| as postop diagnosis says severe centralPosted By: word help on 2007-10-10In Reply to:
 
 Subject: as postop diagnosis says severe central
 
 stenosis at L3-4 and 4-5 and s/l fraying/framing?? stenosis at 3-4, 4-5, and 5-1
   
 
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 Pre and Postop diagnosis is
 Subject: Pre and Postop diagnosis is
 
 cholecystitis but he says the procedure is an appendectomy??  That cannot be right or am I crazy??   It is clear as could be.
   or how about moderately severe encephalopathy or moderate-to-severe ? nm
 Subject: or how about moderately severe encephalopathy or moderate-to-severe ? nm
 
 
 s/l Repleva 21/7 for postop c-sec?
 Subject: s/l Repleva 21/7 for postop c-sec?
 
 
 postop surgery for what?
 Subject: postop surgery for what?
 
 what surgery?
 postop exercise   sm
 Subject: postop exercise   sm
 
 
 Surgery was a total abdominohysterectomy and bilateral salpingo-oophorectomy was done with morcellation technique, significant enterolysis and uterosacral plication for vaginal suspension.   Postoperatively doc says she was doing her s/l base-ense-exercises and ambulating........ s/l darka postop shoe?  SM
 Subject: s/l darka postop shoe?  SM
 
 Patient with diabetes who has an ulceration on her foot - dictator says patient will use Panafil and Fibracol, and  "she will continue to wear the darka postop shoe with a forefoot wedge."
   dr is describing postop incisions- sm
 Subject: dr is describing postop incisions- sm
 
 
 She does have some erythema in her perineum and her buttocks.  She is not tender in this area, and there is no s/l screpadence or sucrepadence or induration noted.   Anyone doing MT should know if a period is required after postop.
 Subject: Anyone doing MT should know if a period is required after postop.
 
 Where did you get your education?  If you don't know that much, you should not be in this field as you are a disgrace to the MT field.
 Would think "split" sutures, unless this is postop a few days &
 Subject: Would think "split" sutures, unless this is postop a few days &
 
 s
 Pt with postop bleeding txd with s/l QL and polystyrene mixture.  (nm)
 Subject: Pt with postop bleeding txd with s/l QL and polystyrene mixture.  (nm)
 
 
 Could be right; they often use an agent to deaden nerves for postop pain.  NM
 Subject: Could be right; they often use an agent to deaden nerves for postop pain.  NM
 
 
 ..one day postop removal of a glomus tumor.  We also had to do an eardrum repair. nm
 Subject: ..one day postop removal of a glomus tumor.  We also had to do an eardrum repair. nm
 
 
 pt. came in with appendicitis, but in postop notes, dictator keeps saying left epi/appe?
 Subject: pt. came in with appendicitis, but in postop notes, dictator keeps saying left epi/appe?
 
 
 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!
 
 
 CXR: Ill defined density seen in the right s/l PROVERBUN apex, which may represent postop change. NM
 Subject: CXR: Ill defined density seen in the right s/l PROVERBUN apex, which may represent postop change. NM
 
 
 type of shoe wear for postop cuneiform fracture?  s/l cunua  nm
 Subject: type of shoe wear for postop cuneiform fracture?  s/l cunua  nm
 
 
 central?  (nm)
 Subject: central?  (nm)
 
 x
 central?
 Subject: central?
 
 ..
 central line
 Subject: central line
 
 endoluminal central line
 central lobar perhaps? nm
 Subject: central lobar perhaps? nm
 
 ,
 ..try central air predominance?..nm
 Subject: ..try central air predominance?..nm
 
 nm
 s/l terp balloon central - sm
 Subject: s/l terp balloon central - sm
 
 Utilizing standard terp balloon central venous kit, the right IJA was identified...
 I think it's saccadic pursuit and VII central.  nm
 Subject: I think it's saccadic pursuit and VII central.  nm
 
 nm
 found central pore?
 Subject: found central pore?
 
 
 That's it.  Although, it sounds more like central porsche.
 Subject: That's it.  Although, it sounds more like central porsche.
 
 nm
 papule with a central core - nm
 Subject: papule with a central core - nm
 
 
 enteral? parenteral? central? peripheral?
 Subject: enteral? parenteral? central? peripheral?
 
 
 Percutaneous Inserted Central Catheter
 Subject: Percutaneous Inserted Central Catheter
 
 
 
 Could he have meant central venous access?  I don't know
 Subject: Could he have meant central venous access?  I don't know
 
 what the CVP would be, though, unless central venous pressure line?
 
 I would have to see what the patient's other problems were I guess.  I have never heard this in an extremity exam before though.
 Could be for central nervous system after the procedure...nm
 Subject: Could be for central nervous system after the procedure...nm
 
 s
 Thanks....I was wondering about the central force part.
 Subject: Thanks....I was wondering about the central force part.
 
 I find referrence to papule central this-and-that, but no central force.  Thanks!
 relatively severe, diffuse....
 Subject: relatively severe, diffuse....
 
 /
 severe ileus??  nm
 Subject: severe ileus??  nm
 
 ss
 severe phobia maybe?      nm
 Subject: severe phobia maybe?      nm
 
 nm
 ......'as severe as HERS'...nm
 Subject: ......'as severe as HERS'...nm
 
 nm
 s/l cervical or severe?
 Subject: s/l cervical or severe?
 
 Cervical or severe spinal stenosis surgery 3 years ago.
 PICC - Peripherally Inserted Central Catheter, nm
 x
 yes, would be referring to medial, lateral and central compartments. nm
 Subject: yes, would be referring to medial, lateral and central compartments. nm
 
 ss
 widely patton central spinal canal?
 Subject: widely patton central spinal canal?
 
 x
 CVP catheter (central venous pressure monitoring)
 Subject: CVP catheter (central venous pressure monitoring)
 
 x
 Central venous line placement, see message
 Subject: Central venous line placement, see message
 
 
 " 
 States:  A wire was then passed through the needle, the needle was removed, and the triple lumen was placed over the wire and the wire removed. This was sutured in place, all 3 lumens with a positive s/l "flash."   
 Is "flash" lingo for blood return? or is he saying something else.  I've not typed these before.  Yes, have seen that in severe case of cholera
 Subject: Yes, have seen that in severe case of cholera
 
 
 severe? situational? secondary? nm
 Subject: severe? situational? secondary? nm
 
 
 could be, does not pronounce the xi, med list of 18, but does have severe PVD, thanks
 Subject: could be, does not pronounce the xi, med list of 18, but does have severe PVD, thanks
 
 
 localized severe pain?  nm
 Subject: localized severe pain?  nm
 
 .
 TURP central venous cath? Never heard nor cannot find IJA
 Subject: TURP central venous cath? Never heard nor cannot find IJA
 
 
 
 It is PICC line - peripherally inserted central catheter
 Subject: It is PICC line - peripherally inserted central catheter
 
 :)
 Bony-impacted s/l palatally position central incisors? nm
 Subject: Bony-impacted s/l palatally position central incisors? nm
 
 .
 yep umbo — central bulge where the malleus attaches to the drum. ...
 Subject: yep umbo — central bulge where the malleus attaches to the drum. ...
 
 
 PICC line (peripherally inserted central catheter)
 Subject: PICC line (peripherally inserted central catheter)
 
 
 agree - probably follicular dermatitis, severe
 Subject: agree - probably follicular dermatitis, severe
 
 
 
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