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An operative report...SM

Posted By: sps on 2005-10-04
In Reply to: Got a name of a body part or system? Is this a history or an op report? nm - passing thru

Subject: An operative report...SM

We have three options for the nasal fill area. We discussed allowing this to heal by secondary intention, full-thickness skin graft, and _____ tissue transfer.


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Operative report
Subject: Operative report

She required a microround, a minute of Dopamine to maintain her pressure.


I'm not sure if microround is what he is saying. Do they use that term? Thank you.


Operative report
Subject: Operative report

I am having a really hard time understanding this doctor. I've researched this term (or what I think he's saying) without any luck. I always turn to you guys last and you always seem to come up with the answer. Thanks for the help! At the end of the report he dictates anesthesia, IV fluids etc. Then he says something that sounds like this " Line: LB and RT line or Line: Albi and ulti line. "
operative report
Subject: operative report

 is there a palmary bilateral tubal ligation?
operative report help please
Subject: operative report help please

patient undergoing c section and tubal ligation . . . s/l malar incision - I found malare, is this correct?
operative report
Subject: operative report

diagnosis is carcinoma of the lymph, when the doctor is given the name of the operation I can't make it out---S/L   X-WORSE PROCEDURE  any idea'a?  thanks for you help!!


Operative Report help
Subject: Operative Report help

How do I correctly type this:


Then, tumescent fluid 250 mL to the right and left upper abdomen areas, each was placed using (says 1 and 1 million) Epinephrine into the subcutaneous tissues, attention was then turned to each flank where 500 mL was placed into each flank area. 


Would it be 1:1000000


Thanks in advance.


HELP WITH CATARACT OPERATIVE REPORT
Subject: HELP WITH CATARACT OPERATIVE REPORT

Hi, everyone, need help right quick ---


Doctor dictates in a heading:


ANESTHESIA:  TOPICAL AND _____ WITH IV SEDATION.


He says intracameral --- but I cannot verify anywhere.  Does he mean intracanalicular?


Thanks....


Dental operative report
Subject: Dental operative report

sentence: Direct nasal endotracheal intubation was established with a size 5.5. nasal __________ tube.

Sounds like nasal 'ray' tube. Is 'ray' correct?
s/l Avoseal used in an operative report for TAH? nm
Subject: s/l Avoseal used in an operative report for TAH? nm

x
Is it in the operative diagnosis or in the body of the report?
Subject: Is it in the operative diagnosis or in the body of the report?

Is the account verbatim? Abbreviations are not acceptable (most places) if they are used in the diagnosis headings, but are okay if in the body of the report, unless the facility has requested otherwise.
missed abortion d&c sample operative report
Subject: missed abortion d&c sample operative report

missed abortion d&c sample operative report
operative report...placed on a flur-au-three table. nm (new doctor).
Subject: operative report...placed on a flur-au-three table. nm (new doctor).

thanks.
or just operative indications
Subject: or just operative indications

.
Thanks everyone. I don't do those kinds of operative note often enough.
Subject: Thanks everyone. I don't do those kinds of operative note often enough.

nm
Operative prep s/l coaxane?
Subject: Operative prep s/l coaxane?

Dictator states he prepared the patient's right groin with s/l coaxane or glaxane? Thank you.
Orthopedics operative note help please ...
Subject: Orthopedics operative note help please ...

"He was found to have a complete rupture.  He was s/l *diastased* about 1.5 cm or so and he had some early scar tissue forming.  Debrided all of this down until we got to decent looking, healthy Achilles tissue."


TIA


Findings in operative: Uterus s/l "tone seismic" position
Subject: Findings in operative: Uterus s/l "tone seismic" position

Uterus s/l "tone seismic" position.  Cervical os about already dilated.  Uterus was sound to 10 cm.  Moderate amount of s/l horrific flexion" were obtained.  No adnexal mass is palpable.
Operative note on finger~phyte phyte infection?
Subject: Operative note on finger~phyte phyte infection?

 agghh!  i can't find it and he says it 3 times!  none any clearer than the first time around  Thanks!
EKG report
Subject: EKG report

"No weeshnoblomotion abnormalities are identified." What is that word?
thanks everyone. One more report and then I am going to bed.
Subject: thanks everyone. One more report and then I am going to bed.


nothing more to add about the report unless
Subject: nothing more to add about the report unless

the patient had an implanted pacemaker which is not eluded to here.  Just a note, adenosine is not capitalized except to start a sentence.


Maybe you will hear something back.


d~


Sorry, same report...
Subject: Sorry, same report...

"CPK and _______ were negative"  s/l intraconals??


 


Still on the pulmonologist's report...


EEG report
Subject: EEG report

Anyone ever heard of an EEG performed on a Nikon Codon machine?  Thanks.
just sent the report on.........nm
Subject: just sent the report on.........nm

x
op report sm
Subject: op report sm

What kind of surgery is it? If he used "lap" laparotomy pads may be the second one. They usually say sponge, needle and instrument counts. Will keep thinking on this one. Type of surgery would help.


You don't say where in the report -- sm
Subject: You don't say where in the report -- sm

this is given, or any other context, so I have to wonder if this isn't a problem list perhaps giving more than one diagnosis/problem here (as in (1) portosystemic shunt and (2) nephrolithiasis)...

Just a thought
ENT report - sm
Subject: ENT report - sm

Does include sinus surgeries, Caldwel-Luc surgery. Is also on Flonase. Patient is actually here regarding Grave's disease. I'm wondering if this is Relpax D, but I'm not able to verify that as a drug. Any suggestions?
ENT OP report help, please...
Subject: ENT OP report help, please...

Vocal cord lesion biopsy -


Peripheral -s/l orb or oral- sinuses were intubated to their apices and were normal.


Specimen was sent -s/l informal- and for pathology.


TIA!


OP report
Subject: OP report

OP report, lumbar spine


Next, fluoroscopy was used to place new screws at the L2-3 segment.  Starting points were identified at the confluence of the midpoint of the transverse process, the **manloid** process, and the pars interarticularis



He really mumbles through this part, so I am just not sure, but I have not heard this term used before. Thanks!


op report help please sm...
Subject: op report help please sm...

FINDINGS:  Epidurogram revealed normal (s/l-cephaloquadet-) contrast flow outlining the right L5 nerve root sleeve in the epidural space with good flow achieved medial to the right L5 pedicle.  The patient did experience some concordant L5 symptoms on the right side during the injection.  Vital signs remained stable throughout. 


 


 


 


 


OP Report
Subject: OP Report

Hi all! I am doing an OP for a lumbar spine surgeon, but this is just for an I&D. He says the area was probed with "sucker tips" and was found to be subfascial. I am not too comfortable with what I am finding online for this. Has anyone heard this before? Thanks!
OP report help, please
Subject: OP report help, please

Patient was premedicated with intravenous s/l Benadryl. 


Would that be right?


report does not say .. but says she is on BC
Subject: report does not say .. but says she is on BC


help with op report
Subject: help with op report

I never do op notes!  The sentence reads:


The S/L RAFFAY between the anterior and middle deltoids was then opened.  TIA!


Doing EMG report sm
Subject: Doing EMG report sm

The patient has focal severe slowing primarily in sensory fibers in the right upper extremity, on multiple restimulation unable to elicit a response to both s/l "Palmar 8" studies. 


 


I can't find this anywhere.  Anybody have any ideas?  Thanks!


I wish I could see the report, but
Subject: I wish I could see the report, but

could she be saying communication, as in an opening has formed between 2 sinuses or something?

It is so frustrating to be given only a tidbit of a report instead of being able to puzzle it out from what is going on with the patient.
Thanks, but as I'm into the report it
Subject: Thanks, but as I'm into the report it

sounds like this is some weird wording for microscopic blood.

I've done thousands of endoscopy reports and GI consults, but I can't think why he'd say "affobiddy positive stool" instead of something about occult blood or microscopic blood.
ER report. Sm please
Subject: ER report. Sm please

The patient has a 4 mm calcification on the pelvis on the right which may represent a s/l flevolith, thus a right ureteral calculus could not be entirely occluded. 


OP report
Subject: OP report

general s/l elam anesthesia. New to OP reports! TIA


Thanks! That's how I did it in the report nm
Subject: Thanks! That's how I did it in the report nm


OP report
Subject: OP report

s/l -fecal lift- at the base of the appendix
C-sec report
Subject: C-sec report

Does this by some chance have to do with cephalodisproportion, because I looked up Jill Cohen - C-section in google, and there is somebody named Jill Cohen and it talks about labor and delivery and C-section and something this lady wrote about it.  Could this be it.  Check it out on google.
PT report
Subject: PT report

S/l ESTEEM for pain management?
report
Subject: report

Does any one know focal tics of sounds like aphitical movements. Thank could use the help.
TEE report - Need help
Subject: TEE report - Need help

" NO BUBBLES ___________ FROM RIGHT TO LEFT SIDE"  s/l caused.  He also said bubble study was done with 9 mL normal saline and "a cc" of air.  Is this written 1 mL? 
per report
Subject: per report

The only diagnosis is bipolar, duh!
was my last report of the day
Subject: was my last report of the day

and he was getting to me!  my least favorite account, lots of bad dictators
MRI report s/m
Subject: MRI report s/m


MRI of the brain shows what looks to be an acute infarct on DWI on the right brainstem area, which were also changes seen on the T2 weighted - s/l anuses - suggesting that this is probably an infarct, which occurred 7-10 days ago.


any ideas cuz I'm pretty sure there are no weighted "anuses" in the brain, at least not identifiable by MRI.


 


op report help
Subject: op report help

Doc states that the the articular surface of the lateral tibial plateau was then s/l stacked as was the weightbearing surface of the lateral femoral condyle.

Thanks
It's an EGD report .... sm
Subject: It's an EGD report .... sm

He states, "Instruments used were a Fujinon esophagogastroduodenoscope and a ________ bougie #54."

He later states, "The ________ bougie was passed easily."
GU op report help please
Subject: GU op report help please

I tried to dilate the urethra with  s/l male sounds, but they would not pass easily due to the false passes. (Talking about bladder stones).


He says it clearly, but I've never heard of these nor can I find it.  Can't find anything under "Mayo" either thinking perhaps it was an instrument of some kind.