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Thoracentesis s/l "ten or thin" serosanguineous fluid

Posted By: jckerygma on 2007-10-24
In Reply to:

Subject: Thoracentesis s/l "ten or thin" serosanguineous fluid

.  A 22-gauge needle was inserted and 60 mL of blood s/l "ten or thin" serosanguineous fluid was easily withdrawn


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serosanguineous fluid and exudate? Sounds like something might
Subject: serosanguineous fluid and exudate? Sounds like something might

s
serosanguineous.....nm
Subject: serosanguineous.....nm


Is this right "A "ten part" review of systems reveal?
Subject: Is this right "A "ten part" review of systems reveal?

n/t
hmm...posts are glitching...should be "TEN vanc" as in the number (won't post)?? nm
Subject: hmm...posts are glitching...should be "TEN vanc" as in the number (won't post)?? nm


You install drywall, not fluid. Fluid is instilled. nm
Subject: You install drywall, not fluid. Fluid is instilled. nm

nm
aqueous fluid . Fluid gets blocked with glaucoma. nm
Subject: aqueous fluid . Fluid gets blocked with glaucoma. nm


Thoracentesis
Subject: Thoracentesis

That is exactly right! Good job!
thoracentesis
Subject: thoracentesis

Okay, I do not do op notes, but they threw one my way, he is also an ESL, so I am really struggling here.


doing a thoracentesis.  patient placed in a sitting position in chair, the left hemithorax was cleaned with sl-clorex-ben solution.


thoracentesis
Subject: thoracentesis

pulmonology dictation:  sounds like he's saying "Patient had a foreign cc (??) thoracentesis on the left side...."   


thoracentesis
Subject: thoracentesis

A 10-cm, s/l "forearm area" was prepped with chlorhexidine and draped in the usual sterile fashion. The fourth intercostal space was identified and a syringe, with a needle and 1% lidocaine with epi, was used to anesthetize the skin, subcutaneous tissue, periosteum and pleura. Would this be correct-- maybe the forearm was prepped for IV, but this was not stated.

Thoracentesis
Subject: Thoracentesis

I looked this up in Taber's. Under pleurocentesis, it does not give a definition and only says thoracentesis. Under thoracentesis, pleurocentesis is given as a  synonem. Hope this helps.


s/l the pedi thoracentesis
Subject: s/l the pedi thoracentesis

_________ s/l the pedi thoracentesis were negative for organisms.  HELP!
therapeutic thoracentesis was/were?
Subject: therapeutic thoracentesis was/were?


u/s guided thoracentesis ???
Subject: u/s guided thoracentesis ???

He says:  A 5-French catheter is s/l "slushing" advanced into the fluid without difficulty...." 
Pleurocentesis/thoracentesis
Subject: Pleurocentesis/thoracentesis

Is there a difference?  Are they interchangable?  Thanks
Thoracentesis under light?
Subject: Thoracentesis under light?


thin
Subject: thin


I know this but don't - on exam she is very thin and s/l
Subject: I know this but don't - on exam she is very thin and s/l

aesthetic in her appearance (not cachetic) - I know this word but can't find it - HELP!
thin skin
Subject: thin skin

follicular?
yes, they say thin/thick drainage
Subject: yes, they say thin/thick drainage

nm
I thin the O stands for optical
Subject: I thin the O stands for optical


s/l afiable in reference to thin tissue.
Subject: s/l afiable in reference to thin tissue.

"it was noted that the patient had an extremely thin and loose pelvic floor with an extremely (s/l afiable) and thin tissue."


This is for an inguinal hernia repair op report.


Any ideas?


Would think just 'extremely friable and thin tissue.' nm
Subject: Would think just 'extremely friable and thin tissue.' nm

s
They're usually very thin. I've only had them with the zeros in there like 0.035
Subject: They're usually very thin. I've only had them with the zeros in there like 0.035

s
en caul . . . a thin membrane covering
Subject: en caul . . . a thin membrane covering

xx
thin foot plate Kerrison rongeur
Subject: thin foot plate Kerrison rongeur


the patient is thin appearing on today’s exam, almost s/l morphonoid like.
Subject: the patient is thin appearing on today’s exam, almost s/l morphonoid like.


Slip of plica would be okay, just a thin sliver of tissue. Or maybe it's synovial
Subject: Slip of plica would be okay, just a thin sliver of tissue. Or maybe it's synovial

s
last one (hoping)..s/l towel thin paper tape was used to dress the wound. nm
Subject: last one (hoping)..s/l towel thin paper tape was used to dress the wound. nm

is it really towel thin...or am I hearing a name brand?  nm
The galea is a flat, thin, fibrous membrane covering the crown of the head.
Subject: The galea is a flat, thin, fibrous membrane covering the crown of the head.


well, Sarcolemmal means: A thin membrane enclosing a striated muscle fiber.
Subject: well, Sarcolemmal means: A thin membrane enclosing a striated muscle fiber.

.
HEENT: Nares thin drainage? or possibly some drainage...
Subject: HEENT: Nares thin drainage? or possibly some drainage...

sounds like she is saying thin Thanks
fluid
Subject: fluid

cloudy
IV fluid/ESL/help
Subject: IV fluid/ESL/help

The patient has tube feeds, uti acute gastric tract, & dehydration.  She was continued on IV fluids.  Doctor says the IV fluids are called~~~S/L cit-twin-flagyn??
IV fluid help.
Subject: IV fluid help.

This patient is elderly and has stopped eating for a couple of days.  Doctor says what s/l "will give him IV fluid, normal saline with 10 of K at 100 an hour over the next 24 hours."  (Assume K is potassium?)Does this sound correct?  I'm not too familiar with this kind of stuff.  Thanks.
62 cc of fluid
Subject: 62 cc of fluid


full fluid WBC
Subject: full fluid WBC

Urinalysis:  Positive nitrite with large leukocytes, "full fluid" WBC.


Just a WAG, maybe ______ fluid (nm)
Subject: Just a WAG, maybe ______ fluid (nm)

x
ascitic fluid?
Subject: ascitic fluid?

Are you talking about ascitic fluid, as in ascites?
Also acidotic fluid
Subject: Also acidotic fluid

I usually use ascitic  for ascites, i.e., carcinoma
its "something" fluid
Subject: its "something" fluid

x
air-fluid level nm
Subject: air-fluid level nm


fluid was aspirated. nm
Subject: fluid was aspirated. nm


Type of fluid
Subject: Type of fluid

Under sterile precautions, attempt was made to aspirate the joint but it only gave up about 2 cc of ______ fluid.

This was removed from an ankle. I don't know if the doctor got tongue tied or what, but it sounds like he's say "gerary" fluid. Any guesses?
serosanquineous fluid?? nm
Subject: serosanquineous fluid?? nm

nm
500 ml of S-PEN ? (some kind of iv fluid?)
Subject: 500 ml of S-PEN ? (some kind of iv fluid?)

thanks
installation of the fluid. nm
Subject: installation of the fluid. nm

s
Perigallbladder fluid?
Subject: Perigallbladder fluid?

Physician dictated perigallbladder fluid. . .should this be changed to pericholecystic fluid?


cc's versus ccs of fluid?
Subject: cc's versus ccs of fluid?


It is air-fluid gas exchange
Subject: It is air-fluid gas exchange


Does he say fluid before collection?
Subject: Does he say fluid before collection?

That would make more sense and would be typed fluid collection, swelling. Could be he just omitted that word.