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Need help with aortic valve type? Pretty please..

Posted By: luv2type on 2007-01-11
In Reply to:

Subject: Need help with aortic valve type? Pretty please..

80-year-old gentleman with known coronary artery disease, status post aortic valve replacement with #27 (__s/l Terrontist__) aortic valve, coronary artery bypass grafting x5, dyslipidemia, and hypertension. 


 


I owe you if you can help!!! 




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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. 


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!
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Subject: Aortic valve replacement

s/l koprenthee a-overs valve
Paramont? aortic and mitral valve. TIA. nm
Subject: Paramont? aortic and mitral valve. TIA. nm

nm
aortic valve is s/l trilucid or tri leaflet?
Subject: aortic valve is s/l trilucid or tri leaflet?

XX
TEE for s/l on-phos view of the aortic valve
Subject: TEE for s/l on-phos view of the aortic valve

x
Lambelle excresence or something of the aortic valve.
Subject: Lambelle excresence or something of the aortic valve.

::
Aortic valve replacement. The sutures were brought through...sm
Subject: Aortic valve replacement. The sutures were brought through...sm

the s/l gab A sewing guide.
Wild guess here: S1, S2 and aortic valve areas
Subject: Wild guess here: S1, S2 and aortic valve areas


In diagnosis: 5. Calcification of the aortic valve per CT then spells "C-O-A-R-S". ??
Subject: In diagnosis: 5. Calcification of the aortic valve per CT then spells "C-O-A-R-S". ??


Moderate aortic valve sclerocalcific changes on echocardiogram.
Subject: Moderate aortic valve sclerocalcific changes on echocardiogram.


rule out coarctation of the aorta and/ s/l R8 bicuspid aortic valve
Subject: rule out coarctation of the aorta and/ s/l R8 bicuspid aortic valve

nt
Some suggestions: Toronto SPV stentless or tilting disk or tricuspid aortic valve? nm
Subject: Some suggestions: Toronto SPV stentless or tilting disk or tricuspid aortic valve? nm

x
how to type out Type I Aortic aneurysm
Subject: how to type out Type I Aortic aneurysm

Would you use a roman numeral for Type I Aortic aneurysm or use Type one or type 1 ... I am thinking it is Type I but I am unsure. I am new to this all. Thanks for any help.
Duh. Meant to type mitral valve redundancy. Sorry. nm
Subject: Duh. Meant to type mitral valve redundancy. Sorry. nm


I thought it would be some type of cement, but he's is saying "Prodance" pretty clear, I ju
Subject: I thought it would be some type of cement, but he's is saying "Prodance" pretty clear, I just

can't document that anywhere. It seems to be a packing of some sort as the doc stated "we packed the wound and sutured the soft tissues over this impregnated with the antibiotics"... with whatever this "Prodance" thing is. I did try researching all types of antibiotic-impregnated cements, but no luck there either.
Mitral valve replacement with a #27 St. Jude valve.. or 27..thank you
Subject: Mitral valve replacement with a #27 St. Jude valve.. or 27..thank you


aortic?
Subject: aortic?


aortic insufficiency
Subject: aortic insufficiency

1+ aortic insufficiency


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


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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
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????
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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


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

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


 


Thanks


It's thoracic aortic dissection
Subject: It's thoracic aortic dissection


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Subject: aortic or arteriosclerotic aneurysm?


google "preserved effacing aortic
Subject: google "preserved effacing aortic


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Subject: She has had s/l diosite dysfunction and aortic stenosis.


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Subject: MR (mitral regurgitation) and AI (aortic insufficiency)?


Nevermind. He's saying mild aortic sclerosis
Subject: Nevermind. He's saying mild aortic sclerosis


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! 


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Subject: outflow murmur? can be pulmonary or aortic. nm


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Subject: intra-aortic balloon pump

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Subject: s/l loo-ee-nu-dil retroperitoneal approach to his aortic aneurism repair.


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Subject: s/l juxta-suprarenal abdominal aortic aneurysm

on CT scan but I can't verify that word.  Anybody heard this before?  or is it something else entirely!


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Subject: ELG = endoluminal graft for abdominal aortic aneurysm (NM)

x
maybe triple A repair -- AAA as in abdominal aortic aneurysm
Subject: maybe triple A repair -- AAA as in abdominal aortic aneurysm


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Subject: triple A=AAA, but I usual expand out to abdominal aortic aneurysm.

x
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Subject: endomluminal? repair of abdominal aortic aneurysm... correct?

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moderate mid abdominal aortic aneurysm below the **renals**and above the iliacs
Subject: moderate mid abdominal aortic aneurysm below the **renals**and above the iliacs


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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? 


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abdominal aortic aneurysm by ultrasound, small area of s/l ectasion
Subject: abdominal aortic aneurysm by ultrasound, small area of s/l ectasion


Pretty certain this one is not it....
Subject: Pretty certain this one is not it....

I am probably not even giving a good sounds like because it is so hard to hear. Thanks!
That's it I'm pretty sure...thanx!
Subject: That's it I'm pretty sure...thanx!


Pretty much that.
Subject: Pretty much that.

She has the diagnosis of s/l sarcoidosis from a transbronchoscopic lung biopsy showing focal noncaseating granuloma
Yes, I'm pretty sure he is still
Subject: Yes, I'm pretty sure he is still

in the abdomen on PE
Pretty sure that's what they mean..sm
Subject: Pretty sure that's what they mean..sm

Thanks for taking a stab at it.    Been MT'g for a very long time and this is a first.  New account and so far 3 docs have dictated it as 40 and 4 weeks.   
Thanks for your help. No, he says it pretty clearly.
Subject: Thanks for your help. No, he says it pretty clearly.


pretty sure no e on the end
Subject: pretty sure no e on the end