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It's thoracic aortic dissection

Posted By: Cardiology MT on 2007-03-07
In Reply to: s/l thoratic aortic dissection.... - In a daze

Subject: It's thoracic aortic dissection




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s/l thoratic aortic dissection....
Subject: s/l thoratic aortic dissection....

There is a history of hypertension, (s/l thoratic aortic dissection) ?


 


Thanks


Aortic dissection status post bentile (s/l) procedure
Subject: Aortic dissection status post bentile (s/l) procedure

is anyone familiar with a procedure for aortic dissection that sounds like bentile or ventile procedure? 


"underoging an emergent bentile procedure for an acute aortic dissection"


Thoracic and abdominal aortic aneurysms....
Subject: Thoracic and abdominal aortic aneurysms....

I need some help....


Dictated: Thoracic and abdominal aortic aneurysms 'smearing' or 'sparing' the renal arteries, status post graft replacement. 


Not sure if smearing or sparing makes sense, or if it should be something else! 


is it thoracic? Maybe TESI - thoracic epidural steroid injection? Just a guess - nm
Subject: is it thoracic? Maybe TESI - thoracic epidural steroid injection? Just a guess - nm

xx
MRI of thoracic spine. There is a relatively normal thoracic s/l hi-pos-is.
Subject: MRI of thoracic spine. There is a relatively normal thoracic s/l hi-pos-is.

::-)
This is a stretch, but maybe dissection? nm
Subject: This is a stretch, but maybe dissection? nm

nm
s/l sudden dissection
Subject: s/l sudden dissection

I know that sudden dissection can't be right but when transcribing a breast biopsy procedure that what it sounds like.  What else could it be?  It doesn't sound like sharp or blunt....what else could sound like sudden?  Any help would be appreciated. 


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neck dissection with some type of
Subject: neck dissection with some type of

__ ectomy.  Here is the context:


status post a recent composite resection including a right neck dissection and ___medivalectomy___ and free flap reconstruction with a fibular free flap. 


Maybe my ears are not working right tonight!! Imagine that after being at this for 13 hours today!  Okay - many interuptions (I homeschool too), stopping to fix supper etc.  but needless to say -- I'm tired!!


dissection of the s/l tail of durodas...
Subject: dissection of the s/l tail of durodas...

This is a pyeloplasty.  MD says, identified the kidney and then after some dissection of the s/l tail of durodas, we were able to identify the ureter.  Any idea? 
dissection taken down around the cyst in the scalp
Subject: dissection taken down around the cyst in the scalp

taking all the way down to the s/l gallea????  The cyst was then dissected
supraomohyoid neck dissection. nm
Subject: supraomohyoid neck dissection. nm

s
s/l nazot Bovie dissection
Subject: s/l nazot Bovie dissection

Omental adhesions are being taken down from gb with hook s/l nayzot (layzot?) Bovie dissection and laparoscopic peanut.

Procedure is a lap chole. Thanks
LND - lymph node dissection
Subject: LND - lymph node dissection


Maybe bundt [cake] dissection?
Subject: Maybe bundt [cake] dissection?

Just kidding.

In 35+ have never heard anyone say bunt dissection. I would wager the doc just mispronounced blunt - however I would leave a blank since you're not 100% sure.
Help with groin node dissection terms
Subject: Help with groin node dissection terms

I have never done an op note and have certainly never done a groin node dissection!  There are no sample reports available.  I have done this doctor before in his clinical setting and he is one of my favorites, but no op notes - the problem is a very poor quality recording - and in an area that I do not have experience!!  HELP!!  Each line is a separate issue.  Some I just need some verifcation that I did it right.


We dissected the lymph node bearing tissue off of the external __s/l dish__ muscle, exposed the femoral nerve artery and vein. 


We used hemoclips and silk ___ for hemostasis and controlled lymphatic vessels.


We dissected along the superficial femoral artery and femoral nerve to __revolve?__ the lymph node bearing tissue from this area.   


We irrigated __and assured?__ hemostasis


We identified the ureter which was reflected medially.


assured hemostasis placing __ FloSeal __ along the obturator foramen area and there was no sign of bleeding


We closed the fascia with a running loop #1 _PDS__ suture. 


closing the femoral canal defect with an interrupted, figure of 8, Ethibond suture.


Thanks for any help or reassurance!!!


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Subject: "Katy" dissection in a thyroid lobectomy?

Has anyone ever heard of this "Katy" dissection in a thyroid lobectomy? Help!
rectum was moblilized from the sacral ala using blunt dissection
Subject: rectum was moblilized from the sacral ala using blunt dissection


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Subject: Neck dissection - s/l venicomatants were left in place covering the 12th cranial nerve. TIA

x
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.
could it be all T as in all thoracic
Subject: could it be all T as in all thoracic

spine vertebrae?


thoracic
Subject: thoracic


aortic?
Subject: aortic?


What did he say about thoracic spine
Subject: What did he say about thoracic spine

earlier in the report?

We don't have all the clues here.
thoracic surgery
Subject: thoracic surgery

There is a Robicheck wire. Maybe?
thoracic kyphosis, maybe
Subject: thoracic kyphosis, maybe

nm
Thoracic kyphosis is the most likely sm
Subject: Thoracic kyphosis is the most likely sm

Unless the doc goes on to describe other abnormalities, "thoracic" is probably what you're looking for.
s/l thoracic lumbar-sure
Subject: s/l thoracic lumbar-sure

Still has a significant paraspinal muscle spasm throughout entire cervical spine and this does extend into upper aspects of thoracic lumbar-sure down to the T4 area.


thoracic spine
Subject: thoracic spine

 there is no mass/displacement overlying s/l catagolist paraspinous tissue structures.


Any idea with this term? This is x-ray of thoracic spine.


PE [s/l furcod] thoracic CT
Subject: PE [s/l furcod] thoracic CT


aortic insufficiency
Subject: aortic insufficiency

1+ aortic insufficiency


I need help understanding the 1 plus. Any clues? This was on the pt's echocardiogram


HNE Aortic Aneurysm????
Subject: HNE Aortic Aneurysm????

Has anyone heard of this??
could it be aortic bifurcation
Subject: could it be aortic bifurcation

could it be aortic bifurcation
thoracic back pain after MVA
No vertebral tenderness on palpation.  She does have some tenderness on palpating rhomboids and s/l Q L's and paraspinal muscles. 
s/l smorling of the thoracic spine
Subject: s/l smorling of the thoracic spine

.On a CT of the thoracic spine


....there is wedging of the superior articular plates of the bodies of T5, T10, T11 and T12.  This may only represent ...s/l smorling or smarling. 


I have never had this, sound familiar??


Thanks! 


S/L MP SALTY THORACIC SPINE....
Subject: S/L MP SALTY THORACIC SPINE....

He is listing impressions and it sound just like he is sayin M P salty thoracic spine.


What in the world?  Thanks.


upper thoracic curve?
Subject: upper thoracic curve?


apical thoracic curve?
Subject: apical thoracic curve?


Maybe slurring thoracic junction
Subject: Maybe slurring thoracic junction


cardio/thoracic surgery help
Subject: cardio/thoracic surgery help

PROCEDURE
Repair pseudoaneurysm, arteriovenous fistula.

FINDINGS
The pseudoaneurysm appeared to be a side of a venous side branch where *the tie necrosed a vein or it rough* due to arterial pressure over time.

I can't understand what the doctor is saying. Does this sentence make any sense to anybody?

Thank you in advance for any help.
probably should be ascending thoracic aorta....nm
Subject: probably should be ascending thoracic aorta....nm

xx
Thoracic and lumbar, not thoric......nm
Subject: Thoracic and lumbar, not thoric......nm

nm
aortic root is correct, plus SM
Subject: aortic root is correct, plus SM

probably "Mitral valve - grossly normal valve leaflet morphology and motion."

"Left ventricle - normal systolic and diastolic dimensions, grossly normal segmental wall motion and systolic function overall."

"Aortic valve - mildly sclerotic valve leaflets with no frank stenosis or regurgitation."

Where it says "Atrium normal.", listen for "Right atrium - normal."

Also maybe: "No significant effusion. Intracardiac masses or thrombi - none observed."

And a couple of other places where similar dashes would be appropriate.
maybe "preservation" of the aortic leaflets
Subject: maybe "preservation" of the aortic leaflets

or maybe effacing????
It could have been AFV (aortic flow velocity) or APV sm
Subject: It could have been AFV (aortic flow velocity) or APV sm

(average peak velocity). Also listed under "velocity" is aortic jet velocity and A-peak velocity, though there are no abbreviations provided with these.

ESLs should NOT abbreviate!

Wish I could be of more help.
HELP! Talking about aortic aneurysm
Subject: HELP! Talking about aortic aneurysm

The sentence is:


An ultrasound was done today, revealing it (aortic aneurysm) is now 4.9 cm and perhaps s/l chuck sterinal


s/l chuck stir eenal...???
I am sure I should know this...TIA


Aortic valve type
Subject: Aortic valve type

Okay, my brain is tired.  ESL dict. ROS:  Cardiovascular:  He patient has an aortic __________ valve replacement.   He has a history of rheumatic fever.


S/L sen-chewed.


I know this is simple but it won't come to me.  This guy is a regular but I'm stumped. 


aortic or arteriosclerotic aneurysm?
Subject: aortic or arteriosclerotic aneurysm?


porquine aortic valve
Subject: porquine aortic valve

Has anyone come across this - he spells it for me "porquine" aortic valve.  I was thinking maybe porcine, but he spells it as above.  Please help!
Aortic valve replacement
Subject: Aortic valve replacement

s/l koprenthee a-overs valve
There is an Estech retractor used in thoracic surgery?
Subject: There is an Estech retractor used in thoracic surgery?


seperate lower thoracic spine?
Subject: seperate lower thoracic spine?


lower thoracic spine/upper lumbar spine area.


how do you seperate these two?