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There was a white coating of the tongue but, plaque could not be removed. Is plaque right (S/L PLA

Posted By: marie on 2009-04-18
In Reply to:

NM


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plaque
Subject: plaque

I would think a "white plaque" lesion.
Plaque
Subject: Plaque

You can have plaques in lots of areas - oral, skin - by the way, I would take the comma out after but - it's not necessary. 
Hollenhorst plaque
Subject: Hollenhorst plaque


there is a herald plaque...nm
Subject: there is a herald plaque...nm

xx
sl holland horse plaque
Subject: sl holland horse plaque

the patient was given plavix for s/l holland horse plaque.
Nope, new report....medication for plaque in ear s/l trisinilar..TIA
Subject: Nope, new report....medication for plaque in ear s/l trisinilar..TIA

 


xx


Fibrous, erythematous plaque with s/l bold or full. S/l could be either. nm
Subject: Fibrous, erythematous plaque with s/l bold or full. S/l could be either. nm


I know that plaque is broken up during some catherization procedures and flushed or floated away??NM
Subject: I know that plaque is broken up during some catherization procedures and flushed or floated away??NM

XX
atheromatous for the first part? atheromatous plaque? WAG here. nm
Subject: atheromatous for the first part? atheromatous plaque? WAG here. nm


Yep changes in size of vessels, i.e. segmental size, plaque size, etc.
Subject: Yep changes in size of vessels, i.e. segmental size, plaque size, etc.


tongue is correct for describing the shape of the lesion. You'll hear a tongue of
Subject: tongue is correct for describing the shape of the lesion. You'll hear a tongue of

s
I've used white-white before. You'll hear red-white zone, too. nm
Subject: I've used white-white before. You'll hear red-white zone, too. nm

s
Weiss Coating??
Subject: Weiss Coating??

To Those Who Posted Below:


I previously posted:  I am doing an ortho report and it sounds like the doc is saying "weiss coating" or "waves coding."  Any ideas??


The sentence was:  "The myelogram is somehwat indicative of an L5-S1 stenosis by Dr. So-and-so, but I was not able to see that myself, though there did appear to be some L4-L5 (s/l "weiss coding") on the myelogram." 


Thank you so much to anyone who can help!!


diffuse coating? nm
Subject: diffuse coating? nm


It is white. They use acetic acid to stain the area and if there is anything there it turns white.
Subject: It is white. They use acetic acid to stain the area and if there is anything there it turns white.

:
white-white per the Internet Journal of Orthopedic Surgery
Subject: white-white per the Internet Journal of Orthopedic Surgery


doing arthroscopic knee surgery, white on white tear or something else?
Subject: doing arthroscopic knee surgery, white on white tear or something else?

There was an unstable bucket-handle tear of the medial meniscus s/l white on white or white and white or white/white tear? Thanks


tears can be in the white-on-white zone
Subject: tears can be in the white-on-white zone


white white zone
Subject: white white zone

There was a longitudinal tear, not all that unstable, in the posterior horn of the medial meniscus in more the white white zone.  Not sure exactly how this should look.  White-white, white/white or something else. Thanks.


ok, me again. Periventricular white matter or paraventricular white matter changes?
Subject: ok, me again. Periventricular white matter or paraventricular white matter changes?


s/l drug re tongue
Subject: s/l drug re tongue

Advair (all the inhalers tend to cause fungus on tongue)
The word is on the tip of my tongue...
Subject: The word is on the tip of my tongue...

...not contrite?  contra...contra...you know...contradictive.  Still can't think of the word...Sorry! 


Mother tongue.
Subject: Mother tongue.

That would make sense.  Thanks!!!
deviation of the tongue
Subject: deviation of the tongue

I don't have a clue what this doctor is saying.  The patient has a history of ____ malformation with subsequent surgery.  Since surgery, she has had a tongue that deviates to the left.  It was crooked due to muscle atropy and ____.


The blanks sound like "guillare malformation."  It actually sounds like the doctor is saying G-R-E malformation.  At one point the G has a hard sound, but when he says it again he uses a soft G sound (like J).


Thanks for any help.


Tongue of tissue
Subject: Tongue of tissue

Anyone ever heard of a "tongue" of intestinalized tissue.  Pnt has Barret's and is having an EGD and twice I heard what sounds like "tongue" of tissue.


Sentences are -


1.  Preop diagnosis - Tongue of intestinalized tissue extending from the GE junction.


2.  On withdrawing the scope the patient's GE junction was regular with a tongue of pink tissue extending less than 2 cm.


I can't find it.  Thanks.


s/l hypercherphy tongue
Subject: s/l hypercherphy tongue

Posterior pharynx reveals a slightly hypercherphy tongue, enlarged uvula.


 


maybe hypertrophy?


hypertrophied tongue?
Subject: hypertrophied tongue?


His s/l JP was removed.nm
Subject: His s/l JP was removed.nm

xx
Thank you. I removed it. :-)
Subject: Thank you. I removed it. :-)


Could it be Boniva once a month? instead of tongue?
Subject: Could it be Boniva once a month? instead of tongue?

x
Sorry, meant tongue not nose. nm
Subject: Sorry, meant tongue not nose. nm

!
Nevermind - he's chewing his tongue - but all he's saying is --
Subject: Nevermind - he's chewing his tongue - but all he's saying is --

nm
I would think maybe a tongue-tied pronunciation of
Subject: I would think maybe a tongue-tied pronunciation of

vasectomy.
Patient has a sore on her tongue...sm
Subject: Patient has a sore on her tongue...sm

consistent with s/l herpenula. Not saying herpes.
There is geographic muositis of the tongue.
Subject: There is geographic muositis of the tongue.

x
There is geographic mucositis of the tongue.
Subject: There is geographic mucositis of the tongue.

x
it could be calcium - with a slip of tongue??
Subject: it could be calcium - with a slip of tongue??


s/l "the tongue of a sheeto" that was.....
Subject: s/l "the tongue of a sheeto" that was.....

irritating that area.  (This patient has swelling and an ulcer.  Patient thinks that the "the tongue of a sheeto" was irritating that area and she thinks that is what caused the initial blistered area??????)


Any suggestions?


Thanks,


Abby


it's "unresectable," i.e. cannot be removed ...sm
Subject: it's "unresectable," i.e. cannot be removed ...sm

completely. They resect cancerous tumors, etc, but sometimes they are unresectable..you were really close! Sometimes (with me) the dictator mispronounces something so oddly that it completely throws me off.


Where's the cyst being removed from? nm
Subject: Where's the cyst being removed from? nm

s
Right testicle? Sounds like doc was tripping on tongue sm
Subject: Right testicle? Sounds like doc was tripping on tongue sm

because the way you have the sentence, he is being redundant.

Sorta, the right testicle on the right. I mean imagine, the right testicle is on the left?

I really do think the his train of thought was derailed.
This = xerostomia and tongue soreness. sorry if I do not include.
Subject: This = xerostomia and tongue soreness. sorry if I do not include.

a
Correction: That should say median rothay of tongue. Thanks.
Subject: Correction: That should say median rothay of tongue. Thanks.


Tongue-tied doc today--humulin N 15 mg s/m
Subject: Tongue-tied doc today--humulin N 15 mg s/m

I've been typing one of my usual docs today, and apparently she's having a bad RX Monday or something.  The latest one s/l Humulin N insulin 15 mg at bedtime.  The bummer for me is that I won't take a chance on a med, so look up stuff I already know.  I hate having to leave QA Markers on those I'm not 100% sure about, but I'd rather waste my time making sure (for the huge bucks I get) than to get it wrong.


Thanks!


Medication - "Cellpar" - Dissolves under tongue
Subject: Medication - "Cellpar" - Dissolves under tongue

Thanks
s/l tongue, merit, steel plate?
Subject: s/l tongue, merit, steel plate?

PREOPERATIVE DIAGNOSES
1. Longstanding gastroesophageal reflux.
2. Bilateral lower quadrant pain.
3. Intermittent hematochezia.
POSTOPERATIVE DIAGNOSES
1. One (tongue) of (a soft steel) (metal plate), approximately 1 cm in length, rule out (merits).

thanks in advance.
maybe "one tongue of esophageal metaplasia...
Subject: maybe "one tongue of esophageal metaplasia...

...rule out Barrett's"
"JEP" removed from axilla? sm

Patient has breast cancer.  Had some procedure (not mentioned what) and the report says:  Wounds are well healed.  The "JEP" was removed from the left axilla.  "JEP" is the closest sounds like I can get...


 


Any clues?


....a lobe of lung removed? nm
Subject: ....a lobe of lung removed? nm

s
could it be Bennell rolled and removed...nm
Subject: could it be Bennell rolled and removed...nm

see above
Skin wedge removed in s/l toe-toe
Subject: Skin wedge removed in s/l toe-toe


The skin wedge was removed in _________. The redundant accessory tendon was removed also with that skin wedge thereby exposing the head of the proximal phalanx. 


 


Think he is saying total or is there something else?