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mild s/l muritzes of the common bile duct. TIA!!!

Posted By: me on 2009-03-19
In Reply to:

Subject: mild s/l muritzes of the common bile duct. TIA!!!




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I wonder if it's common bile duct stone? nm
Subject: I wonder if it's common bile duct stone? nm

nm
probably stands for common bile duct exploration--CBDE.
Subject: probably stands for common bile duct exploration--CBDE.

x
Is the common bile duct and intrahepatic biliary tree--sm
Subject: Is the common bile duct and intrahepatic biliary tree--sm

two separate structures.  Should they be listed under two headings?
Got it, "some bile duct" . . thanks!
Subject: Got it, "some bile duct" . . thanks!


extrahepatic or biliary? bile duct? nm
Subject: extrahepatic or biliary? bile duct? nm


It does not sound like biliary/bile duct!
Subject: It does not sound like biliary/bile duct!


maybe common duct exploration? nm
Subject: maybe common duct exploration? nm

x
Peritoneal bile, or intraperitoneal bile? (NM)
Subject: Peritoneal bile, or intraperitoneal bile? (NM)

NM
8-month-old child. On exam has some mild s/l mic-groth-nia and possibly some mild low set ears.
Subject: 8-month-old child. On exam has some mild s/l mic-groth-nia and possibly some mild low set ears.


P? Bile
Subject: P? Bile

No, that is not correct in the dictionary searches I have done.  I did find where maybe it would be peritoneal bile, but from the bile duct, I am still not sure.
bile acid sequestrant
Subject: bile acid sequestrant


Figured it out -- bile acid
Subject: Figured it out -- bile acid


possibly purulent bile? nm
Subject: possibly purulent bile? nm


Stensen duct
Subject: Stensen duct

According to Dorland's dictionary and it is in the mouth.
sac of the cystic duct ??
Subject: sac of the cystic duct ??

Does the cystic duct have a sac????/ It sounds like sac....but here it is in context...


 


The gallbladder was elevated with the sac of the cystic duct free initially. It was a relatively long structure.


Is peri-renal bile correct?
Subject: Is peri-renal bile correct?


Dictation sounds like:  Upon entering the bile duct, peri-renal bile was drained.


partially occluded s/l eep duct
Subject: partially occluded s/l eep duct

I need help with this part on a not so great recording.  The doctor says "At the bronchus intermedius is a partially occluded [s/l eep] duct and [s/l polyp or polished] white pale tissue which [bled (I think)] easily."  Can anyone shed any light?  Thanks.


maybe inflamed meibomian duct?
Subject: maybe inflamed meibomian duct?


sounds like sialic duct
Subject: sounds like sialic duct

TIA!!
Stenson's duct gland?
Subject: Stenson's duct gland?

Anyone know this? I can't confirm this as being right..."Stenson's duct gland?" It's in the mouth...


Thanks!


 


could it be "...the neck and cystic duct..." ??
Subject: could it be "...the neck and cystic duct..." ??


bile reflux versus reflex...sm plse
Subject: bile reflux versus reflex...sm plse

I always thought it was bile reflux pertaining to the gallbladder but he clearly says bile reflex. Which is correct? TIA
With the addition of Zetia or a s/l bile a sed binding agent. TIA
Subject: With the addition of Zetia or a s/l bile a sed binding agent. TIA


Lacrimal duct balloon inflated to 8 s/l bar? nm
Subject: Lacrimal duct balloon inflated to 8 s/l bar? nm


ejection fraction ______ (titer? hi duct?)
Subject: ejection fraction ______ (titer? hi duct?)

CLueless here.... The patient had right upper quadrant pain and the ultrasound did not show gallbladder disease.  Says we may need to do an ejection fraction _____.  titer? hi duct?  Can't make out any better than that.  Ideas?


Hmmm. Can you hear alveolar duct? Maybe polypoid for the second s/l? nm
Subject: Hmmm. Can you hear alveolar duct? Maybe polypoid for the second s/l? nm

x
Hepatic duct was dilated with a s/l Chahyndra dilator.
Subject: Hepatic duct was dilated with a s/l Chahyndra dilator.


Biliary T-tube, drainage of bile/debris after ERCP or other cholangio procedure Nm
Subject: Biliary T-tube, drainage of bile/debris after ERCP or other cholangio procedure Nm

nm
recurrent bilateral effusions and it was *kylus** and they thought it was due to thoracic duct injur
Subject: recurrent bilateral effusions and it was *kylus** and they thought it was due to thoracic duct injur


Yes it is very common.
Subject: Yes it is very common.


yes, because it is a common lab value
Subject: yes, because it is a common lab value

If you find it easier to remember, you can write it out as hemoglobin A1c (and it would give you extra characters).  However, if you were to type the abbrev form, you would not get docked for it.
i think "inplane" is more common nm
Subject: i think "inplane" is more common nm


This is common where I have transcribed.
Subject: This is common where I have transcribed.

I have worked in the OR also, and local MAC is a common anesthesia term. Should be easy to check on by googling.
No and unfortunately very common in addicts. nm
Subject: No and unfortunately very common in addicts. nm

bb
Context is everything, and this is a very common
Subject: Context is everything, and this is a very common

phrase in that spot. I completely agree with Michelle. Make a normal for this guy; he probably says the same thing every time. Poor pronounciation is a clue.


Okay. It's very common - you will hear it
Subject: Okay. It's very common - you will hear it

a lot. I love my books because of the way you can look up the word you know (gait), and see your choices.
Well, glycerin would be most common, I'd think.
Subject: Well, glycerin would be most common, I'd think.

.
That is a very common phrase used to
Subject: That is a very common phrase used to

describe Barrett's mucosa.  You heard it right.
very common phrase is
Subject: very common phrase is

dorsalis pedis and posterior tibial pulses were palpable or DP and PT pulses were palpable.  Is that it?
Could be common word
Subject: Could be common word

Someone may or may not be able to help....you all surprise me a lot.  This doctor is from India and I can't seem to make sense of this term or context with the sentence.  If you can please help with any suggestions that make sense.


This may turn out to be a dermatofibroma.  He has a flat lentigo-like lesion over the mid back with irregular borders without much induration.  Another lesion of the lower back appears to be a mole with some induration to the lesion.  Several similar lesions noted over the anterior chest and abdomen but s/l cardiac/cautioned (or thought) patient to have been stable. 


sure it's not thrush? common kid ailment
Subject: sure it's not thrush? common kid ailment

n/m
it's "villotubular" (but "tubulovillous" is more common) :) nm
Subject: it's "villotubular" (but "tubulovillous" is more common) :) nm


Bet I have! It's a common literary term. nm
Subject: Bet I have! It's a common literary term. nm

x
common respiratory flora?.......nm
Subject: common respiratory flora?.......nm


Ŗ-0" is a very common suture size ... /sm
Subject: Ŗ-0" is a very common suture size ... /sm

Vicryl sutures are used for a lot of surgeries, and size is measured by "0" -- I used to have a surgeon always said "double-ott" sutures -- meaning "OO" or "2-0"

If they are using more than one strand of suture material, I have heard surgeons say "double stranded" before, but not "dual stranded.

Have a good day.
tar soaks - very common for psoriasis
Subject: tar soaks - very common for psoriasis

also hear "coal tar" Sted Derm rocks
Labile affect is common.
Subject: Labile affect is common.

The word labile doesn't record well, which is why I suggest it.
Here is a link with common bacteria etc. sm
Subject: Here is a link with common bacteria etc. sm

http://www.meditec.com/laboratory-processes-values.html


 


 


 


BOS says in pronoun or common usage..sm
Subject: BOS says in pronoun or common usage..sm

numbers get spelled out - "...previous x-rays versus the most recent one." "His symptoms went from one extreme to the other." The trend is toward using arabic numerals unless your client or QA insists on it. Ages, too, are always in number form. ...BOS II pages 278/279. ....nm

s/l common extensor meth??
Subject: s/l common extensor meth??

With palpation, she is focally tender over the area of the lateral epicondyle and into the common extensor s/l meth??.

Resistance to wrist extension and pronation seems to accentuate pain and discomfort focally over the common extensor s/l meth or math??. No focal deficits appreciated with neurovascular exam.
? common extensor wad (elbow)
Subject: ? common extensor wad (elbow)