Eye exam:  s/l "sub-lamp" exam shows left side has multiple small punctations in the cornea.(t
Posted By: slr on 2005-10-25  
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Subject: Eye exam:  s/l "sub-lamp" exam shows left side has multiple small punctations in the cornea.(thanks) 
   
 
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physical exam shows TMA on the right side?? 
Subject: physical exam shows TMA on the right side?? 
  
	 
	
slit lamp exam 
Subject: slit lamp exam 
  nm
	 
	
slit lamp exam 
Subject: slit lamp exam 
  x
	 
	
gonioscopic exam shows...? 
Subject: gonioscopic exam shows...? 
 
 Gonioscopic exam shows ?angle is slit? in both eyes.    
Gonioscopic exam shows ?angular slit? in both eyes.  
Any other?   
	 
	
S/P left total knee reconstruction.  On exam, has a palpable s/l clod defect on the left knee. 
Subject: S/P left total knee reconstruction.  On exam, has a palpable s/l clod defect on the left knee. 
   :-)
	 
	
HEENT exam shows a barely palpable preauricular lymph node sm 
Subject: HEENT exam shows a barely palpable preauricular lymph node sm 
  which measures only a few mm x a few mm on the L side.  Would you type as he says it or would you type 3.0 x 3.0 mm?  Thanks
	 
	
Genitalia exam had left scrotal swelling, negative s/l transluminents? 
Subject: Genitalia exam had left scrotal swelling, negative s/l transluminents? 
  
	 
	
Exam of the left hand reveals a 0.5 x 0.5 cm area of s/l pointing along the proximal phalanx to sm 
Subject: Exam of the left hand reveals a 0.5 x 0.5 cm area of s/l pointing along the proximal phalanx to sm 
  the 5th finger on the palmar surface.  Thanks for any help. 
	 
	
Throat exam is normal, as were the rest of her neck, face, and skull exam. 
Subject: Throat exam is normal, as were the rest of her neck, face, and skull exam. 
 
  
	 
	
Physical exam on eye exam, s/l Cardinal Welk's space?? noted.NM 
Subject: Physical exam on eye exam, s/l Cardinal Welk's space?? noted.NM 
 
  
	 
	
foot exam - removal of AFFENDING ingrown nail spicules from the right and left great toes 
Subject: foot exam - removal of AFFENDING ingrown nail spicules from the right and left great toes 
 
 This is a new dictator for me and he says the same thing in almost every dictation.  He is stressing the AFFENDING - kind of like to let you know that it's an "A" and not "O"..   
	 
	
What kind of doc is doing the exam? And where in the exam is this test mentioned? nm 
Subject: What kind of doc is doing the exam? And where in the exam is this test mentioned? nm 
  s
	 
	
Question about eye exam...when everting lids on eye exam (sm) 
Subject: Question about eye exam...when everting lids on eye exam (sm) 
  It is EVERT, not AVERT, right? I have always typed it with an E but I have a PA who keeps insisting it is A.  I always thought Avert applied to gaze, as if to look away.  Just want to make sure everting the eyelid is the right term.  TIA.  
	 
	
physical exam:  neck shows no s/l N-S-E?  looking for a standard abbrev. used for neck. nm 
Subject: physical exam:  neck shows no s/l N-S-E?  looking for a standard abbrev. used for neck. nm  
  d
	 
	
Motor exam shows her right tibialis anterior at grade –IV or is grade -4?? 
Subject: Motor exam shows her right tibialis anterior at grade –IV or is grade -4?? 
 
 Motor exam shows her right tibialis anterior at grade IV- or is it grade -IV or grade -4 or...  
Thanks! 
	 
	
She has multiple small cutaneous s/l vinyals evident in her right arm 
Subject: She has multiple small cutaneous s/l vinyals evident in her right arm 
   Here is more for context, and patient has AV fistula: 
 
On examination, she has a good thrill in the antecubital fossa.  She has multiple small cutaneous ?vinyals? evident in her right arm and over the clavicle.  
	 
	
Since they start out on the left side, 
Subject: Since they start out on the left side, 
  I don't think this is logical.  They start at the rectum, then meet the sigmoid (left colon), next transverse, then right (descending) colon, then cecum last.   
 
But I'd be more comfortable with the term rigid sigmoidoscope than colonoscope.  No way can a rigid instrument get all the way around, right?  
	 
	
s/l scaly mitosedation on the left side of the cheek 
Subject: s/l scaly mitosedation on the left side of the cheek 
 
 The dictator says,  
'The patient has scalier mitosedation on the left side of the cheek.'  
I am not able to find a word like mitosedation, or could it be mitolesion? 
	 
	
With nystagmus, the eyeball might "jump."  It beats from side to side, or middle to side, etc. 
Subject: With nystagmus, the eyeball might "jump."  It beats from side to side, or middle to side, etc. sm 
  Doubt antistigmatic--not a word.  Astigmatism is something entirely different.  There is no reference in Stedman's ophth for antistigmatic, but do believe they mean nystagmus for "eyes jump."  Can you leave a blank?  The author apparently doesn't know the correct word to use.  Maybe the context of the sentence will help you.
	 
	
patient has a s/l *felon* on the side of his left thumb with surrounding erythema. 
Subject: patient has a s/l *felon* on the side of his left thumb with surrounding erythema.  
  .
	 
	
CT of abdomen and pelvis shows a few small sigmoid s/l ticks. 
Subject: CT of abdomen and pelvis shows a few small sigmoid s/l ticks. 
  Thanks :-)
	 
	
barium swallow shows small?  tertiary contractions.  Please check. 
Subject: barium swallow shows small?  tertiary contractions.  Please check. 
  
	 
	
2D echo shows the left ventricular dysfunction in the 
Subject: 2D echo shows the left ventricular dysfunction in the  
  s/l CP, CP&P??  
	 
	
patient has a small COLAZION of her left upper lateral lid. 
Subject: patient has a small COLAZION of her left upper lateral lid. 
  Anyone have any help??  
	 
	
Which is correct?  self-breast exam or breast self-exam (nm) 
Subject: Which is correct?  self-breast exam or breast self-exam (nm) 
  xx
	 
	
, inspection of her bilateral upper extremities, shows her s/l 'enteal' incision on the left s 
Subject: , inspection of her bilateral upper extremities, shows her s/l 'enteal' incision on the left side 
 
  
	 
	
MRI of the left knee which shows a horizontal s/l fuge tear posterior horn medial meniscus.  tia. nm 
Subject: MRI of the left knee which shows a horizontal s/l fuge tear posterior horn medial meniscus.  tia. nm 
   
	 
	
EKG obtained shows atrial fibrillation, left bundle branch block, occasional pace response. 
Subject: EKG obtained shows atrial fibrillation, left bundle branch block, occasional pace response. 
 
  
	 
	
Low titer ANA with positive ENA with negative "sub serologies" 
Subject: Low titer ANA with positive ENA with negative "sub serologies" 
  subserologies? sub-serologies? subserologies?
	 
	
s/l lob's exam 
Subject: s/l lob's exam 
  There is an abbreviation, LOB, which stands for "loss of balance" 
not sure this is what you're looking for.  Either way, I do believe what the dictator would have said was "loss" of protective sensation..., not "lots"  Hope this helps!
	 
	
Ear exam - see msg 
Subject: Ear exam - see msg 
  Ears reveal normal s/l "tina" and normal external auditory canals. Thanks for the help in advance!
	 
	
eye exam 
Subject: eye exam 
 
 small sl-PAFs were noted near the interior chamber haptic positions temporally in the left eye. 
	 
	
eye exam 
Subject: eye exam 
  Think that might be "anterior" chamber instead of interior chamber. 
	 
	
eye exam 
Subject: eye exam 
  cup-to-disc ratio was 0.5 with sl-temporal slipping OU
	 
	
eye exam 
Subject: eye exam 
  temporal sloping
	 
	
GYN exam 
Subject: GYN exam 
 
 Have you ever heard the phrase--the uterus to be midplane and anteflexed?  I've heard of anteflexed, but not midplane   
   
thanks 
	 
	
eye exam 
Subject: eye exam 
 
 foreign body in eye.  
this lesion did stain with fluorescein; however, it was noted to be sl-sidal negative.  
he also says the lesion is at the 7 o'clock sl-clock R position. 
	 
	
Eye exam 
Subject: Eye exam 
 
 There is contraction across the entire field of vision in both eyes.  Impression is _____ ischemia with field defect, stable.   
S/L sanis 
	 
	
Eye exam 
Subject: Eye exam 
  Eyes:  Refractory s/l Air FOGs glasses 
 
Thanks.  
	 
	
Eye exam 
Subject: Eye exam 
  Yes!  Thanks you two.  First time I've used this.  Appreciate the help.
	 
	
eye exam 
Subject: eye exam 
  It was, "refractive error for which he uses glasses".  Sounded so clear after you gave me the 'refractive error' part.  The doctor's British accent was charming but confusing too.
	 
	
gen exam 
Subject: gen exam 
 
  New doctor.
  
Under PE. General: She is alert sind.  
Please help with the "sind " part. I know it is short for something.  
Neurological: s/l just gross and nonfocal.  
Maybe nerves gross and nonfocal? Aahhhh! 
	 
	
exam 
Subject: exam 
  the exam is in the middle of the report under LABS in office SIM CARD EXAM showed positive for BV.  The first part of the exam said she had a vaginal infection that had discharge and a rotten odor.
	 
	
Need eye exam help please 
Subject: Need eye exam help please 
 
 Best corrected vision with the refraction of plano minus quarter axis 130, 20/20 right eye.  Is this worded correctly or should there be some commas in there??  
Also, does this look right? "The patient required a +1 addition add for reading." 
	 
	
Eye exam 
Subject: Eye exam 
   Could it be anisocoria? 
The size of the pupils are not equal. 
	 
	
Please help with exam...sm 
Subject: Please help with exam...sm 
 
 Doc is doing a well exam on a child 10 1/2 months old.   
States: "Weight, height: S/l No FC ?   
   
Thank you so much.  
	 
	
eye exam 
Subject: eye exam 
 
 normal color vision and normal s/l disc confusion.  
Any idea of above term? Thanks  
	 
	
eye exam help please sm 
Subject: eye exam help please sm 
  Patient has 3+ SPK with s/l "absolute thicka"
	 
	
Could just be saying exam 
Subject: Could just be saying exam  
  Sometimes they get to mumbling and you only hear part of the word.
	 
	
Eye Exam 
Subject: Eye Exam 
  The doc is saying, "good holes on all field of vision at 90 degrees."  The word I am unsure of is holes.  I have tried googling it but I am not coming up with anything solid.  Does this statement make sense in regards to an eye exam?  Thank you.
	 
	
Eye exam (sm) TIA 
Subject: Eye exam (sm) TIA 
  s/l negative 6 diopters?  I have never heard of this term before.  
	 
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