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STDs such as syphilis can affect joints.

Posted By: pc on 2009-02-18
In Reply to: s/l STD lesion... - mt

Subject: STDs such as syphilis can affect joints.




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s/l airy syphilis?
Subject: s/l airy syphilis?

OBJECTIVE:  Exam reveals an erythematous rash into the malar area with some swelling of the upper lip and perioral region.  Intraoral exam reveals moderate gingivitis around the lower incisors but no fair entry point for infection or abscess.


 


ASSESSMENT


Facial cellulitis, reminiscent of (s/l airy syphilis), lacking any marked fever or toxicity however.


 


PLAN 


Cephalexin 500 mg q.i.d. for 7-10 days.  Follow up visit is planned in 2 weeks to ensure resolution if needed. 


 


What could this be?  I hope I did not give too much information to read.  I would appreciate any help. Thanks


syphilis or _____
Subject: syphilis or _____


Sounds like it, but isn't that syphilis?
Subject: Sounds like it, but isn't that syphilis?


sorry - typo - flat affect.....AFFECT *lol*...nm
Subject: sorry - typo - flat affect.....AFFECT *lol*...nm


STDs?
Subject: STDs?


DVT prophylaxis s/l STDs or SCDs
Subject: DVT prophylaxis s/l STDs or SCDs

need to know what the abbreviation stands for...TIA
C-section Foley and s/l STDs were placed sm
Subject: C-section Foley and s/l STDs were placed sm

I've listened over and over and can't hear any other letter combinations.  Any ideas?


TIA


Could be azithromycin, often given for STDs and bacterial infections nm
Subject: Could be azithromycin, often given for STDs and bacterial infections nm

nm
STDs should be SCDs (sequential compression devices). Everything else looks fine.
Subject: STDs should be SCDs (sequential compression devices). Everything else looks fine.


Pt was injected at L4-L5 and L5-S1 *upper sacroiliac joints or AND upper sacroiliac joints" sm
Subject: Pt was injected at L4-L5 and L5-S1 *upper sacroiliac joints or AND upper sacroiliac joints" sm

bilaterally. Thanks
joints
Subject: joints

s/l he is dictating PIB/PIV? joints of the second and third digits.  does not sound like DIP or PIP....any ideas?
are you sure it isn't pauciarticular (few rather than many) joints
Subject: are you sure it isn't pauciarticular (few rather than many) joints


intercarpal joints
Subject: intercarpal joints

Is it intercarpal joints or inner carpal joints
chromiclavicular joints?
Subject: chromiclavicular joints?

?
acromioclavicular joints nm
Subject: acromioclavicular joints nm

ss
could he be saying "articulating" joints?
Subject: could he be saying "articulating" joints?


Facet joints been atouche'???
Subject: Facet joints been atouche'???

Can someone help please?
Facxet joints been atouche'???
Subject: Facxet joints been atouche'??? 

*PATIENT NAME REMOVED* is approximately six weeks status postbilateral L3-4, L4-5, and L5-S1. Facet joint injections been ___. He reports absolutely no relief of this pain.
How about SIJ, pelvic and lateral... SI joints? nm
Subject: How about SIJ, pelvic and lateral... SI joints? nm

nm
I think bones, joints and extremities. nm
Subject: I think bones, joints and extremities. nm

nm
BJE is Bones and Joints Examination
Subject: BJE is Bones and Joints Examination

BJE is Bones and Joints Examination
Biarticular means two joints. I don't
Subject: Biarticular means two joints. I don't

know, but I think the left ankle is only one joint.
Costal joints of the ribs?
Subject: Costal joints of the ribs?

Is it proper to say the costal joints of the ribs?  I have never heard this before in a dictation. 
knee and ankle joints probably.
Subject: knee and ankle joints probably.

x
intervertebral or facetal joints....sm
Subject: intervertebral or facetal joints....sm

I only had 1 doctor spell this out before...so I'm not totally positive.
Pauciarticular means "few joints."
Subject: Pauciarticular means "few joints."


Instrument to open facet joints
Subject: Instrument to open facet joints

Sounds like "combt" or "kong"

I know this is a stretch but any ideas would help. Thanks!
Interarticular is between two joints. Intraarticular is within the joint cavity.
Subject: Interarticular is between two joints. Intraarticular is within the joint cavity.

 


 


It is mediolateral joint. If you are referring to two joints, it would be lines, otherwise, line.
Subject: It is mediolateral joint. If you are referring to two joints, it would be lines, otherwise, line.

I think culture and sensitivity is right.
Heberden’s nodes, bony growths on the terminal. interphalangeal joints of
Subject: Heberden’s nodes, bony growths on the terminal. interphalangeal joints of


Lumbar spine film: s/l the "TIP U LATING" joints unremarkable
Subject: Lumbar spine film: s/l the "TIP U LATING" joints unremarkable

Completely normal lumbar spine films.  He's being speedy dictator tonight. 
artificial knees. They prescribe antibiotics to keep infection from seeding to atificial joints
Subject: artificial knees. They prescribe antibiotics to keep infection from seeding to atificial joints


affect
Subject: affect


Affect.
Subject: Affect.

With psych it's affect, a patient's affect.
very dry affect ...
Subject: very dry affect ...

as in sarcastic or matter-of-fact
affect
Subject: affect

affect
affect (nm)
Subject: affect (nm)

xx
it is affect. Thanks
Subject: it is affect. Thanks

nm
affect nm
Subject: affect nm


affect/effect
Subject: affect/effect

Restless leg/nocturnal cramping – She has previously used quinine.  She reports the symptoms are so infrequent she will just use alternative preparations such as club soda to affect relief. 
mass affect nm
Subject: mass affect nm

d~
somewhat flat in affect? sm
Subject: somewhat flat in affect? sm

many patients with prolonged pain syndromes are depressed and have flat affects.
Flat Affect
Subject: Flat Affect

It's not mood, that was first thought. I think he's making something up, he does that frequently, drives me crazy! Thanks, anyway.


I'd agree with affect. nm
Subject: I'd agree with affect. nm

s
blunted affect
Subject: blunted affect

I agree...U R right...
Affect/effect
Subject: Affect/effect

I'm feeling a bit stupid and have always hated "affect/effect" but which would it be at the end of this sentence....


I have also recommended glucosamine chondroitin and provided a handout to this affect/effect.


effect or affect
Subject: effect or affect

I am not certain if sweeping the garage had any associated or attributed affect as it was just a small push broom.

Is this the right one? I have looked them up but it is still a little unclear which one to use. Could anybody explain more clearly how to differentiate?
use of affect and effect
Subject: use of affect and effect

I am getting ready to test for my 1st job as a medical transcriptionist and per one of their employees they ask you about the difference between affect and effect. Can anyone give me examples?  Thank you
Affect and effect....
Subject: Affect and effect....

Affect would be like...Does cigarette smoke affect me?

Effect would be like...What are the effects of cigarette smoking?

affect.effect
Subject: affect.effect

There are five distinct words here. When “affect” is accented on the final syllable (a-FECT), it is usually a verb meaning “have an influence on”: “The million-dollar donation from the industrialist did not affect my vote against the Clean Air Act.”

Occasionally a pretentious person is said to affect an artificial air of sophistication. Speaking with a borrowed French accent or ostentatiously wearing a large diamond ear stud might be an affectation. In this sort of context, “affect” means “to make a display of or deliberately cultivate.”

Another unusual meaning is indicated when the word is accented on the first syllable (AFF-ect), meaning “emotion.” In this case the word is used mostly by psychiatrists and social scientists— people who normally know how to spell it.

The real problem arises when people confuse the first spelling with the second: “effect.” This too can be two different words. The more common one is a noun: “When I left the stove on, the effect was that the house filled with smoke.” When you affect a situation, you have an effect on it.

The less common is a verb meaning “to create”: “I’m trying to effect a change in the way we purchase widgets.” No wonder people are confused. Note especially that the proper expression is not “take affect” but “take effect”—become effective. Hey, nobody ever said English was logical: just memorize it and get on with your life.

The stuff in your purse? Your personal effects.

affect/effect
Subject: affect/effect

There are five distinct words here. When “affect” is accented on the final syllable (a-FECT), it is usually a verb meaning “have an influence on”: “The million-dollar donation from the industrialist did not affect my vote against the Clean Air Act.”

Occasionally a pretentious person is said to affect an artificial air of sophistication. Speaking with a borrowed French accent or ostentatiously wearing a large diamond ear stud might be an affectation. In this sort of context, “affect” means “to make a display of or deliberately cultivate.”

Another unusual meaning is indicated when the word is accented on the first syllable (AFF-ect), meaning “emotion.” In this case the word is used mostly by psychiatrists and social scientists— people who normally know how to spell it.

The real problem arises when people confuse the first spelling with the second: “effect.” This too can be two different words. The more common one is a noun: “When I left the stove on, the effect was that the house filled with smoke.” When you affect a situation, you have an effect on it.

The less common is a verb meaning “to create”: “I’m trying to effect a change in the way we purchase widgets.” No wonder people are confused. Note especially that the proper expression is not “take affect” but “take effect”—become effective. Hey, nobody ever said English was logical: just memorize it and get on with your life.

The stuff in your purse? Your personal effects.