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I think dictator is referring to renal arteries and iliac arteries, probably okay as is ? NM

Posted By: sassee on 2008-03-25
In Reply to: moderate mid abdominal aortic aneurysm below the **renals**and above the iliacs - Stacee

Subject: I think dictator is referring to renal arteries and iliac arteries, probably okay as is ? NM




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MRA carotid arteries sm
There is some mild __________ narrowing on the right of perhaps 30%-40%...

Thanks,
maybe something about peripheral arteries
Subject: maybe something about peripheral arteries

nm
tibioperoneal (diseased arteries?) nm
x
s/l imedio arteries in all digits
Subject: s/l imedio arteries in all digits

The deep radial artery is identified and is the main supply. The _______ s/l imediate or imedio arteries in all digits are present and irregular, and do not go out beyond the PIP joints.

The word is mumbled, so I apologize if the sounds like isn't even close. Any ideas would be appreciated!
It is a medical abbrev for coronary arteries
Subject: It is a medical abbrev for coronary arteries

n/m
prob "proximal" see link pictures cor. arteries
Subject: prob "proximal" see link pictures cor. arteries

http://www.clevelandclinic.org/heartcenter/pub/guide/disease/cad/cad_arteries.htm
superior vena cava/pulmonary artery or arteries
I have a problem hearing if this is artery or arterIES(pleural). From my limited knowledge it would be artery, but does somebody know if a pulmonary homograft will connect the right ventricle to the pulmonary artery-- or it is arteries? Same with the Glenn shunt that goes from the superior vena cava to the pulmonary artery or arterIES? I cannot hear the doc clearly and it sounds like it might be arteries. thanks,
..subclavian and vertebral arteries were patent with normal wave forms *proximately* and
Subject: ..subclavian and vertebral arteries were patent with normal wave forms *proximately* and

antegrade flow.  Does this make sense?  Thanks.
Dr. could be referring to co-existing renal insufficiency; meaning,
Subject: Dr. could be referring to co-existing renal insufficiency; meaning,

accompanied by other diagnosis/diagnoses.
I would say in this instance if dictator is referring to diagnoses, sm
Subject: I would say in this instance if dictator is referring to diagnoses, sm

it probably is hyper given that he is diagnosed with hypertension but is on meds for that. his bp is low today so he wants to decrease the norvasc as it is over working. the patient isn't diagnosed with hypotension, it is only hypo due to medication dosaging.
Wild guess here...Could the dictator be referring to two separate medications, i.e. "she had been
Subject: Wild guess here...Could the dictator be referring to two separate medications, i.e. "she had been given a refill for her birth control pills and Cefprozil (antibiotic?).


Iliac probably.
Subject: Iliac probably.

I would relate abdominal pain to ileac surgery.
How about iliac crest..seems to fit. nm
Subject: How about iliac crest..seems to fit. nm

xx
iliac crest
Subject: iliac crest

Thanks sooooo much!  I don't know what I would do without this board!
...superior iliac spine? nm
Subject: ...superior iliac spine? nm

s
holiday...is the dictator an Arab dictator? nm
Subject: holiday...is the dictator an Arab dictator? nm

x
type what dictator said, dictator is not incorrect.....
Subject: type what dictator said, dictator is not incorrect.....

.
Internal iliac artery aneurysm.
Subject: Internal iliac artery aneurysm.

I usually don't do operation notes so i'm stuck on something that could possibly be so simple =)


An Omni-tract was used for exposure.  The peritoneum overlying the previous aortic graft was incised to expose the s/l vosicated lins of the graft.


Thanks for any help!


s/l "thecan" iliac screw?? Anyone heard of it? nm
Subject: s/l "thecan" iliac screw?? Anyone heard of it? nm

.
ASIS=anterior superior iliac spine.
Subject: ASIS=anterior superior iliac spine.

x
Probably PSIS (posterior-superior iliac spine)
Subject: Probably PSIS (posterior-superior iliac spine)


If you are in the back it is bone so it is iliac, if you are in the intestines it is ileac.
Subject: If you are in the back it is bone so it is iliac, if you are in the intestines it is ileac.


ASIS = anterior superior iliac spine (nm)
Subject: ASIS = anterior superior iliac spine (nm)

xx
Ilium or iliac is bone. Ileum or ileal is intestinal.
Subject: Ilium or iliac is bone. Ileum or ileal is intestinal.


is this dictator ESL (foreign dictator)?....
Subject: is this dictator ESL (foreign dictator)?....

if ESL, I would either blank him or give him that Avodart but the other one I haven't a clue and would have to blank there too.  Sorry :(
Iliac crest bone harvest using the s/l select aid or select 8 system? nm
Subject: Iliac crest bone harvest using the s/l select aid or select 8 system? nm

.
depends on context: acute-on-chronic renal insufficiency or renal insufficiency, acute on chronic.
Subject: depends on context: acute-on-chronic renal insufficiency or renal insufficiency, acute on chronic.

x
what? What are you referring to?
Subject: what? What are you referring to?

and not all MTs are *girls* by the way.........
maybe referring to vas (sm)
Subject: maybe referring to vas (sm)

- a tube that transports sperm from the epididymis to the seminal vesicles


??


I don't think so because that would be referring to someone
Subject: I don't think so because that would be referring to someone

who looks for analogies.  I think he means that the symptoms are like a prodrome to the syndrome.  Plus, he pronounces it al-o-gest (with guh sound, not gee).  Thanks though!


Could be referring to
Subject: Could be referring to

the 3/3 recall test. Patient is shown 3 objects and then after a few minutes asked to recall them. Just a guess. :-)
Referring to MI?
Subject: Referring to MI?

Could be biopsy. Endomyocardial biopsy ?
I believe it's referring
Subject: I believe it's referring

to the fact that a female is a virgin, but kind of silly as you can be non-marital and non-virgin. ;-) Outdated, I believe.
Are you referring to
Subject: Are you referring to

Medi Strumpf? You're not going with that one?? :-)
RENAL
Subject: RENAL

Should staging for kidney disease be written in arabic or roman numbers?


RENAL
Subject: RENAL

Current dialysis prescription is a s/l polyflex 2-10 membrane.


How should that be typed?


Thanks.


 


renal
Subject: renal

Yes, exactly.  70/70/70 - especially in dealing with HCV adherence issues. 
Renal
Subject: Renal

Help...


"...width of the liver seemed to be slightly beyond 5 finger breaths although there was no s/l bauchularity and no discomfort, it was clearly palpable below the costal margin."


TYVM


S/L Renal H&Ss
Subject: S/L Renal H&Ss

Kidney resection due to renal ?? s/l H&Ss ?? on left


tia

Linda
Renal help please!
Subject: Renal help please!

The sentence reads:


CT of the abdomen and pelvis without contrast is significant for prominence of each renal pelvis, possibly related to extrarenal pelvises.


Doesn't make sense to me.  Suggestions?


 


Aortoiliac bypass graft versus aortic-iliac bypass graft
Subject: Aortoiliac bypass graft versus aortic-iliac bypass graft

Can someone tell me whether aortoiliac bypass graft or aortic-iliac bypass graft is proper? I seem to find it both ways when I do a Google search.  Is there a difference? 
You are right - referring to those 3 tests - and I would (sm)
Subject: You are right - referring to those 3 tests - and I would (sm)

transcribe it like this
drop, can, and arc.

Thanks, that helps! That's probably what he was referring to then.
Subject: Thanks, that helps! That's probably what he was referring to then.

I wasn't finding anything for AP node, but I do for the AP window lymph node as you said, so that seems right.  Plus, it fits with the area he's talking about.  Thanks!
If it's got caine on the end, it's referring to an
Subject: If it's got caine on the end, it's referring to an

anesthetic.  Perhaps they mean "with an antibiotic". 


I've never heard of that, maybe it's Marcaine?


Could be referring to troponin I being 713..nm
Subject: Could be referring to troponin I being 713..nm

nm
I capitalize them because they are referring sm
Subject: I capitalize them because they are referring sm

to specific sections of the report with that exact header. If you were referring to the "laboratory" below and your header was "Diagnostic Data Blah-Blah", then you'd leave "laboratory" lowercase.
Sentence please, what is it referring to?
Subject: Sentence please, what is it referring to?

x
radiopharmaceutical - he is referring
Subject: radiopharmaceutical - he is referring

to the drug that the patient was given, such as adenosine or dobutamine.
It could be that "purpose" is referring to
Subject: It could be that "purpose" is referring to

puposeful movement, such as walking straight, turning, reaching to grasp, etc., sort of on the line of testing for "intention" tremors.
in this case doc is referring to several .sm
Subject: in this case doc is referring to several .sm

patent ductus arteriosus and clearly dictates s/l "arterios-es.
No, doc was referring to ability to eat
Subject: No, doc was referring to ability to eat

The previous sentence had talked about having a swallow study and having dysphagia, so I am sure the word did not refer to word-finding or memory impairment.  Doc very clearly stated "pneumestic" -- I just cannot find anything that closely resembles that word, and I sure don't know where QA got it from.