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Spitz nevus with clear borders was removed, so not sure. Thanks.

Posted By: Lynne on 2009-02-10
In Reply to: Could be wider - MTLifer

Subject: Spitz nevus with clear borders was removed, so not sure. Thanks.




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nevus nm
Subject: nevus nm

nm
nevus of oda?
Subject: nevus of oda?

In pediatric eye exam, ''there is a history of (s/l) nevus of oda (??) on the left side with ocular melanocytosis.''  Thanks very much for any help.
borders not boarders
Subject: borders not boarders


FYI: Nevi is pleural of nevus.
Subject: FYI: Nevi is pleural of nevus.


I flagged it... almost sounded like medial borders, but not really...sm
Subject: I flagged it... almost sounded like medial borders, but not really...sm

first week on the job so I'm still on full editing, which helps.
Hmmm...maybe 'stable borders' for your 'shoulders?. nm
Subject: Hmmm...maybe 'stable borders' for your 'shoulders?. nm

s
I found several references under peri-nevus
Subject: I found several references under peri-nevus


Oops...that should be s/l bold or full borders.nm
Subject: Oops...that should be s/l bold or full borders.nm


You're correct, but use red-red. Hear red-white, too, borders, zones, etc. nm
Subject: You're correct, but use red-red. Hear red-white, too, borders, zones, etc. nm

s
He has a 4 mm nevus on his right cheek with some color variation and TYMPANINE appearing nevi of the
Subject: He has a 4 mm nevus on his right cheek with some color variation and TYMPANINE appearing nevi of the

He has a 4 mm nevus on his right cheek with some color variation and TYMPANINE appearing nevi of the neck.   He also has lipomas which are nontender over the left flank and left posterior quad.   


 


MD slurring his words again.  any guess?


It is so clear Fair a con FE, can't get Femcon FE, it is just so clear. :(
Subject: It is so clear Fair a con FE, can't get Femcon FE, it is just so clear. :(


His s/l JP was removed.nm
Subject: His s/l JP was removed.nm

xx
Thank you. I removed it. :-)
Subject: Thank you. I removed it. :-)


it's "unresectable," i.e. cannot be removed ...sm
Subject: it's "unresectable," i.e. cannot be removed ...sm

completely. They resect cancerous tumors, etc, but sometimes they are unresectable..you were really close! Sometimes (with me) the dictator mispronounces something so oddly that it completely throws me off.


Where's the cyst being removed from? nm
Subject: Where's the cyst being removed from? nm

s
"JEP" removed from axilla? sm

Patient has breast cancer.  Had some procedure (not mentioned what) and the report says:  Wounds are well healed.  The "JEP" was removed from the left axilla.  "JEP" is the closest sounds like I can get...


 


Any clues?


....a lobe of lung removed? nm
Subject: ....a lobe of lung removed? nm

s
could it be Bennell rolled and removed...nm
Subject: could it be Bennell rolled and removed...nm

see above
Skin wedge removed in s/l toe-toe
Subject: Skin wedge removed in s/l toe-toe


The skin wedge was removed in _________. The redundant accessory tendon was removed also with that skin wedge thereby exposing the head of the proximal phalanx. 


 


Think he is saying total or is there something else?


WAG ... could he/she be saying "this whole sheath was removed."
Subject: WAG ... could he/she be saying "this whole sheath was removed."


bridging X-Fix device was removed nm
Subject: bridging X-Fix device was removed nm

xxx
Tissue removed by ultrasonic *cure* (nm) thanks
Subject: Tissue removed by ultrasonic *cure* (nm) thanks


cyst being removed from the small finger
Subject: cyst being removed from the small finger


What's the next sentence? Am thinking that they removed the vibrissae but
Subject: What's the next sentence? Am thinking that they removed the vibrissae but

s
BOS2 says both breasts removed - mastectomies. nm
Subject: BOS2 says both breasts removed - mastectomies. nm

nm
surgery- The s/l schoal sheath was removed. TIA
Subject: surgery- The s/l schoal sheath was removed. TIA


s/l "Guard hairs" removed bilaterally?
xx
later he says "Specimens removed were kidney plus s/l gerotis."
Subject: later he says "Specimens removed were kidney plus s/l gerotis."


pulvinar was removed, second word is osteophytes. nm.
Subject: pulvinar was removed, second word is osteophytes. nm.

nm
patient "had a molar removed via [s/l olnafast]"? (nm)
Subject: patient "had a molar removed via [s/l olnafast]"? (nm)


Atherectomy procedure: "bur removed using *Dynaglide.*
Subject: Atherectomy procedure: "bur removed using *Dynaglide.*

Scratching head...

Thank you.
The s/l palplitome was removed leaving the wire in place. This is a EGD. TIA
Subject: The s/l palplitome was removed leaving the wire in place. This is a EGD. TIA


removed his toenails becauseof *benecial* mycosis
Subject: removed his toenails becauseof *benecial* mycosis


help! - on exam, says "patient lying naked in bed, having removed
Subject: help! - on exam, says "patient lying naked in bed, having removed

s/l 'johnny' and all sheets"
Patient had warts removed from the anal canal. sm
Subject: Patient had warts removed from the anal canal. sm

Doc says " Gelfoam covering s/l "try-a-thane" cream was then placed in the anal canal. 
During a tonsillectomy states tonsils removed using s/l a flat bovie?? Thanks
Subject: During a tonsillectomy states tonsils removed using s/l a flat bovie?? Thanks


small Vicryl suture which was in subcutaneous tissue was removed - nm
Subject: small Vicryl suture which was in subcutaneous tissue was removed - nm

xx
Exam: Cervix and uterus are missing. Her s/l S-string is removed.
Subject: Exam: Cervix and uterus are missing. Her s/l S-string is removed.


The pigtail catheter was then removed over a Rosen wire, and dilatation of the s/l "odonomy" s

carotid endarectomy - s/l redundant pieces of intima and media were removed (nm)
Subject: carotid endarectomy - s/l redundant pieces of intima and media were removed (nm)

x
Drain was removed at this first postop visit- discontinued makes the most sense. Thanks!
Subject: Drain was removed at this first postop visit- discontinued makes the most sense. Thanks!


sinus surgery...the nasal s/l fren-bee were trimmed with scissors and then the cottonoids removed.
Subject: sinus surgery...the nasal s/l fren-bee were trimmed with scissors and then the cottonoids removed.

d
CABG ..esophageal probe and external {s/l pasho (long a)] pads have been removed..TIA!
Subject: CABG ..esophageal probe and external {s/l pasho (long a)] pads have been removed..TIA!


I removed the posterior aspect of the skull outer table with a s/l pencio 1 and straight curette
Subject: I removed the posterior aspect of the skull outer table with a s/l pencio 1 and straight curette


perihepatic acidic collection was removed without evidence of positive cytology. Is acidic correct?
Subject: perihepatic acidic collection was removed without evidence of positive cytology. Is acidic correct?

NM
no sounds more like quadangular? cartilage, then says removed cartilage and s/l vulna??
Subject: no sounds more like quadangular? cartilage, then says removed cartilage and s/l vulna??


There was a white coating of the tongue but, plaque could not be removed. Is plaque right (S/L PLA
NM
just to be clear...
Subject: just to be clear...

I just want to be sure about whether since she specified it is left side only that extensor hallucis "is" and not extensor hallucis "are". If she said bilateral then it would read extensor hallucis are 4+/5 -- am I getting that part correct? TIA
To be clear?
Subject: To be clear?

Hallucis IS.......halluces ARE. You will know when she is talking about a different side or bilateral. Don't over-think your dictator, okay? I'm thinking you may be new (I hope) and these things will become more clear as you go.

I know you're trying to get it perfect, but she knows what she's doing with the foot/feet. :)
it is very clear
Subject: it is very clear

She keeps referring to white matter abnormalities with signal loss and T2 prolongation through the entire report, so I am thinking leuko (white) something....no idea
I wish...but it's very clear. Thanks
Subject: I wish...but it's very clear. Thanks