1. Quotation marks are used to denote the exact words of a patient as specified by the dictator.
Dictated: The patient states quote I feel lousy unquote.
Transcribed: The patient states, "I feel lousy."
2. Physicians occasionally dictate quotation marks to set off unusual or slang terms. Quotation marks are also used to denote a word for special attention.
The patient told me that she had "firebirds" in her uterus, but I believe she meant "fibroids."