Just finished 1st report for Well woman exam. ...

[Guest guest]

, it gets better!! Believe me.

Patsy

Just finished 1st report for Well woman exam. ...

Hi.

I just finished my first report for a well woman exam

and I am asking for some of you to check my work. I

know there are alot of mistakes in it. The words that

are surrounded in the " " are words that I could not

understand and typed them as they sounded.

I really appreciate you guys. I was ready to quit and

ya'll talked me into trying once more!

Love Ya'll

1st week on the job!

__________________________________________________

[Guest guest]

Hi.

I just finished my first report for a well woman exam

and I am asking for some of you to check my work. I

know there are alot of mistakes in it. The words that

are surrounded in the " " are words that I could not

understand and typed them as they sounded.

I really appreciate you guys. I was ready to quit and

ya'll talked me into trying once more!

Love Ya'll

1st week on the job!

Here is the part I need checked:

BREAST EXAM: Symmetric bilaterally. No dominant mass.

No tenderness. No discharge.

PELVIC EXAM: “VES” negative. " Extern " genitalia on

the left " something " . Patient does have a 1-cm lipoma.

Nontender. Mobile. No increase in size.

Vagina: normal mucosa, pink, and rugated. No

discharge. Cervix is “nolapos”, No polyps. No lesions.

No discharge. “On by manual”, her uterus is normal

size. Anterior to mid, No “amixal” tenderness. No

“amixal” mass.

RECTAL EXAM: Normal " tone " . Soft brown stool. “Hene”

negative.

__________________________________________________

[Guest guest]

>

:

Just throwing out some suggestions here:

>

> PELVIC EXAM: “VES” negative. " Extern " genitalia on

> the left " something " . Patient does have a 1-cm lipoma.

I'm going to take guess here, because I don't know where the doctor pauses.

Could the doctor be

saying " BUS negative " as in Bartholin, urethral, and Skene (glands) negative

external genitalia.

Also maybe a new sentence starts with " On the left ____, patient does have a

1-cm lipoma. "

>

> Nontender. Mobile. No increase in size.

> Vagina: normal mucosa, pink, and rugated. No

> discharge. Cervix is “nolapos”, No polyps. No lesions.

nulliparous???? (meaning never having borne children)

>

> No discharge. “On by manual”, her uterus is normal

On bimanual (usually they say bimanual examination),

>

> size. Anterior to mid, No “amixal” tenderness. No

> “amixal” mass.

adnexal

>

> RECTAL EXAM: Normal " tone " . Soft brown stool. “Hene”

> negative.

Normal tone (meaning sphincter tone). also heme-negative (short for

Hemoccult-negative).

Pattie

[Guest guest]

OK, I'm going to change my mind here. Could the doctor be saying:

BUS negative. External genitalia: On the left _____, patient does have a 1-cm

lipoma.

I'm thinking now that the External genitalia is another subheading, since the

doctor has another

subheadings of Vaginia.

Pattie

> PELVIC EXAM: “VES” negative. " Extern " genitalia on

> > the left " something " . Patient does have a 1-cm lipoma.

>

> I'm going to take guess here, because I don't know where the doctor pauses.

Could the doctor be

> saying " BUS negative " as in Bartholin, urethral, and Skene (glands) negative

external genitalia.

> Also maybe a new sentence starts with " On the left ____, patient does have a

1-cm lipoma. "

[Guest guest]

Here is my shot at it. The parts in parenthesis are just comment on my part

and not part of the transcription.

Just finished 1st report for Well woman exam. ...

Hi.

I just finished my first report for a well woman exam

and I am asking for some of you to check my work.

<snip>

___________________________________________________

BREAST EXAM: Symmetric bilaterally. No dominant mass.

No tenderness. No discharge.

PELVIC EXAM: VVS (vesicovaginal space) negative. External genitalia on

the left " (need some sort of sound-alike here, even a first or ending

sound) " . Patient does have a 1-cm lipoma. Nontender. Mobile. No increase in

size.

Vagina: Normal mucosa, pink, and rugated. No

discharge. Cervix is nulliparous. No polyps. No lesions.

No discharge. On my manual (as in manual palpation probably), her uterus is

normal

size, anterior to mid. No adnexal tenderness. No adnexal mass.

RECTAL EXAM: Normal tone. Soft brown stool. Heme negative.

__________________________________________________

Be sure to look these words up and make notes if need be. This not an easy

profession as some would have you think, but very challenging and cerebral

if you know what I mean. Don't worry about not knowing " it all " as everyone

on this list learns something new everyday and will continue to do so

because of the expanding medical field. If you can keep going you will find

your pace and develop an ear.

Quixote

[Guest guest]

, I see that you have received lots of answers on this one and a lot of

encouragement. I too would like to add an encouraging word. I am always amazed

at how the " younger " transcriptionists are able to learn this job working at

home alone. I remember my first days on the job and how many questions I had to

ask of my supervisor, who would check over my reports and give them back with

corrections and then I would relisten to the docs so that I really understood

what they were saying. Getting that ear " trained " does take awhile, but it is

worth it in the long run.

I also wanted to be sure that you understood some of the answers to your

questions. For one thing, it would definitely be bimanual exam, that part of

the exam where the doc has one hand in the vagina and the other on the abdomen.

I wouldn't expect Quixote to know much about this type of exam, since he has

never had to experience it (haha).

Also, you had " Patient does have a 1-cm lipoma. Nontender. Mobile. No increase

in size. " I believe this should actually be all one sentence, since it is all

about the lipoma, with commas instead of periods. Such as, " Patient does have a

1-cm lipoma, nontender, mobile, no increase in size. " The same would be true

on the bimanual. " Uterus is normal size, anterior to mid. " Meaning that the

uterus is in the anterior to mid position. " No adnexal tenderness. No adnexal

mass. "

On the rectal exam, tone would be correct, meaning the sphincter tone. Most

doctors will mention whether the tone is normal or not. Also, it would then be

soft brown stool, heme negative. Once again, I believe it would be all one

sentence because it is all about the stool.

I am really glad to see you on this list. You have gotten a lot of really good

help so far. Just hang in there and you will get the hang of it. Margaret

>>> 12/28/01 10:00PM >>>

Here is the part I need checked:

BREAST EXAM: Symmetric bilaterally. No dominant mass.

No tenderness. No discharge.

PELVIC EXAM: ôVESö negative. " Extern " genitalia on

the left " something " . Patient does have a 1-cm lipoma.

Nontender. Mobile. No increase in size.

Vagina: normal mucosa, pink, and rugated. No

discharge. Cervix is ônolaposö, No polyps. No lesions.

No discharge. ôOn by manualö, her uterus is normal

size. Anterior to mid, No ôamixalö tenderness. No

ôamixalö mass.

RECTAL EXAM: Normal " tone " . Soft brown stool. ôHeneö

negative.

[Guest guest]

, I see that you have received lots of answers on this one and a lot of

encouragement. I too would like to add an encouraging word. I am always amazed

at how the " younger " transcriptionists are able to learn this job working at

home alone. I remember my first days on the job and how many questions I had to

ask of my supervisor, who would check over my reports and give them back with

corrections and then I would relisten to the docs so that I really understood

what they were saying. Getting that ear " trained " does take awhile, but it is

worth it in the long run.

I also wanted to be sure that you understood some of the answers to your

questions. For one thing, it would definitely be bimanual exam, that part of

the exam where the doc has one hand in the vagina and the other on the abdomen.

I wouldn't expect Quixote to know much about this type of exam, since he has

never had to experience it (haha).

Also, you had " Patient does have a 1-cm lipoma. Nontender. Mobile. No increase

in size. " I believe this should actually be all one sentence, since it is all

about the lipoma, with commas instead of periods. Such as, " Patient does have a

1-cm lipoma, nontender, mobile, no increase in size. " The same would be true

on the bimanual. " Uterus is normal size, anterior to mid. " Meaning that the

uterus is in the anterior to mid position. " No adnexal tenderness. No adnexal

mass. "

On the rectal exam, tone would be correct, meaning the sphincter tone. Most

doctors will mention whether the tone is normal or not. Also, it would then be

soft brown stool, heme negative. Once again, I believe it would be all one

sentence because it is all about the stool.

I am really glad to see you on this list. You have gotten a lot of really good

help so far. Just hang in there and you will get the hang of it. Margaret

>>> 12/28/01 10:00PM >>>

Here is the part I need checked:

BREAST EXAM: Symmetric bilaterally. No dominant mass.

No tenderness. No discharge.

PELVIC EXAM: ôVESö negative. " Extern " genitalia on

the left " something " . Patient does have a 1-cm lipoma.

Nontender. Mobile. No increase in size.

Vagina: normal mucosa, pink, and rugated. No

discharge. Cervix is ônolaposö, No polyps. No lesions.

No discharge. ôOn by manualö, her uterus is normal

size. Anterior to mid, No ôamixalö tenderness. No

ôamixalö mass.

RECTAL EXAM: Normal " tone " . Soft brown stool. ôHeneö

negative.