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Can only think of friable, but probably not if bleeding isn't mentioned. nm

Posted By: Hmmmm on 2007-06-20
In Reply to: a long shot.. Rectal exam with a partically thrombosed hemorrhoid. The majority of it is... - debbie

Subject: Can only think of friable, but probably not if bleeding isn't mentioned. nm

s


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friable
Subject: friable

it's friable
re: friable
Subject: re: friable

Hi, sorry for getting back to you so late – had way too much editing today!  Yes, there are numerous instances, especially on bronchoscopic biopsy, in which friable tissue, atheroma and/or clot can be encountered affixed or near the "fibrous" tissue.  I really hope that's what is being said.  Let me know if I am wrong.  ;-)


friable
Subject: friable


Can you hear friable ? nm
Subject: Can you hear friable ? nm

x
s/l *friable* weak tissue
Subject: s/l *friable* weak tissue

There is a hyperkeratotic lesion at the plantar aspect of the 1st metatarsal head, right.  Sharp debridement of this lesion today reveals _____, weak tissue at the site of the previous ulceration.  There is no active drainage and the base is granular.
friable sounds correct here. nm
Subject: friable sounds correct here. nm

x
peripherally friable around os..Does this sound right?
Subject: peripherally friable around os..Does this sound right?

She just had a Pap smear done. Thanks
Would think just 'extremely friable and thin tissue.' nm
Subject: Would think just 'extremely friable and thin tissue.' nm

s
stigmata of bleeding or stigmata of active bleeding, maybe?
Subject: stigmata of bleeding or stigmata of active bleeding, maybe?


Could it be *bleeding* ? nm
Subject: Could it be *bleeding* ? nm

x
bleeding?
Subject: bleeding?


Not bleeding. She's definitely saying BD or BV or B something.
Subject: Not bleeding. She's definitely saying BD or BV or B something.


Bleeding diathesis sm
Subject: Bleeding diathesis sm

bleeding diathesis - General Practice Notebook
A bleeding diathesis is a condition in which there is an unusual susceptibility
or predisposition to bleeding. Bleeding diatheses are classified with ...
www.gpnotebook.co.uk/cache/-1013317631.htm - 4k - Cached - Similar pages


no ulcer bleeding?
Subject: no ulcer bleeding?


rongeur does not fit here. S/L may be no other bleeding nm
Subject: rongeur does not fit here. S/L may be no other bleeding nm

x
Ob..she has been bleeding now for a month....
Subject: Ob..she has been bleeding now for a month....

post spontaneous AB.  She says this is as heavy as her period.  I believe at this point she probably has retained s/l blooduxsm?? Will do a D&C.
Bleeding was abated???? nm
Subject: Bleeding was abated???? nm

s
Bleeding scan help (sm)
Subject: Bleeding scan help (sm)

.... showed some activity below the bladder level, but no discrete s/l "poital" flow or active bleeding. 


Was this bleeding during surgery?
Subject: Was this bleeding during surgery?


oh you mean mentioned BELOW...LOL...nm
Subject: oh you mean mentioned BELOW...LOL...nm

x
No, that was already mentioned. Thank you!
Subject: No, that was already mentioned. Thank you!

x
There is no hx of bleeding s/l dia thysis or thrombophilia.
Subject: There is no hx of bleeding s/l dia thysis or thrombophilia.


Gingivitis. Bleeding gums.
Subject: Gingivitis. Bleeding gums.


could it be minimal amount of bleeding?
Subject: could it be minimal amount of bleeding?


If they have a bleeding vessel along the path somewhere, then
Subject: If they have a bleeding vessel along the path somewhere, then

s
? dysfunctional uterine bleeding
Subject: ? dysfunctional uterine bleeding


s/l a let was applied and the bleeding stopped...Thanks..
Subject: s/l a let was applied and the bleeding stopped...Thanks..

also in UA, it sounds like he is saying high land cast  TIA
using s/l algumbin??? to control the bleeding...please help.Thanks
Subject: using s/l algumbin??? to control the bleeding...please help.Thanks


"a for to mentioned" how to type
Subject: "a for to mentioned" how to type

I have heard this expression  but never seen it written out.  The patient was taken to the OR for the afore to mentioned operation.  TIA
I mentioned that because when I started out, sm
Subject: I mentioned that because when I started out, sm

we MTs had very few references, certainly no Google. We would beg doctors to give us their old PDR (Physicians Desk Reference) and would find lots of our S/L there. We oldsters were definitely word detectives in our day.
No, just as mentioned above is what I hear
Subject: No, just as mentioned above is what I hear


OMG Thanks so much! It's mentioned a ton of times.
Subject: OMG Thanks so much! It's mentioned a ton of times.

nm
No, unless a brand name is mentioned. nm
Subject: No, unless a brand name is mentioned. nm

s
If hospital mentioned yes, otherwise no. nm
Subject: If hospital mentioned yes, otherwise no. nm

.
A pacemaker is not mentioned so I'm not sure
Subject: A pacemaker is not mentioned so I'm not sure


Any other conditions mentioned?
Subject: Any other conditions mentioned?

It can also be used for bipolar and migraines.  I hope this helps!!
Thx for trying. No dosage mentioned. Will tag.
Subject: Thx for trying. No dosage mentioned. Will tag.


probably "no bleeding or clotting disorders"
Subject: probably "no bleeding or clotting disorders"

x
pulmonary embolism or abnormal bleeding.
Subject: pulmonary embolism or abnormal bleeding.

x
Ever heard of s/l NewNet? Used for bleeding in surgery?
Subject: Ever heard of s/l NewNet? Used for bleeding in surgery?


external hemorrhoids with s/l exstimatic bleeding?
Subject: external hemorrhoids with s/l exstimatic bleeding?

Dictator is ESL -


Patient with external hemorrhoids with s/l exstimatic bleeding from old trauma.


 


No history of allergies, bleeding tendencies, s
Subject: No history of allergies, bleeding tendencies, s

s/l Stragus?  <-phonetically, diabetes, or emboli?  second dictation with the same phrase used
Got it -- no discrete point of active bleeding. Thanks!
Subject: Got it -- no discrete point of active bleeding. Thanks!

x
Oh yeh. You've heard of bleeding ulcers.
Subject: Oh yeh. You've heard of bleeding ulcers.

you'll find lots if you google it
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)

  
These two things you mentioned are not procedures or sm
Subject: These two things you mentioned are not procedures or sm

operations themselves.
anything mentioned about a recent flight...sm
Subject: anything mentioned about a recent flight...sm

if so, I bet it is "med in LA."
OMG that's it b/c he mentioned it earlier with the same patient...
Subject: OMG that's it b/c he mentioned it earlier with the same patient...

It just didn't sound like Aricept the second time around, but I'm sure that is correct. Thanks to all who replied...:)
endoluminal centerline (fly through) may also be mentioned
Subject: endoluminal centerline (fly through) may also be mentioned

nm
Are there any unusual tests mentioned later on? nm
Subject: Are there any unusual tests mentioned later on? nm

s
I am going to listen again for it, but there were no symptoms mentioned for it. Thank you!
Subject: I am going to listen again for it, but there were no symptoms mentioned for it. Thank you!

x