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Yep, and you can apparently fracture a sinus... go figure

Posted By: MT50 on 2007-12-07
In Reply to: Surgery question - Good afternoon

Subject: Yep, and you can apparently fracture a sinus... go figure




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EKG: Normal sinus rhythm with sinus arrhythmia, right bundle branch block, (see msg)
Subject: EKG: Normal sinus rhythm with sinus arrhythmia, right bundle branch block, (see msg)

and then says CROIMI (spells out).  I'm thinking IMI might be inferior myocardial infarction, but no mention of this prior although does have CAD and is status post CABG.  Don't know what CRO would be, though.  Any suggestions?
urogenital sinus or uterine sinus if your talking female
Subject: urogenital sinus or uterine sinus if your talking female


Sinus tract or sinus track?nm
Subject: Sinus tract or sinus track?nm

nm
sinus tract or sinus track (sm)
Subject: sinus tract or sinus track (sm)

An elliptical excision was made of the skin with an open sinus tract that was draining in the center.
metatarsal-tarsal fracture - "superb" fracture. Is this right?
Subject: metatarsal-tarsal fracture - "superb" fracture. Is this right?


It's coccygeal fracture. You can't fracture a germ or fungus. nm
Subject: It's coccygeal fracture. You can't fracture a germ or fungus. nm

"
Radial head fracture, possible capitellar fracture
Subject: Radial head fracture, possible capitellar fracture

Need help with the following:


posterior innerosity nerve


and


acutrac screws


TY 


s/l rule out "trillow" fracture or "metanews" fracture
Subject: s/l rule out "trillow" fracture or "metanews" fracture


Having a bad day apparently LOL - Thanks!
Subject: Having a bad day apparently LOL - Thanks!

s/l LV hypertrophy, "dopplofeech" is consistent with moderate diastolic disfunction


Apparently?
Subject: Apparently?

nm
could it be apparently?
Subject: could it be apparently?

xx


Apparently
Subject: Apparently

that is a phenomenon from sitting/lying too long. Morning stiffness or morning gel. :-)
Apparently...
Subject: Apparently...

bimelic is 2 limbs, monomelic only 1 limb, tetramelic would be all 4 limbs. :-)
could be -Jodi fracture is finger fracture,
Subject: could be -Jodi fracture is finger fracture,

nm
LOL! Apparently so! And it's very scary.
Subject: LOL! Apparently so! And it's very scary.

x
sorry - apparently I'm not awake yet! (nm)
Subject: sorry - apparently I'm not awake yet! (nm)

x
Per FreeDictionary.com apparently both
Subject: Per FreeDictionary.com apparently both

go-round (ground)
n.
An argument; a go-around.
Apparently there are no possessives
Subject: Apparently there are no possessives

Either in signs or diagnoses. Thanks!
apparently patients sometimes refer to it as H1c. sm
Subject: apparently patients sometimes refer to it as H1c. sm

Try googling H1c, lots of hits  from (apparently) patients.  Also, wondered if slurring could make "an A1c" sound like your HUNC ? Also found at least one reference to histoplasmosis marker of H1C.


I was wrong - apparently the FDA recognizes it...
Subject: I was wrong - apparently the FDA recognizes it...

http://fda-drugs.legalview.com/legal-issue/laxilose


I just have never heard them dictate that ever....decades


found it! apparently it was pouchoscopy... =) nm
Subject: found it! apparently it was pouchoscopy... =) nm

x
I appreciate it. I apparently didn't try enough spellings!
Subject: I appreciate it. I apparently didn't try enough spellings!


Apparently during this test it is just transcribed as J-sign;
Subject: Apparently during this test it is just transcribed as J-sign;

UNDER ORTHO TESTING: Observe patellar tracking (J-sign), palpate for crepitus with knee extension.
Found it - apparently they're interchangable.
Subject: Found it - apparently they're interchangable.


Thanks!!! The FNP keeps spelling it Ascenda. Apparently, she doesn't know her meds..LOL
Subject: Thanks!!! The FNP keeps spelling it Ascenda. Apparently, she doesn't know her meds..LOL


Yep, apparently for shoulder surgery, captain's chair
Subject: Yep, apparently for shoulder surgery, captain's chair


Apparently part of patient's history, but not clear...
Subject: Apparently part of patient's history, but not clear...

MRI is reviewed confirming the presence of a full-thickness supraspinatus tendon tear with early glenohumeral arthritis. The patient apparently had a long head biceps tendon operation as well, perhaps s/l an or in acoa.

The patient has another orthopaedic surgeon in New York that has done a shoulder procedure (he says this in the HPI) and I can't tell if he's saying "an" or "in" acoa.

Thanks MT50.
Apparently it is an incision that is relatively short, for example, between seven and thirteen centi
Subject: Apparently it is an incision that is relatively short, for example, between seven and thirteen centimeters.


Apparently nasal wash specimens are done for linfluenza.
Subject: Apparently nasal wash specimens are done for linfluenza.


There is a machine apparently called Bragg x-ray (I am probably reaching on this one). Sorry.
Subject: There is a machine apparently called Bragg x-ray (I am probably reaching on this one). Sorry.


You're welcome. Apparently it's watched as a precursor to cancer
Subject: You're welcome. Apparently it's watched as a precursor to cancer


Apparently, charley-horse CAN include bruise, etc.
Subject: Apparently, charley-horse CAN include bruise, etc.

Again, give it a shot with Google. :)
Apparently this person probably gets UTIs after sex, so they put her on Macrobid to fight the infect
Subject: Apparently this person probably gets UTIs after sex, so they put her on Macrobid to fight the infections postcoitally


Apparently blephar(o) is pertaining to the eyelids, the actual eyelid is palpebra
Subject: Apparently blephar(o) is pertaining to the eyelids, the actual eyelid is palpebra


Apparently, the "flame sign" may be present, due to disruption and depression of the lateral c
Subject: Apparently, the "flame sign" may be present, due to disruption and depression of the lateral canthal tendon (according to Emedicine)


trying to figure it out. sorry nm
Subject: trying to figure it out. sorry nm

s
If you figure out what this is....
Subject: If you figure out what this is....

Please let me know.  I've done a lot of duplex ultrasounds over the past 5-6 years but I am very "aural" when it comes to dictation - once I see "increment" and have that in my mind, I can't think of anything else.   Anyway, I would like to know what it is in case I run across it.


Thanks!   


Thanks for trying anyway. I did figure it out though.
Subject: Thanks for trying anyway. I did figure it out though.

I had to copy the entire document into a new document and save it as a new document.


I believe she's saying figure-of-four but .... sm
Subject: I believe she's saying figure-of-four but .... sm

not sure if it fits with context. Can someone help? Here's more:

S: Low back pain. No radiation to lower extremities. No foot drop.

O: SLRs are essentially negative. She has full range of motion with negative (figure-of-four). No tenderness noted to palpation of spine. There are palpable spasms on both the right and left low back region.

A: Musculoskeletal low back pain with spasm.

P: Treat with Skelaxin 800 mg, Lodine 400 mg. Pt could also take Vicodin.
No, sorry. Maybe QA can figure it out. sm
Subject: No, sorry. Maybe QA can figure it out. sm

I've spent too much time on it as it is.  I'm overly tired and grumpy anyway from getting up to pee every hour for the last several nights from my own urinary issues.  The NP said I'd have relief today.  What an a**hole.  I'm in so much pain.  He insists it could not be a kidney stone yet I'm peeing massive amounts of blood and blood clots.  I've had a hyster so I know it's not coming from there.  I don't usually wish things on people but I'm so grumpy from lack of sleep and in so much pain right now, I hope he gets one this bad.  Curses! 
Tried and tried, but cannot figure out what she's saying. Please help..sm
Subject: Tried and tried, but cannot figure out what she's saying. Please help..sm

A 77-year-old - history of diabetes mellitus and hypertension - in a wheelchair. No obvious distress when first presents.

While being x-rayed, she complained of weakness, dizziness and extreme nausea. She became somewhat s/l obtended and her blood pressure rose to 180/102.

Needed more urgent evaluation and was sent to the ER.

DX: DJD and sudden change in mental status with elevation of BP.
can't figure this out, but could doc be saying
Subject: can't figure this out, but could doc be saying

"notable" for something??
sorry, I will figure this out one of these days
Subject: sorry, I will figure this out one of these days

but the previous link works at least!
If anyone can figure this out I will be so grateful!
Subject: If anyone can figure this out I will be so grateful!

She says: Upper extremity, right, and rigidity with bright red ***ek-I-nas-ia**.


This is in PE, and she is usually quick with this section and doesn't explain much, so I have nothing else to go off of. This is a geriatric medicine note. Also, it's pretty much verbatim, so this is what is said.


Thanks! 


Help trying to figure out this term..
Subject: Help trying to figure out this term..

Sounds like "tick del-a-ro?"  Docs gives an "unsure" spelling of d-o-l-e-r-a-u.  Is anyone familiar with this term?  Thanks!!!!


I figure cc is used in a syringe sm
Subject: I figure cc is used in a syringe sm

and mL is liquid can be given through a syringe minus the needle orally.  You will also see this on the measuring cup on top of cough medicine.  cc and mL are measurements equal in quantity.  5 mL = 1 tsp or 5 cc = 1 tsp.  I think the dangerous abbreviations are more for handwritten notes as opposed to transcription.   JMO.
Need a "sounds like" to help figure it out. nm
Subject: Need a "sounds like" to help figure it out. nm

x
It is also hard to figure out ...
Subject: It is also hard to figure out ...

... because they put this patient on 1 baby aspirin a day, which I thought was to thin the blood. I actually ended up asking a doc at the hospital where I work, and he seemed to indicate that there wasn't really any "hypocoagulable workup" -- it was more like "bleeding studies." There is a "hypercoagulable workup" which is extensively discussed on the net, but this patient with the bleeding may be more a candidate for the bleeding studies. However, from what I have read on the net, the tests that are done for a "hypercoagulable workup" are the ones which are being ordered for this patient. Sigh. I'm going to change it to hypercoagulable, and mark it just in case. Thanks for your input.
Oh, gee, we can't extrapolate from that and figure
Subject: Oh, gee, we can't extrapolate from that and figure

There are typists and there are transcriptionists. Guess you're a typist.
Can anyone figure out what this doctor was saying sm?
Subject: Can anyone figure out what this doctor was saying sm?

I had this one time.  It sounded just like this.


 


The patient has refreybrindriss


 


 


It is actually in the dictionary, go figure...
Subject: It is actually in the dictionary, go figure...

a·hold /əˈhoʊld/ Pronunciation Key - Show Spelled Pronunciation[uh-hohld] Pronunciation Key - Show IPA Pronunciation
–noun 1. Informal. a hold or grasp (often fol. by of): He took ahold of my arm. Grab ahold!
–adverb 2. Nautical Archaic. close to the wind and on a single tack: to keep a vessel ahold.
—Idiom3. get ahold of, Informal. hold (def. 51