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Thoracentesis under light?

Posted By: victoria on 2009-03-16
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Subject: Thoracentesis under light?




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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
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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  A 22-gauge needle was inserted and 60 mL of blood s/l "ten or thin" serosanguineous fluid was easily withdrawn
I know there is a light reflex....not sure about bony light reflex though...nm..
Subject: I know there is a light reflex....not sure about bony light reflex though...nm..

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light pipe
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S/L "blood light"

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hmmm, never heard of this nor can I find it in any of my ref books.


 


TIA,


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Subject: cone of light


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Subject: s/l randian light

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randian light
Subject: randian light

nope, but thanks so much for the try!!!
randian light
Subject: randian light

SHEEEESH, bet that's exactly what he was trying to say. ty!!!
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Subject: Would think dilating from 4 to 3 mm with and w/o the light in them,

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Subject: lichenification (not light...)


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Subject: Could it be NLP (no light perception), OS ? nm

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Subject: Maybe light magnification. ??

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Subject: And the light bulb goes on. Thanks!


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Subject: I too keep "hearing" light to moderate etc. sm

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.


light reflex is correct
Subject: light reflex is correct

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Subject: intact to light touch perhaps?

 ?


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Subject: Lumitex light band

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Subject: color and light reflex

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Subject: The TMs have a cone of light reflex


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Subject: light chain is correct.

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Subject: Could you post the impression? Might help to shed light. nm


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Subject: Ear exam...good bony light

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Subject: Probably saying the oral mucosa at the speed of light. nm


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Subject: Cataract procedure - light cautery?

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Subject: Yes! I knew light didn't sound right!

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

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TMs have a good colored light reflex?
Subject: TMs have a good colored light reflex?

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Subject: Does it sound like landmark or light reflex?


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Subject: preserved light reflex (eyes)?


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Subject: oops - meant to say bony light reflex

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Subject: eye procedure: light s/l electrofield cautery. i cannot document

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Subject: Could the doc be trying to say radiant light as in using a little flashlight to check pupils.

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