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Surgical History: s/l harris rods in her spine. SM

Posted By: Looking on 2008-02-18
In Reply to:

Subject: Surgical History: s/l harris rods in her spine. SM

Does not sound like Harrington... sounds just like "Harris rods"


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surgical history s/l all-tee
Subject: surgical history s/l all-tee

Patient is being seen for balance problems. There is a lot of focus in the report on various tests and her previous tethered cord, lumbar stenosis, laminectomy, etc.

Past surgical history includes: "repair of a spinal fluid leak and (s/l all-tee) then the lumbar spine fusion."

Any ideas as to what the all-tee might be? At first I thought it was the doctor stumbling over her words, but upon re-listening, I'm not so sure!
I do not in surgical history. I only
Subject: I do not in surgical history. I only

expand it if in an op report heading of Procedure Performed:
Surgical History
Subject: Surgical History

"significant for hip replacement, "appy"????
B&B in past surgical history
Subject: B&B in past surgical history

Anyone know what that could be?
Would that be under past surgical history though as he says it is? nm
Subject: Would that be under past surgical history though as he says it is? nm

nm
past surgical history
Subject: past surgical history

She has had repair of cataracts s/l "in aretnas". I couldn't hear retina. Anyone?
Past surgical history is? nm
Subject: Past surgical history is? nm

nm
Do you write out D&C for surgical history?
Subject: Do you write out D&C for surgical history?

I know that most of the time we write out acronyms in the surgical history, but for some tests and procedures, the acronym is okay.  (Like CT scan, etc) 
Past Surgical History
Subject: Past Surgical History

Doc is dictating patient's past surgical history.  States she had s/l a budd kay or e malformation based on her MRI at the hospital.  Any clues b/c I am at a loss with this one! 
Sounds like past surgical history.
Subject: Sounds like past surgical history.

x
If he's listing past surgical history then
Subject: If he's listing past surgical history then

I'd put appendectomy, three D&C's, tonsillectomy.

D&C stands for dilation and curettage
He only says BTTI under past surgical history and nothing else
Subject: He only says BTTI under past surgical history and nothing else


Is there any past surgical history that might give some clues? nm
Subject: Is there any past surgical history that might give some clues? nm

x
s/l toration of the intestines... past surgical history
Subject: s/l toration of the intestines... past surgical history


No it was just part of the surgical history, so no content clues available. NM
Subject: No it was just part of the surgical history, so no content clues available. NM


Under surgical history: s/l carpal tunnel ?effers? nm TIA
Subject: Under surgical history: s/l carpal tunnel ?effers? nm TIA


Orthopedic word help. in the past history says he had spinal fusion secondary to TB in the spine and
Subject: Orthopedic word help. in the past history says he had spinal fusion secondary to TB in the spine and

s/l removable bontesical?
Nothing in the PMH/surgical history or current meds. to give you a clue? nm
Subject: Nothing in the PMH/surgical history or current meds. to give you a clue? nm

s
in past surgical history for a teen *slazon* removal from the eye. ?? TIA! nm
Subject: in past surgical history for a teen *slazon* removal from the eye. ?? TIA! nm

nm
There is a Harris rod but it is used in hip fixation.
Subject: There is a Harris rod but it is used in hip fixation.


Is it saltar harris 'one' or Ƈ' fracture
Subject: Is it saltar harris 'one' or Ƈ' fracture


calcaneus x-ray - Harris axial or axillary view? (nm)
Subject: calcaneus x-ray - Harris axial or axillary view? (nm)

k
Salter-Harris I (Roman numeral) per Stedmans. nm
Subject: Salter-Harris I (Roman numeral) per Stedmans. nm


Under past medical history - history of abnormal s/l petatrie functioning. I really cannot make *sm
Subject: Under past medical history - history of abnormal s/l petatrie functioning. I really cannot make *sm

it out.  It is a foreigner.  He is saying it very fast.  History of abnormal petatrie functioning is what is sounds like to me.  I have no clue. 
history of colorectal history with metastasis to the liver and lymph nodes
Subject: history of colorectal history with metastasis to the liver and lymph nodes


May be Harrington rods
Subject: May be Harrington rods


s/l Aynet Rods
Subject: s/l Aynet Rods

Hello,

Can someone please help me with this? The procedure is a total left knee arthroplasty. It sounds like they are saying "Aynet rods". I can't find this term ANYWHERE.

Any suggestions would be appreciated.
Proctectomy: Surgical resection of the rectum or Prostatectomy: Surgical removal of the prostate gla
Subject: Proctectomy: Surgical resection of the rectum or Prostatectomy: Surgical removal of the prostate gland.


could be "gram-negative rods" - nm
Subject: could be "gram-negative rods" - nm

.
How would you type *10 to the 5th* gram-neg rods?
Subject: How would you type *10 to the 5th* gram-neg rods?

Hyphens, no hypens?  I can't do superscript, and I don't feel like I should change the numbers, though I *guess* I could...  Thanks
There were 2 out of 2 gram-negative rods, is what I would do.
Subject: There were 2 out of 2 gram-negative rods, is what I would do.

x
C-spine, L-spine, T-spine, unless client allows
Subject: C-spine, L-spine, T-spine, unless client allows


how is this typed: 10 to the 5th gram-negative rods?

sm


Two out of two positive gram negative rods?
Subject: Two out of two positive gram negative rods?

Does that sound right? What's the right way for it to be transcribed?
gram-negative *leak? proof* rods?
Subject: gram-negative *leak? proof* rods?


urinary tract infection - greater than 100,000 ??? negative rods
Subject: urinary tract infection - greater than 100,000 ??? negative rods


I'm wondering if maybe it is "Gram-negative rods sensitive to" or maybe "with sensitivit
Subject: I'm wondering if maybe it is "Gram-negative rods sensitive to" or maybe "with sensitivities to..."

What does the dictator say immediately following your problem spot?


"C-spine" (cervical spine) ??
Subject: "C-spine" (cervical spine) ??


gram-negative, lactose-negative rods is correct. I found a couple of interesting websites SM
Subject: gram-negative, lactose-negative rods is correct. I found a couple of interesting websites SM

after doing a google search for gram-negative, lactose-negative rods.  Basically testing organisms to see if they ferment lactose (positive) or not (negative).


Also, just FYI, gram-negative is not capitalized.


Probably too late, I'm sure.  Better late than never, I guess. 


There are some harrington rods with s/l 3 garth R defect or 3 garth atrifact?? TIA
Subject: There are some harrington rods with s/l 3 garth R defect or 3 garth atrifact?? TIA

x
OP's post inside post says not Harrington rods
Subject: OP's post inside post says not Harrington rods

x
It is Salter or Salter-Harris. see msg
Subject: It is Salter or Salter-Harris. see msg

A classification of fractures (1-5) that occur around or through an epiphyseal plate (growth plate).


s/l duo MRI ? (For the spine ) Thanks
Subject: s/l duo MRI ? (For the spine ) Thanks

x
is it: c-spine, C-spine or c spine or C spine??
Subject: is it: c-spine, C-spine or c spine or C spine??

why can't i find this in any books telling me C, c, C-, c-.. HELLP
C-spine
Subject: C-spine

I have always seen it as C-spine (cervical).
C-spine
Subject: C-spine

I worked for a spine doctor for almost 2 years. It is C-spine.
spine
Subject: spine

Working on a spinal report.  Ever heard of ozodentoidian defect.  The sentence reads...."There is no marrow edema on the MRI indicating this is an old fracture or (s/l ozodentoidian) defect".


MR C-spine help
Subject: MR C-spine help

MR C-spine sounds like "two transhalotrusker region are normal"
C-Spine
Subject: C-Spine

How do you write C-Spine? Hyphen or no hyphen? Capital C, S or not?

She has no tenderness over the C-Spine.

Thanks
C-spine help
Subject: C-spine help

C-spine  s/l serings. No pain, paresthesias, or weakness reported. (Appears in PMH).


Suggestions? Thanks!


 


Spine help please. sm
Subject: Spine help please. sm

MRI: He also has the prior noted fusions at C4-7 with instrumentation artifact in the lower portion of the *constrict.* (Could also s/l tonstrick)


Thanks!