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This doc is saying "A large (Kaposi's lesion) on his tongue?? see sentance

Posted By: Kimberly on 2008-09-08
In Reply to:

Subject: This doc is saying "A large (Kaposi's lesion) on his tongue?? see sentance

He does have some chronic dental disease, but no evidence of the previous large (Kaposi's lesion) on his tongue? 


Kaposi sarcoma I found, but no Kaposi lesion...could Kaposi be right, though




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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
Patient has a lesion on medial s/l rothay of the tongue. nm
Subject: Patient has a lesion on medial s/l rothay of the tongue. nm


Maybe a keratosis or even a Kaposi, as in Kaposi's sarcoma? nm
Subject: Maybe a keratosis or even a Kaposi, as in Kaposi's sarcoma? nm

s
Kaposi? Will look around. nm
Subject: Kaposi? Will look around. nm


Kaposi's
Subject: Kaposi's

Kaposi's, as in Kaposi's sarcoma usually for HIV patients.
sentance help
Subject: sentance help

Range of motion is limited opposition and abduction compared to uninvolved left hand.

How should this be punctuated? This is exactly how it is said.
word/sentance help
Subject: word/sentance help

What is wrong with this sentence? And this is exactly how it is said. He has an unstable ? injury and should heal with fatigue immobilization appeared to keep using boot.
Does the patient have Kaposi's sarcoma by any chance
it's the only thing I could come up with - not much help. good luck
Sending to QA but the full sentance was:
Subject: Sending to QA but the full sentance was:

We will restart his BiPAP nocturnally and bronchodilators ____ q.i.d.
Sorry, I should have mentioned the next sentance is negative for aspergillus. :(
Subject: Sorry, I should have mentioned the next sentance is negative for aspergillus. :(


Question regarding starting sentance with numbers
Subject: Question regarding starting sentance with numbers

I know it's a no-no, but I keep changing this around and nothing looks right and am having a brain freeze right now. Without being able to add any extra words how would you type this. I've tried typing out "eight millimeters" but nothing is looking right.

Impression
8 mm anterior subluxation
see message - http://dermnetnz.org/lesions/kaposi-sarcoma.html
Subject: see message - http://dermnetnz.org/lesions/kaposi-sarcoma.html

Kaposi sarcoma lesions can also occur internally; in the gut, lungs, genitals and lymphatic system. These internal lesions may cause symptoms e.g. discomfort with swallowing, bleeding, shortness of breath, swollen legs, etc
nope...definately s/l a variant anler avose...sentance
Subject: nope...definately s/l a variant anler avose...sentance

This is a lady with a variant (danler or andler) (alose or avose) who we see for chronic pyelo.  She has been on Augmentin suppression much longer than we would like to have had that done.......
An 8-mm lesion is noted. The lesion is 8 mm.
Subject: An 8-mm lesion is noted. The lesion is 8 mm.

Is the hypen in mm and cm placed when the structure or fluid being measured is mentioned after the size?  For instance


an 8-cm lesion


the lesion measures 8 cm.


the lesion measured 3 x 3 x 3 cm


a 3- x 3- x 3-cm mass is noted


Thanks! 


Is it a 2-cm lesion or 2 cm lesion, according to AAMT?
Subject: Is it a 2-cm lesion or 2 cm lesion, according to AAMT?

x
Cam lesion or cam lesion? please ASAP
Subject: Cam lesion or cam lesion? please ASAP

or is it CAM lesion- feeling very tired and out of sorts- thanks for the help though, I appreciate it!
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?


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,


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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"
It is Aciphex, but the doctor sounds like a tongue stumbler or
Subject: It is Aciphex, but the doctor sounds like a tongue stumbler or

he just can't pronounce it.  I have this one guy that's so annoying because he adds extra consonants throughout names and words.  I'll be trying to find Dr. Adakariana when it's really Akdaran.
frenulum clipped as an infant (tongue-tie condition etc) ? nm
Subject: frenulum clipped as an infant (tongue-tie condition etc) ? nm


I guess a doctor could get his tongue twisted enough to sound like that!! You may be right, what do
Subject: I guess a doctor could get his tongue twisted enough to sound like that!! You may be right, what do u think Amy? NM

nm
OB/GYN s/l sadderdick (for stenotic cervix), on the tip of my tongue, tired, help please
Subject: OB/GYN s/l sadderdick (for stenotic cervix), on the tip of my tongue, tired, help please

I know this and is on the tip of my tongue... Sounds like "sadderdick" placement. Patient is having OB/GYN surgery but has a stenotic cervix. Could somebody help me? Gosh, tired.


 


Thanks!


is it fair to guess a slip of the tongue, i.e. just saying the Mc part as a stutter after saying McM
Subject: is it fair to guess a slip of the tongue, i.e. just saying the Mc part as a stutter after saying McMurray?

I'd guess you are right that he did mean Lachman, just got carried away with the Mc part.
Iwould guess he is saying "mother tongue", or the primary language.
Subject: Iwould guess he is saying "mother tongue", or the primary language.


by and large?
Subject: by and large?

I told her that the treatment would (by and large) be about the same, at least at this point.

Is this a common phrase or am I hearing it wrong?
A large percentage of what an
Subject: A large percentage of what an

MT does is research. Some of the posts here encourage that instead of just giving definitions. Teach them how to google, which books to look in. "Teach a man to fish..."
Large consolidation? nm
Subject: Large consolidation? nm


large blood
Subject: large blood

UA large blood


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Subject: large bore IV


large cell?
Subject: large cell?