| Sounds like "orraphy" - internal hemorrhoids with occasional red blood drippingPosted By: BV on 2005-10-10In Reply to:
 
 Subject: Sounds like "orraphy" - internal hemorrhoids with occasional red blood dripping
 
 
 
 
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 It seems some rodent poisons kill the rats through internal bleeding.  Sounds like they're
 Subject: It seems some rodent poisons kill the rats through internal bleeding.  Sounds like they're
 
 
 sounds like blood pulses
 Subject: sounds like blood pulses
 
 She appeared to be in an atrial fibrillation at this time with ventricular response in the 110s to 120s.  She did receive a fluid bolus, and blood pulses were obtained.  Chest x-ray was very difficult to interpret in this morbidly obese, supine pat
 sounds like "laybow" blood sugars
 Subject: sounds like "laybow" blood sugars
 
 
 Blood pressure med, sounds like "neoloride"?
 Subject: Blood pressure med, sounds like "neoloride"?
 
 x
 sounds like breakable blood tests are later???
 Subject: sounds like breakable blood tests are later???
 
 
 her cholesterol was 485, triglycerides 3235, and HDL cholesterol 18 breakinbul desolator??????? or something blood tests are later!!!!! Only blood thinner sounds remotely like that - Arixtra.
 Subject: Only blood thinner sounds remotely like that - Arixtra.
 
 nm
 Hemorrhoids and ? malformation
 Subject: Hemorrhoids and ? malformation
 
 In relistening to this piece of the dictation several times it sounds more like he is saying hemorrhoids and ? malformation.  The word before malformation "efi?"
 s/l occasional DE regular.
 Subject: s/l occasional DE regular.
 
 Vitals:  Height 5 foot 2 inches.  Weight 334 pounds.  Pulse 76 and s/l occasional DE regular.  Respiratory rate is about 18 per minute.
 
 TIA!!
 Cream for hemorrhoids s/l Paranex? nm
 Subject: Cream for hemorrhoids s/l Paranex? nm
 
 
 PPH (Procedure for Prolapse and Hemorrhoids)
 Subject: PPH (Procedure for Prolapse and Hemorrhoids)
 
 
 occasional audible soft wheeze - sm pls
 Subject: occasional audible soft wheeze - sm pls
 
 
 s/l end inspiration, "degavik" expiration.  Any clues? 
   
 Thanks! back off melissa before you give some of us hemorrhoids
 Subject: back off melissa before you give some of us hemorrhoids
 
 im sure you heard of that
 Occasional ETOH - is that slang for alcohol use? nm
 Subject: Occasional ETOH - is that slang for alcohol use? nm
 
 ..
 external hemorrhoids with s/l exstimatic bleeding?
 Subject: external hemorrhoids with s/l exstimatic bleeding?
 
 
 Dictator is ESL - 
 Patient with external hemorrhoids with s/l exstimatic bleeding from old trauma. 
   is this correct for HEART; occasional s/l topic beat?
 Subject: is this correct for HEART; occasional s/l topic beat?
 
 
 HEART: Regular in rhythm and rate, with an occasional topic beat.  
 
 
   Rectal exam: hemorrhoids, "suzors", or masses.  nm
 Subject: Rectal exam: hemorrhoids, "suzors", or masses.  nm
 
 
 sinus tachycardia with occasional s/l___tary edge or complexes?
 Subject: sinus tachycardia with occasional s/l___tary edge or complexes?
 
 EKG was done under review of sinus tachycardia with occasional s/l ___tary? edge or s/l complexes? with a first degree AV block and non-specific ST and T-wave abnormalities
 LEUKO- White, Colorless, EMIA- Blood or referring to the presence of a substance in the blood
 Subject: LEUKO- White, Colorless, EMIA- Blood or referring to the presence of a substance in the blood
 
 
 EKG obtained shows atrial fibrillation, left bundle branch block, occasional pace response.
 Subject: EKG obtained shows atrial fibrillation, left bundle branch block, occasional pace response.
 
 
   Chlorthalidone is used for treating high blood pressure alone or in combination with other blood pre
 Subject: Chlorthalidone is used for treating high blood pressure alone or in combination with other blood pressure medicines. It may be used along with other medicines for the treatment of fluid retention and swelling associated with congestive heart failure, cirrhosis of the liver and other causes.
 
 
 blood transfusion: 3 units s/l spectra blood cells
 Subject: blood transfusion: 3 units s/l spectra blood cells
 
 
 heme, means blood or the red part of blood. nm
 Subject: heme, means blood or the red part of blood. nm
 
 s
 blood pressures vs blood pressure's
 Subject: blood pressures vs blood pressure's
 
 blood pressures vs blood pressure's
 UA shows "a field tact" with white blood cells and red blood cells.  What's he saying here?
 Subject: UA shows "a field tact" with white blood cells and red blood cells.  What's he saying here?
 
 
 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
 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. right internal mammary vein
 Subject: right internal mammary vein
 
 right iternal mammary vein?
 
 internal ureteral fistula?
 Subject: internal ureteral fistula?
 
 
 Internal fixation ZHS system?
 Subject: Internal fixation ZHS system?
 
 
 PREOPERATIVE DIAGNOSIS 
 Comminuted intertrochanteric fracture, left hip. 
   
 OPERATION PERFORMED 
 Open reduction and internal fixation with _______0m:15s_______ system, left hip fracture using 135 degree 4-hole side plate, 80 mm hip screw. 
   
 blank s/l ZHS 
 internal fetal electrode ?
 Subject: internal fetal electrode ?
 
 
 maybe internal rotation is normal?
 Subject: maybe internal rotation is normal?
 
 depending on what part of the body you are at.
 External or internal carotid artery? nm
 Subject: External or internal carotid artery? nm
 
 s
 lacks four levels of internal rotation??
 Subject: lacks four levels of internal rotation??
 
 nm
 history of internal s/l vortiolum conjunctavitis
 Subject: history of internal s/l vortiolum conjunctavitis
 
 h
 open reduction and internal fixation
 Subject: open reduction and internal fixation
 
 
 Y.  left internal mammary artery
 Subject: Y.  left internal mammary artery
 
 
 right internal s/l marinoy or marinoid vein?
 Subject: right internal s/l marinoy or marinoid vein?
 
 The doctor is doing a MediPort repositioning and the tip is currently in this vein.
 Doc says patient is a s/l Peduli-3 in internal medicine
 Subject: Doc says patient is a s/l Peduli-3 in internal medicine
 
 Thank you for any help!
 Internal iliac artery aneurysm.
 Subject: Internal iliac artery aneurysm.
 
 
 I usually don't do operation notes so i'm stuck on something that could possibly be so simple =) 
 An Omni-tract was used for exposure.  The peritoneum overlying the previous aortic graft was incised to expose the s/l vosicated lins of the graft. 
 Thanks for any help!  ok, so they might use bandage scissors on the internal organs?  thanks
 Subject: ok, so they might use bandage scissors on the internal organs?  thanks
 
 
 spinal, external or internal, etc.?  Just guesses.
 Subject: spinal, external or internal, etc.?  Just guesses.
 
 
 Can you hear "Bralon," used for internal fixation?.....nm
 Subject: Can you hear "Bralon," used for internal fixation?.....nm
 
 nm
 word help internal medicine account please...
 Subject: word help internal medicine account please...
 
 urinary s/l "dysenergy" symptoms. TIA!!
 How about LIMA (left internal mammary artery)? nm
 Subject: How about LIMA (left internal mammary artery)? nm
 
 x
 Okay - he wants MRI to rule out internal derangement, so I'm thinking he means- nm
 Subject: Okay - he wants MRI to rule out internal derangement, so I'm thinking he means- nm
 
 nm
 A Zickel sliding nail internal fixation?
 Subject: A Zickel sliding nail internal fixation?
 
 
 
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