| bilateral?Posted By: MT50 on 2007-11-05In Reply to: In PE, s/l burning carotid pulses were felt.  TIA - mt12
 
 Subject: bilateral?
 
 
 
 
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 Is typing biapical ok or should I put bilateral apical as he does say bilateral towards the end of t
 Subject: Is typing biapical ok or should I put bilateral apical as he does say bilateral towards the end of the dictation?
 
 
 Pt with bilateral breast reconstruction.  She had bilateral
 Subject: Pt with bilateral breast reconstruction.  She had bilateral
 
 s/l NoWet sponges in the area of both breasts.  Ideas????
 bilateral conjunctivae...example...bilateral knees..nm
 Subject: bilateral conjunctivae...example...bilateral knees..nm
 
 
 Bilateral? TAH, BSO.
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 I would think that because it is bilateral--sm
 Subject: I would think that because it is bilateral--sm
 
 to me...it would sound better if it was *there ARE cerumen impactions bilaterally which are removed.*  Since bilateral already denotes plural, I, personally would use the plural form.  JMO.
 bilateral?
 Subject: bilateral?
 
 xxx
 No, definitely not saying bilateral.  Thanks!
 Subject: No, definitely not saying bilateral.  Thanks!
 
 
 i mean, if bilateral is before is it singular and sm
 Subject: i mean, if bilateral is before is it singular and sm
 
 
 how do you hand bilaterally.  I am very confused on the singular and plural regarding these because doctors say it both ways.   
 For example, examination of the hip, knee, and ankle is normal bilaterally...singular. 
 So, is it always singular when you use these words? or an equivalent (left and right lower extremity or extremities, etc) 
 I have been doing this for 3 months but this seems to keep coming up and i am hearing it dictated both ways.  Thanks ahead of time for any help :) bilateral s/l orkasinilis.sm
 Subject: bilateral s/l orkasinilis.sm
 
 HEENT:  Extraocular movements intact.  He has bilateral s/l orkasinilis.  Pupils are mid and reactive to light stimulus.
 bilateral hallucis.
 Subject: bilateral hallucis.
 
 x
 equilateral? bilateral? nm
 Subject: equilateral? bilateral? nm
 
 s
 bilateral s/l qua toes? TIA.nm
 Subject: bilateral s/l qua toes? TIA.nm
 
 xx
 Bilateral mastectomy
 Subject: Bilateral mastectomy
 
 
 bilateral mastectomy
 Subject: bilateral mastectomy
 
 
 Bilateral mastectomy
 Subject: Bilateral mastectomy
 
 Only one mastectomy is being performed each on the right and left side.  The same thing for bilateral tubal ligation, you would not put bilateral tubal ligations.  If a person had four breasts and two were being removed from each side, then it would be bilateral mastectomies!
 bilateral eyes
 Subject: bilateral eyes
 
 Okay, doc keeps correcting me when I correct his dictation, stating bilateral knees, bilateral breasts, etc. to bilateral knee, bilateral breast - am I wrong?  It seems redundant his way.  He said today bilateral eyes but it seems to type bilateral eye is just weird.  Would you type just eyes or bilateral eye or bilateral eyes?  Thanks,
 maybe bilateral edema? n/m
 Subject: maybe bilateral edema? n/m
 
 
 bilateral foot?
 Subject: bilateral foot?
 
 or bilateral feet?
 bilateral feet
 Subject: bilateral feet
 
 
 decreased skin turgor of bilateral feet 
 cold skin temperature on bilateral feet  bilateral hips DDH
 Subject: bilateral hips DDH
 
 
 please help: We found s/l soaked-bedded over the spica with urine matter...pls ASAP are you sure it isn't just "BSO" (bilateral
 Subject: are you sure it isn't just "BSO" (bilateral
 
 salpingo-oophorectomy) ??
 use of bilateral with pleural forms
 Subject: use of bilateral with pleural forms
 
 That's always ben a puzzle to me too, but I think that either way might be acceptable.  The qualifying adjective (bilateral) suggests an "augmentation" was performed on both sides, and more often than not, MDs will dictate singular nouns following bilateral.  Sometimes, though, if it sounds strange, I will use the pleural, i.e., one of my docs says "bilateral lower extremity" which I change to extremities.  Would be interested in further input or if AAMT has a directive on this.
 for example, doc dictated bilateral tibea and sm
 Subject: for example, doc dictated bilateral tibea and sm
 
 i have heard "cornea and iris of both eyes" instead of corneas and irises of both eyes.  I am just looking for some kind of general rule to know what to do because i find that the doctors now even less about grammar than i do LOL  i am unsure if a doctor is talking about something plural like both eyes or both extremities of bilateral if what you are talking about should be made plural or singular.  Does that make sense?  I am sorry....complicated question.
   Should it be...distal comma bilateral or distal no comma bilateral? nm
 nm
 s/l bilateral hydrous(?) diverticula
 Subject: s/l bilateral hydrous(?) diverticula
 
 On a DS, doc says "This 45 year-old male has bilateral ureteroceles and bilateral (s/l) hydrous(?) diverticula".  Have heard of ureteroceles and diverticula but not hydrous diverticula.(?)  Thanks for any help.
 The only thing that comes to mild is bilateral
 Subject: The only thing that comes to mild is bilateral
 
 nm
 Bilateral basal sl dyzostomy
 Subject: Bilateral basal sl dyzostomy
 
 
 bilateral inguinal hernia Q
 Subject: bilateral inguinal hernia Q
 
 On physical exam--
 
 Bilateral inguinal hernia is right graded and left - s/l plus 1 plus 1 is show benign. Help! he also has Bilateral inguinal hernia
 Subject: he also has Bilateral inguinal hernia
 
 
 bilateral knee pain
 Subject: bilateral knee pain
 
 Physical exam:  Doc says positive "J" sign.  Does this stand for Jackson sign?
 
 
 anyone heard of bilateral *STD's* for DVT prophylaxis
 Subject: anyone heard of bilateral *STD's* for DVT prophylaxis
 
 tx
 Yes, bilateral mastectomy. see inside
 Subject: Yes, bilateral mastectomy. see inside
 
 In medicine, mastectomy is the medical term for the surgical removal of one or both breasts, partially or completely.
 
 Bilateral means both and mastectomy is one or two. Do not need mastectomies even though the doc is saying it.
 bi-ankle edema vs bilateral ?
 Subject: bi-ankle edema vs bilateral ?
 
 Would an editor allow bilateral edema here?  It wouldn't change the diagnosis, etc. Forgot to add that on my previous post.  Thanks.
 Maybe bilateral parenchymal masses?  nm
 Subject: Maybe bilateral parenchymal masses?  nm
 
 x
 In your case, bilateral feet.
 Subject: In your case, bilateral feet.
 
 x
 grammar ? bilateral versus both
 Hello!
 I am trying to clarify this grammar question for my doc:
 Why would be correct to say 'both maxillary sinuses' or 'maxillary sinuses bilaterally,' but incorrect to say 'bilateral maxillary sinuses?'
 I appreciate your input!  Thanks!
 mild lateral = bilateral perhaps
 Subject: mild lateral = bilateral perhaps
 
 It wouldn't make sense to say there is "no mild...tenderness"
 Bilateral Rouse? are present
 Subject: Bilateral Rouse? are present
 
 
 
 ABDOMEN: Normal. No edema. Bilateral rouse? are present.  
 Any idea? Thanks BMT - bilateral myringotomy tympanostomy
 Subject: BMT - bilateral myringotomy tympanostomy
 
 nm
 bilateral caloric weakness
 Subject: bilateral caloric weakness
 
 The caloric test is a part of the ENG. It reflects an attempt to discover the degree to which the vestibular system is responsive and also how symmetric the responses are, between left and right. It is a test of the lateral semicircular canals alone -- it does not assess vertical canal function or otolithic function. While not as good as we would like, the caloric test is the best that we have.
 bilateral mastectomy mastectomies - sm
 Subject: bilateral mastectomy mastectomies - sm
 
 
 Need the rule on singlular/pleural following the word bilateral 
 Thank you bilateral conjuctiva/conjuctivae
 Subject: bilateral conjuctiva/conjuctivae
 
 would you say
 erythema in bilateral conjunctiva
 or
 erythema in bilateral conjunctivae?
 AP pelvis, bilateral lateral of both hips? nm
 Subject: AP pelvis, bilateral lateral of both hips? nm
 
 
 Haller cells, could the doc just be stuttering the bilateral?
 Subject: Haller cells, could the doc just be stuttering the bilateral?
 
 
 bilateral tubal ligation method???
 Subject: bilateral tubal ligation method???
 
 is it Parkland method for a bilateral tubal ligation?  I am having some trouble here.
 Ortho...bilateral shoulder pain.  (sm)
 Subject: Ortho...bilateral shoulder pain.  (sm)
 
 X-rays show s/l acromioniaztion / core munization / acromunization both shoulders.  There is arthritis in both shoulders.
 Neuro: Bilateral s/l bulismic jerking
 Subject: Neuro: Bilateral s/l bulismic jerking
 
 
 how about exostoses bilateral great toes?
 Subject: how about exostoses bilateral great toes?
 
 nm
 
 horseshoe kidney with bilateral *** palsiecphasis?.
 Subject: horseshoe kidney with bilateral *** palsiecphasis?.
 
 Renal:  Ian has a horseshoe kidney with bilateral *** palsiecphasis?.
 I placed her into bilateral s/l future wrist splints.
 Subject: I placed her into bilateral s/l future wrist splints.
 
 :-)
 Bilateral arcus endolus noted.
 Subject: Bilateral arcus endolus noted.
 
 
 This is in the HEENT exam portion.  Any ideas? 
   
 
 
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