if the patient had any major GI surgery in the past, like a Billroth II or Whipple? If so, stumpitis may be correct. Let me know! It's a long shot and it would be slang, but I need to know history to tell you for sure.
surgical history s/l all-tee Subject: surgical history s/l all-tee
Patient is being seen for balance problems. There is a lot of focus in the report on various tests and her previous tethered cord, lumbar stenosis, laminectomy, etc.
Past surgical history includes: "repair of a spinal fluid leak and (s/l all-tee) then the lumbar spine fusion."
Any ideas as to what the all-tee might be? At first I thought it was the doctor stumbling over her words, but upon re-listening, I'm not so sure!
I do not in surgical history. I only Subject: I do not in surgical history. I only
expand it if in an op report heading of Procedure Performed:
Surgical History Subject: Surgical History
I know that most of the time we write out acronyms in the surgical history, but for some tests and procedures, the acronym is okay. (Like CT scan, etc)
Past Surgical History Subject: Past Surgical History
Doc is dictating patient's past surgical history. States she had s/l a budd kay or e malformation based on her MRI at the hospital. Any clues b/c I am at a loss with this one! Sounds like past surgical history. Subject: Sounds like past surgical history.
MRI is reviewed confirming the presence of a full-thickness supraspinatus tendon tear with early glenohumeral arthritis. The patient apparently had a long head biceps tendon operation as well, perhaps s/l an or in acoa.
The patient has another orthopaedic surgeon in New York that has done a shoulder procedure (he says this in the HPI) and I can't tell if he's saying "an" or "in" acoa.
OPERATION PERFORMED:
1. Exploratory laparotomy.
2. Mucinous abdominal and pelvic mass resection.
3. Pyloric mass resection.
4. Rectosigmoid colon resection with terminal end colostomy.
5. Cecal and ascending colon resection with primary end-to-end ileal ascending colon anastomosis.
6. Ureterolysis bilateral.
7. Extensive lysis of adhesions. Of COURSE the content was needed. sm Subject: Of COURSE the content was needed. sm
If you are embarrassed by this type of comment, you should NOT be in this business.
The patient had removal of this aberrant eyelash from the lower lid in the following manner:
The eyelash was still within the eyelid itself.I used magnifying glasses, as well as splinter forceps and was able to localized the eyelash and remove it from the lower lid.The size of the eyelash was about 0.5 cm in size.In fact, it appeared to be in an aberrant location of the other eyelashes itself.I felt that this eyelash could actually have been relocated somehow to AN ERROR POOR?The patient tolerated the procedure well, no complications.The patient was given Ciloxan to be
it out. It is a foreigner. He is saying it very fast. History of abnormal petatrie functioning is what is sounds like to me. I have no clue.
history of colorectal history with metastasis to the liver and lymph nodes Subject: history of colorectal history with metastasis to the liver and lymph nodes
Nursing home patient. Diagnoses include pathologic left hip fracture, osteoporosis, Altzheimer's, NID diatetes, UTI, sacral decubitus and hyponatremia, dehydration and anemia or blood loss which he did not mention but she received 2 units of blood. She got Levaquin for the UTI while in the hospital. This enactoperon was not a discharge medication.
i've never heard ORIF refer to the abdomen either...did they mention any past surgical history? hip replacement? or femoral fracture? any other clues?
pure guess (not enough clues) sm Subject: pure guess (not enough clues) sm
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