Hmmm. Can you hear alveolar duct? Maybe polypoid for the second s/l? nm
Posted By: Lifer on 2006-12-12
In Reply to: partially occluded s/l eep duct - Kathy
Subject: Hmmm. Can you hear alveolar duct? Maybe polypoid for the second s/l? nm
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I thought that too, but clearly hear lactonase. Hmmm
Subject: I thought that too, but clearly hear lactonase. Hmmm
Hmmm...usually hear omental or peritoneal adhesions. Maybe
Subject: Hmmm...usually hear omental or peritoneal adhesions. Maybe
s
Hmmm....spray to shrink? Usually you hear it being applied to pledgets. Guessing here...nm
Subject: Hmmm....spray to shrink? Usually you hear it being applied to pledgets. Guessing here...nm
s
polypoid excrescence?
Subject: polypoid excrescence?
alveolar nm
Subject: alveolar nm
x
round polyp or polypoid lesion? nm
Subject: round polyp or polypoid lesion? nm
Pathology Report s/l alveolar
Subject: Pathology Report s/l alveolar
Doc is going over the lungs on an Autopsy Report.
"....The alveolar walls are thickened. The vessels are congested. Moderate numbers of neutrophils are in the ALVEOLAR walls." The problem is, that he sounds like he is saying "NOVEOLAR". But that just doesn't make sense. Any ideas if he meant Alveolar and dictated incorrectly??
Thank you!
Found it - mandibular alveolar height. nm
Subject: Found it - mandibular alveolar height. nm
x
Stensen duct
Subject: Stensen duct
According to Dorland's dictionary and it is in the mouth.
sac of the cystic duct ??
Subject: sac of the cystic duct ??
Does the cystic duct have a sac????/ It sounds like sac....but here it is in context...
The gallbladder was elevated with the sac of the cystic duct free initially. It was a relatively long structure.
maybe common duct exploration? nm
Subject: maybe common duct exploration? nm
x
partially occluded s/l eep duct
Subject: partially occluded s/l eep duct
I need help with this part on a not so great recording. The doctor says "At the bronchus intermedius is a partially occluded [s/l eep] duct and [s/l polyp or polished] white pale tissue which [bled (I think)] easily." Can anyone shed any light? Thanks.
maybe inflamed meibomian duct?
Subject: maybe inflamed meibomian duct?
sounds like sialic duct
Subject: sounds like sialic duct
TIA!!
Stenson's duct gland?
Subject: Stenson's duct gland?
Anyone know this? I can't confirm this as being right..."Stenson's duct gland?" It's in the mouth...
Thanks!
could it be "...the neck and cystic duct..." ??
Subject: could it be "...the neck and cystic duct..." ??
Got it, "some bile duct" . . thanks!
Subject: Got it, "some bile duct" . . thanks!
I wonder if it's common bile duct stone? nm
Subject: I wonder if it's common bile duct stone? nm
nm
Lacrimal duct balloon inflated to 8 s/l bar? nm
Subject: Lacrimal duct balloon inflated to 8 s/l bar? nm
extrahepatic or biliary? bile duct? nm
Subject: extrahepatic or biliary? bile duct? nm
It does not sound like biliary/bile duct!
Subject: It does not sound like biliary/bile duct!
ejection fraction ______ (titer? hi duct?)
Subject: ejection fraction ______ (titer? hi duct?)
CLueless here.... The patient had right upper quadrant pain and the ultrasound did not show gallbladder disease. Says we may need to do an ejection fraction _____. titer? hi duct? Can't make out any better than that. Ideas?
Hepatic duct was dilated with a s/l Chahyndra dilator.
Subject: Hepatic duct was dilated with a s/l Chahyndra dilator.
mild s/l muritzes of the common bile duct. TIA!!!
Subject: mild s/l muritzes of the common bile duct. TIA!!!
probably stands for common bile duct exploration--CBDE.
Subject: probably stands for common bile duct exploration--CBDE.
x
Is the common bile duct and intrahepatic biliary tree--sm
Subject: Is the common bile duct and intrahepatic biliary tree--sm
two separate structures. Should they be listed under two headings?
recurrent bilateral effusions and it was *kylus** and they thought it was due to thoracic duct injur
Subject: recurrent bilateral effusions and it was *kylus** and they thought it was due to thoracic duct injur
Hmmm...could be. Probably is.
Subject: Hmmm...could be. Probably is.
Lactic acid level was 1.1
hmmm...a.c.? nm
Subject: hmmm...a.c.? nm
s
hmmm, not sure, but thanks for trying!
Subject: hmmm, not sure, but thanks for trying!
:)
Hmmm.
Subject: Hmmm.
The only other meds I can think of that sound anywhere near that are Meclomen and Motrin.
Hmmm...
Subject: Hmmm...
I googled and there is a HTAB LA for bronchospasms.
hmmm - can't think of anything :( NM
Subject: hmmm - can't think of anything :( NM
Hmmm.... maybe
Subject: Hmmm.... maybe
Maybe inguinal hernia, TRUS (transrectal ultrasonography) or TRUSP (transrectal ultrasonography of the prostate) ??
Hmmm -- I am not sure ..... sm
Subject: Hmmm -- I am not sure ..... sm
I am familiar with Venturi, grommet, Paparella. I can't find anything close to sounding like "dutcher".
hmmm, if it is EGD, then the
Subject: hmmm, if it is EGD, then the
whole word is esophagogastroduodenoscopy (scope of the esophagus, stomach, and duodenum). Do ya think that's it?
Hmmm
Subject: Hmmm
I think this must be it. The patient is a 72 yo in the ER with diarrhea so I have no clues as to her past medical history. Ugggh, hate it when docs spell also.
Thanks to both of you.
hmmm
Subject: hmmm
Thank you for you honesty and encouragement.
hmmm
Subject: hmmm
Not saying Valcyte by any chance?
hmmm
Subject: hmmm
nope he isnt ESL, but he does shmoosh his words together sometimes. I will relisten to it and see if that it what he says. Thanks.
hmmm
Subject: hmmm
Did you mean: levoxyl ?
I guess I'll just leave Levoxyl alone.
Thanks :)
Hmmm
Subject: Hmmm
PENT ICCP
could it be anti-CCP?
P(ENT I)CCP
But that would still leave the P to be determined. I also would like to know if he spelled PENT or if he said it.
hmmm...
Subject: hmmm...
That makes sense b/c of the renal failure... i'm thinking the doc is misspeaking... i clearly hear the PLEX part... i think i'll be leaving that one blank ;)
Thanks!! :)
hmmm....sm
Subject: hmmm....sm
I can only come up with some wild guesses at the moment, such as:
get formolent = ___ for a minute
OR
get formolent = get 4 ____
as in "the wound bed was allowed to ___ for a minute to control some bleeding" or "the wound bed was allowed to get 4 ____ to control some bleeding"
I wish I could be more help...
hmmm...
Subject: hmmm...
Could he/she be saying: Appendectomy, "apparently" 3 D&Cs, tonsillectomy. It doesn't really make sense with the parentheses, makes it sound like the patient had 3 D&Cs at the time of the appendectomy.
hmmm...
Subject: hmmm...
The only thing that comes to mind is that he is possibly saying "OC", meaning oral contraceptive. I'd have to blank him if that's not what he says. 
Hmmm....ridges? Got me...nm
Subject: Hmmm....ridges? Got me...nm
s
Hmmm..maybe serpiginous SM
Subject: Hmmm..maybe serpiginous SM
Don't know if it fits...sorta sounds like it.
serpiginous
Creeping; denoting an ulcer or other cutaneous lesion that extends with an arciform border; the margin has a wavy or serpent-like border.
hmmm...maybe "pathogenic"...nm
Subject: hmmm...maybe "pathogenic"...nm
nm
Hmmm....autism? nm
Subject: Hmmm....autism? nm
s
hmmm - see reply
Subject: hmmm - see reply
Actually after listening to that one at least 50 times, I could get nothing else from it. A Cobb can be a retractor or elevator. In this case, it was used to scrape vertebrae...I did find micro-Cobb. But it really didn't sound a bit like that. Macoa or Mikoa perhaps, but I tried every spelling I could think of. Oh well...it's a mystery, and the report went to proofing, but it left me curious. Thanks!
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