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CXR: Ill defined density seen in the right s/l PROVERBUN apex, which may represent postop change. NM

Posted By: PoodleLady on 2009-01-20
In Reply to:

Subject: CXR: Ill defined density seen in the right s/l PROVERBUN apex, which may represent postop change. NM




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Is it staple-spiculated density or stable spiculated density? Can't find either. Thanks
Subject: Is it staple-spiculated density or stable spiculated density? Can't find either. Thanks


ill-defined
Subject: ill-defined


Probably ill-defined
Subject: Probably ill-defined

An ill-defined density.
Waddell defined
Subject: Waddell defined






WADDELL TEST:

The patient is tested for appropriateness of response to tenderness. axial loading, rotation, straight leg raising in the seated position, regional disturbances and overreaction. Inappropriate responses in three of the five areas is very suggestive of functional overlay in patients with back problems.

 


poorly-defined margins?
Subject: poorly-defined margins?

dd
If this is related to surgery, it could possibly represent (s/m)
Subject: If this is related to surgery, it could possibly represent (s/m)

American Society of Anesthesiologists' Patient Classification.

(Example: ASA:IV)
HOOP on pulmonary exam...what does it represent? sm
Subject: HOOP on pulmonary exam...what does it represent? sm

Will anyone share what this acronym represents?


Not BOOP, clearly HOOP. 


Thanx.


 


which may represent a phlebolith, thus a right ureteral calculus could not be entirely EXCLUDED nm
Subject: which may represent a phlebolith, thus a right ureteral calculus could not be entirely EXCLUDED nm

nm
felt to represent cysts!. Are you taking a test?
Subject: felt to represent cysts!. Are you taking a test?


don't think pec, maybe apex...
Subject: don't think pec, maybe apex...

x
apex
Subject: apex

I would think prominent would be correct also.  Have done quite a bit of cardiothoracic surgery in my time (world-renowned Cleveland Clinic
could be "temporalis apex"
Subject: could be "temporalis apex"


just guessing also..how about proverbial apex?
Subject: just guessing also..how about proverbial apex?

xx
cardiac exam: apex not s/l prominent?
Subject: cardiac exam: apex not s/l prominent?

does this sound correct? actually what is really s/l is apex is not pra....


echo results... ***fanned*** apex? TIA NM
Subject: echo results... ***fanned*** apex? TIA NM

x
s/l Repleva 21/7 for postop c-sec?
Subject: s/l Repleva 21/7 for postop c-sec?


Pre and Postop diagnosis is
Subject: Pre and Postop diagnosis is

cholecystitis but he says the procedure is an appendectomy??  That cannot be right or am I crazy??   It is clear as could be.
postop surgery for what?
Subject: postop surgery for what?

what surgery?
postop exercise sm
Subject: postop exercise sm

Surgery was a total abdominohysterectomy and bilateral salpingo-oophorectomy was done with morcellation technique, significant enterolysis and uterosacral plication for vaginal suspension.   Postoperatively doc says she was doing her s/l base-ense-exercises and ambulating........


s/l darka postop shoe? SM
Subject: s/l darka postop shoe? SM

Patient with diabetes who has an ulceration on her foot - dictator says patient will use Panafil and Fibracol, and  "she will continue to wear the darka postop shoe with a forefoot wedge."
dr is describing postop incisions- sm
Subject: dr is describing postop incisions- sm

She does have some erythema in her perineum and her buttocks.  She is not tender in this area, and there is no s/l screpadence or sucrepadence or induration noted. 


Anyone doing MT should know if a period is required after postop.
Subject: Anyone doing MT should know if a period is required after postop.

Where did you get your education? If you don't know that much, you should not be in this field as you are a disgrace to the MT field.
density
Subject: density


Would think "split" sutures, unless this is postop a few days &
Subject: Would think "split" sutures, unless this is postop a few days &

s
as postop diagnosis says severe central
Subject: as postop diagnosis says severe central

stenosis at L3-4 and 4-5 and s/l fraying/framing?? stenosis at 3-4, 4-5, and 5-1
Pt with postop bleeding txd with s/l QL and polystyrene mixture. (nm)
Subject: Pt with postop bleeding txd with s/l QL and polystyrene mixture. (nm)

  
proton density
Subject: proton density


bone density
Subject: bone density

He is talking about her bone density and recommended "Reclastin".  Thanks!!
Superhilar density maybe???? nm
Subject: Superhilar density maybe???? nm


suprahilar density
Subject: suprahilar density

Probably suprahilar density
Could be right; they often use an agent to deaden nerves for postop pain. NM
Subject: Could be right; they often use an agent to deaden nerves for postop pain. NM


Yep, "an echogenic density" (nm)
Subject: Yep, "an echogenic density" (nm)

...
Peripheral___ density on chest CT
Subject: Peripheral___ density on chest CT

On a chest CT, says peripheral ___ density, s/l it starts with an F and sounds like fibr-something, but I can't tell if he adds a syllable, and he is really unclear. Thanks in advance!
BMD is bone mineral density.
Subject: BMD is bone mineral density.


She has had s/l 'R P' bone density scan. Thx! nm
Subject: She has had s/l 'R P' bone density scan. Thx! nm

..
stable spiculated density
Subject: stable spiculated density

stable spiculated density
Upper linear density??....nm
Subject: Upper linear density??....nm

nm
super helnar density?
Subject: super helnar density?

Chest x-ray showed a persistent "super helnar" density
..one day postop removal of a glomus tumor. We also had to do an eardrum repair. nm
Subject: ..one day postop removal of a glomus tumor. We also had to do an eardrum repair. nm


pt. came in with appendicitis, but in postop notes, dictator keeps saying left epi/appe?
Subject: pt. came in with appendicitis, but in postop notes, dictator keeps saying left epi/appe?


Guessing here, but something like multifocal low density area?nm
Subject: Guessing here, but something like multifocal low density area?nm


Info on bone density scan.....(sm)
Subject: Info on bone density scan.....(sm)

Just 1 reason why Internet availability for MT referencing is an invaluable asset. 
DEXA is not a valid term.  The ISCD (the society that sets the standards for bone density scanning) termed the official “spelling” to be only
DXA in 2002. 


Not saying repeat bone density scan? nm
Subject: Not saying repeat bone density scan? nm


Anyone heard of "shago" echo density???
Subject: Anyone heard of "shago" echo density???


Chest x-ray: a "nil defying density"
Subject: Chest x-ray: a "nil defying density"

Chest x-ray showed submaximal inspiration, but s/l "a nil defying" density was seen in her right lower lobe.
Drain was removed at this first postop visit- discontinued makes the most sense. Thanks!
Subject: Drain was removed at this first postop visit- discontinued makes the most sense. Thanks!


type of shoe wear for postop cuneiform fracture? s/l cunua nm
Subject: type of shoe wear for postop cuneiform fracture? s/l cunua nm


The vaginal cuff was identified and the apex of the cuff was elevated using s/l Allis or LS suture?
Subject: The vaginal cuff was identified and the apex of the cuff was elevated using s/l Allis or LS suture?


Per Stedmans Rad: T-score measurement of bone mineral density. sm
Also, there is Z-score in bone mineral density measurement. 
pt has hypercalcemia..A bone density test will be repeated in therapy with a bisphosphonate & sm pls
Subject: pt has hypercalcemia..A bone density test will be repeated in therapy with a bisphosphonate & sm pls

A bone density test will be repeated in therapy with a bisphosphonate and s/l sit-ter-rid
Postop was colon cyst, question cyst intestinale? sm
Subject: Postop was colon cyst, question cyst intestinale? sm

I just sent to QA to see if they could figure it out :)