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I was thinking more like "grade 3, 0/0 nodes" but not sure if this correct... nm

Posted By: Shosh on 2008-04-06
In Reply to: Could he be saying the diagnosis code? NM - Anon

Subject: I was thinking more like "grade 3, 0/0 nodes" but not sure if this correct... nm

x


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Other related messages found in our database

there are AP nodes (aortopulmonary) - but I usally hear AP window nodes-nm
Subject: there are AP nodes (aortopulmonary) - but I usally hear AP window nodes-nm

x
I am thinking hyperpyrexia could be correct.
Subject: I am thinking hyperpyrexia could be correct.


you are absolutely correct.... what was I thinking.... Thank you!
Subject: you are absolutely correct.... what was I thinking.... Thank you!


periaortic lymph nodes, paraaortic lymph nodes...I can never remember
Subject: periaortic lymph nodes, paraaortic lymph nodes...I can never remember

ugh


SI nodes maybe?
Subject: SI nodes maybe?

He wouldn't just be saying SI nodes, would he/she?
S/L J Y nodes
Subject: S/L J Y nodes

She had no splinter hemorrages S/l J Y nodes.


Thanks


Eisel nodes?
Subject: Eisel nodes?

Has anyone heard of Eisel nodes?  One of my clients is a chiropractor who says it is a node that can form particularly over the SI joint and can be very painful. I have searched everywhere and cannot find it.  I don't doubt my client but I would like to know if it goes by any other name and/or anyone has run across it before.  Many thanks.
Eisel nodes
Subject: Eisel nodes

What I thought at first too, but he spelled it for me, "Eisel." Thanks
ESIL nodes?
Subject: ESIL nodes?

ESIL nodes, for: episacroiliac lipomas? Just saw one site with it.


ESIL's nodes
Subject: ESIL's nodes

The proper spelling is ESIL which stands for episacroiliac lipomas.  A benign condition of fatty mass or masses over the sacroiliac joint or joints.  This can commonly become inflammed or irritated and cause pain.  Once inflammation is controlled the pain is relieved.  The nodes will likely remain palpable, but non-tender. 


1/20 nodes positive
Subject: 1/20 nodes positive

nm
lymph nodes?
Subject: lymph nodes?


Heberden's nodes
Subject: Heberden's nodes

Heberden's nodes (bumps on DIP joints in osteoarthritis)
level IIa nodes
Subject: level IIa nodes

Need a little help here.  Would it be lowercase a level IIa nodes or uppercase level IIA?  Needing clarification. 


necrotic right level IIa jugulodigastric cervical lymph node


Thank you


lymph nodes in that area...*S*...nm
Subject: lymph nodes in that area...*S*...nm

x
paraaortic lymph nodes
Subject: paraaortic lymph nodes

Stedman's Oncology Words has paraaortic lymph node under the heading node.

Here's a good site for lymph nodes:
http://training.seer.cancer.gov/ss_module08_lymph_leuk/lymph_unit02_sec03_lymph_chains.html

Since you have identified this as something hard to remember, make yourself a shortcut for it, like paln.
Schmorl's nodes - herniations of
Subject: Schmorl's nodes - herniations of

intervertebral discs - first described by German pathologist Christian G. Schmorl. Hope this helps.
oropharynx s/l *edentulist*, no nodes...
Subject: oropharynx s/l *edentulist*, no nodes...

This is under physical exam.


ENT:  Oropharynx  *edentualist*  no nodes.



TIA.


maybe: paracolic fat and any/many lymph nodes (nm)
Subject: maybe: paracolic fat and any/many lymph nodes (nm)

x
Can't hear lymph nodes, but thanks.
Subject: Can't hear lymph nodes, but thanks.

x
anterior cervical nodes (ACN)
Subject: anterior cervical nodes (ACN)


Shotty lymph nodes. . . .
Subject: Shotty lymph nodes. . . .

When I worked for a previous transcription company I used to put shotty and was constantly corrected and told that it was shoddy.  So that is what I did.  Oh well. 
lymph nodes; not epitecular
Subject: lymph nodes; not epitecular

nm
Possible docism term for Schmorl's nodes
Subject: Possible docism term for Schmorl's nodes


Portohepatic/portahepatic lymph nodes? nm
Subject: Portohepatic/portahepatic lymph nodes? nm



Janeway lesions or Osler nodes
Subject: Janeway lesions or Osler nodes

 


Usually they mention Janeway "lesions" and Osler "nodes" along with the Roth spots.


palpable mesocolonic lymph nodes???
Subject: palpable mesocolonic lymph nodes???


shoddy or shotty lymph nodes?
Subject: shoddy or shotty lymph nodes?

Is it shotty or shoddy lymph nodes?


TY! It was ACNs--Anterior chain nodes
Subject: TY! It was ACNs--Anterior chain nodes


Usually Osler nodes or Janeway lesions, so maybe mixing the two. nm
Subject: Usually Osler nodes or Janeway lesions, so maybe mixing the two. nm

s
We have a winner! *fat and 8* positive lymph nodes. Thanks!! Time for bed obviously. nm
Subject: We have a winner! *fat and 8* positive lymph nodes. Thanks!! Time for bed obviously. nm

nm
I found portacaval chain of lymph nodes on a search. nm
Subject: I found portacaval chain of lymph nodes on a search. nm

s
Could be lymphazurin blue positive? Used for staining lymph nodes.
Subject: Could be lymphazurin blue positive? Used for staining lymph nodes.


Heberden’s nodes, bony growths on the terminal. interphalangeal joints of
Subject: Heberden’s nodes, bony growths on the terminal. interphalangeal joints of


[s/l subcentral medium] bilateral cardiophrenic angle lymph nodes
Subject: [s/l subcentral medium] bilateral cardiophrenic angle lymph nodes


There is a Chauffard syndrome: polyarthritis, fever, splenomegaly, enlarged lymph nodes?
Subject: There is a Chauffard syndrome: polyarthritis, fever, splenomegaly, enlarged lymph nodes?


history of colorectal history with metastasis to the liver and lymph nodes
Subject: history of colorectal history with metastasis to the liver and lymph nodes


still thinking
Subject: still thinking

Turns out that the patient is having very high fevers giving impression of left lower lobe pneumonia. Came across a brand name of a drug used in mouthwash called Advexin. They were talking about oral cancers...but then cross-referenced on http://www.pharma-lexicon.com/ and found (generic Mepron) atovaquone, classified as an anti-infective used in both adults and children who are at risk for PCP with initial doses of 750 mg per 5 mL. Since Hodgkin's lymphoma and bone marrow transplant would put this girl in a severely immunocompromised state, I would bet they are giving her a pretty hefty dose of the stuff. Atovaquone it is.

Thanks for helping me.
Thanks, I was thinking along
Subject: Thanks, I was thinking along

those lines, just wanted a second opinion. :-)
that's actually what I was thinking too - nm
Subject: that's actually what I was thinking too - nm

x
Tks. I kept thinking there is another
Subject: Tks. I kept thinking there is another

Like ...there were lewes....or something.  You are probably right, and I finally found it in stedman's and it says *sternal angle* and that seems to fit the way the doctor used it.  Thanks again.
that's what i am thinking
Subject: that's what i am thinking

I was thinking along the lines of this from the begining....compression over lower extremities.....just wish I didn't hear otherwise!  (I hate Monday's)


That's exactly what I was thinking
Subject: That's exactly what I was thinking

but I have this doc all the time and she's never dictated time like that before, so I just wasn't sure.  Thanks to all who replied. 
I was thinking that too...I'd have to say it was:
Subject: I was thinking that too...I'd have to say it was:

Past history notable or is notable for ______.
That's what I was thinking..maybe she
Subject: That's what I was thinking..maybe she

just got ahead of herself when dictating it in the assessment..because I definitely didn't hear an itis at the end...just a gingival or gingivo sound. 


Thanks


that is what I am thinking..thanks
Subject: that is what I am thinking..thanks


What was I thinking
Subject: What was I thinking

of course, para anything with twins, triplets, etc. Thanks for fixing my answer!
I'm thinking it's probably
Subject: I'm thinking it's probably

R&M for "routine and microscopic" 
That's what I was thinking, too.
Subject: That's what I was thinking, too.

.
I am thinking it
Subject: I am thinking it

may be (LIMA) or left internal mammary artery ..... of course you are hearing it.
That's what I was thinking...
Subject: That's what I was thinking...

but was unsure. It's an ESL doctor and she says it twice. It doesn't really sound like there is an F in the pronunciation, though.