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am I hearing CABLE lymph node??

Posted By: g on 2007-10-02
In Reply to:

Subject: am I hearing CABLE lymph node??

open x lap


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subcarinal lymph node in the chest. Google subcarinal lymph node to check. nm
Subject: subcarinal lymph node in the chest. Google subcarinal lymph node to check. nm


also..is there para-cable node
Subject: also..is there para-cable node

I can't reference this
Lymph node

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 Lymph node: Sinus histiocytosis, stellicular depletion and birefringent crystals.


I cannot figure out what this word is supposed to be. Any ideas?


lymph node
Subject: lymph node

The patient is having a right upper lobe lung resection and thoracic lymph node dissection.


SPECIMENS:  s/l azgus lymph node, level 12 lymph node, etc.


I cannot figure out the "azgus" lymph node part.  He is a big time mush mouth and this is a loooooooong dictation.  Any help would be greatly appreciated.


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Subject: sub cm lymph node?

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Subject: lymph node

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Subject: lymph node (azygos)

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Subject: s/l spike lymph node

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LND - lymph node dissection
Subject: LND - lymph node dissection


supraclavicular lymph node is correct nm
Subject: supraclavicular lymph node is correct nm

x


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Subject: sentinel (lymph) node biopsy is correct

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Subject: infra-accessory lymph node group

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lymph node of s/l cloe-K. sm pls for complete phrase.
Subject: lymph node of s/l cloe-K. sm pls for complete phrase.

 then proceeded with the laparoscopic bilateral pelvic lymph node dissection.  First on the right side the lymphatic tissue medial to the external iliac vein was freed and followed the lymphatics frontal to that down to and including the lymph node of chlo-k (maybe chlo-cave?) were removed and then proceeded in a cephalad direction in the obturator fossa
Is there such a thing as infra accessory lymph node group?
Subject: Is there such a thing as infra accessory lymph node group?

Please help with below. This is for a neck dissection for melanoma.


"Once the nerve was identified, using countertraction and sharp dissection, the contents of the infra accessory lymph node group and superior accessory group were dissected medially by sharp dissection."


HEENT exam shows a barely palpable preauricular lymph node sm
Subject: HEENT exam shows a barely palpable preauricular lymph node sm

which measures only a few mm x a few mm on the L side. Would you type as he says it or would you type 3.0 x 3.0 mm? Thanks
An 8.4- node is visible. The node measured 8.4 cm.
Subject: An 8.4- node is visible. The node measured 8.4 cm.

If the hyphen is used to modify, I am hoping that this is correct.  Please excuse my lack of ability to absorb this.  It seems like my entire report will be filled with hyphens as many nodes are seen...it just looks too busy to me to be acceptable and having a hyphen in one place to describe the same node should be the same as when the node is described at the end of a sentence...I should lobby for changes, huh?


8.4-cm node.


the node is 8.4 cm.


Please correct me if I am wrong.  Thanks. 


Signed, QA-fearful MT


periaortic lymph nodes, paraaortic lymph nodes...I can never remember
Subject: periaortic lymph nodes, paraaortic lymph nodes...I can never remember

ugh


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:)
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Subject: s/l doll miles cable..one of those days!!

s/l doll miles cable appears to be well secured and fixed above the patella and through the tibia with a cannulated screw. tia.
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Subject: Depends on what ports you have on laptop and type of cable you have on the screen...sm

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Subject: Patient is also on Coumadin therapy because he had a s/l "port a cable" thrombosis at one time.

:-)
node? nm
Subject: node? nm


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Subject: help with name of a node

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Subject: lymph nodes?


Cochette's node?
Subject: Cochette's node?

s/l Colcett's node - M.D. doing a lymph node mass removal in the groin area. Can't find this anywhere...


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Subject: AV node ablation. nm

nm
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Subject: is it ductal node?

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Subject: curvazio's node????

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clavicle node?
Subject: clavicle node?


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Subject: lymph nodes in that area...*S*...nm

x
Well, PLND is pelvic lymph
Subject: Well, PLND is pelvic lymph

x
paraaortic lymph nodes
Subject: paraaortic lymph nodes

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http://training.seer.cancer.gov/ss_module08_lymph_leuk/lymph_unit02_sec03_lymph_chains.html

Since you have identified this as something hard to remember, make yourself a shortcut for it, like paln.
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Subject: maybe: paracolic fat and any/many lymph nodes (nm)

x
Can't hear lymph nodes, but thanks.
Subject: Can't hear lymph nodes, but thanks.

x
Shotty lymph nodes. . . .
Subject: Shotty lymph nodes. . . .

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Subject: lymph nodes; not epitecular

nm
sentinel node biopsy
Subject: sentinel node biopsy

Prior to prepping, using a _____ (may s/l needle?) probe 2000, evaluation of the axillary revealed a hot spot in the inferior anterior axillary consistent with a sentinel node, and because of this, additional blue dye was not used. 
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Subject: Is "Notta's node" an eponym?


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Subject: Sentinel node biopsy

My bad - I did not know this was related to the breast: I was thinking omentum....apologies....


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Subject: Portohepatic/portahepatic lymph nodes? nm



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Subject: palpable mesocolonic lymph nodes???


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Subject: shoddy or shotty lymph nodes?

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Subject: anterior cervical lymph chain etc.nm


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Subject: Thank you! I googled it and you're right. Going to use sentinel node. THANKS!! nm

x
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Subject: Help with groin node dissection terms

I have never done an op note and have certainly never done a groin node dissection!  There are no sample reports available.  I have done this doctor before in his clinical setting and he is one of my favorites, but no op notes - the problem is a very poor quality recording - and in an area that I do not have experience!!  HELP!!  Each line is a separate issue.  Some I just need some verifcation that I did it right.


We dissected the lymph node bearing tissue off of the external __s/l dish__ muscle, exposed the femoral nerve artery and vein. 


We used hemoclips and silk ___ for hemostasis and controlled lymphatic vessels.


We dissected along the superficial femoral artery and femoral nerve to __revolve?__ the lymph node bearing tissue from this area.   


We irrigated __and assured?__ hemostasis


We identified the ureter which was reflected medially.


assured hemostasis placing __ FloSeal __ along the obturator foramen area and there was no sign of bleeding


We closed the fascia with a running loop #1 _PDS__ suture. 


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sentinel node _______ biopsy
Subject: sentinel node _______ biopsy


'Sentinel node ______lymph biopsy
Subject: 'Sentinel node ______lymph biopsy

I transcribe Pathology, and in looking at this, I'm thinking that the dictation may be for "Sentinel node omental (or omentum) lymph node biopsy"...hope this helps...