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or supraclavicular and axillary (real fast)? nm

Posted By: M.A. on 2007-08-27
In Reply to: ? s/l supercalabigatory adenopathy - fwm

Subject: or supraclavicular and axillary (real fast)? nm

nm


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A lot of times they say no cervical, supraclavicular or axillary....
Subject: A lot of times they say no cervical, supraclavicular or axillary....

adenopathy and if it is something he says all the time he may just be running them together.
Is he saying albuterol real fast?
Subject: Is he saying albuterol real fast?

nm
could be fast disturbance? - fast rhythm sometimes causes poor outcome. - nm
Subject: could be fast disturbance? - fast rhythm sometimes causes poor outcome. - nm


I found Real-Time, Real-time, real-time ultrasound...
Subject: I found Real-Time, Real-time, real-time ultrasound...

nm
Axillary-femoral bypass, axillary femoral bypass, or axillofemoral
Subject: Axillary-femoral bypass, axillary femoral bypass, or axillofemoral


sounds like supraclavicular
Subject: sounds like supraclavicular

I'm trying to figure out what sounds like "supraclavicular actility".  This comes after "lymphadenopathy absent from the neck." Sorry if this posts twice.
supraclavicular adenopathy
Subject: supraclavicular adenopathy

nm


Supraclavicular adenopathy.
Subject: Supraclavicular adenopathy.

nm
Can you hear supraclavicular ? nm
Subject: Can you hear supraclavicular ? nm

nm
supraclavicular lymphadenopathy?
Subject: supraclavicular lymphadenopathy?


supraclavicular lymph node is correct nm
Subject: supraclavicular lymph node is correct nm

x


can sort of hear supraclavicular but ending is different
Subject: can sort of hear supraclavicular but ending is different

The rushed pronunciation sounds like it could be supraclavicular with something else on the end, sounding similar to supraclavic-a-tory adenopathy???



and there's axillary, too. nm
Subject: and there's axillary, too. nm

s
axillary maybe?
Subject: axillary maybe?


Prominence of the supraclavicular notch consistent with a serical rib
Subject: Prominence of the supraclavicular notch consistent with a serical rib


Oops...meant to say supraclavicular, above the collar bone. nm
Subject: Oops...meant to say supraclavicular, above the collar bone. nm

s
axillary? just a guess. nm
Subject: axillary? just a guess. nm

nm
cervical or axillary lymphadenopathy?
Subject: cervical or axillary lymphadenopathy?


columella and right mid axillary line?
Subject: columella and right mid axillary line?


cross or crossed axillary graft
Subject: cross or crossed axillary graft

Which is correct - cross axillary graft or crossed axillary graft ? 


haven't heard of...but probably "crossed"...or ? carotid-axillary? nm
Subject: haven't heard of...but probably "crossed"...or ? carotid-axillary? nm


calcaneus x-ray - Harris axial or axillary view? (nm)
Subject: calcaneus x-ray - Harris axial or axillary view? (nm)

k
Gotta be axial and axillary means pertaining to the armpit! :) nm
Subject: Gotta be axial and axillary means pertaining to the armpit! :) nm

s
The right axillary s/l follicle is entirely healed with no drainage, no redness, and no warmth. sm
Subject: The right axillary s/l follicle is entirely healed with no drainage, no redness, and no warmth. sm

Is this right?  Thank you!


Ever heard of a bowen board to measure arm range of motion pre and post axillary node dissection?
Subject: Ever heard of a bowen board to measure arm range of motion pre and post axillary node dissection?

Thanks for the help.
try using 1/12,000, not real sure though
Subject: try using 1/12,000, not real sure though


Could use Thorax or Extremities. Axillary line is the horizontal line
Subject: Could use Thorax or Extremities. Axillary line is the horizontal line

s
I was incorrect with my axillary line. It's the vertical line viewed
Subject: I was incorrect with my axillary line. It's the vertical line viewed

s
it's real-time NM
Subject: it's real-time NM


Okay, here is my real response
Subject: Okay, here is my real response

What is the basis for any jealousy here?  That concept baffles me.  You obviously spent a lot of time into the events of today and I would suggest an alternate outlet...like a l-i-f-e.  I do not always come here to flame or denigrate others.  That you consider me trouble is of no consequence to me.  I have no concern for how my posts are perceived and when I post, I'm usually my ADD and dyslexic self with multiple lines of thinking bouncing around in my head at the same time.  I do not self check my grammar or spelling.  I'm happy with my QA score of greater than 99.5% monthly because when I work, I allow no distractions.  Before I was out of high school, I had the skill set I needed that today's poster lacked and that you commented on as a general rule for all newbies.


If you do not understand my point, that is your failing, not mine.  Others have repeated my point so I hope it is a bit more clear to you by now.  I will not "leave this newbie" alone (not that I now have a vendetta against her/him now) but you hold no power over my actions, just as I have none over yours.  I feel no threat from you, do not feel diminished by you and feel sorry that you are so worked up over today's events.


I had no one to ask questions of at all when I entered MT as I came in as the MT supervisor with years of experience in being a records auditor.  When I went home and entered the acute care arena, I had more books than I could count, with my favorite being "A Syllabus for the Surgeon's Secretary" (first published in the 50s).  I didn't make a lot of money my first year at home but every report was superior to those of the other MTs on the account.  I feel today's newbie has no excuse for  not being able to find many of the answers to many of the issues that were addressed today other than by posting entire reports for strangers who may only think they are qualified to answer.  Asking for QA help on entire reports is a crap shoot.  On a forum where no one knows who anyone really is in real life, you can easily get crappy help anot not know the difference.  Your mileage may vary.


I hope you find some peace and a healthy outlet for your frustrations.


a real stumper
Subject: a real stumper

Dr. just dictated thoracic *s/l cervingeal  *s/l myedia 


Any suggestions please? Thanks!


Hmm, I liked the first one better. Think it should be real word. :)
Subject: Hmm, I liked the first one better. Think it should be real word. :)

xx
Medication: S/l Ram a fa real
Subject: Medication: S/l Ram a fa real


Is this a real word? sm
Subject: Is this a real word? sm

She is describing some symptoms possibly consistent with ADHD.  We discussed the differential diagnosis and possibly overlap of S/L: subsymptoms between anxiety and ADHD and possibly that these were comorbid disorders.   


I cannot find subsymptoms as a legit word..


Thanks for any help!


Doc say this a lot but isn't a real word.
Subject: Doc say this a lot but isn't a real word.

I transcribe decubitus ulcer(s) when I hear decubiti.
Out in the real world, it is according to
Subject: Out in the real world, it is according to

how the client prefers. If you are being marked down for not putting them, then I would go ahead and add them if you cannot get an instructor to let you know one way or the other. Sometimes the docs do dictate vital signs separate from the PE, and unless you have been told to move them under the PE heading, then I would leave them as dictated.
is that a real word though?
Subject: is that a real word though?

I can't find a definition for gammaglobulinemia in Stedman's or online anywhere...pardon my stupidity here, but is it even a real word??? (maybe I'm just bleary eyed and am not seeing it!) Help!
Help please....Is this a real drug or not....
Subject: Help please....Is this a real drug or not....

S/L propoxycet. I was thinking some form Darvocet or Percocet? Thanks lots.


Is oxybutin a real drug?
Subject: Is oxybutin a real drug?

I got a lot of hits on google, but couldn't find anything official.
you found both in a real dictionary?
Subject: you found both in a real dictionary?

x
no, don't dump on yourself - you did REAL good!
Subject: no, don't dump on yourself - you did REAL good!

 Really - you did great - you figured it out on your own.  Clostridium difficile!!  GREAT...shows me just how resourceful you ARE!!! 


                  


real definition inside.........sm
Subject: real definition inside.........sm

Definitions of peau d'orange


A dimpled condition of the skin of the breast, resembling the skin of an orange, sometimes found in inflammatory breast cancer.


Thanks. I feel real stupid now. I probably need
Subject: Thanks. I feel real stupid now. I probably need

xx
Is this a real medical term???
Subject: Is this a real medical term???

adenotonsillitis.


The patient is having adenoids and tonsils removed.


 


Thanks!


Ortho - This is a real mystery s/l -
Subject: Ortho - This is a real mystery s/l -

Knee pain status post skiing injury, open reduction and internal fixation with tibiofemoral bone grafting. Subsequent collapse and valgus deformity.

X-rays showed evidence of s/l mi-___ (then he possibly says joint)arthritis involving predominantly the lateral and patellofemoral compartment. He has hardware in the lateral aspect of his tibia.

Impression: Osteoarthritis.

The s/l is really garbled, but I'm hoping someone can connect it with the context. This will be the only blank in the report, so not a big problem.....I'd just like to know, if possible. Thanks!!
Peristolsing??? Is this a real word?
Subject: Peristolsing??? Is this a real word?

Real word, or should I rearrange the sentence to read peristolsis??  "Ureters were peristolsing bilaterally." 


 


Thanks in advance! 


You, manibanana,are a real hoot!
Subject: You, manibanana,are a real hoot!


mesophytic a real word???
Subject: mesophytic a real word???

"The MRI, which I did review, confirms the presence of a 3.3 cm, right, lateral, mid to upper pole renal mass that is mesophytic in nature, extending into the sinus, and is consistent with a renal cell carcinoma."

Now...is mesophytic a real word in this context??? My Stedman's spell checker highlights it as not being a correctly spelled word. I wonder if the doc meant to say something else, or is this used correctly????

Thanks everyone!
This is a real stretch but, how about canthus? sm
Subject: This is a real stretch but, how about canthus? sm

I have a friend with dry eyes who does a lot of computer work. She had collagen plugs put into the tear ducts in the inner corners of her eyes. Her eye doc did it. Like I say, this is a stretch.
Is calcitrate a real word?
Subject: Is calcitrate a real word?

Or is my dictator mispeaking and I should edit it to Caltrate?


If calcitrate is an actual product name, is it generic, brand name, or OTC?


Thank you!!  


A real stretch.....Synagis? nm
Subject: A real stretch.....Synagis? nm

nm