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Estring - estradiol vaginal ring, if that fits wtih the rest of dictation

Posted By: ltt on 2007-05-22
In Reply to: OB.. she returns for a string check?? or Estring check?? Thanks - debbie

Subject: Estring - estradiol vaginal ring, if that fits wtih the rest of dictation




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Estring vaginal ring
Subject: Estring vaginal ring


possibly so..can you tell from rest of dictation whether it was actually transient?
Subject: possibly so..can you tell from rest of dictation whether it was actually transient?


Can be telangiectasia in vaginal wall so I think poikoloderma fits. nm
Subject: Can be telangiectasia in vaginal wall so I think poikoloderma fits. nm


Procedure to salvage whatever can be salvaged. Any hints in the rest of your dictation to tell you?
Subject: Procedure to salvage whatever can be salvaged. Any hints in the rest of your dictation to tell you?


Just want to verify, Source Path diameter vaginal ring? This is for high-dose brachytherapy for
Subject: Just want to verify, Source Path diameter vaginal ring? This is for high-dose brachytherapy for

cervical cancer. I can't document it any where.
Ethinyl Estradiol
Subject: Ethinyl Estradiol


Estradiol ? Sudo-Tab a decongestant
Subject: Estradiol ? Sudo-Tab a decongestant


can anyone help wtih this ESL?
Subject: can anyone help wtih this ESL?

In PE, extremities, she states There is a "lipomacious" (the lipo I'm not sure about, but definitely *macious) fatty tissue area on the left malleolus medial tendon area. On palpation of the Achilles tendon and that tendon, pain elicited.


thanks for any help makingsense out of this! 


Estring
Subject: Estring


Estring
Subject: Estring

Estring is estradiol made by Pharmacia/Upjohn.  It is an extended release form of the drug inserted vaginally.  It has been available since 1996.
S/L Estring (see message)
Subject: S/L Estring (see message)

Sentence reads: She subsquently stopped tamoxifien and restarted the "estring". This is ob/gyn. I'm bad at meds and he is clear and all I am hearing is "esring". I have tried different things and come up dry.


Help. Thank you.


Need help wtih sentence structure.
Subject: Need help wtih sentence structure.

Examination, evaluation, debridement of mycotic nail 1-5 bilateral feet. Nail plate débrided nailbed as tolerated by patient.


 


I am questioning the last part of the sentence and need help with punctuation there. Does the word debrided go with nail plate or nailbed as tolerated by patient?


When you use a possessive wtih a name that ends in "s",
Subject: When you use a possessive wtih a name that ends in "s",

the apostraphe is after the "s".  "Cornelius' son".


I checked wtih the original chart
Subject: I checked wtih the original chart

that I typed where the doctor stated that he was going to do an FNA and it was on the thyroid. I had already sent my charts, but I copied and pasted another with the work spelled colloid and an explanation and then sent that. Thanks so much.
mitral regurg wtih s/l flow of chordate. TIA ls
Subject: mitral regurg wtih s/l flow of chordate. TIA ls

x
OB.. she returns for a string check?? or Estring check?? Thanks
Subject: OB.. she returns for a string check?? or Estring check?? Thanks


vaginal repairs
Subject: vaginal repairs

New doctor, sounds like "paragy and apagy mesh vaginal repairs".   Anyone ever heard of this?? Thanks.
vaginal hyst.
Subject: vaginal hyst.

the cervical-vaginal junction was infiltrated with xx cc of sl-petrusman.
vaginal area....sm
Subject: vaginal area....sm

Pt comp. of pain with intercourse etc. Nothing found on vag. smear. Has already had a hysterectomy few years ago.
Could it be vaginal muscles?
Subject: Could it be vaginal muscles?

xx
vaginal cream
Subject: vaginal cream

s/l "valdot" vaginal cream 0.5% twice weekly


Pap and vaginal cultures - it's Pap...
Subject: Pap and vaginal cultures - it's Pap...


vaginal exam
Subject: vaginal exam

The patient was evaluated at the beside with a sterile speculum exam for rupture of membranes.  Upon questioning, the patient is denying any immediate gush of fluid.  The sterile speculum exam showed no pooling.  Nitrazine s/l enferon were negative. 


HELP!! Vaginal procedure
Subject: HELP!! Vaginal procedure

We then paid attention to the perineoplasty.  A triangular incision at the posterior s/l forcet  was performed with the apex approximating 1 cm away from the anus.  We then placed an s/l intergrafted stitch through the bulbocavernosis mucosa _____ tissue on the other side.  An additional supporting stitch was then placed.  At this point, we were able to reapproximate the vaginal and the posterior s/l forcet using a 2-0 chromic in a running fashion.  


vaginal sling?
Subject: vaginal sling?


vaginal birth. She was 5 cm, -1 with some s/l cappit.
Subject: vaginal birth. She was 5 cm, -1 with some s/l cappit.

can't figure out what sounds like cappit. 


ProteGen Vaginal Sling?
Subject: ProteGen Vaginal Sling?

nm
leukorrhea is vaginal discharge though
Subject: leukorrhea is vaginal discharge though

This is a male, and it is definitely referring to urine.  Thanks, though.  It does sound close.
vaginal exam, s/l bolots?
Subject: vaginal exam, s/l bolots?

pregant woman, vaginal exam
Think it's just short for vaginal packing. Don't
Subject: Think it's just short for vaginal packing. Don't

s
GYN Help Morgay vaginal speculum?
Subject: GYN Help Morgay vaginal speculum?

Please help, cannot find anywhere anything that sounds like this
Uvula of vaginal area ???...sm
Subject: Uvula of vaginal area ???...sm

Vaginal area: Noted right above the uvula the area was red and macerated.


She is clearly stating "uvula" but I have never heard this term used regarding the vaginal area.  Tried to google but not much for results. 


TIA


 


s/l vaginal cuff? Can someone confirm this.
Subject: s/l vaginal cuff? Can someone confirm this.


that is correct, vaginal cuff
Subject: that is correct, vaginal cuff


s/l monosil vaginal suppository
Subject: s/l monosil vaginal suppository

cant find
encolo vaginal fistula?
Subject: encolo vaginal fistula?

Could this possibly be chole-vaginal or something similar to this?  I can't find anything that is even close.  Any suggestions? 
You did mean *vaginal cuff* didn't you? nm
Subject: You did mean *vaginal cuff* didn't you? nm


rest looks okay.....nm
Subject: rest looks okay.....nm

x
The rest looks okay then?
Subject: The rest looks okay then?


bed rest
Subject: bed rest

According to English dictionary, it should be typed as two separate words.
??? ring? sm
Subject: ??? ring? sm

anatomically, they should be at the level of the fascia; they usually say "fascia" or "fascial ring" or "fascial collar" or perhaps even "fat"...can't think of anything that s/l point and it's definitely NOT bone...
Thanks! I'm going to go with ring.
Subject: Thanks! I'm going to go with ring.


ring, maybe
Subject: ring, maybe

nm
Could be rim or ring nm
Subject: Could be rim or ring nm


Co/Coe/Ko ring?
Subject: Co/Coe/Ko ring?

for use with the RUMI. Thanks!
Koh ring
Subject: Koh ring

Found it, it's a new technique for laparoscopic hysterectomy. Thanks.
Thanks, it was D-ring. nm
Subject: Thanks, it was D-ring. nm

x
B ring is another name for
Subject: B ring is another name for

B ring is another name for Schatzki ring (lower esophageal ring).
Possibly...."and vaginal cuff"
Subject: Possibly...."and vaginal cuff"

x
NSVD Normospontaneous vaginal delivery
Subject: NSVD Normospontaneous vaginal delivery

/
Please help. I also did a vaginal s/l pannus or sanus culture. (sm)
Subject: Please help. I also did a vaginal s/l pannus or sanus culture. (sm)

She complained of some burning when I did the pelvic exam.  I feel like I know this one.  My brain is mush.  Baby was up all night, we're way behind, the house is a mess, and I'm sick as a dog.  I just can't think straight.