers to seconds)


Dr. doing laminectomy and refers to
Subject: Dr. doing laminectomy and refers to

xxxx
nephritis refers to the kidneys
Subject: nephritis refers to the kidneys

so not sure.
Dr. doing cervical laminectomy and refers to SM
Subject: Dr. doing cervical laminectomy and refers to SM

s/l Kafnicks tubercle.  I cannot find this and I have looked under several spellings. 



Thank you.


Could be, heme just refers to blood. NM
Subject: Could be, heme just refers to blood. NM

x
Maybe just refers to putting mesh
Subject: Maybe just refers to putting mesh

at the 12 o'clock, 3 o'clock, etc. positions? Weird. Never heard that one before.
Believe it would be tenting. Tinting refers
Subject: Believe it would be tenting. Tinting refers

to color changes, tenting is referring to "poking up or out" of the skin.
laser optic repair for knee and ankle arthritis? nm
Subject: laser optic repair for knee and ankle arthritis? nm


but encephalopathic refers to the brain, not knee???? nm
Subject: but encephalopathic refers to the brain, not knee???? nm


Probably refers to staples--white load, maybe? nm
Subject: Probably refers to staples--white load, maybe? nm

x
When transcribing "Sister so-and-so, when dictator refers
Subject: When transcribing "Sister so-and-so, when dictator refers

to patient as "sister" throughout report, is "sister" capitalized or not?  Neither way looks correct to me. 
it is adverse lie. refers to how the testicles lay in the scrotum.
Subject: it is adverse lie. refers to how the testicles lay in the scrotum.

nm
pepto refers to stomach so peptoesophageal
Subject: pepto refers to stomach so peptoesophageal

is same as gastroesophageal. There is cecectomy for exicision of cecum.
Break the word down - osteo refers to
Subject: Break the word down - osteo refers to

bone and condyle is a part of the bone as per femoral condyle, lateral condyle etc. so yes it is a word.
Maybe sibilant -- Somnolent refers to awareness/
Subject: Maybe sibilant -- Somnolent refers to awareness/

neurologic state of a patient.
dont know about the first one,
Subject: dont know about the first one,

but I found many references to dural augmentation

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=15096004&dopt=Abstract

Hope this helps a little
I dont think so :(
Subject: I dont think so :(

Nope, I don't think so at least.  It definitely sounds like he's saying patchiopasties...even though I have no clue what that is!  lol  Thanks so much for your help, though!
No dont know who A.S is....sm
Subject: No dont know who A.S is....sm

Actually the clinic reports I do seem to be saying this every so often.
dont think so
Subject: dont think so

he says later "as well as ablated with the surfax/shurfax"
Still dont get it.....
Subject: Still dont get it.....

Thank you both for your help!
ray refers to the digits...toes, fingers, etc..not patellae..sm
Subject: ray refers to the digits...toes, fingers, etc..not patellae..sm

does not make any sense.
a or an refers to the SOUND of the word, not necessarily a vowel
Subject: a or an refers to the SOUND of the word, not necessarily a vowel

therefore YURanalysis sounds like it has a consonant and so A is used. With MI and MRI, it sounds like EM-I or EM-R-I. It sounds like a vowel and so AN is used.
on a quick search, it seems Atar refers to a drug RX
Subject: on a quick search, it seems Atar refers to a drug RX

can't be certain, but that does fit the context of the sentence. "if the patient doesn't have *a prescription drug supplement coverage plan*"
capitalization question - if refers to a heading in the note, do I cap
Subject: capitalization question - if refers to a heading in the note, do I cap

In the dictation, MD says (in ROS)  "...please see history of present illness."  Do I type  "...please see History of Present Ilness" or no caps?


 


 


Third-spacing is correct. Refers to fluid shift
Subject: Third-spacing is correct. Refers to fluid shift

to interstitial space.
dont know if this is the one you're looking for, but
Subject: dont know if this is the one you're looking for, but

"Oxepa" feeding tube formula is used for critically ill patients on mechanical ventilation, critically ill patients with lung injury such as pneumonia; sepsis; chest injury; multiple trauma; burns; shock and hypoperfusion; aspiration or near-drowning; cardiopulmonary bypass; or hyperfusion-associated lung injury.

sorry couldnt help more
I dont know about the first part but.. sm
Subject: I dont know about the first part but.. sm

Second could be incentive spirometry ?
dont believe everything you read, or
Subject: dont believe everything you read, or

hear for that matter


I dont think so... maybe it is to the "mcyins". Could that be?
Subject: I dont think so... maybe it is to the "mcyins". Could that be?


I dont capitalize it. nm
Subject: I dont capitalize it. nm

x
Actually I dont think that's it, this is rheumatology, SM
Subject: Actually I dont think that's it, this is rheumatology, SM

did a muscle biopsy
you mean leiomyomata dont' you sm
Subject: you mean leiomyomata dont' you sm

x