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Diskectomy: The area of the incision was s/l scratch-painted with methylene blue.

Posted By: Am I hearing right? on 2007-11-13
In Reply to:

Subject: Diskectomy: The area of the incision was s/l scratch-painted with methylene blue.




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How about methylene blue?
Subject: How about methylene blue?


methylene blue
Subject: methylene blue

Dic states 5 mm of methylene blue injected, would this be 5 mL? 
Scratch that - duh - suprapubic area! nm
Subject: Scratch that - duh - suprapubic area! nm


No, this is something they put on the incision area before closing such as after a hysterectomy. It
Subject: No, this is something they put on the incision area before closing such as after a hysterectomy. It

is Plasmax or mex platelet fraction.


Left breast, blue dye (like isosulfan blue), wire localization
Subject: Left breast, blue dye (like isosulfan blue), wire localization


cervix is painted with lou galls?
Subject: cervix is painted with lou galls?

The cervix is painted with Lou Galls and there is a large area of decreased Lou Galls uptake.  I've heard it before but am drawing a blank.


 


 


Incision, they first make a small incision for the port or trocar to go in for viewing the GI system
Subject: Incision, they first make a small incision for the port or trocar to go in for viewing the GI system

nm
Flucaine and blue light (slit lamp gives a blue light) nm
Subject: Flucaine and blue light (slit lamp gives a blue light) nm


Yes there is V-shaped incision and an inverted T-incision, so maybe they converted from a V to T
Subject: Yes there is V-shaped incision and an inverted T-incision, so maybe they converted from a V to T


of shooting pain into the left radial wrist and thumb area and over the intercuginous area of the-sm
Subject: of shooting pain into the left radial wrist and thumb area and over the intercuginous area of the-sm

first and second digit of the left hand.  Thanks. 
linear scratch sm
Subject: linear scratch sm

The doctor dictated that the patient had a linear scratch but then corrected herself and said what sounds like "luvinear" scratch.

Does anybody have any ideas what linear could be replaced with?
scratch # 2 - flagging it. NM
Subject: scratch # 2 - flagging it. NM

x
Scratch my answer. Most likely TVC polyp. Duh on me.
Subject: Scratch my answer. Most likely TVC polyp. Duh on me.


Scratch my request for cardio word
Subject: Scratch my request for cardio word

I got the ____ aortic root.  I went back again (for about the 50th time) and heard it plain as the daylight.


He said.....left atrium and aortic..... how I ever got a fitch..I do not know.


Thank you anyways


Deborah


scratch that.... the word "lead" is throwing me off..sorry
Subject: scratch that.... the word "lead" is throwing me off..sorry

/
Scratch my dumb answer. Of course it is malleoli. Sorry. nm
Subject: Scratch my dumb answer. Of course it is malleoli. Sorry. nm


discectomy or diskectomy
Subject: discectomy or diskectomy

I am typing a report and spelled it discectomy; however I looked at a sample for this account and it is spelled diskectomy.  I thought it was discectomy.  I looked in Stedman's and diskectomy is not listed.  I also checked stedman's online and it does not find it.
discectomy or diskectomy?
Subject: discectomy or diskectomy?

I have always been told it was discectomy with a c and not a k, disc and not disk, etc.  Got a note from QA saying it was disk with a k and not a c.  Have I been doing this wrong for over 10 years??!!


Thanks for any info!


for one thing, it is discectomy not diskectomy--sm
Subject: for one thing, it is discectomy not diskectomy--sm

and for the s/l, it may be microdiscectomy or laminectomy? just a thought.
Actually, diskectomy is in the medical dictionary....
Subject: Actually, diskectomy is in the medical dictionary....

xx
discectomy is a variation of diskectomy
Subject: discectomy is a variation of diskectomy

nm
type of drill used for diskectomy
Subject: type of drill used for diskectomy

s/l Anspach or Ansbach

We measured the space which had been freshened using the s/l Anspach drill and a series of spinal fusion curets.
Tudor? rongeurs for diskectomy
Subject: Tudor? rongeurs for diskectomy

L5-S1 diskectomy -- Disk fragments were mobilized using downbiting curettes and removed using s/l Tudor rongeurs. TIA
that's all I could think of as well..but isn't that the chest area and not the neck area? nm
Subject: that's all I could think of as well..but isn't that the chest area and not the neck area? nm

d
C3-7 anterior cervical diskectomy, but not sure about "FP" sm
Subject: C3-7 anterior cervical diskectomy, but not sure about "FP" sm

Usually the "f" would stand for "fusion," and maybe the "p" stands for "plating." This is why abbreviations can be a problem.


Diskectomy. (AAMT BOS-2 prefers disk, too.)
Subject: Diskectomy. (AAMT BOS-2 prefers disk, too.)

.
C4 ACD (anterior cerical diskectomy) paraplegia ?
Subject: C4 ACD (anterior cerical diskectomy) paraplegia ?


Various size s/l Carland curettes were used to perform a diskectomy. nm
Subject: Various size s/l Carland curettes were used to perform a diskectomy. nm

.
s/l kasbar distraction post; cervical diskectomy op note
Subject: s/l kasbar distraction post; cervical diskectomy op note

thanks for the help
Little area. Same as Kiesselbach area.
Subject: Little area. Same as Kiesselbach area.

I found it in my Sted's Electronic Dictionary. Really good source for everything.


 


Little area



Syn: Kiesselbach area.


Kiesselbach area



an area on the anterior portion of the nasal septum rich in capillaries (Kiesselbach plexus) and often the seat of epistaxis. Syn: Little area.


interscapular area or inter scapular area or inner scapular?
Subject: interscapular area or inter scapular area or inner scapular?

Physical examination today of the shoulder shows some soreness primarily over the posterior aspect of the shoulder in the *interscapular* area. tia.
Well, there is blue
Subject: Well, there is blue

bloater syndrome.
"Hydragara Blue"
Subject: "Hydragara Blue"

Found hydrargyrum - used for antiseptics, diuretics, and antibacterials. Comes from the word "mercury". I bet that's it!
code blue
Subject: code blue

Used to be capitalized, but no longer according to Stedman's. Just "code blue".
vital blue?
Subject: vital blue?


"Lymphogerum" blue dye
Subject: "Lymphogerum" blue dye

Used for a breast biopsy (needle localization).  Of course, I thought of Methergine and anything else possible.  QA left it blank as well.  Since the report went to the facility with blanks for that word, there's no rush.  I just wish I could figure out the word!


Any ideas?  Thanks!


Could it be Lymphazurin blue dye? NM
Subject: Could it be Lymphazurin blue dye? NM


Hydrofera Blue, nm
Subject: Hydrofera Blue, nm


TED and Blue Flex hose

Sounds like TED and "Blue Flex hose" - anyone ever heard of what sounds like Blue Flex hose ?? 


Just a guess, blue-load. nm
Subject: Just a guess, blue-load. nm

x
Not hyphenated just blue load. nm
Subject: Not hyphenated just blue load. nm

x
Help! About lymphoscintography and s/l lymphosene blue????
Subject: Help! About lymphoscintography and s/l lymphosene blue????

Dictated as follows:  The patient had lymphoscintigraphy, and a lymph node lit up in the left neck; however, this lymph node could not be identified by the gamma probe or with the use of (s/l  lymphosene blue)
lymphazurine blue? Here is one brand of that.
Subject: lymphazurine blue? Here is one brand of that.

 

DESCRIPTION



The chemical name for LYMPHAZURIN™ 1% (isosulfan blue) is N-[4-[4-(diethylamino)phenyl] (2,5-disulfophenyl) methylene]-2,5-cyclohexadien-1-ylidene]-N-ethylethanaminium hydroxide, inner salt, sodium salt.


LYMPHAZURIN™ 1% (isosulfan blue) is a sterile aqueous solution for subcutaneous administration. Phosphate buffer in sterile, pyrogen-free water is added in sufficient quantity to yield a final pH of 6.8-7.4. Each ml of solution contains 10 mg isosulfan blue, 6.6 mg sodium monohydrogen phosphate and 2.7 mg potassium dihydrogen phosphate. The solution contains no preservative.


LYMPHAZURIN™ 1% (isosulfan blue) is a contrast agent for the delineation of lymphatic vessels.


 


--


 


Pulse Oximetry Declines Due To Intradermal Isosulfan Blue Dye: A ...




A large number of patients undergoing sentinel lymph node mapping with intradermal Lymphazurine blue dye may display a decline in pulse oximetry readings in ...
www.annalssurgicaloncology.org/ cgi/content/full/11/4/434 - Similar pages

lymphazurine blue dye - noname




Medical Transcription - lymphazurine blue dye , MTstars.
www.mtstars.com/archives/word/4683.html - 6k - Supplemental Result - Cached - Similar pages

SSAT - 2004 Abstract: FIRST EXPERIENCE WITH SENTINEL ...




... 24/35 patients also had an intraoperative peritumoral injection of lymphazurine blue dye and visual idenfication of the first blue stained lymph nodes. ...
www.ssat.com/cgi-bin/abstracts/ 04ddw/SSAT_DDW04_106826.cgi?affiliation= - 18k - Cached - Similar pages


Okay, I give. What are Blue Spotties? nm
Subject: Okay, I give. What are Blue Spotties? nm

x
Vision Blue dye is corrrect
Subject: Vision Blue dye is corrrect

Found easily on a Google search. Still looking for the dilator.
blue blood stapler? tks.. no msg
Subject: blue blood stapler? tks.. no msg

xx
A blue load stapler, perhaps. nm
Subject: A blue load stapler, perhaps. nm

nm
Boy, having troubles here... "regranex" and "hydragara blue" ??
Subject: Boy, having troubles here... "regranex" and "hydragara blue" ??

Man, hitting a rough spot.


Patient has nonhealing ulcers.  Dictates the patient has been undergoing use of "re-granex" with "hydragara blue".


any clues?  I'm stumped!


Found "Regranex", just need help with "hydragara blue" thanks
Subject: Found "Regranex", just need help with "hydragara blue" thanks


s/l "camico code blue status" TIA! -nm
Subject: s/l "camico code blue status" TIA! -nm

nm
I just don't know, it sounds exactly like blue, he said it again during past surgeries. Thank you
Subject: I just don't know, it sounds exactly like blue, he said it again during past surgeries. Thank you both!

x