| now I can hear something like mono ______ acid chemocautery.Posted By: Jan on 2008-03-16In Reply to: Destruction of plantar verruca by sm  - Jan
 
 Subject: now I can hear something like mono ______ acid chemocautery.
 
 
 
 
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 There is a "monochloracetic acid" used for chemocautery.  /nm
 Subject: There is a "monochloracetic acid" used for chemocautery.  /nm
 
 
 Chemocautery
 Subject: Chemocautery
 
 Mono-, bi-, trichloroacetic acid (TCA), phenol etc., are used as chemocautery agents.  Cocaine is used as a local anesthetic.  See if you can hear any of these in the dictation.
 
 bile acid? fibric acid? Here is a link.
 Subject: bile acid? fibric acid? Here is a link.
 
 http://www.webmd.com/cholesterol-management/guide/cholesterol-lowering-medication
 mono with CMV
 Subject: mono with CMV
 
 cytomegalovirus
 patient says she has had mono and s/l CNB or CMB or C&B
 Subject: patient says she has had mono and s/l CNB or CMB or C&B
 
 
 mono words
 Subject: mono words
 
 Yes, it could!
 Pt with suspected mono. sm
 Subject: Pt with suspected mono. sm
 
 Ordered CBC with differential, CMP, peripheral smear s/l review and Monospot. TIA
 maybe mono crisis
 Subject: maybe mono crisis
 
 Maybe he is saying sickle cell with mono (as in monocytic) crisis, and admitted for a crisis in 2005.
 
 
 mono scan
 
 Does this sentence make sense? 
 Left shoulder also shows some spurring and the lumbar spine x-ray and the “mono” scan shows multilevel facet arthropathy disc disease with bulging. 
   Mono scan
 Subject: Mono scan
 
 PET scans are used to track monostatic disease in Paget's disease.  Does the pt. have a hx of Paget's disease?  Maybe the doc is talking in tongues. LOL  They love to abbreviate their dictation in imaging studies.
 s/l mono fund testing
 Subject: s/l mono fund testing
 
 Normal range of motion.  She has normal 'mono fund' testing.
 mono....ventricular tachycardia
 Subject: mono....ventricular tachycardia
 
 That's monomorphic ventricular tachycardia.  Have a good evening.
 mono heart murmur?
 Subject: mono heart murmur?
 
 
 A report came back with:  mono heart murmur; cannot find in google or my Steman's cardio book..  Wondering whether to enter this in my expander.  Any feedback appreciated.  
   S/l "six-mono-asteo" morphine?
 Subject: S/l "six-mono-asteo" morphine?
 
 The patient was found unconscious and brought to the hospital:
 
 "She was positive for opiates on her screen and negative for (s/l six-mono-asteo) morphine.  She had an elevated QTC and an elevated amitriptyline level"
 
 Thanks in advance for any help
 sl monkey mono spotted fever
 Subject: sl monkey mono spotted fever
 
 It is listed in the past medical history of a woman with all kinds of heart and respiratory issues.  At least I got a laugh out of it.  Any ideas?
 Just a WAG, maybe ______ fluid  (nm)
 Subject: Just a WAG, maybe ______ fluid  (nm)
 
 x
 thanks..but he says "stridor *and* ?______" n/m
 Subject: thanks..but he says "stridor *and* ?______" n/m
 
 
 maybe ______ prep?
 Subject: maybe ______ prep?
 
 Could be saying ______ prep did not reveal any tumor cells.
 NDP or MDP ______ facilitation
 Subject: NDP or MDP ______ facilitation
 
 techniques to return function after CVA?  Help please!!!
   ...pH ______ esophageal manometry ??
 Subject: ...pH ______ esophageal manometry ??
 
 
 Will also obtain pH _____ esophageal manometry for evaluation of possible antireflux surgery.    Kinda sounds like  "provida"  ??? 
   
 Thanks in advance!! Pt on Kaletra, Invirase and ______. (s/l a-ru-vi-da). nm
 Subject: Pt on Kaletra, Invirase and ______. (s/l a-ru-vi-da). nm
 
 nm
 ______ port sleeve
 Subject: ______ port sleeve
 
 x
 iliotibial ______ syndrome
 Subject: iliotibial ______ syndrome
 
 s/l bowel but I know that isn't it.  All I can find is band friction syndrome but that sounds nothing like it.  I have no related info as this is just listed in PMH
 aortoiliac ______ adenopathy s/l chain*
 Subject: aortoiliac ______ adenopathy s/l chain*
 
 
 please help.  It sounds like aortoiliac chain adenopathy, and I dunno if this is really correct.  TIA! s/l interpore ______ bone graft
 Subject: s/l interpore ______ bone graft
 
 
 Interpore s/l "coral in" bone graft substitute was used. 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? Positive flexion signs on right with ______ and palmomental.  (s/l) the-mental
 Subject: Positive flexion signs on right with ______ and palmomental.  (s/l) the-mental
 
 nm
 white-to-tan verrucous ______ papules (s/l strigon) near eyes? sm
 Subject: white-to-tan verrucous ______ papules (s/l strigon) near eyes? sm
 
 
 White-to-tan verrucous ______ papules (s/l strigon) in the left infraorbital region and right upper eyelid lash margin.   
 Dx:  Seborrheic keratoses 
 Tx:  liquid nitrogen cryotherapy 
 TYIA! on ______ (s/l NSCD?) to the left lower extremity for DVT prophylaxis
 Subject: on ______ (s/l NSCD?) to the left lower extremity for DVT prophylaxis
 
 
 Not sure if he's referring to some kind of stocking, but her discharge medications include aspirin, enteric-coated. 
 Thanks. In mean, listen to incision was made in ______ fascia and leave out the into.
 Subject: In mean, listen to incision was made in ______ fascia and leave out the into.
 
 
 calf pain with neg. ______ and Homan's sign s/l Platz or Pratts
 Subject: calf pain with neg. ______ and Homan's sign s/l Platz or Pratts
 
 xx
 Lipoic Acid, 300 mg, also known as Alpha Lipoic acid.? nm
 Subject: Lipoic Acid, 300 mg, also known as Alpha Lipoic acid.? nm
 
 
 For vertigo - says patient has normal Rinne, ______ and Weber testing.  Sounded like Rumaud?
 Subject: For vertigo - says patient has normal Rinne, ______ and Weber testing.  Sounded like Rumaud?
 
 /
 HEENT:  Pupils Equal, round, reactive to light and accomendation and ______ intact. thank you
 Subject: HEENT:  Pupils Equal, round, reactive to light and accomendation and ______ intact. thank you
 
 
 Yes, mono spot, short for mononucleosis spot test...nm
 Subject: Yes, mono spot, short for mononucleosis spot test...nm
 
 x
 Patient with Candida albicans and Candida ______.
 Subject: Patient with Candida albicans and Candida ______.
 
 Thanks in advance.
 Salicylic acid
 Subject: Salicylic acid
 
 He's definitely saying salicylic acid, but he's saying something before that that s/l asterile sayicylic acid.  Any ideas?  TIA.
 how about acetylsalicylic acid
 Subject: how about acetylsalicylic acid
 
 does that sound like it?
 s/l Alfalypoic acid?
 Subject: s/l Alfalypoic acid?
 
 
 CURRENT MEDICATIONS 
 
 Lantus 19 units nightly.
 Humalog t.i.d. 1 unit per 10 grams of carbohydrate.
 s/l (Alfalypoic) acid 400 mg b.i.d.
 Lipitor 20 mg daily.
 Lisinopril hydrochlorothiazide 20/12.5 mg daily.
 Synthroid 0.075 mg daily.
 Aspirin 81 mg daily.  
 
 No idea what this could be.  Still kind of new at this.  Any help would be great. alphalipoic acid?
 Subject: alphalipoic acid?
 
 nm
 not sure about the *repodic acid* one, but--sm
 Subject: not sure about the *repodic acid* one, but--sm
 
 the second one of s/l Co qid 60 mg is probably *PO* (by mouth) q.i.d. 60 mg.  listen again.
 
 valproic acid.
 Subject: valproic acid.
 
 x
 He might be saying acid brash.
 Subject: He might be saying acid brash.
 
 nm
 methylmalonic acid nm
 Subject: methylmalonic acid nm
 
 x
 salynacaine acid?
 Subject: salynacaine acid?
 
 x
 There is a fumaric acid,
 Subject: There is a fumaric acid,
 
 not sure if that's what you are looking for though.
 all-acid proliferation
 Subject: all-acid proliferation
 
 The patient returns for continued follow up having had one biopsy out of 12 come back showing a Gleason 3+3=6 carcinoma of the prostate.  This was at the left apex laterally.  There was also an area of suspicious [ s/l “all-acid”]  proliferation on the right side of the prostate in the mid area laterally.  This was not diagnosed as cancer .
 believe it's acetic acid
 Subject: believe it's acetic acid
 
 
 hyaluronic acid
 Subject: hyaluronic acid
 
 
 ethacrynic acid
 Subject: ethacrynic acid
 
 
 Folic acid.......s/m
 Subject: Folic acid.......s/m
 
 The recommended daily dose for folic aced is 400 mcg (microgram)
 
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