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Could hear lytic when I listened again. Thanks you all!!!

Posted By: kjlange on 2007-10-31
In Reply to: Lytic changes goes along with the diagnosis - debjo

Subject: Could hear lytic when I listened again. Thanks you all!!!




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Thank you, sassee, but I listened again, and I just don't hear those.
Subject: Thank you, sassee, but I listened again, and I just don't hear those.

He went on to say that the patient was here to have a TURP to remove all this inflamed tissue....which makes me think I'm on the right track with mogul (a small hard mound or bump on a ski slope)....and I think cystica is the last word. I really think he's saying mogul of prostatic cystica all over his prostate, but I can't document prostatic cystica (and he says it as if it's all one word - prostaticystica).
just listened again - do not hear sterile - ?? Thank you!
Subject: just listened again - do not hear sterile - ?? Thank you!


Thank you both. I listened again and he's saying PACU...but now I hear tatoo nurse...
Subject: Thank you both. I listened again and he's saying PACU...but now I hear tatoo nurse...

nm
Thank you both. I re-listened and now hear him say "she drew a clock."
Subject: Thank you both. I re-listened and now hear him say "she drew a clock."


Lytic
Subject: Lytic

Lytic lesion is correct.
probably something lytic
Subject: probably something lytic

sorry can't help more
lytic changes maybe???? nm
Subject: lytic changes maybe???? nm

.
lytic??
Subject: lytic??

x
say-a-lytic process
Subject: say-a-lytic process

Probably cellulitic process --

lysis or lytic and plus
Subject: lysis or lytic and plus

do you hear the "s" sound or a "ic" sound on the first one?

lysis (ly·sis) (li´sis) [Gr. “dissolution; a loosing, setting free, releasing”] 1. destruction, as of cells by a specific lysin. 2. decomposition, as of a chemical compound by a specific agent. Cf. degradation. 3. mobilization of an organ by division of restraining adhesions. 4. gradual abatement of the symptoms of a disease; cf. crisis (def. 1).

Pulses are measured 1+, 2+, 3+ and 4+ (or minus)
doc slang for lytic?
Subject: doc slang for lytic?

n/m
I agree with lytic changes.
Subject: I agree with lytic changes.

.
Lytic changes goes along with the diagnosis
Subject: Lytic changes goes along with the diagnosis

of multiple myeloma.
lytic or blastic
Subject: lytic or blastic

Our orthos say that all the time on x-rays - no lytic or blastic chagnes or no lytic or blastic lesions.
mixed lytic
Subject: mixed lytic


"say-a-lytic" process ??
Subject: "say-a-lytic" process ??

The patient has a nonhealing ulcer of the foot.  Dictates what sounds like "No evidence of active "say-a-lytic" process.


I feel like this is on the tip of my tongue, but can't get it.


Help!  Thanks!


s/l lytic(?) lesions, plse sm
Subject: s/l lytic(?) lesions, plse sm

Patient has had a colonoscopy with a malignant polyp being found. Patient had a CT scan of her abdomen that showed multiple s/l lytic lesions throughout her bones everywhere.
Thx for any help!
I would think it is lytic then, but if unsure flag it
Subject: I would think it is lytic then, but if unsure flag it

It seems your patient either had a replacement or fracture earlier (is there arthritis in the hx?) I often hear lytic lesions or lytic lines in the areas you mention on patients with arthritis/oseoarthritis. Lysis is the process of destruction of something (in this case, bone), which seems to have been ruled out by these x-rays.
lytic temporal bone lesion? nm
Subject: lytic temporal bone lesion? nm


If breaking up clots or emboli, it would be lytic. nm
Subject: If breaking up clots or emboli, it would be lytic. nm

g
maybe something like prevalent lytic lesions of leukemia? nm
Subject: maybe something like prevalent lytic lesions of leukemia? nm


There is a lytic area on the lateral s/l *shamfur* of the femur. TIA nm
Subject: There is a lytic area on the lateral s/l *shamfur* of the femur. TIA nm


I listened again and...
Subject: I listened again and...

She was probably saying AND butazolidin instead of "em" or "am".  Thank you!
Listened to it again and that is it! Thank you!!
Subject: Listened to it again and that is it! Thank you!!


listened again...
Subject: listened again...

I definitely hear an "s" in the middle and a "tide or dide" at the end. Thanks for the suggestions.
I listened again
Subject: I listened again

and I really don't think that is what he is saying. I have worked for this doc for 2 years, he is very easy to understand but I have never heard him say anything remotely like this before. Thanks for helping.
I listened again -
Subject: I listened again -

definitely sounds like "monodide"
I listened again ...
Subject: I listened again ...

I definitly think seasonal is correct, but can't hear exacerbations. Thank you so much for getting me on the right track! I couldn't get over seizures.
Actually, duh on ME . . . just listened and that is it
Subject: Actually, duh on ME . . . just listened and that is it

xx
Listened again
Subject: Listened again

No, the sounds are definitely
hue - vee - ul. Thanks for the try though.
listened and listened again and it is....
Subject: listened and listened again and it is....

ear and sinus surgery thanks a bunch anyways
Listened again
Subject: Listened again

When listening with a refreshed ear this a.m., it certainly is effaces. Thanks
listened again...
Subject: listened again...

absent is a possibility, but I still can't say for sure.
listened again, and no thats not it, but thanks for trying nm
Subject: listened again, and no thats not it, but thanks for trying nm


Listened again, thats it. Thanks to all! nm
Subject: Listened again, thats it. Thanks to all! nm

!
I just went and listened again - she is saying
Subject: I just went and listened again - she is saying

restricted affect. DUH for me!! It's still early for me, ears aren't working right yet.
I listened again but sm
Subject: I listened again but sm

it still sounds like "1000 draped over it".

Just re-listened and I'm LOL at myself!!!!
Subject: Just re-listened and I'm LOL at myself!!!!

He's saying T8-T10. Ha! I tried to make it more difficult than it was...
I listened again but she definitely says
Subject: I listened again but she definitely says

"bath" at the beginning so I'm just going to flag it. Thank you though!
thank you - but I just listened again s/m
Subject: thank you - but I just listened again s/m

definitely sounds like "the view margin" or "the bu-margin" - ??
Listened again
Subject: Listened again

For sure, for sure, it is removal of myxoma. It is so weird how you can hear it so clearly after someone tells you the answer.  Thanks
Can you hear bunion for the first word? And the second can you hear symptomatic or sensory pain?
Subject: Can you hear bunion for the first word? And the second can you hear symptomatic or sensory pain?


I listened again, definitely not deficiency, but thx for trying. mmw
Subject: I listened again, definitely not deficiency, but thx for trying. mmw


I just listened again - that's just what he's saying - thanks a bunch!!
Subject: I just listened again - that's just what he's saying - thanks a bunch!!


Listened slower, that's it thank you so much!
Subject: Listened slower, that's it thank you so much!

:-)
I listened again - that's not it, but THANKS for the input. -nm-
Subject: I listened again - that's not it, but THANKS for the input. -nm-

xx
Thanks - I listened again and she CLEARLY starts with an "m"
Subject: Thanks - I listened again and she CLEARLY starts with an "m"

I did the usual Stedman's and googling but I tell ya, this fellow is a grrrrrrr. Thanks anyway. Gonna flag it. Another grrrrrr
I listened again and sounds maybe like
Subject: I listened again and sounds maybe like

bn
I went back and listened . . .
Subject: I went back and listened . . .

It sounds like "reostis" or "reosis" to sight.  This is an ESL but he's not too hard to understand. Thanks for your help.
That's it! Went back and listened again. Thx!
Subject: That's it! Went back and listened again. Thx!

nm
Listened to it again...and nope! Thanks though!
Subject: Listened to it again...and nope! Thanks though!

:)