Nl perineal body and "levitus" with very strong ____ contractions, 5/5 sm
Posted By: bunion on 2009-05-22
In Reply to:
Subject: Nl perineal body and "levitus" with very strong ____ contractions, 5/5 sm
Normal perineal body and "levitus" with very strong ____| QA MARKER: 159 |____ contractions 5/5, not tender and the patient was able to kegal exercises very well upon request.
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Perineal. nm
Subject: Perineal. nm
nm
Could he be saying perineal?
Subject: Could he be saying perineal?
Would not be peri-renal.
perineal abscess
Subject: perineal abscess
does perineal abscess could be related to pain in the ear ???
perineal nerve...leg
Subject: perineal nerve...leg
peroneal nerve, maybe?
GOogle perineal and see what you get.
Subject: GOogle perineal and see what you get.
Look up contractions in GI reference NM
Subject: Look up contractions in GI reference NM
x
still looking for s/l terseray contractions
Subject: still looking for s/l terseray contractions
When the doctor says it later in the report i can hear a possible tersh? sound
tetanic contractions.
Subject: tetanic contractions.
x
Supraventricular contractions?
Subject: Supraventricular contractions?
perineal or peroneal palsy
Subject: perineal or peroneal palsy
He also has a perineal (or peroneal) palsy and is wheelchair bound because of that.
He is an alcoholic and falls a lot. He has cirrhosis.
s/l peroneal or perineal nerves
Subject: s/l peroneal or perineal nerves
HEENT: Sclerae are white. Conjunctivae are pink. Normal EOM. _____ (s/l peroneal or perineal) nerves are grossly intact.
small? tertiary contractions
Subject: small? tertiary contractions
tocodynamometer for monitoring contractions
Subject: tocodynamometer for monitoring contractions
x
s/l presented with "even" contractions?
Subject: s/l presented with "even" contractions?
x
peri-bottle (for perineal flushing)
Subject: peri-bottle (for perineal flushing)
Peroneal for the leg, perineal for the genital area. nm
Subject: Peroneal for the leg, perineal for the genital area. nm
nm
s/l "Entocho" showing contractions every 5 mins.
Subject: s/l "Entocho" showing contractions every 5 mins.
Past medical history is remarkable only for reactive NST. s/l "Entocho"
showing contractions every 5 minutes which the patient was unaware of completely, except for some mild lower back pain.
I am going to be keeping people busy with this report; it is 14 mins long :(
Thanks for the help :)
Means perineal lacerations/tears - it's correct
n/m
Usually bounding and strong. Don't know your sounds like. Sorry. nm
Subject: Usually bounding and strong. Don't know your sounds like. Sorry. nm
b
Pulses are FULL AND strong
Subject: Pulses are FULL AND strong
would s/l full-en-strong.
(s/l) walking strong?? leukemia
Subject: (s/l) walking strong?? leukemia
Thanks in advance. If can help ASAP, would appreciate it.
A strong "GEE" sound.
Subject: A strong "GEE" sound.
I'm not comfortable with that, but he could be saying it wrong (like that ever happens). Thanks again though.
Spelling is not a doc's strong point! :) nm
Subject: Spelling is not a doc's strong point! :) nm
s
That's it! Thanks... sounded like a strong V sound
Subject: That's it! Thanks... sounded like a strong V sound
strong mid eastern accent (sm)
Subject: strong mid eastern accent (sm)
diagnosed with s/l glycogen stewers disease and elevated liver enzymes
RE: Liver Tansplant
TIA
TIA
s/l supris max strong?? graft
Subject: s/l supris max strong?? graft
Doing a massive rotator cuff tear repair. Here is the full sentence. At this point, the Wright Medical supris max strong?? graft was then used covering the area of the repair using Vicryl suture medial anterior and then using the lateral double row as the lateral margin of the graft covering the entire area of the repair well.
I am assuming it is Wright Medical, so I googled that but I cannot find the supris max strong.
Thanks for any help.
voice is strong without any s/l validy
Subject: voice is strong without any s/l validy
She has tight eye closure and her voice is strong without any validy. Does not sound like valitidy.
barium swallow shows s/l terserary? contractions
Subject: barium swallow shows s/l terserary? contractions
Barium swallow shows s/l terserary? contractions. Not sure about the spelling so I don't know where to start looking
Tocometer measures contractions, probably saying "and toco"
Subject: Tocometer measures contractions, probably saying "and toco"
nm
I wouldn't. Gonna and wanna are slang and not contractions.
Subject: I wouldn't. Gonna and wanna are slang and not contractions.
JMO
update on phrase "coolum and strong"
Subject: update on phrase "coolum and strong"
FINALLY figured this one out. The doc got real slow for once and the phrase he uses all the time for ie: pulses are & it s/l coolum and strong???
BUT, alas...he is saying equivalent and strong....yeahhhhhhhhhhhhhh thank's everybody for their previous help on this
I don't *think* that's it...it sounds like a very strong E at the start of the word. Thanks th
Subject: I don't *think* that's it...it sounds like a very strong E at the start of the word. Thanks though!
None of the two suggestions match as to what he is saying! The doc has a strong accent and he clearl
Subject: None of the two suggestions match as to what he is saying! The doc has a strong accent and he clearly says the word ending with "odiets" . I
I have sent it for QA. Thanks for all your help
maybe "EOM" strong - extraocular eye movement/motion
Subject: maybe "EOM" strong - extraocular eye movement/motion
barium swallow shows small? tertiary contractions. Please check.
Subject: barium swallow shows small? tertiary contractions. Please check.
I've heard "limited due to body habitus" or "difficult due to body habitus." Not sur
Subject: I've heard "limited due to body habitus" or "difficult due to body habitus." Not sure.
x
policing eight may be *____* C8 or T8????
Subject: policing eight may be *____* C8 or T8????
____ or wheezing? nm
Subject: ____ or wheezing? nm
still doing s/l soap-suds-rinse and Benadryl because QDall was not strong enough to stop the itch
Subject: still doing s/l soap-suds-rinse and Benadryl because QDall was not strong enough to stop the itch
that can't be right...what I am supposed to be hearing. ??
____ 496 ohms (pacemaker)
Subject: ____ 496 ohms (pacemaker)
The R-wave was measured at 12.6 millivolts. Pacing threshold was 0.7 volts at 0.5 milliseconds, ____ 832 ohms. The second lead was then placed in the right atrium. P-waves measured 1.7. Pacing threshold was 1.1 volts at 0.5 milliseconds, ____ 496 ohms.
This doctor talks so fast I have no idea what he is saying. The two blanks are the same word but I have no clue what it even sounds like.
s/l ____ Morani maneuver. ?..sm
Subject: s/l ____ Morani maneuver. ?..sm
She is a little wobbly on Romberg. Hearing screen unremarkable. S/L ____ Morani maneuver positive to the right.
TIA 
Maybe ____ anginal symptoms? nm
Subject: Maybe ____ anginal symptoms? nm
Your blank might be ____ one half. nm
Subject: Your blank might be ____ one half. nm
s
A/P ____ transfer done at the same time.
Subject: A/P ____ transfer done at the same time.
The patient will necessitate a reverse shoulder arthroplasty with a s/l Laa ___ transfer done at the same time. ?
it's for a letter, Dear ____ (nm)
Subject: it's for a letter, Dear ____ (nm)
bracket ____ mutation
Subject: bracket ____ mutation
S/L bracket 2 mutation?
Thanks!
s/l ____ strep-reactive arthritis? sm
Subject: s/l ____ strep-reactive arthritis? sm
Patient is a 13-year-old male with a
past medical history of rheumatic
fever and ---- strep-reactive
arthritis?
I am not sure about any of it really
after the rheumatic fever to the
reactive arthritis. The blank, I
don't know if it is a stuture or
not, but sounds like "spin". TIA
To SG re. post below ____ status (psych)
Subject: To SG re. post below ____ status (psych)
Hello again, just read your post on the s/l and that helped me. Here is how some docs break down the different categories of mental status exam--
Mental status exam
-Intellectual functions
A. Sensorium
1. Orientation to ....(person,place, time and situation)
I believe he is stating the word sensorium and I think I would use it because it would apply and that is what it sounds like. Listen for that again later. And here is one link on mental status exam that you could read through (is a powerpoint presentation so just slides, but easy to look at because is concise and brief with just key words) and let me know! Good luck!
http://www.thecolorsoftherainbow.com/MSE.pdf
drawing a ____ = meds S/L wor-phrene
Subject: drawing a ____ = meds S/L wor-phrene
The patient had CP monitoring, had thigh ____,and
Subject: The patient had CP monitoring, had thigh ____,and
recieved 1 g of Ancef prior to surgery.
Pt with PID will be treated with doxycycline and Flagyl per s/l ____ recommendations. sm
Subject: Pt with PID will be treated with doxycycline and Flagyl per s/l ____ recommendations. sm
Noisy in background and this is a new dictator to me so I'm not familiar with his quirks yet. Can't hear CDC. Can't hear "standard" May end with "vir."
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