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Patient with a groin mass. No involvement of her s/l labial madura or genitalia.

Posted By: ?? on 2009-02-04
In Reply to:

Subject: Patient with a groin mass. No involvement of her s/l labial madura or genitalia.




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JUDE or JUTE exam. Patient has normal genitalia.
Subject: JUDE or JUTE exam. Patient has normal genitalia.

I've been listening and searching on this one - it's probably something simple.... Hope someone can help me - thanks in advance. 
Patient complains of a very large, irregular, *brufus* mass to her knee....TIA
Subject: Patient complains of a very large, irregular, *brufus* mass to her knee....TIA

xxxx
mass affect versus mass effect?????? driving me crazy!
Subject: mass affect versus mass effect?????? driving me crazy!


so......which one is it?? mass effect or mass affect? grrr
Subject: so......which one is it?? mass effect or mass affect? grrr


I forget - is it mass effect or mass affect?
Subject: I forget - is it mass effect or mass affect?


Less involvement/involving ?
Subject: Less involvement/involving ?


"Patchy involvement in the..."
Subject: "Patchy involvement in the..."

probably it's "...patchy involvement in the colon and mesocolon..."
listen for "hepatic involvement." nm
Subject: listen for "hepatic involvement." nm

x
Genitalia maybe? nm
Subject: Genitalia maybe? nm

nm
S/L Labial infusion NM
Subject: S/L Labial infusion NM

It's under the past surgical history but I've never heard of it.  Must be losing my hearing. 
Could be labial majora
Subject: Could be labial majora

--Abby
Pt has abcess behind her ear there is mild involvement in the s/l superior pina. Help!
Subject: Pt has abcess behind her ear there is mild involvement in the s/l superior pina. Help!


dominant mass would be a mass that is prominent (sm)
Subject: dominant mass would be a mass that is prominent (sm)

your grammar checker may want you to add some more words, such as * there is no * to make a complete sentence. 


circumscribed mass ? circumferential mass? nm
Subject: circumscribed mass ? circumferential mass? nm


1 cm mass noncalcified mass lesion. nm
Subject: 1 cm mass noncalcified mass lesion. nm


Word help S/L labial infusion. NM

I now crazy, aint it?


Groin
Subject: Groin

In a physical exam would you put groin under abdomen or genitourinary?  I am having a debate with another MT and we need some further input.
There is no **nasal surrey** branch involvement noted. This is for eye exam.
Subject: There is no **nasal surrey** branch involvement noted. This is for eye exam.


Lesion in nasal labial crease
Subject: Lesion in nasal labial crease

The lesion was oriented in s/l neblotic fascia in the nasal labial crease.  Any suggestions?


Male genitalia exam...s/l no "adver's lie."
Subject: Male genitalia exam...s/l no "adver's lie."

normal external genitalia, no swelling, normal scrotum, and no s/l adver's lie ???
I've heard labial "fusion"
Subject: I've heard labial "fusion"


Try Googling "labial infusion." There is a labial sm
Subject: Try Googling "labial infusion." There is a labial sm

saline infusion.
groin 'knob'
Subject: groin 'knob'

She had a grossly positive left medial 'knob'.  What is the K word?
Groin exam & CVA
Subject: Groin exam & CVA

In PE, does exam of groin go under Abdominal exam or Extremities?  Does costovertebral angle tenderness go under Abdominal or should I just add a Back exam heading?  Thanks


rash in groin...
Subject: rash in groin...

Skin – Erythematous rash, raised, with white scalene boarders to bilateral sides of groin.


 


A:  (s/l) TIN-YAY-ACCRURIS


 


P:


1.      Clotrimazole cream 1% topically twice a day for 1 week after rash resolved.  Dove soap for cleansing.


 


maybe "isolating the groin" ? (nm)
Subject: maybe "isolating the groin" ? (nm)


The genitalia shows a slight amount of redness to the s/l pro-pus-ium.
Subject: The genitalia shows a slight amount of redness to the s/l pro-pus-ium.

TIA
Right groin "makerher" placed for dialysis
Subject: Right groin "makerher" placed for dialysis

Any ideas what the "makerher" might be? 
coworker once typed: This Man Has a Bugle in His Groin
Subject: coworker once typed: This Man Has a Bugle in His Groin

nm
Help with groin node dissection terms
Subject: Help with groin node dissection terms

I have never done an op note and have certainly never done a groin node dissection!  There are no sample reports available.  I have done this doctor before in his clinical setting and he is one of my favorites, but no op notes - the problem is a very poor quality recording - and in an area that I do not have experience!!  HELP!!  Each line is a separate issue.  Some I just need some verifcation that I did it right.


We dissected the lymph node bearing tissue off of the external __s/l dish__ muscle, exposed the femoral nerve artery and vein. 


We used hemoclips and silk ___ for hemostasis and controlled lymphatic vessels.


We dissected along the superficial femoral artery and femoral nerve to __revolve?__ the lymph node bearing tissue from this area.   


We irrigated __and assured?__ hemostasis


We identified the ureter which was reflected medially.


assured hemostasis placing __ FloSeal __ along the obturator foramen area and there was no sign of bleeding


We closed the fascia with a running loop #1 _PDS__ suture. 


closing the femoral canal defect with an interrupted, figure of 8, Ethibond suture.


Thanks for any help or reassurance!!!


Groin goes under abdominal exam. CVA goes under spine.
Subject: Groin goes under abdominal exam. CVA goes under spine.


Genitalia exam had left scrotal swelling, negative s/l transluminents?
Subject: Genitalia exam had left scrotal swelling, negative s/l transluminents?


Plastic surgery, injection to nasal labial fold, s/l Radi-F. nm
Subject: Plastic surgery, injection to nasal labial fold, s/l Radi-F. nm


brain freeze. Is it mass effect or mass affect (CT of brain) THANKS
Subject: brain freeze. Is it mass effect or mass affect (CT of brain) THANKS


Pelvic exam revealed normal external genitalia, s/l; *DUS*, clear vagina,... nm
Subject: Pelvic exam revealed normal external genitalia, s/l; *DUS*, clear vagina,... nm


I would say: Urology , or maybe genitalia, most probably Urology
Subject: I would say: Urology , or maybe genitalia, most probably Urology


3-cm mass
Subject: 3-cm mass

it is a 3-cm mass or
the mass measures 3 cm
Mass or? NM
Subject: Mass or? NM


S/L ma-ges-tin-al mass ...
Subject: S/L ma-ges-tin-al mass ...

The patient had a CT scan of the chest showing right S/L ma-ges-tin-al mass.


Any ideas?


I don't think so, could it be mass?
Subject: I don't think so, could it be mass?

d
? mass
Subject: ? mass

The was still a sensational mass in the lower abdomen and reviewing the old records the patient has been described as having a s/l diaparticular mass in the past.


Any suggestions? My mind has blanked on this and of course, this is all I ccan hear! :)


Thanks!


Probably "echogenic mass" /nm
Subject: Probably "echogenic mass" /nm

.
mass affect nm
Subject: mass affect nm

d~
mass effect
Subject: mass effect

I have always typed mass effect
Mass effect...nm
Subject: Mass effect...nm


mass effect......
Subject: mass effect......

nm
eliptoid mass??
Subject: eliptoid mass??

It sounds like he's saying an "eliptoid" mass consistent with a swollen lymph node on ultrasound of the neck. Thanks!
could it be ellipsoid mass? (nm)
Subject: could it be ellipsoid mass? (nm)

x
ovarian mass
Subject: ovarian mass

Rokitansky nodule.
Mass effect
Subject: Mass effect


consistency of the mass
Subject: consistency of the mass

!!!