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not sure still sounds like spike fell. thanks for your help though.

Posted By: mt on 2009-05-16
In Reply to: Maybe "spicule" ? (sm) - Mushroom

Subject: not sure still sounds like spike fell. thanks for your help though.




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not sure still sounds like spike fell. sm.
Subject: not sure still sounds like spike fell. sm.

It may very well be what you are saying, but doctors just don't say things the way they should. ;-) THanks for your help though.
s/l spike fell sm.
Subject: s/l spike fell sm.

Physical examination today reveals a large abrasion over the posterior aspect of his back. Otherwise, there is no external abnormalities other than the right clavicle with prominence of the midportion and the s/l spike fell in the subcutaneous tissue. tia.
M-spike is correct..........
Subject: M-spike is correct..........


s/l spike lymph node
Subject: s/l spike lymph node

A few small anterior _____ (s/l spike) lymph nodes are palpable. 


TIA


Bence Jones protein. Don't know about the spike. nm
Subject: Bence Jones protein. Don't know about the spike. nm

s
I just could not think of that spiculated word, spike shaped etc. nm
Subject: I just could not think of that spiculated word, spike shaped etc. nm


s/l trimodal spike of blood clot formation
Subject: s/l trimodal spike of blood clot formation

Patient is on Coumadim
I just fell for the ol'
Subject: I just fell for the ol'

CHPI !! I so can't believe I did that! My doc never says it, was under review of systems geezzzz
also, I think it should be *fell to 87* nm
Subject: also, I think it should be *fell to 87* nm

x
s/l a-fell-ant
Subject: s/l a-fell-ant

IMPRESSION:
1. Status post partial amputation of the distal phalanx of the right ring finger.
2. Possible early signs of s/l a-fell-ant and deep infection to the pulp.

Thiamine and (s/l) Ser-a-fell- on n/m
Subject: Thiamine and (s/l) Ser-a-fell- on n/m

n/m
one fell swoop. sm
Subject: one fell swoop. sm

http://www.phrases.org.uk/meanings/50500.html


 


 


means all at once.  See link above.


The pt fell with a thud
Subject: The pt fell with a thud

When something happens to a patient after his meeting with the doctor, where and under what title do you put it on your report. I have a patient who passed out while making a follow- up appointment and needed to be sent to the ER. There is a whole paragraph dedicated to this. Where should I put it and under what title? I have already typed the whole visit and he was down to the assessment.


 


Maybe pulse ox is 90 and fell to 87. nm
Subject: Maybe pulse ox is 90 and fell to 87. nm


sl borno fell-up
Subject: sl borno fell-up

Immunization for a 8 week old
ATMs? and Fell? Culture
Subject: ATMs? and Fell? Culture

In the examination section Dr states s/l "ATMs" are normal and glossy.  And also in the PLAN  Dr states Will check s/l "Fell" culture.  Thank you in advance.
Neurosurgery, pt fell hitting back of head and suffering s/l kanakuah bifrontal contusions.
Subject: Neurosurgery, pt fell hitting back of head and suffering s/l kanakuah bifrontal contusions.


Is your patient a male? There are male sounds and female sounds. sm
Subject: Is your patient a male? There are male sounds and female sounds. sm

Male sounds are shaped differently than female sounds. Obviously, male sounds being longer. They are used to dilate the urethra in order to facilitate the passage of stones or perhaps JJ stents etc. They come in different diameters ie..18FR, 20FR etc. Hope this helps.
sounds like JEP?
Are you sure it is not LUMP? Listen again.
sounds like
Subject: sounds like

post op day 1 from an esophagogastrectomy, _________ Laprobiotic? or laprobotic?


Sounds right.
Subject: Sounds right.

You also might just hear them say bands 27. Means the same thing. Go ahead with it.
sounds right to me, thanks!
Subject: sounds right to me, thanks!


sounds okay to me.
Subject: sounds okay to me.

x
sounds like
Subject: sounds like

x
sounds like an-al-gus
Subject: sounds like an-al-gus

feels this is s/l an-al-gus to dependant swelling he had in his other leg when he had a cast on. 


 


Thanks in advance.


sounds like...
Subject: sounds like...

follicadermia of servant...


looked everywhere..  please help!


Sounds like doc is saying
Subject: Sounds like doc is saying

FI 02 is 50% on room air.  S/L the letter 'F', the letter 'i' then 02. Please help.
Thanks, not sure if that is right but it sounds better than anything I have been able to come up wit
Subject: Thanks, not sure if that is right but it sounds better than anything I have been able to come up with


sounds like
Subject: sounds like

tochadinamometry, thanks for any help


It sounds like
Subject: It sounds like

It sounds more like MUS


 


Thanks  


Sounds like
Subject: Sounds like

It sounds like tentatives?
Sounds like he is saying.... sm
Subject: Sounds like he is saying.... sm

ileus soleus muscle.  Can't find. Any ideas?


Happy Monday! 


Sounds like....
Subject: Sounds like....

Sismogenous discharge. This is what the doctor found on pelvic exam with a whitish discharge in the vaginal vault.
Sounds about right after I look it up. Thanks!
Subject: Sounds about right after I look it up. Thanks!


Sounds like it could be - sm
Subject: Sounds like it could be - sm

full opacification of the left hemithorax...
sounds ok to me
Subject: sounds ok to me


Thanks but it sounds just like dia something. :)
Subject: Thanks but it sounds just like dia something. :)

I can't even come close. 


Thanks anyway.


sounds like
Subject: sounds like

this is a hospital but i couldny find it BUNKY GENERA HOSPITAL
Thank you. It could be that but it sounds like something else.
Subject: Thank you. It could be that but it sounds like something else.


sounds like
Subject: sounds like

sounds like Colchicine to me but that's for gout
sounds like there should be something
Subject: sounds like there should be something

else between para and facet, like parapatellar facet cyst or paravertebral facet cyst.
sounds like the or feo
Subject: sounds like the or feo

Doctor said there was also concern for possible feo? or theo? or carcinoid syndrome.  Not sure what feo or theo means. 
Sounds like he is saying....sm
Subject: Sounds like he is saying....sm

No frankly localizing, lateralizing or s/l eleptiform features noted. 


I can find eleptiform on Google, but not in any of my books.  Is this right or does he mean epileptiform?  This is on electroencephalogram.


Thanks!


sounds right to me
Subject: sounds right to me

nm
sounds like???
Subject: sounds like???

Could be apprehension sign, inhibition sign, compression sign...help us out here. could be crepitation too. Could also be Lachman test.
sounds like--what....sm
Subject: sounds like--what....sm

Could be apprehension sign, inhibition sign, compression sign...help us out here. could be crepitation too. Could also be Lachman test.
That sure sounds like it!! THANKS!
Subject: That sure sounds like it!! THANKS!

nm


No, it definitely sounds like just away
Subject: No, it definitely sounds like just away


since it sounds like key I would say it is T
Subject: since it sounds like key I would say it is T

nm
to me KEY sounds like Q more than T....sm
Subject: to me KEY sounds like Q more than T....sm

I have known T-wave and Q-wave - s/l *key* may be either Q or T.....is this an ESL dictator? 


Also, in an EKG, as I know it, the leads are in Roman numerals....leads I, II, and aVF (for example). 


I WOULD, however, blank the Q or T - because key/tee k/q sounds.  It could be either/or and I would blank it....but, of course, this is from yesterday, and the report probably already went back.  *lol* 


this is what I have/or sounds like
Subject: this is what I have/or sounds like

For the urine came back positive for urinary tract infection. Patient had more than 100,000 colonies of Gram-negative lactose negative rod **. The white count was normal. The patient had significant left shift with bandemia on differential. Her electrolytes showed that she was hypokalemia with potassium of 3.3, and her sugar was 40. ~~~thank you for helping me, I just can't figure it out...