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how about "a tense effusion"

Posted By: ltt on 2007-05-15
In Reply to: S/l tensive or intesive - sportsmom91

Subject: how about "a tense effusion"




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tense effusion
Subject: tense effusion

Rapid onset (within two hours) of a large, tense effusion suggests rupture of the anterior cruciate ligament or fracture of the tibial plateau

(www.aafp.org/afp/20030901/907.html)
I think it a doctor tense of tenodesis and have been typing that tense "tenodese" for years (s
Subject: I think it a doctor tense of tenodesis and have been typing that tense "tenodese" for years (sm)

There is an article from the Journal of the American Society for Surgery of the Hand that spells it that way too http://linkinghub.elsevier.com/retrieve/pii/S1531091404000981 -
past tense or present tense.sm.

in PE.  Doctors love to toggle back and forth between is, are, and was, and were!  On ASR we are told not to over edit!  What would you do.... anybody :)


scarification? or serous effusion, cloudy effusion?
Subject: scarification? or serous effusion, cloudy effusion?


probably tense.............
Subject: probably tense.............

x
s/l ice on tense?
Subject: s/l ice on tense?

fossa fluid collections surrounding the cerebellar hemispheres, which are also (ice on tense) to CSF
She lay in bed, present tense....sm
Subject: She lay in bed, present tense....sm

she laid in bed all day Saturday (past tense).........
past tense of I & D (I & D'd?)
Subject: past tense of I & D (I & D'd?)

doc says ...four years ago. It was I & D'd at that time.
since he "laid" down -- past tense (sm)
Subject: since he "laid" down -- past tense (sm)

lay is usually for inanimate objects

lie would be present tense
if its past tense... it would be laid
Subject: if its past tense... it would be laid

/
it is laid if it is past tense
Subject: it is laid if it is past tense


Rules for tense in a report?
I always thought it was past tense.  I have a doc who started the first 2 sentences using past tense and then suddenly switched to present test.  IV sedation IS administered, Patient IS positioned.  Do you change present to past or type as is?  Nothing in the CP about it.
on all reps I try for present tense except
Subject: on all reps I try for present tense except


Biceps tense up well when he exerts
Subject: Biceps tense up well when he exerts

Does this make sense?  Here is the previous sentence. 


Tenderness over the anterior shoulder at the site of biceps insertion.  Biceps tense up well when he exerts. 


You are absolutely correct. It is lay...past tense has nothing to do with it in this case!
Subject: You are absolutely correct. It is lay...past tense has nothing to do with it in this case!

/
I would say the dictator made up his/her own tense to the word bursitis, would flag it and have QA l
Subject: I would say the dictator made up his/her own tense to the word bursitis, would flag it and have QA let you know.


to the best of my knowledge it is a word (past/versus present tense)
Subject: to the best of my knowledge it is a word (past/versus present tense)


3-4 mm effusion is how I'd do it. Anyone else?
Subject: 3-4 mm effusion is how I'd do it. Anyone else?


Same here I would use 3-4 mm effusion....nm
Subject: Same here I would use 3-4 mm effusion....nm

x
TU effusion
Subject: TU effusion


EKG shows sinus bradycardia with possible hypocalcemia or TU effusion.


Can possible hypocalcemia be found on an EKG and any clues on TU effusion (can this be found on EKG)?????


Effusion - Is there
Subject: Effusion - Is there

such thing as a plural form?  Doesn't seem like there would be but dictators say that way (effusions) often.
Ott effusion? Odd effusion?
Subject: Ott effusion? Odd effusion?

The context is degenerative changes of the spine with osteophyte and s/l "odd effusion".
There is a 3- to 4-mm effusion noted.
Subject: There is a 3- to 4-mm effusion noted.

Is this correct?


Thank you very much!


Then it may be pulmonary effusion. nm
Subject: Then it may be pulmonary effusion. nm


intense effusion
Subject: intense effusion

nm
Yes, plural effusion
Subject: Yes, plural effusion


pleural effusion
Subject: pleural effusion

I keep hearing laryn- with L beginning
syringopleural effusion......nm
Subject: syringopleural effusion......nm


Serous effusion sm
Subject: Serous effusion sm

and he is saying something to do with decreased TM movement on insufflation.
s/l perishable effusion?? nm
Subject: s/l perishable effusion?? nm

v
Pleural effusion?
Subject: Pleural effusion?


OM with scarring and effusion? nm
Subject: OM with scarring and effusion? nm


Right-sided pleural effusion
Subject: Right-sided pleural effusion

Evidence of old TBC. I'm thinking he means tuberculosis. Is that right. Also under discharge medications he has Rifamate, Theo-Dur and it sounds like he's saying prinsom or primson and taper down over two weeks. Any ideas? Thanks a bunch.
OME= otitis media with effusion.
Subject: OME= otitis media with effusion.


Loculated pleural effusion......
Subject: Loculated pleural effusion......

pleural fluid which has been loculated or encysted between layers of visceral pleural within the fissures or between partially fused visceral and parietal layers adjacent to the chest wall, diaphragm or mediastinum. 
cardio again... s/l chloral effusion
Subject: cardio again... s/l chloral effusion


never mind. i got it....pleural effusion..thanks anyways
Subject: never mind. i got it....pleural effusion..thanks anyways


malignant pleural effusion?
Subject: malignant pleural effusion?


Is it possible to have effusion with metal cage around it?
Subject: Is it possible to have effusion with metal cage around it?

 
Don't know what the O word is, but it's most like fusion not effusion
Subject: Don't know what the O word is, but it's most like fusion not effusion


should this be effusion or fusion? see note
Subject: should this be effusion or fusion? see note

PROCEDURES


1.  L4-5 posterolateral effusion or fusion.


2.  L4-5 posterior monosegmental instrumentation.


3.  L4 central decompressive laminectomy.


usually hear pericardial effusion
Subject: usually hear pericardial effusion

n.m
ESL: pleural effusion phrases
Subject: ESL: pleural effusion phrases

Doctor with a fairly thick Indian accent dictates the following:


Large left pleural effusion with probable s/l "ectelectisis" or organization. Moderate to large right pleural effusion and s/l "side diesease" is noted.


OME = otitis media with effusion or effusions. nm
Subject: OME = otitis media with effusion or effusions. nm


Any chance you might be hearing "uveal effusion?" nm
Subject: Any chance you might be hearing "uveal effusion?" nm

x
Could be "pleurisy" causing a pleural effusion - nm
Subject: Could be "pleurisy" causing a pleural effusion - nm


Plexus tube for pleural effusion
Subject: Plexus tube for pleural effusion

Thanks!
Otitis media with "scaral" effusion
Subject: Otitis media with "scaral" effusion

This is a young child with otitis media and a previous history of ear tubes. He says what sounds like otitis media probably with "scaral or skaral" effusion.  Any ideas? 
No effusion. Positive s/l postbursal tenderness ??? This is a new doc for me. TIA
Subject: No effusion. Positive s/l postbursal tenderness ??? This is a new doc for me. TIA


Patient has s/l blig-a-ma-sy causing a pleural effusion.
Subject: Patient has s/l blig-a-ma-sy causing a pleural effusion.

Thanks so much!!!
Pt with history of pleural effusion and had s/l talc procedure
Subject: Pt with history of pleural effusion and had s/l talc procedure