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Is it in regard to varicose veins?

Posted By: chris on 2008-10-30
In Reply to: Term driving me crazy, HELP! - sweetpea

Subject: Is it in regard to varicose veins?

What is it about?


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1) ulceration 2) varicose veins nm
Subject: 1) ulceration 2) varicose veins nm


varicose veins? Can you hear cellulitis? nm
Subject: varicose veins? Can you hear cellulitis? nm


#1 is venostasis ulceration, #2 varicose veins...
Subject: #1 is venostasis ulceration, #2 varicose veins...


S/L Jobe's stocking for varicose veins?
Subject: S/L Jobe's stocking for varicose veins?

xx
Perhaps saying venous stasis ulceration, varicose veins?
Subject: Perhaps saying venous stasis ulceration, varicose veins?


PE on consult lower extremity edema with multiple varicose veins. NO CORDAL LACK OBSTRUCTION
Subject: PE on consult lower extremity edema with multiple varicose veins. NO CORDAL LACK OBSTRUCTION

This is a new dictator to me - has a accent.  S/L CORDAL LACK OBSTRUCTION.  Any help?? 


TRIVEX or TriVex?? varicose veins-need proper capitalization

Can anyone confirm the proper capitalization of this procedure?  I cannot find it in any book I have and Google gives it many ways.


Thanks!


thebesian veins? smallest cardiac veins. nm
Subject: thebesian veins? smallest cardiac veins. nm


No jugular veins in legs, either!! Jugular veins are in the NECK!
Subject: No jugular veins in legs, either!! Jugular veins are in the NECK!

x
I always change that to *in regard*..sm
Subject: I always change that to *in regard*..sm

as for toward/towards, afterward/afterwards......both are acceptable as you said per the dictionary......so it depends on the MD I'm working for...I have one that is a stickler so I give him afterwards and towards as he says them.
This is in regard to the patient's
Subject: This is in regard to the patient's

orientation and part of his total overall mental status exam. They will always assess if the patient is oriented to person, place, time and situation. So the unclear word would be related to oriented, orientation, or more specific to your example to time, and the patient's perception of current reality and time (some patients who are disoriented do not know common knowledge everyday things and think the current president is maybe Clinton or Daddy Bush. So again, try to pick up on anything to do with orientation or time and date.
In regard with what you said about MTs being responsible
Subject: In regard with what you said about MTs being responsible

for content, yes we are in some ways. However the examples you give of a physician's dictation - a new MT may not know that 100 mg of Synthroid is not a correct dosage, the MT types what is said and it is the DOCTOR who approves what is in the transcribed report. None of us know everything, the only thing we can do is accurately transcribe the dictation the dictation, not edit what we think should or should not be included.
I have never heard "p" with regard to
Subject: I have never heard "p" with regard to

x
I'll do a search with that in mind. Unfortunately, he doesn't say anything more in that regard
Subject: I'll do a search with that in mind. Unfortunately, he doesn't say anything more in that regard. sm

Before the s/l sentence, he says:

He can toe-and-heel walk. Tandem walking is somewhat off. Reflexes are diminished in the upper extremities, 1+ or trace at knees and at ankles. His motor power is generally full throughout upper and lower extremities. The right hand intrinsic muscles seem to be significantly affected and were about 3+/5. There is some atrophy of his first web space, which may be related also to significant subluxation of the thumb. The light touch sensation is generally okay.

His past surgical history is stent placement in 2004, status post cervical laminectomy/fusion.

Doctor is placing on Neurontin to see if he gets response regarding the paresthesias he's experiencing.

If this gives anyone a clue, I appreciate it a lot.

Right leg (is) varicose
Subject: Right leg (is) varicose

Varicosity = the state of being *varicose*

Excerpts from Dorland's:

varicose (var·i·cose) (var´ĭ-kôs) [L. varicosus] pertaining to a varix; unnaturally and permanently distended. Called also variceal and variciform.

varicosis (var·i·co·sis) (var”ĭ-ko´sis) [L.] varicosity (def. 1).

varicosity (var·i·cos·i·ty) (var”ĭ-kos´ĭ-te) 1. a varicose condition; the state of being varicose. Called also varication, varicosis, and phlebectasia. 2. varix. 3. varicose vein.


Varicose? N/M
Subject: Varicose? N/M

NM
varicose?
Subject: varicose?

Now it sounds like "vecro" is this a short way of saying varicose?  I've never done ortho before... on a deadline, HELP!!!
Duffy 3 size varicose vein
Subject: Duffy 3 size varicose vein

lower extremity on the lateral thigh beginning at the mid-thigh level extending down to the knee and then across the knee to the proximal lateral calf is a duffy 3 size varicose vein


Any help? 


s/l "decor veins"
Subject: s/l "decor veins"

de Quervain's (disease)
"decra" veins?
Subject: "decra" veins?

I'm doing an ortho sugeon, and there is a patient with wrist pain.  He says he thinks he has "decra" veins... any ideas??
s/l right decuer veins release
Subject: s/l right decuer veins release


jugular veins in legs?
Subject: jugular veins in legs?

I work for vascular surgeons and I've never heard of any veins in the legs that even sound like jugular veins.
Nevermind....got it, telangectasia ...spider veins...got it
Subject: Nevermind....got it, telangectasia ...spider veins...got it


Sounds like "chiller" venous veins appear normal. sm
Subject: Sounds like "chiller" venous veins appear normal. sm

The patient is moribund. She is unable to speak at the current time and does not respond to sternal rub. "Chiller" venous veins appear normal. Site of the PEG tube is normal without any evidence of exudates.

She is 92 years old and comfort-care only. Here is some past history:

Past medical history is significant for progressive dysphagia leading to frequent bouts of aspiration secondary to a prior cerebrovascular accident in 1997, recent admission for probable aspiration bronchitis/pneumonia, history of hypertension, history of thyroid replacement therapy, history of possible dehydration. She has a prior history of cataract, prior history of gallbladder surgery, recent PEG placement in 11/2005, status post TAH-BSO at age 40 and eyelid surgery in January 2002, history of chest pain admission in February 1996, history of cerebrovascular accident of the right internal capsule in June 1997, and history of TIA in August 2003.
Please tell me there are no jugular veins in the lungs. Did this doctor go med school?
Jugular veins end at bottom of the neck to subclavian veins, so how in the heck are there jugular veins in the lungs? He has to be in the neck!!!
I think it helps open up veins, thereby helping circulation. (nm)
Subject: I think it helps open up veins, thereby helping circulation. (nm)

x
Wikipedia or Google spider veins...links inside
Subject: Wikipedia or Google spider veins...links inside

http://en.wikipedia.org/wiki/Spider_veins

http://www.google.com/search?hl=en&q=spider+vein&aq=f&oq=
Pilex (ilex shrinks enlarged veins, controls bleeding and hastens the healing process in the anorect
Subject: Pilex (ilex shrinks enlarged veins, controls bleeding and hastens the healing process in the anorectal region)