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Billroth II: The stomach was transected just proximal to the gastric antrum with s/l P N I P staples

Posted By: nm oldtimer on 2008-02-06
In Reply to:

Subject: Billroth II: The stomach was transected just proximal to the gastric antrum with s/l P N I P staples

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I'm guessing here - could be - gastric ulcers, gastric erosions, hemorrhages.
Subject: I'm guessing here - could be - gastric ulcers, gastric erosions, hemorrhages.


Billroth II
Subject: Billroth II


Billroth II. nm
Subject: Billroth II. nm

.
anterior? antrum? nm
Subject: anterior? antrum? nm


Billroth II anastamosis - may be Inderal?
Subject: Billroth II anastamosis - may be Inderal?

x
s/l pancreatic rust on the antrum
Subject: s/l pancreatic rust on the antrum

Is rust correct?  I can't find it.  TIA
There is a Pierce antrum tube?
Subject: There is a Pierce antrum tube?


Could they be mumbling a Billroth II anastomosis or a Roux-en-Y
Subject: Could they be mumbling a Billroth II anastomosis or a Roux-en-Y

s
antrectomy as in removal of walls of the antrum
Subject: antrectomy as in removal of walls of the antrum


Staples
Subject: Staples

Yes, depending on what the staples were there for:

Surgical implant, known as a double-hole spinal staple for use in securing metal cables to vertebrae in operations for the correction of scoliosis.
s/l de-seed the three staples? nm
Subject: s/l de-seed the three staples? nm

nm
Protec? staples SM
Subject: Protec? staples SM

Hernia surgery - s/l Protec or Protek staples?  Cannot document.  TIA.  :)


spine fusion and staples
Subject: spine fusion and staples

Okay, he is talking about a spine fusion.. He says "there are some staples which have not moved since last year"  


 


Would they leave staples in that long? 


 


Thanks for any help!


stackered skin staples??
Subject: stackered skin staples??

Would this be correct? 


Can someone confirm VersaTek staples?
Subject: Can someone confirm VersaTek staples?

TIA!
Probably refers to staples--white load, maybe? nm
Subject: Probably refers to staples--white load, maybe? nm

x
I would just type "we are going to discontinue the three staples"
Subject: I would just type "we are going to discontinue the three staples"

x
s/l ny la re co sa in the stomach
Subject: s/l ny la re co sa in the stomach

s/l nylar recosa. Please help.
stomach rumbling
Subject: stomach rumbling

borborygmus or borborygmi (pl) is the rumbling or gurgling produced by movement of gas, fluid or both in the  alimentary canalm and is audible at a distance.


AKA stomach rumbling!!!


 


 


relating to the stomach...
Subject: relating to the stomach...

The stomach also looks fairly redundant like one might see with somebody with gastric apnea.


Is there such as thing as gastric apnea or maybe even acne?  I am unable to find anything on either one.


could be omeprazole? for stomach. nm
Subject: could be omeprazole? for stomach. nm

nm
there is a cascade stomach so - sm
Subject: there is a cascade stomach so - sm

perhaps she is saying cascade stomach collaterals ??
suctioning stomach
Subject: suctioning stomach

This is for a tonsillectomy. At the end they suctioned the stomach using an - it sounds like NG sum pump - but that's obviously not it.
stomach ache
Subject: stomach ache

thanks so much
(s/l) Perizole? for stomach protection 2 mg
Subject: (s/l) Perizole? for stomach protection 2 mg

Thanks in advance.
Autopsy report says stomach contains
Subject: Autopsy report says stomach contains

approximately 5-10 cc of tan chyme with pale yellow S/L: flex.


Maybe I'm looking in the wrong spots, but I cannot find flex...


Thanks for any input!


Where are you in the body, Heart? Stomach? etc.
Subject: Where are you in the body, Heart? Stomach? etc.


Are there blood vessels in the stomach?
Subject: Are there blood vessels in the stomach?


If they are talking about the stomach, it could be "lesser curvature" sm
Subject: If they are talking about the stomach, it could be "lesser curvature" sm

If it is another part of the anatomy, please give more info and context.
no stomach problems, I thought 2.1 was too low/wrong.
Subject: no stomach problems, I thought 2.1 was too low/wrong.

nm
Please help. She is intolerant of s/l *ansets* which upset her stomach.
Subject: Please help. She is intolerant of s/l *ansets* which upset her stomach.


Drug for stomach upset, s/l Amen - may be OTC nm
Subject: Drug for stomach upset, s/l Amen - may be OTC nm

.
pepto refers to stomach so peptoesophageal
Subject: pepto refers to stomach so peptoesophageal

is same as gastroesophageal. There is cecectomy for exicision of cecum.
stomach problems? Bentyl is dicyclomine. nm
Subject: stomach problems? Bentyl is dicyclomine. nm


EGD of the stomach revealed no s/l flenic lesions. This cannot be splenic, right? TIA.
Subject: EGD of the stomach revealed no s/l flenic lesions. This cannot be splenic, right? TIA.


I got it - duh on me . . . it is proximal
Subject: I got it - duh on me . . . it is proximal


proximal? sm
Subject: proximal? sm

Clue=there's no DVT in the LOWER or DISTAL extremity, but there IS thrombus in the GSV which is located in the UPPER or PROXIMAL extremity...and it extends from PROXIMAL down to upper calf....
proximal ?
Subject: proximal ?


proximal?
Subject: proximal?


Yes, you'll hear blue load and white load staples. nm
Subject: Yes, you'll hear blue load and white load staples. nm

x
proximal row carpectomy ?
Subject: proximal row carpectomy ?

xx
proximal migration?
Subject: proximal migration?

xx
Could he/she be stumbling over proximal?
Subject: Could he/she be stumbling over proximal?


it should be proximal - is that what you hear?
Subject: it should be proximal - is that what you hear?

nm
could it be proximal ulnar, sm
Subject: could it be proximal ulnar, sm

I also think it might be technitium rather than technician?
Stomach: The patient recently underwent surgery for a s/l dist tumor? nm
Subject: Stomach: The patient recently underwent surgery for a s/l dist tumor? nm

.
Gastroparesis is a condition in which the stomach's ability to empty its contents is impaired,
Subject: Gastroparesis is a condition in which the stomach's ability to empty its contents is impaired,


Early satiety? It means stomach feels full very quickly.....sm
Subject: Early satiety? It means stomach feels full very quickly.....sm

sometimes sign of GI problems, like delayed gastric emptying, etc.  Does it sound like that?
Gastric dye?
Subject: Gastric dye?


proximal pole corpectomy ?
Subject: proximal pole corpectomy ?

scaphoid has a proximal pole so that might be it.
ORIF of proximal phalanx
Subject: ORIF of proximal phalanx

In this op note, the doctor says a "one five recon plate" was trimmed to the appropriate length, and I placed a "one five" screw distally.  Would you agree this should be transcribed as 1.5 (as in mm).  He didn't say mm, and I won't go so far as to put mm in the report.