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Myocardial revascularization report

Posted By: slr on 2008-06-30
In Reply to:

Subject: Myocardial revascularization report

"A reverse segment of saphenous vein was s/l "pad-sided" and anastomosed to the artery."  (Thank you!!!)




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Yep..."salvaged myocardial mass after emergent reperfusion therapy in acute myocardial infarction
Subject: Yep..."salvaged myocardial mass after emergent reperfusion therapy in acute myocardial infarction ... "


? revascularization nm
Subject: ? revascularization nm


"hydroback" for revascularization issues?
Subject: "hydroback" for revascularization issues?

Ugh, having a bad day.  This patient may be needing a toe amputation, but doc wants to try what sounds like "hydroback" option in the interim.  I'm clueless here.


Anyone?


myocardial perfusion scan? nm
Subject: myocardial perfusion scan? nm

xx
Myocardial Perfusion Scan...
Subject: Myocardial Perfusion Scan...

Rotating sitting images:  Severe splanchnic activity with durolap.   Then he goes into SPECT imaging:  Splanchnic activity is evident.


Maybe overlap?


Thanks for your help


 


myocardial scan (as in perfusion)?
Subject: myocardial scan (as in perfusion)?


s/l ukalemic without myocardial injury. TIA nm
Subject: s/l ukalemic without myocardial injury. TIA nm

x
anterolateral myocardial infarction
Subject: anterolateral myocardial infarction


Inferior Myocardial Infarction - IMI
Subject: Inferior Myocardial Infarction - IMI


TMI? transmural myocardial infarction? nm
Subject: TMI? transmural myocardial infarction? nm


Rule out myocardial infarction NM
Subject: Rule out myocardial infarction NM


non-STEMI..Non-ST Elevated Myocardial Infarction
Subject: non-STEMI..Non-ST Elevated Myocardial Infarction


....silent valvular or myocardial disease?
Subject: ....silent valvular or myocardial disease?

x
how about STEMI?? ST elevation myocardial infarction.
Subject: how about STEMI?? ST elevation myocardial infarction.

that might fit in.
non-STEMI (Non-ST Elevated Myocardial Infarction )
Subject: non-STEMI (Non-ST Elevated Myocardial Infarction )


Scarbosa criteria for myocardial infarction?
Subject: Scarbosa criteria for myocardial infarction?


yes sounds correct. i would myocardial ischemia
Subject: yes sounds correct. i would myocardial ischemia

then the other test (EGD) was neg for erosive ischemia
creatine kinase myocardial band
Subject: creatine kinase myocardial band


adenosine stress myocardial perfusion
Subject: adenosine stress myocardial perfusion

The doctor states, "medium area of moderate to severe infarction with very mild residual ischemia in the anteroapical wall."  I cannot tell if he is saying medium area or medial area- which would make more sense? 
Long shot, but often dictate myocardial ischemia. nm
Subject: Long shot, but often dictate myocardial ischemia. nm

xx
ST elevation myocardial infarction, not brain dead
Subject: ST elevation myocardial infarction, not brain dead

x
Actually according to Stedmans if dictated -- non-STEMI = non-ST segment myocardial infarction ....
Subject: Actually according to Stedmans if dictated -- non-STEMI = non-ST segment myocardial infarction ....

and if dictated NSTEMI = non-ST segment elevation myocardial infarction.
a heart attack: ST segment elevation myocardial infarction (STEMI):
Subject: a heart attack: ST segment elevation myocardial infarction (STEMI):


Neutrolateral? myocardial infarction ... is this correct? Can't find it in Cardiology books
Subject: Neutrolateral? myocardial infarction ... is this correct? Can't find it in Cardiology books


NSTEMI - non-ST segment elevation myocardial infarction (NSTEMI)
Subject: NSTEMI - non-ST segment elevation myocardial infarction (NSTEMI)


EKG report
Subject: EKG report

"No weeshnoblomotion abnormalities are identified." What is that word?
thanks everyone. One more report and then I am going to bed.
Subject: thanks everyone. One more report and then I am going to bed.


nothing more to add about the report unless
Subject: nothing more to add about the report unless

the patient had an implanted pacemaker which is not eluded to here.  Just a note, adenosine is not capitalized except to start a sentence.


Maybe you will hear something back.


d~


Sorry, same report...
Subject: Sorry, same report...

"CPK and _______ were negative"  s/l intraconals??


 


Still on the pulmonologist's report...


EEG report
Subject: EEG report

Anyone ever heard of an EEG performed on a Nikon Codon machine?  Thanks.
just sent the report on.........nm
Subject: just sent the report on.........nm

x
op report sm
Subject: op report sm

What kind of surgery is it? If he used "lap" laparotomy pads may be the second one. They usually say sponge, needle and instrument counts. Will keep thinking on this one. Type of surgery would help.


You don't say where in the report -- sm
Subject: You don't say where in the report -- sm

this is given, or any other context, so I have to wonder if this isn't a problem list perhaps giving more than one diagnosis/problem here (as in (1) portosystemic shunt and (2) nephrolithiasis)...

Just a thought
ENT report - sm
Subject: ENT report - sm

Does include sinus surgeries, Caldwel-Luc surgery. Is also on Flonase. Patient is actually here regarding Grave's disease. I'm wondering if this is Relpax D, but I'm not able to verify that as a drug. Any suggestions?
ENT OP report help, please...
Subject: ENT OP report help, please...

Vocal cord lesion biopsy -


Peripheral -s/l orb or oral- sinuses were intubated to their apices and were normal.


Specimen was sent -s/l informal- and for pathology.


TIA!


OP report
Subject: OP report

OP report, lumbar spine


Next, fluoroscopy was used to place new screws at the L2-3 segment.  Starting points were identified at the confluence of the midpoint of the transverse process, the **manloid** process, and the pars interarticularis



He really mumbles through this part, so I am just not sure, but I have not heard this term used before. Thanks!


op report help please sm...
Subject: op report help please sm...

FINDINGS:  Epidurogram revealed normal (s/l-cephaloquadet-) contrast flow outlining the right L5 nerve root sleeve in the epidural space with good flow achieved medial to the right L5 pedicle.  The patient did experience some concordant L5 symptoms on the right side during the injection.  Vital signs remained stable throughout. 


 


 


 


 


OP Report
Subject: OP Report

Hi all! I am doing an OP for a lumbar spine surgeon, but this is just for an I&D. He says the area was probed with "sucker tips" and was found to be subfascial. I am not too comfortable with what I am finding online for this. Has anyone heard this before? Thanks!
OP report help, please
Subject: OP report help, please

Patient was premedicated with intravenous s/l Benadryl. 


Would that be right?


report does not say .. but says she is on BC
Subject: report does not say .. but says she is on BC


help with op report
Subject: help with op report

I never do op notes!  The sentence reads:


The S/L RAFFAY between the anterior and middle deltoids was then opened.  TIA!


Doing EMG report sm
Subject: Doing EMG report sm

The patient has focal severe slowing primarily in sensory fibers in the right upper extremity, on multiple restimulation unable to elicit a response to both s/l "Palmar 8" studies. 


 


I can't find this anywhere.  Anybody have any ideas?  Thanks!


I wish I could see the report, but
Subject: I wish I could see the report, but

could she be saying communication, as in an opening has formed between 2 sinuses or something?

It is so frustrating to be given only a tidbit of a report instead of being able to puzzle it out from what is going on with the patient.
Thanks, but as I'm into the report it
Subject: Thanks, but as I'm into the report it

sounds like this is some weird wording for microscopic blood.

I've done thousands of endoscopy reports and GI consults, but I can't think why he'd say "affobiddy positive stool" instead of something about occult blood or microscopic blood.
ER report. Sm please
Subject: ER report. Sm please

The patient has a 4 mm calcification on the pelvis on the right which may represent a s/l flevolith, thus a right ureteral calculus could not be entirely occluded. 


OP report
Subject: OP report

general s/l elam anesthesia. New to OP reports! TIA


Thanks! That's how I did it in the report nm
Subject: Thanks! That's how I did it in the report nm


OP report
Subject: OP report

s/l -fecal lift- at the base of the appendix
C-sec report
Subject: C-sec report

Does this by some chance have to do with cephalodisproportion, because I looked up Jill Cohen - C-section in google, and there is somebody named Jill Cohen and it talks about labor and delivery and C-section and something this lady wrote about it.  Could this be it.  Check it out on google.
PT report
Subject: PT report

S/l ESTEEM for pain management?
report
Subject: report

Does any one know focal tics of sounds like aphitical movements. Thank could use the help.