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#3994 - 07/16/01 10:15 PM compound modifiers
Kathy G
Member


Registered: 12/31/69
Posts: 2211
Loc: Portland, Oregon
I'm working with a subcontractor who hyphenated left-arm pain. I am having trouble coming up with a coherent explanation for why that does not require a hyphen. I'm sure she is thinking about the adjective-noun combination. My Gregg Reference Manual doesn't help me in explaining this -- maybe I'm wrong. Can anyone help me explain why left-arm pain does not fit the adjective-noun combination compound modifier? It's giving me a headache.

She is also hyphenating urinary-tract infection, and I don't do that, but again I am at a loss to explain why. Do others hyphenate things like this?

[ 07-16-2001: Message edited by: Kathy G ]

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#3995 - 07/16/01 10:54 PM Re: compound modifiers
Rosa_Lea
Member


Registered: 11/23/99
Posts: 3307
Loc: Antioch TN USA
I do hyphenate such terms, although not consistently. I think the rationale (or at least that which I use) is that it takes both words to identify the location of the pain, i.e., if you separate them without a hyphen you would have "left pain" and "arm pain," which would not be what you needed. I tend to hyphenate a lot of things like that and have never been corrected if I am wrong. Don't know if this helps or not.

Rosa Lea

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#3996 - 07/16/01 11:33 AM Re: compound modifiers
girllimberlost
Member


Registered: 02/22/01
Posts: 2409
Loc: spanish fork, ut, usa
In my Medical Keyboarding, Typing and Transcribing book by Diehl and Fordney, after listing the rule for compound modifiers (defined as when two or more words have the force of a single modifier) it lists this note:

quote:
Common compound expressions as well as essential parts of diseas descriptions are not hypenated. Examples --
low cervical incision
normal sinus rhythm
pelvic inflammatory disease...
right upper quadrant
chronic obstructive pulmonary disease...
deep tendon reflexes...
atrial septal defect
low back pain

I think that left arm pain would come under the same rule as low back pain, and that urinary tract infection would qualify as a part of a disease description.

I would not hyphenate either of those for that reason.

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#3997 - 07/16/01 11:41 AM Re: compound modifiers
pattyB
Member


Registered: 05/28/99
Posts: 2628
Loc: Rhode Island
Kathy,

According to the AAMT BOS, they say to NOT use a hyphen with most disease-entity modifiers, and urinary tract infection is one example on their list. Others are pelvic inflammatory disease, cervical disk disease, and so on. It also says to check appropriate references for guidance.

They go on to say that some compound modifiers are used as a unit so often, that they are automatically read as a unit. Examples are deep tendon reflexes, low back pain, left lower quadrant, etc. I think left arm pain would fit in this category,therefore, no hyphen necessary.

Again, this is from AAMT BOS under Compound Modifiers.

Patty

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#3998 - 07/16/01 11:44 AM Re: compound modifiers
pattyB
Member


Registered: 05/28/99
Posts: 2628
Loc: Rhode Island
There you go, you now have two different recognized "style guides" to back you up.

Patty

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#3999 - 07/16/01 11:55 AM Re: compound modifiers
Kathy G
Member


Registered: 12/31/69
Posts: 2211
Loc: Portland, Oregon
Thank you all. I was so focused on Gregg that I neglected to look in my AAMT BOS. Our SC has AAMT BOS and is ordering Gregg -- she is doing such an excellent job with her work, maybe just overthinking the hyphen issue. I know that sometimes I get bogged down with over-thinking something. There are a lot of exceptions to rules to consider and learn. I particularly appreciate the quote from the source I don't have and will keep it on hand for future reference. Thanks so much friends. I think your posts will help both our SC and me in the future.
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