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carotid endarectomy - s/l redundant pieces of intima and media were removed (nm)

Posted By: ann on 2007-03-01
In Reply to:

Subject: carotid endarectomy - s/l redundant pieces of intima and media were removed (nm)

x


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Pt with colonoscopy. The patient several pieces of s/l fibilous pieces of stool in the left colon.
Subject: Pt with colonoscopy. The patient several pieces of s/l fibilous pieces of stool in the left colon.

I know that he is referring to hard stool, but for the life of me, I can't remember!!!



 


 


carotid clean outs is correct. Basically means carotid endarterectomies. I'm not sure about SM
Subject: carotid clean outs is correct. Basically means carotid endarterectomies. I'm not sure about SM

"OJEERS". 
endarectomy? see message pls
Subject: endarectomy? see message pls

the patient has undergone "endarectomy" secondary to small bowel perforation.  Does this make any sense? I've heard of carotic endarectomy.  help!
intima
Subject: intima

x
circumferential is fine, going all the way around the intima instead of just along one wall or
Subject: circumferential is fine, going all the way around the intima instead of just along one wall or

s
pyses or pieces ?!?!?!
Subject: pyses or pieces ?!?!?!

That word should be 'pieces' and it makes real sense too.


"pieces of distel foramen"


Thanks.


 


pieces could be pulses
Subject: pieces could be pulses

xx
if it is, she's hacked it to pieces. sm
Subject: if it is, she's hacked it to pieces. sm

there is definitely ...

int-r-frrr-l

but all run together. Interfural. Interpheral. Interfiral. Enterphyral!!!

I listened and researched for about 25 minutes. Slowed down. Speeded up. Speakers. Three different headphones.

I CAN'T make sense of it. It's so obvious that it should be intracranial, interhemispheric, something. But it just isn't what she is saying, or at least trying to say.

Then again, she says, "Eyes: Skerosa anisterusal." So if she says THAT, then heck, maybe you guys are right.

This dictator completely tries my patience and makes a 12-year MT feel like a total dunce. Just about everyone else passes up her jobs on the system.

Ugggggggh.
i would go with mini nebulizer pieces too
Subject: i would go with mini nebulizer pieces too

/
Neck is not stiff (s/l with a few pieces of stagnus)
Subject: Neck is not stiff (s/l with a few pieces of stagnus)

This is part of the physical examination of a guy with alcohol poisoning.  There is an entire phrase that I can not figure out though.


Neck is not stiff (s/l with a few pieces of stagnus)


Might be correct with the Y's if portions of the bone are missing and only Y-shaped pieces are
Subject: Might be correct with the Y's if portions of the bone are missing and only Y-shaped pieces are

s
yes, p.o. b.i.d. is right (the q would be redundant) nm
Subject: yes, p.o. b.i.d. is right (the q would be redundant) nm

.
I would not think that it would be redundant but one never knows.
Subject: I would not think that it would be redundant but one never knows.


of redundant colon. nm
Subject: of redundant colon. nm

x
redundant.............just my opinion...NM
Subject: redundant.............just my opinion...NM

.
Maybe just phalanx even though would be redundant? nm
Subject: Maybe just phalanx even though would be redundant? nm

s
maybe redundant colon?
Subject: maybe redundant colon?


redundant callus?
Subject: redundant callus?


Redundant colon
Subject: Redundant colon


Otitis Media
Subject: Otitis Media

You heard it right. It's "ears." Infection obviously spread to the ear.


See the link and the text from the link below:


http://www.nidcd.nih.gov/health/hearing/otitism.asp

What is otitis media?

Otitis media is an infection or inflammation of the middle ear. This inflammation often begins when infections that cause sore throats, colds, or other respiratory or breathing problems spread to the middle ear. These can be viral or bacterial infections.

Otitis media
Subject: Otitis media

She has progressed into a __________ s/l foam-a-nit otitis media.


The pt was already treated for a serous otitis media, which got worse. She has tinnitus and pain in her ear.


otitis media
Subject: otitis media

I think it is fulminant.

s/l serisotitis media
Subject: s/l serisotitis media

Sounds like doc says ser i so titis media????
sometimes they say media otitis....SM
Subject: sometimes they say media otitis....SM

instead of otitis media......


I'd flag it.........


otitis media
Subject: otitis media

Pediotic
UAD Otic
Masporin Otic
Rx-Otic
A/B Otic

all are brand names, capitalized

isn't it redundant to say emergency stat
Subject: isn't it redundant to say emergency stat

x
another wasted post - how redundant!!
Subject: another wasted post - how redundant!!

zzzzzzzzzzzzzz
Saying unguent cream is being redundant, but I think that's what you have there. nm
Subject: Saying unguent cream is being redundant, but I think that's what you have there. nm

s
You mean the docs you transcribe for are never redundant?
Subject: You mean the docs you transcribe for are never redundant?

Boy, mine are!!
Sometimes said as ETT tube, making that last "T" redundant and
Subject: Sometimes said as ETT tube, making that last "T" redundant and

s
maybe ethanol alcohol? that's redundant tho
Subject: maybe ethanol alcohol? that's redundant tho

x
RP=reduction plasty...ESL being redundant...? nm
Subject: RP=reduction plasty...ESL being redundant...? nm


Help Please...the redundant tunica was then accordionized? TIA! NM
Subject: Help Please...the redundant tunica was then accordionized? TIA! NM

xx
serous otitis media nm
Subject: serous otitis media nm


OME= otitis media with effusion.
Subject: OME= otitis media with effusion.


could be "fulminate otitis media." .nm
Subject: could be "fulminate otitis media." .nm


contrast medium or media??
Subject: contrast medium or media??

or are both correct? 


the s/l media-appearing tissue
Subject: the s/l media-appearing tissue

The cervix is consistent with a multiparous cervix.  The epithelial tissue appears to be normal.  The transition zone is normal, and the s/l media-appearing tissue is actually glandular tissue from down below.


 


Thanks for any help!


media nerve distribution??
Subject: media nerve distribution??

Since that time he has increase in symptomatology with pain at night and weakness and numbness in the *media nerve distribution* in both hands, but again the right-dominant hand more so than the left.

Can this be correct media nerve distribution??
Contrast media link. sm
Subject: Contrast media link. sm

http://imaging.mallinckrodt.com/covidienImaging/pagebuilder.aspx?topicID=169495&page=Catalog:Browser


 


 


 


If you mean the term operation OP report, no that is redundant.
Subject: If you mean the term operation OP report, no that is redundant.


OME = otitis media with effusion or effusions. nm
Subject: OME = otitis media with effusion or effusions. nm


baby with URI and H/O Otitis media s/l Coralex GP??
Subject: baby with URI and H/O Otitis media s/l Coralex GP??

1.5 mL four times a day
low-osmolar and isosmolar contrast media,
Subject: low-osmolar and isosmolar contrast media,

Cardiac catheterization is a relatively safe procedure but has a well-defined risk of morbidity and mortality. The potential risk of major complications during cardiac catheterization may be difficult to ascertain because of the confounding aspects of comorbid disease and disparities in methods used to collect complication data.


The use of low-osmolar and isosmolar contrast media, lower profile diagnostic catheters, reduced anticoagulation, and extensive operator experience all serve to reduce the incidence of complications further.


Otitis media with "scaral" effusion
Subject: Otitis media with "scaral" effusion

This is a young child with otitis media and a previous history of ear tubes. He says what sounds like otitis media probably with "scaral or skaral" effusion.  Any ideas? 
probably being redundant and saying "in the dorsal supine position." nm
m
. . renal consequences since he will be receiving s/l I-DA-NAD-IE contrast media.
Subject: . . renal consequences since he will be receiving s/l I-DA-NAD-IE contrast media.

Patient getting a heart cath.  Suggestions?
It's kind of redundant, but makes sense, meaning time frame.
Subject: It's kind of redundant, but makes sense, meaning time frame.

x
speaking of recurrent thyroid cancer..so in that area the intra-media-sty-num sm
Subject: speaking of recurrent thyroid cancer..so in that area the intra-media-sty-num sm

Interestingly the PET scan revealed minimal FDG uptake in the right thyroid bed consistent with the right anterior tracheal lesion, and also minimal uptake in what is believed to be persistent thymic tissue in the "intra-media-stynum", but nowhere else is it noted.  MRI was reviewed as well.  This confirms a 1.4 cm enlarged lymph node on the right side at the level of C3......


His s/l JP was removed.nm
Subject: His s/l JP was removed.nm

xx
Thank you. I removed it. :-)
Subject: Thank you. I removed it. :-)