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bilateral inguinal hernia Q

Posted By: kjlange on 2007-10-15
In Reply to:

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!




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he also has Bilateral inguinal hernia
Subject: he also has Bilateral inguinal hernia


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Is that right?  Typing on account that I am not usually on and not familair with this doctor?  TIA


 


 


 


 


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.
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Subject: NEW to OP notes--inguinal hernia repair--4 questions

1. Local was infiltrated under the external oblique and then the external oblique was opened and the (?trex-i-vus?) fibers through the external ring.


 


2. This was brought to lie with the mesh overlying the pubic tubercle a good 2cm. This was anchored in the pubic tubercle with a (?sounds like no no-ah-fill or Novafill?)


 


3. verbatim: The patient was placed in supine position on the operating table (?sounds like minute?) given IV sedation his groin was prepped with Betadine and (? sounds like eye-sid--doesn't sound like iced?) with sterile towels and a transfer sheet.


 


4. (?En-er-up-tids?) were placed in the Scarpa's fascia and the skin was closed with staples.


 


Thanks to those who helped me this morning!


 


 


..who did last inguinal hernia? Meaning the prior surgeon? nm
Subject: ..who did last inguinal hernia? Meaning the prior surgeon? nm

s
I don't think so. earler he says questionable inguinal hernia so it doesn't sound like he had
Subject: I don't think so. earler he says questionable inguinal hernia so it doesn't sound like he had surgery for it before


How about "defer to surgery what to do as to inguinal hernia" -- not best grammar, but fits.
Subject: How about "defer to surgery what to do as to inguinal hernia" -- not best grammar, but fits. nm


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?


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Subject: Incisional hernia hernia repar, s/l Pyriatec mesh? nm

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Subject: maybe inguinal - nm


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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
bilateral?
Subject: bilateral?


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 :)


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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,
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s/l max meshes


 


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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