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rectum was moblilized from the sacral ala using blunt dissection

Posted By: PRiddy on 2008-10-07
In Reply to:

Subject: rectum was moblilized from the sacral ala using blunt dissection




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could it be "...1 into rectum..." ??
Subject: could it be "...1 into rectum..." ??


(s/l 200 sided tape) was placed in the rectum
Subject: (s/l 200 sided tape) was placed in the rectum

This is for a D&C and i can't understand the first few words of this sentence.
what type of lab test shows no air in the rectum?
Subject: what type of lab test shows no air in the rectum?

I can't even do a s/l bc I can't make out anything except shows no air in the rectum.
s/l blunt?
Subject: s/l blunt?

She has been very edematous and very sick for the first few days here.  Her cardiac function seemed to recover and over several days, she was able to ______ sufficiently to decrease the amount of edema that she had had.


All I can hear is blunt?!


Thanks!


blunt-end? sm
Subject: blunt-end? sm

Minimally Invasive Procedures in Traumatic Brain Injury
provided by tube feeding may be necessary in those patients with TBI requir- ..... ing stylet, leaving the blunt-end cannula within the stomach. ...
www.springerlink.com/index/q27573111241r03w.pdf - Similar pages
by

Blunt diet? Anyone?? nm
Subject: Blunt diet? Anyone?? nm


Editor said blunt...new to me! nm
Subject: Editor said blunt...new to me! nm

nm
s/l blunt homer...
Subject: s/l blunt homer...

'Once adequate exposure was maintained, the proximal tibia was dislocated anteriorly with a blunt s/l homer.'

This is total knee arthroplasty operation. TIA.
Compounding pharmacy may make these up. In Hospice, we DID use Valium tablets per rectum for very
Subject: Compounding pharmacy may make these up. In Hospice, we DID use Valium tablets per rectum for very

s
#10 obturatory...Blunt tip obturator???
Subject: #10 obturatory...Blunt tip obturator???

There is a #10 blunt tip obturator.  Could this be it???
yep - baby Hohmann and blunt Weitlaner
Subject: yep - baby Hohmann and blunt Weitlaner


There are blunt and Blount retractors listed by Tessier. nm


in assessment says Esoteric ??? failure, blunt chest trauma
Subject: in assessment says Esoteric ??? failure, blunt chest trauma


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. 


Thanks


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!!


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


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!!!


"Katy" dissection in a thyroid lobectomy?
Subject: "Katy" dissection in a thyroid lobectomy?

Has anyone ever heard of this "Katy" dissection in a thyroid lobectomy? Help!
Proctectomy: Surgical resection of the rectum or Prostatectomy: Surgical removal of the prostate gla
Subject: Proctectomy: Surgical resection of the rectum or Prostatectomy: Surgical removal of the prostate gland.


sacral ala
Subject: sacral ala


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"


sacral fracture
Subject: sacral fracture

Patient presents with crush injuries it sounds like the doc is saying he has a right sacral "alabody" fracture....
L4 through L5 or L4 through S1 sacral fusion?
Subject: L4 through L5 or L4 through S1 sacral fusion?


sacral? cecal?
Subject: sacral? cecal?

DICT: Small free fluid deep pelvis on the left, some "sacral/cecal" duct ectasia S1-S2 nerve roots.

1. Is it 'sacral' or 'cecal'? Could it be something besides these?

2. Is 'S1-S2 nerve roots' formatted properly?


TIA!!!
s/l sacral dysgenesis...sm
Subject: s/l sacral dysgenesis...sm

I know there is a sacral agenesis but it surely sounds like she is saying a "dys" in front of it.  Is there anything like that?  Thanks.
Sacral dimple?
Subject: Sacral dimple?

That's the only thing I can think of that would sound like that.


 


sacral ala insufficiency
Subject: sacral ala insufficiency


lumbosacral or lumbar sacral, or
Subject: lumbosacral or lumbar sacral, or

do they both mean the same thing?
Sacral alar fracture.
Subject: Sacral alar fracture.

//
? right sacral muscle group
Subject: ? right sacral muscle group


fith-lumbar-first sacral
Subject: fith-lumbar-first sacral

Can you believe that QA said it should be:


1.  Right-sided fifth lumbar-first sacral herniated nucleus pulposus.


Thanks for the responses though! 


sacral ala is an accurate term, but...
Subject: sacral ala is an accurate term, but...

only you know if that's what you're hearing.
Probably sacral decubitus ulcer.
Subject: Probably sacral decubitus ulcer.


salcral sulci (sacral groove etc) sm
Subject: salcral sulci (sacral groove etc) sm


The Hesch Method: Excerpt from workbook: Sacral Torsion





The traditional approach utilizes only a few tests, which include palpation of only 8 sacral landmarks: the sacral base, the sacral sulci, ...
www.heschmethod.com/sacraltorsion.shtml - 17k - Cached - Similar pages


COMLEX sample questions





Palpation of the sacral sulci in the Sphinx position exaggerates the asymmetry of the sacral sulci ... The sacral sulci are deeper than average bilaterally. ...
www.mommd.com/comlexsample.shtml - 54k - Cached - Similar pages


The Hesch Method: Excerpt from workbook: Sacral Torsion





The traditional approach utilizes only a few tests, which include palpation of only 8 sacral landmarks: the sacral base, the sacral sulci, ...
www.heschmethod.com/sacraltorsion.shtml - 17k - Cached - Similar pages


COMLEX sample questions





Palpation of the sacral sulci in the Sphinx position exaggerates the asymmetry of the sacral sulci ... The sacral sulci are deeper than average bilaterally. ...
www.mommd.com/comlexsample.shtml - 54k - Cached - Similar pages

sacral sulci. sorry. Watching game. nm
Subject: sacral sulci. sorry. Watching game. nm


Listen again - should be a number, such as L4-5 sacral fusion.
Subject: Listen again - should be a number, such as L4-5 sacral fusion.

nm
s/l Aleeven foam to sacral wound
Subject: s/l Aleeven foam to sacral wound

xx
type of mattress for sacral ulcer
Subject: type of mattress for sacral ulcer

This is an elderly female with a cocygeal ulcer. She as on a s/l LOPULSATE AIRLOSE mattress during her hospital stay?

ESL dictating so I'm having trouble hearing her.
Help, sounds like sacral alum insufficiency?? nm
Subject: Help, sounds like sacral alum insufficiency?? nm

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

x
Sacral ulcer, local wound care with a ----- AG? TIA
Subject: Sacral ulcer, local wound care with a ----- AG? TIA

xxx
Sacral fx: "...at the level of the SI joint with some mild s/l BARTING." SM
Subject: Sacral fx: "...at the level of the SI joint with some mild s/l BARTING." SM

The "b" is very pronounced. 
never mind. It is sacral agenesis. She says absent sacrum after it,. Thanks. nm
Subject: never mind. It is sacral agenesis. She says absent sacrum after it,. Thanks. nm

d