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dr is describing postop incisions- sm

Posted By: rmb on 2008-05-15
In Reply to:

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. 




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The incisions were well
s/l collapted.  TIA
incisions (nm)
Subject: incisions (nm)

.
s/l heat incisions
Subject: s/l heat incisions

s/l "heat" incisions


it is a triple arthrodesis


dictates The heat incisions have healed up very well. 


foot of feet incisions? nm
Subject: foot of feet incisions? nm


A 15 s/l oh blade was used to make 3 incisions down to the periosteum. nm
Subject: A 15 s/l oh blade was used to make 3 incisions down to the periosteum. nm

.
Sorry, meant to type foot OR feet incisions. nm
Subject: Sorry, meant to type foot OR feet incisions. nm


"nut" incisions? Lisfranc fracture open repair. nm
Subject: "nut" incisions? Lisfranc fracture open repair. nm


s/l Repleva 21/7 for postop c-sec?
Subject: s/l Repleva 21/7 for postop c-sec?


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.
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."
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
as postop diagnosis says severe central
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
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


Could be describing the plug (which really
Subject: Could be describing the plug (which really

makes no sense to me). It is literally a plug of mucus, therefore mucus plug.
describing gait would be hyphenated...sm
Subject: describing gait would be hyphenated...sm

gait is broad based


patient has a broad-based gait.........


Sounds to me like he's just describing the shape
Subject: Sounds to me like he's just describing the shape

of the part of the patella that remains (and the rest is missing.
He is probably describing the findings on an MRI scan SM
Subject: He is probably describing the findings on an MRI scan SM

If a patient has had spine surgery, the MRI is more than likely done with contrast.  The contrast causes the MRI to "signal" when the contrast is bright in any area.  That's what it means.
crazy observation here, but could he be describing...sm
Subject: crazy observation here, but could he be describing...sm

the sound of the puffs being administered, instead of staying 1 "puff" b.i.d., he's saying something that sounds like the med being administered?  I know that sounds dumb, but that's what comes to my mind.
Do you think this is a brand name or describing a condition???nm
Subject: Do you think this is a brand name or describing a condition???nm

s
Looks like a phrase describing dyes. sm
Subject: Looks like a phrase describing dyes. sm

first word looks like roentgenography or roentgenograph (x-ray) contrast media.


 


The sceond is Diatrizoate Meglumine, which is like Cystographin, another contrast dye.


 


Contrast media link for you.


 


http://imaging.mallinckrodt.com/Products/ProductList.asp?DataGroup=2


 


 


Sounds like he is describing the prostate.
Subject: Sounds like he is describing the prostate.


may be rachis or rakish, describing the segment.nm
Subject: may be rachis or rakish, describing the segment.nm

nm
It is possible if doc is just using the word as an adjective describing any associated pain.
Subject: It is possible if doc is just using the word as an adjective describing any associated pain.


end-to-side colostomy, describing the anastomosis? nm
Subject: end-to-side colostomy, describing the anastomosis? nm

s
yes, if describing location in surgery, not for time though. (nm)
Subject: yes, if describing location in surgery, not for time though. (nm)

x
Not sure. It sounds like he's describing the base as "fibromere"
Subject: Not sure. It sounds like he's describing the base as "fibromere"


When describing a rash, it's discrete and not discreet, right? (sm)
Subject: When describing a rash, it's discrete and not discreet, right? (sm)

Just verifying...I haven't typed that term in a long time.  TIA.
He was describing basilic vein, why it was inaccessible.
Subject: He was describing basilic vein, why it was inaccessible.

Thank you very much for the research and information you acquired.
help with word describing facial swelling..
Subject: help with word describing facial swelling..

My doctor dictated that the patient had developed S/L sideral facial swelling?  Does anyone have any ideas?


Thanks in advance!!


So he's probably describing a problem with the tendon itself - appearance is bowstrung?
Subject: So he's probably describing a problem with the tendon itself - appearance is bowstrung?

nm
I believe it is mucous because it is describing the type of cyst. See inside.
Subject: I believe it is mucous because it is describing the type of cyst. See inside.

A mucous retention cyst is a cyst caused by an obstruction of a duct, usually belonging to the parotid gland or a minor salivary gland.


Yeah :) It does really sound like he's describing the pain with this word. nm
Subject: Yeah :) It does really sound like he's describing the pain with this word. nm


Might be describing the skin of the abdominal walls has having scaling, as in a rash.
Subject: Might be describing the skin of the abdominal walls has having scaling, as in a rash.

x
Also when used as a compound modifier describing a noun or pronoun, it is follow-up - sm
Subject: Also when used as a compound modifier describing a noun or pronoun, it is follow-up - sm

For example, follow-up MRI or follow-up examination. I hope this helps you!
grafts are either straight or curved, so perhaps saying, "U-type" (describing the shape)? prob
Subject: grafts are either straight or curved, so perhaps saying, "U-type" (describing the shape)? probably not UTI... nm


has anyone ever hard of the phrase quick tick describing chest pain
Subject: has anyone ever hard of the phrase quick tick describing chest pain

The doctor dictatates the following:   HER QUICK TICK LEFT SIDED CHEST PAIN CONTINUES.
Does it sound like possibly outflow obstruction and hypokinesis is usually in an area describing the
Subject: Does it sound like possibly outflow obstruction and hypokinesis is usually in an area describing the movement, i.e.

apical hypokinesis
left ventricular hypokinesis
segmental
etc.

Postop was colon cyst, question cyst intestinale? sm
Subject: Postop was colon cyst, question cyst intestinale? sm

I just sent to QA to see if they could figure it out :)
tongue is correct for describing the shape of the lesion. You'll hear a tongue of
Subject: tongue is correct for describing the shape of the lesion. You'll hear a tongue of

s
40-mg tablet; XXX 40 mg a day - use hyphen when it's describing the tablet. nm
Subject: 40-mg tablet; XXX 40 mg a day - use hyphen when it's describing the tablet. nm