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Sorry. I have no clue. Found Olsen but no light

Posted By: ss on 2007-12-19
In Reply to: surgery - GF

Subject: Sorry. I have no clue. Found Olsen but no light

just forceps, clamp and needle holder.


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As you know, she is a 48-year-old female who reports that approximately two years ago, while in the Dominican Republic, she began to experience severe lower abdominal bloating and pain.  She was evaluated at a clinic and was felt to have an s/l ill-ee-it and was treated symptomatically. 
A clue.
Subject: A clue.

He just dictated this line:

"The patient was hospitalized for the 10-day portion of the study."

So it must be 10/15, for 10 days in the hospital, and 15 days outpatient. So inpatient would make perfect sense, and I feel better.

Thanks.


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lung cancer metastatic to the brain. he had an 'LVAT" procedure??
no clue

She has a sore throat and CP.  She apparently makes facial expression to the (s/l defect)??? with tears in her eyes following this.  This seems to happen frequently.  She tends to clear her throat. 


The patient apparently cannot talk and her mother is explaining how she acts.  Anyone know what the doc might be saying?  Do you need more info?    Probably not, you all are good. 


no clue...
Subject: no clue...

DIAGNOSES:
1. DIABETES MELLITUS
2. PERIPHERAL NEUROPATHY
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4. ULCER FORMATION

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usually is PT, INR and PTT, but does not seem to fit here?? No clue, sorry!...nm
Subject: usually is PT, INR and PTT, but does not seem to fit here?? No clue, sorry!...nm

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have no clue?
Subject: have no clue?

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Can anyone give me a clue . .

. . . as to what this might be?  ESL dictation and I can't seem to make out what he's saying.  I THINK I have an idea, but I wanted to run it by some of you ladies (and gentlemen) to see if your ideas are similar.


Sounds like he's saying the following:


Patient doesn't have much cough. Orsh-a-lavasta have a little bit of blood coming out.  (This is on a patient with a trach.)


Any ideas?


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Subject: I haveno clue...

I listened again and that is the exact wording. Thank you for your help.
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Did find this article though. May help. Sorry, I am stumped on this one.


 



Sputum culture of patients at Siriraj Hospital, Bangkok was 49.84% positive for bacterial pathogens in 1994 and 40.95% in 1995. The average incidence of gram-negative rods was 3.11 fold more than the combination of gram-positive cocci and gram-negative cocci. The most common gram-negative rod was Pseudomonas aeruginosa, followed by either Klebsiella pneumoniae or Acinetobacter anitratus depending on year. The most common coccus was Staphylococcus aureus. From both years, the number of Haemophilus influenzae, Streptococcus pneumoniae, Burkholderia pseudomallei and Nocardia spp isolated were 122, 93, 13 and 11 strains respectively. For antimicrobial susceptibility, P. aeruginosa was sensitive to ceftazidime, imipenem, gentamicin, amikacin, netilmicin, ciprofloxacin (range 56-89%). S. aureus (MSSA) was sensitive to common used drugs. S. aureus (MRSA) was sensitive to co-trimoxazole, fosfomycin, vancomycin (range 57-100%) and resistant to most drugs.


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 ?


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