| Previously *surgerized* left internal carotid remains patent. (nm)Posted By: JD on 2008-08-29In Reply to:
 
 Subject: Previously *surgerized* left internal carotid remains patent. (nm)
 
 Thanks.
 
 
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 LIMA to the LAD was patent? Lima would be left internal mammary artery..nm
 Subject: LIMA to the LAD was patent? Lima would be left internal mammary artery..nm
 
 s
 External or internal carotid artery? nm
 Subject: External or internal carotid artery? nm
 
 s
 Pt with s/l Marcent malunion of left humeral shaft above previously applied plates.
 Subject: Pt with s/l Marcent malunion of left humeral shaft above previously applied plates.
 
 
   Y.  left internal mammary artery
 Subject: Y.  left internal mammary artery
 
 
 Left carotid TEA?
 Subject: Left carotid TEA?
 
 Past surgical history includes what sounds like left carotid TEA (?) and sinus surgery. Any ideas on the TEA?
 How about LIMA (left internal mammary artery)? nm
 Subject: How about LIMA (left internal mammary artery)? nm
 
 x
 carotid clean outs is correct.  Basically means carotid endarterectomies.  I'm not sure about  SM
 Subject: carotid clean outs is correct.  Basically means carotid endarterectomies.  I'm not sure about  SM
 
 "OJEERS".
 surgerized
 Subject: surgerized
 
 One of those "docisms" that is widely used. I would go with it.
 bronchial wall remains
 Subject: bronchial wall remains
 
 I'm thing remains because he is comparing it to the May 17 study.
 Dictator says, *blood pressure remains in the
 Subject: Dictator says, *blood pressure remains in the
 
 100s to 1 teens.--  How would any of you transcribe this?  How about 100s to 113s-119s?  Not sure if this would be correct, though.  But how else would this be done?
   S/L Hepbar? still remains 7cm below the right costal margin.
 Subject: S/L Hepbar? still remains 7cm below the right costal margin.
 
 NM
 like I said previously then...sm
 Subject: like I said previously then...sm
 
 both are acceptable and like the other poster stated, it depends on client preference.  Mine prefers caesarean.
 thanks for everyone's opinions.
 No, as spelled previously
 Subject: No, as spelled previously
 
 
 He has depression for which he has previously....
 Subject: He has depression for which he has previously....
 
 taken Zoloft with some s/l anti-donia and dysthymia.  thank you
 This was presented to this board previously. sm
 Subject: This was presented to this board previously. sm
 
 I'd type what the dictator said and then flag it.  Flagging weird stuff like this absolves you of error.  Ask your QA how to handle it the next time it comes around.
 
 BTW, it is "cannot," never "can not."
 neuraligia previously thought to be
 Subject: neuraligia previously thought to be
 
 Any suggestions?
 maybe "drains" if mentioned previously. nm
 Subject: maybe "drains" if mentioned previously. nm
 
 
 This is really not my day - I looked further and found -- pneumocystis jiroveci, previously known as
 Subject: This is really not my day - I looked further and found -- pneumocystis jiroveci, previously known as pneumocystis carinii
 
 
 Funny thing, I had this yesterday and left 3 blanks that QA also left blank.
 Subject: Funny thing, I had this yesterday and left 3 blanks that QA also left blank.
 
 x
 pain over the left hip and a biopsy of the left s/l SA pablum showed adenocarcinom
 Subject: pain over the left hip and a biopsy of the left s/l SA pablum showed adenocarcinom
 
 n
 patent
 Subject: patent
 
 patent bypass graft
 Are you sure it's not patent ductus?
 Subject: Are you sure it's not patent ductus?
 
 nm
 patent truncus ?  nm
 Subject: patent truncus ?  nm
 
 x
 The lima was patent
 Subject: The lima was patent
 
 Yes - but lima is all caps - LIMA (left internal mammary artery).
 nose was patent?
 Subject: nose was patent?
 
 
 I know I have seen this before.. for some reason I am stuck.   
 Nose is s/l patent anteriorly without mucal purulence of polyps.   
 Thanks!! patent : See definition
 Subject: patent : See definition
 
 open, unobstructed, or not closed
 could it be patent ductus?
 Subject: could it be patent ductus?
 
 
 probably means left anterior descending.  Instead of saying LAD, just saying left AD.
 Subject: probably means left anterior descending.  Instead of saying LAD, just saying left AD.
 
 x
 I'd trust that one more!  I'm no patent expert!
 Subject: I'd trust that one more!  I'm no patent expert!
 
 Hahahaha
 cardiology.. s/l leme-a-tid LAD was patent.. thanks
 Subject: cardiology.. s/l leme-a-tid LAD was patent.. thanks
 
 
 how about "with a" widely patent..."
 Subject: how about "with a" widely patent..."
 
 
 Patent without mucopurulence or polyps.
 Subject: Patent without mucopurulence or polyps.
 
 
 patent ductus arteriosus. nm
 Subject: patent ductus arteriosus. nm
 
 .
 in HEENT, s/l narys? were patent
 Subject: in HEENT, s/l narys? were patent
 
 
 how about patent foramen ovale??..nm
 Subject: how about patent foramen ovale??..nm
 
 nm
 how bout "widely patent"? (nm)
 Subject: how bout "widely patent"? (nm)
 
 
 patulous -- patent or lying open.  nm
 Subject: patulous -- patent or lying open.  nm
 
 
 i found patent foramen ovale so you are right, thanks! nm
 Subject: i found patent foramen ovale so you are right, thanks! nm
 
 
 in the brain-  the s/l bosic cisterns are patent
 Subject: in the brain-  the s/l bosic cisterns are patent
 
 
 widely patent bypass graft? nm =)
 Subject: widely patent bypass graft? nm =)
 
 
 WILD GUESS... patent foramen ovale?
 Subject: WILD GUESS... patent foramen ovale?
 
 
 There are Raney clips (not sure about the paint part could it be patent?)
 Subject: There are Raney clips (not sure about the paint part could it be patent?)
 
 
 S/P left total knee reconstruction.  On exam, has a palpable s/l clod defect on the left knee.
 Subject: S/P left total knee reconstruction.  On exam, has a palpable s/l clod defect on the left knee.
 
 :-)
 internal or external
 Subject: internal or external
 
 x
 s/l block internal
 Subject: s/l block internal
 
 significant bradycardia although there was some mild blockternal formula rate
 internal rotation
 Subject: internal rotation
 
 
 s/l internal arrangement...
 Subject: s/l internal arrangement...
 
 Diagnosis:  Mild Knee sprain.
 
 Dr says significant internal arrangement. I have only heard of derangement. Could it be arrangement as he says it clearly starting with an A.
 with 10 of internal rotation.
 Subject: with 10 of internal rotation.
 
 nm
 Patient is here for an s/l eflex injection.  Patient previously had Orthovisc.
 Subject: Patient is here for an s/l eflex injection.  Patient previously had Orthovisc.
 
 nm
 internal rotation to her arm across her belly
 Subject: internal rotation to her arm across her belly
 
 It has been a long day and I need an opinion.  Thanks!!
 four levels of internal rotation?
 Subject: four levels of internal rotation?
 
 
 That's probably correct if it's a shoulder exam. Internal rotation is measured by vertebral levels. 
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