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diagnosis for operation includes intrauterine pregnancy at term, failure to progress and sm

Posted By: nm on 2009-04-28
In Reply to:

Subject: diagnosis for operation includes intrauterine pregnancy at term, failure to progress and sm

and fetal s/l "a-sink-qua-sism".




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intrauterine pregnancy.
Subject: intrauterine pregnancy.

x
something intrauterine pregnancy ? nm
Subject: something intrauterine pregnancy ? nm

nm
OB.. early s/l into uterine pregnancy.. or intrauterine?? thanks
Subject: OB.. early s/l into uterine pregnancy.. or intrauterine?? thanks


s/l "diodide" twin intrauterine pregnancy
Subject: s/l "diodide" twin intrauterine pregnancy


It could be. If there is failure to progress. sm
Subject: It could be. If there is failure to progress. sm

I had to have an emergency C-section and they ruptured my membrane. They used this crochet hook looking thing. So it could possibly be assisted or even abrupt.
If you mean the term operation OP report, no that is redundant.
Subject: If you mean the term operation OP report, no that is redundant.


What is considered term pregnancy?
Subject: What is considered term pregnancy?

I have a dictator that said, "The child was born at term.  Mom was 24 weeks' gestation."  I always thought term was somewhere around 36+ weeks.  He went on to say the birth weight was 6 pounds 13 ounces.  Just from experience, I would think a 24-week gestation infant would not weigh that much.


Anyone in OB care to comment?


would there be intrauterine s/l fossa? was seen in
Subject: would there be intrauterine s/l fossa? was seen in

posterior wall measuring about 10.7 x 6.1 mm? 
s/l intrauterine sinica
Subject: s/l intrauterine sinica

Preop for hysteroscopy and dilatation and curettage.


 


Thanks for any help


Also Cohen intrauterine cannula.
Subject: Also Cohen intrauterine cannula.

x
intrauterine "animate" ovoid???
Subject: intrauterine "animate" ovoid???


intrauterine-pressure catheter (IUPC), nm
Subject: intrauterine-pressure catheter (IUPC), nm


Med list includes s/l queramferamine sm
Subject: Med list includes s/l queramferamine sm

pt is 85 but lists only bilateral hip replacement and asthma for PMH.  Is having trouble breathing.
it includes in his current medications
Subject: it includes in his current medications

amlodipine, Budeprion, __(nephro-lite/-light)___, lorazepam, hydrocodone, alprazolam, and RenaGel.
Med list includes s/l Lentium. Any help?
Subject: Med list includes s/l Lentium. Any help?


His current Rx includes (s/l Narnia) 700 mg q. day - nm
Subject: His current Rx includes (s/l Narnia) 700 mg q. day - nm


(sorry!!) operation was parathyroidectomy
Subject: (sorry!!) operation was parathyroidectomy

sentnce was "It was alandized and de-epithelialized"
Caldwell-Luc operation or . . .
Subject: Caldwell-Luc operation or . . .

cold agglutinin syndrome?

guessing
s/l bronchmead operation?
Subject: s/l bronchmead operation?

anyone heard of this?  Its driving me nuts!  Thanks. 
Is this right? operation OP report... Thanks. nm
Subject: Is this right? operation OP report... Thanks. nm


I would list it as one, as it was probably done during the same operation.
Subject: I would list it as one, as it was probably done during the same operation.


operation transcription
sounds like "area was then scrubbed with liquid braided dye and drape"  Anyone have any suggestions?
operation question
Subject: operation question

Placement of an Oasis implant on this clean granulating wound.  This is the title of the operation.  Does this sound right?  It is for postphelebitic syndrome with varicose ulceration.
probably includes 'descension' (of fetal head) in there. Don't know what the
Subject: probably includes 'descension' (of fetal head) in there. Don't know what the

s
Long list of meds includes s/l ba vay so nm
Subject: Long list of meds includes s/l ba vay so nm

.
Clayton-Hoffman operation?
Subject: Clayton-Hoffman operation?

S/L Clayton-Hoffman operation...It is a type of foot surgery. He says it very clearly, but I just can't find it anywhere, and I am uncomfortable guessing on spelling. Anyone else heard of it?
Where exactly during the operation, maybe the sentence in which is used, could be helpful.
Subject: Where exactly during the operation, maybe the sentence in which is used, could be helpful.


As the type of operation being performed
Subject: As the type of operation being performed

Debridement of nonunion, right distal femur with bone grafting (cancellous chips allograft and INFUSE BMP bone grafting).

I am asking because I found it 3 different ways and thus my confusion.
progress note
Subject: progress note

On this progress note it sounds like the doctor says "blood pressure 167/82, heart rate is 90, resperate 20, T max is 100.8."      


Should that be respirations 20, temperature at max 100.8?  thanks


progress note
Subject: progress note

thanks so much for your help you are right!!!
progress note
Subject: progress note

thanks for your help!!!
progress note help please!!!
Subject: progress note help please!!!

Blood pressure 167/82.  Heart rate is 90, respiratory rate 20, Temperature at max is 100.8.  No JVD lungs and expiratory wheezes.  There are some rales in the right base.  Heart without ** and edema.  **120, **3.4, chloride 94, ** 25, glucose 91, BUN 9, creatinine .6, calcium 8.5, white count is 5.7, hemoglobin 8.9 down from 10 yesterday, platelet count 234,000, 6 lymphs, 10 minus 1 basophiles, 7 bands, 76 segs.~~~~ after heart without--it sounds like a extremity then ssss sound.  the other sounds like Sims 120.  the other sounds like seven and a 3.4.  the other sounds like bacum.  ANY HELP WOULD BE GREATLY APPRECIATED!!!!
Progress note help
Subject: Progress note help

Heart: Without? lower extremity edema. Sodium 120, potassium 3.4, chloride 94, bicarb 25.

Also, probably should be temperature T-max is 100.8. No JVD. Lungs: End-expiratory wheezes.
progress note help
Subject: progress note help

You are wonderful. I can't thank you enough!!!!!!!!!!
Making progress
Subject: Making progress

He said the first 3 letters again and spelled them:

I, B as in Bictor (meaning V as in Victor), F Laboratory.

So now we have IVF icksee Laboratory.
help with progress note
Subject: help with progress note

This pat has a cough and post-nasal drip, as well as GERD

Begins s/l *effuncting* nausea and abnormal liver enzymes. This could be a title or description of the nausea, but I can’t find anything.

Then,
s/l *Cardiovicular*. She reports the nausea has resolved. . . . has post-nasal drip .. .cough is not constant. Reflux is under good control
Edit/Delete Message
making a little progress
Subject: making a little progress

with this one, thanks to your answers... still hearing something like "Pradus" but instead of obturate, was saying on THE RIGHT. definitely NOT piriformis or sure does not sound like it, then goes on to gluteus medius and maximus.
Cardiac patient's list of medications includes
Subject: Cardiac patient's list of medications includes

s/l Diameril.  Help?
Pt has sickle cell. Med list includes s/l gentx nm
Subject: Pt has sickle cell. Med list includes s/l gentx nm


Progress Note headings?
Subject: Progress Note headings?

I really want to hear Chief Complaint, but I’m sure he starts with Cardio. Thanks anyway.
Progress Note headings?
Subject: Progress Note headings?

I can’t hear the “tat” part, but that sure makes sense. I like the cardiovascular, too, except this is talking about GERD - could that be connected to Cardiovascular system?
Progress Note: Heart without ?, Help please
Subject: Progress Note: Heart without ?, Help please

Heart without _____ (s/l extra absoftness) without edema. 


 


Also in same report, dictator says:


Urine shows 5-10 red cells, occasional white cells, moderate bacteria, negative glucose, negative


_____ (s/l glucoside esterase).


 


Does anyone know what those 2 blanks might be?  I see “glucosylceramidase assay” in the Stedman’s Lab Words book, but I don’t hear that in the dictation.


I would appreciate any help at all.



any pilocidal cyst and sinus operation sample.
Subject: any pilocidal cyst and sinus operation sample.

sorry, it is hard to listen


 


Work under progress on Word Board...
Subject: Work under progress on Word Board...

You may experience posting problems on Word Help Board only for next couple of hours.


Sorry for the trouble,


MTStars Administration.


Pt with irritable bowel, tests includes s/l "IBA first step". Anybody heard of this? TIA. nm
Subject: Pt with irritable bowel, tests includes s/l "IBA first step". Anybody heard of this? TIA. nm

nm
please help! Past medical history includes s/l spilling? cardiac enzymes. Thanks!
Subject: please help! Past medical history includes s/l spilling? cardiac enzymes. Thanks!


Previous surgery includes lateral release of the s/l D&ACL reconstruction as well as shoulder.
Subject: Previous surgery includes lateral release of the s/l D&ACL reconstruction as well as shoulder.


s/l Jeffry??? Technique to the liver, for whipple operation. Thank you guys. please help
Subject: s/l Jeffry??? Technique to the liver, for whipple operation. Thank you guys. please help


s/l careic? lesions. dental progress note
Subject: s/l careic? lesions. dental progress note


progress note--right lower lobe pneumonia
Subject: progress note--right lower lobe pneumonia

this is what the doctor is saying--"She has been on half-normal.  Her (saline/sodium) drop will change to normal saline of 50cc an hour."  in the second sentence of this I am not sure if he is saying saline or sodium?  any help?
Operation proceeded by doing ___s/l band?? endoscope started by direct microlaryngoscope.
Subject: Operation proceeded by doing ___s/l band?? endoscope started by direct microlaryngoscope.