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Rule of thumb. When I was in school for

Posted By: small message on 2008-08-12
In Reply to: is there a radioulnar collateral ligament? sm - tracey

Subject: Rule of thumb. When I was in school for

my Associate Degree in MRT and BA in HCA, in transcription we were taught that any combining medical form can be combined with any other combining form for things associated in the same part of the body.


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RULE OF THUMB
Subject: RULE OF THUMB

basic guideline is:
if you have a credible reference, spell it whichever way the reference spells it.
you should never be counted off for it, as long as the reference is credible. if you are, it is a valid challenge to assert.
My rule of thumb is if it is in a diagnosis,
Subject: My rule of thumb is if it is in a diagnosis,

assessment, impression, procedure performed, it is spelled out.
Rule of thumb for followup/follow up

A good rule of thumb I was taught in training for followup/follow up is if you can put "a" or "the" in front of followup, it is the noun form; otherwise it is the verb form.  Ex.


...a/the followup appointment. 


...a/the followup x-ray. 


 ...will follow up.  (You can't put "a" or "the" in front of follow up, it won't work.) 


Anyway, just thought I would share something that has helped me tremendously as a newbie. 


Standard rule of thumb, (no pun intended)
Subject: Standard rule of thumb, (no pun intended)

if it sticks out in the report like a sore thumb and draws undue attendion, then capitalize the first letter not the whole word, i.e. Dermabond.
Rule of thumb--if an allergy is not clear,
Subject: Rule of thumb--if an allergy is not clear,

x
General rule of thumb for hyphenation is - sm
Subject: General rule of thumb for hyphenation is - sm

If you can't find it as one word in the Merriam-Webster dictionary, then you should hyphenate it. 
Rule ot thumb: When lab values/drug doses are less than 1, add a zero before the decimal point.
Subject: Rule ot thumb: When lab values/drug doses are less than 1, add a zero before the decimal point.


When it is the name of the high school yes, standing alone without the name of the school no.
Subject: When it is the name of the high school yes, standing alone without the name of the school no.


A thumb MCP fusion and a thumb *IPE* possible capsulodesis
Subject: A thumb MCP fusion and a thumb *IPE* possible capsulodesis

x
When I was in school, we
Subject: When I was in school, we

were told it was disc for the back and disk for the eyes, and don't ever forget it (medical secretarial associate degree). My first job was as a secretary in the operating room, and again I was reminded to spell it disc for the back.

Then I went to work for a service (in an office), where the MTs learned on the job mostly. For some reason they believed it should be spelled "disk" for the back and "disc" for the eyes, and they felt just as strongly about it. I was horrified. We would actually have dictating MDs ask us to "Please spell it the regular way: disc" so I know the MDs were not happy with the "k" they were getting.

This change does seem to have come about because of AAMT (or whatever they call themselves now).

I always get clarification at each job because I know QA will have an opinion every time.
I am old-school. If they say it, I type it. but I sm
Subject: I am old-school. If they say it, I type it. but I sm

don't do BOS and have no QA. Just me and myself!!!  They dictate and I type. Don't edit much, except on letters and memos, and my doctors encourage me to do that!! 
School name in Florida? Help!!!
Subject: School name in Florida? Help!!!

Is there a school in Florida (elementary  I am guessing since the patient is age 10) that sounds like Moracomie?  I can't find it.  Thanks in advance if you have any clues.
Go back to school, please? nm
Subject: Go back to school, please? nm

nm
When I was in school (30 years ago) I was
Subject: When I was in school (30 years ago) I was

taught that any medical combining form can be coupled with just about any medical term, so nothing surprises me.
maybe go to school period if thinks that is right. nm
Subject: maybe go to school period if thinks that is right. nm

;
Doesn't say, but is in high school
Subject: Doesn't say, but is in high school

nm
The old school MTs, like me, were taught to capitalize everything!
Subject: The old school MTs, like me, were taught to capitalize everything!

c
When I was in school for Heathcare Administration
Subject: When I was in school for Heathcare Administration

we were basically taught that just about any combining form can be put with anything when talking medically to make a word.
Okay, how'd you get through school without coming across this sentence.
Subject: Okay, how'd you get through school without coming across this sentence.

fd
Nursing school teaches it as pus-like.
Subject: Nursing school teaches it as pus-like.

I am an LPN turned MT (did take classes).  In nursing school the very first thing we learned about charting, doing admission assessments, etc. was DO NOT use the word pussy.  In the medical profession it is not acceptable, even though doctors do dictate it.  Nurses are taught to use pus-like.  In addition to that and what the BOS says, as well as for the state of professionalism, I always use pus-like and have never had it corrected.
I learned it with the O in school back in the 1980s,
Subject: I learned it with the O in school back in the 1980s,

but when I was mentored in the 1990s, only the I spelling was acceptable, and this has been consistent with every place I've worked since.

Logical it's not, LOL.
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!!!
Way back in school, we were told to always put the 0s in to make it clear, just like when adding
Subject: Way back in school, we were told to always put the 0s in to make it clear, just like when adding

s
Love South Pacific, even the high school drama productions of it! :) nm
Subject: Love South Pacific, even the high school drama productions of it! :) nm

s
these would be lower case correct? orthopedic department of the medial school.
Subject: these would be lower case correct? orthopedic department of the medial school.

perhaps a trip to the orthopedic department at the medical school would help him find somebody that could advise him regarding this approach.
Pt resident of California, school in Utah...wants to attend "Humble State" for college ?? nm
Subject: Pt resident of California, school in Utah...wants to attend "Humble State" for college ?? nm


That should be thumb.
Subject: That should be thumb.

Thanks.
Splint for the thumb
Subject: Splint for the thumb

s/l orthoply ? splint for the thumb after surgery  Thanks for the help. pj



name of thumb tourniquet
Subject: name of thumb tourniquet

 


Sounds like "tournicot"? 


polydactylyzed???? thumb
Subject: polydactylyzed???? thumb

procedure is excision, reconstruction of right polydactylzed??? thumb.    Patient has right thumb polydactyly.  Is there such a word?


area of the thumb - s/l em-pu-age
Subject: area of the thumb - s/l em-pu-age

On physical examination, she is point tender, has a positive CMC grind in the very base of her thumb and in the empuage of her thumb as well.


Thanks.


X-ray of nail through thumb. SM
Subject: X-ray of nail through thumb. SM

Dictator gives location of nail, saying "apparently s/l SKY-VING just anterior to the tuft of the distal phalanx."  Skyving?  I can find it only in the urban dictionary. 


"Falen" on right thumb tip
Subject: "Falen" on right thumb tip

The patient has a 2-week history of a "falen" on her right thumb tip. It was decompressed in the ER and she subsequently went on to have an MRI.

I've done ortho for a long time and have only ever heard of Phalen's test/maneuver, but that's exactly what it sounds like.

Anybody hear of this before?
s/l 'tofi' on thumb
Subject: s/l 'tofi' on thumb

The patient has a large 'tofi' on her thumb.
Vapo Thumb?
Subject: Vapo Thumb?

sounds like vapo thumb??
Wrist/base of thumb. nm
Subject: Wrist/base of thumb. nm

nm
pollicis pertains to the thumb - sm
Subject: pollicis pertains to the thumb - sm

hallux pertains to the great toe.  Would the word before *pollicis* be flexor or extensor, or maybe adductor or abductor???
I only know boutonniere deformity of thumb
Subject: I only know boutonniere deformity of thumb

swan-neck is just for fingers?
Gamekeeper's thumb or cast
Subject: Gamekeeper's thumb or cast


type of thumb splint?
Subject: type of thumb splint?

s/l comfercle splint
Collapse thumb test?
Subject: Collapse thumb test?

This is a deformity of the joint in osteoporosis patients - just a thought.
Collapse thumb test?
Subject: Collapse thumb test?

This is a deformity of the joint in osteoporosis patients / found this explanation on an earlier post.
s/l "Roleon" thumb splint..nm
Subject: s/l "Roleon" thumb splint..nm

x
right thumb "phalen" infection?
Subject: right thumb "phalen" infection?

Thanks for any clues!
Licking gecko-goo off my thumb...
Subject: Licking gecko-goo off my thumb...


another one related to same thumb injury - says
Subject: another one related to same thumb injury - says

...2 interrupted sutures of 4-0 "P3" - never heard of that - pretty clear.


S/L moon foam splint? for thumb
Subject: S/L moon foam splint? for thumb


I did s/l truf-in-ate the thumb nail with cautery....
Subject: I did s/l truf-in-ate the thumb nail with cautery....

TIA :-)
s/l Walthel or waffle type thumb reconstruction sm
Subject: s/l Walthel or waffle type thumb reconstruction sm

Reconstruction of thumb, s/l walthel or waffle 5 type.  Dx is thumb duplication.


thumb spica splint wrapped w/cling?
Subject: thumb spica splint wrapped w/cling?

Cling?


Thanks


hc


I'll keep your 'rule of thumb' in mind next time. nm
Subject: I'll keep your 'rule of thumb' in mind next time. nm