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ob/gyn report ...s/l braided was reviewed with her.

Posted By: schmily on 2006-06-26
In Reply to:

Subject: ob/gyn report ...s/l braided was reviewed with her.

This was under plan.  I don't know if it has to do with the birth control pill they are instructing her about.


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Nurse's notes reviewed or nurses notes reviewed? nm
Subject: Nurse's notes reviewed or nurses notes reviewed? nm

x
Could it be braided suture ? nm
Subject: Could it be braided suture ? nm

nm
Tevdek® first braided polyester suture. sm for refs.
Subject: Tevdek® first braided polyester suture. sm for refs.

Tevdek is used in ortho and heart surgery.


http://www.deknatel.com/products/tevdek-polydek.asp


 


http://www.esutures.com/brands.asp?expired=0


 


 


 


reviewed nm
Subject: reviewed nm

xx
All other systems are reviewed and are negative
Subject: All other systems are reviewed and are negative

okay i need help. is he saying....."all other systems are reviewed and are negative" or "all of the systems are reviewed and are negative"???????? it is under the heading, REVIEW OF SYSTEMS.


Doc reviewed the pt's s/l "SSP PET" scan. How to type correctly? nm
Subject: Doc reviewed the pt's s/l "SSP PET" scan. How to type correctly? nm


I reviewed each chart in detail as well as completed worksheets Please SM
Subject: I reviewed each chart in detail as well as completed worksheets Please SM

in accordance with 1997 HCFA Guidelines for-new-um documentation. This is a letter sent to a health plan regarding a recent office chart audit. Any help would be appreciated.
X-rays reviewed which show a bone abnormality please sm
Subject: X-rays reviewed which show a bone abnormality please sm

in the distal femur laterally, most likely **synofiying** or ossifying fibroma. ?? thanks
reviewed pathology of *inter_____* core biopsy??? thanks. nm
Subject: reviewed pathology of *inter_____* core biopsy??? thanks. nm

nm
MRI is reviewed of the right elbow that shows moderate high signal at the proximal please sm
Subject: MRI is reviewed of the right elbow that shows moderate high signal at the proximal please sm

_______ of the ulnar collateral ligament complex compatible with tendinosis without tear. Thanks
MRI is reviewed whch shows s/l intrasepsis tear supraspinatus tendon. nm
Subject: MRI is reviewed whch shows s/l intrasepsis tear supraspinatus tendon. nm


MRI is reviewed which shows osteochondral defect in the s/l capetome and bone contusion of the sm
Subject: MRI is reviewed which shows osteochondral defect in the s/l capetome and bone contusion of the sm

radial head. Thanks

s/l I reviewed the brain MRI recently performed: there is a septum delluzidium cavum, a normal -sm
Subject: s/l I reviewed the brain MRI recently performed: there is a septum delluzidium cavum, a normal -sm

anatomic varient???? Thanks. 
X-rays reviewed that show a lucent line around the humeral component bone please sm
Subject: X-rays reviewed that show a lucent line around the humeral component bone please sm

cement s/l dith-ro-face. The ulnar component appears to be well-fixed. Thanks!!

X-rays reviewed that show questionable volar **assisted* scaphoid fracture. Thanks
Subject: X-rays reviewed that show questionable volar **assisted* scaphoid fracture. Thanks


X-rays reviewed that show complete healing to the s/l symvasis pubis fracture. TIA
Subject: X-rays reviewed that show complete healing to the s/l symvasis pubis fracture. TIA


X-rays reviewed that show maintenance of alignment and fixation, and progressive signs of healing sm
Subject: X-rays reviewed that show maintenance of alignment and fixation, and progressive signs of healing sm

now on three out of four s/l cordices. Thanks!
Bone scan is reviewed dated 03/06/09 which shows increased activity to the pubic bones at the sm
Subject: Bone scan is reviewed dated 03/06/09 which shows increased activity to the pubic bones at the sm

s/l synthesis. Thanks!
I reviewed x-rays today. They show some s/l white blush of healing along the medial tibial plateau.
Subject: I reviewed x-rays today. They show some s/l white blush of healing along the medial tibial plateau.

TIA :-)
Also reviewed were bone scan, white cell scan and s/l solfar coag scan. Thanks
Subject: Also reviewed were bone scan, white cell scan and s/l solfar coag scan. Thanks


EKG report
Subject: EKG report

"No weeshnoblomotion abnormalities are identified." What is that word?
thanks everyone. One more report and then I am going to bed.
Subject: thanks everyone. One more report and then I am going to bed.


nothing more to add about the report unless
Subject: nothing more to add about the report unless

the patient had an implanted pacemaker which is not eluded to here.  Just a note, adenosine is not capitalized except to start a sentence.


Maybe you will hear something back.


d~


Sorry, same report...
Subject: Sorry, same report...

"CPK and _______ were negative"  s/l intraconals??


 


Still on the pulmonologist's report...


EEG report
Subject: EEG report

Anyone ever heard of an EEG performed on a Nikon Codon machine?  Thanks.
just sent the report on.........nm
Subject: just sent the report on.........nm

x
op report sm
Subject: op report sm

What kind of surgery is it? If he used "lap" laparotomy pads may be the second one. They usually say sponge, needle and instrument counts. Will keep thinking on this one. Type of surgery would help.


You don't say where in the report -- sm
Subject: You don't say where in the report -- sm

this is given, or any other context, so I have to wonder if this isn't a problem list perhaps giving more than one diagnosis/problem here (as in (1) portosystemic shunt and (2) nephrolithiasis)...

Just a thought
ENT report - sm
Subject: ENT report - sm

Does include sinus surgeries, Caldwel-Luc surgery. Is also on Flonase. Patient is actually here regarding Grave's disease. I'm wondering if this is Relpax D, but I'm not able to verify that as a drug. Any suggestions?
ENT OP report help, please...
Subject: ENT OP report help, please...

Vocal cord lesion biopsy -


Peripheral -s/l orb or oral- sinuses were intubated to their apices and were normal.


Specimen was sent -s/l informal- and for pathology.


TIA!


OP report
Subject: OP report

OP report, lumbar spine


Next, fluoroscopy was used to place new screws at the L2-3 segment.  Starting points were identified at the confluence of the midpoint of the transverse process, the **manloid** process, and the pars interarticularis



He really mumbles through this part, so I am just not sure, but I have not heard this term used before. Thanks!


op report help please sm...
Subject: op report help please sm...

FINDINGS:  Epidurogram revealed normal (s/l-cephaloquadet-) contrast flow outlining the right L5 nerve root sleeve in the epidural space with good flow achieved medial to the right L5 pedicle.  The patient did experience some concordant L5 symptoms on the right side during the injection.  Vital signs remained stable throughout. 


 


 


 


 


OP Report
Subject: OP Report

Hi all! I am doing an OP for a lumbar spine surgeon, but this is just for an I&D. He says the area was probed with "sucker tips" and was found to be subfascial. I am not too comfortable with what I am finding online for this. Has anyone heard this before? Thanks!
OP report help, please
Subject: OP report help, please

Patient was premedicated with intravenous s/l Benadryl. 


Would that be right?


report does not say .. but says she is on BC
Subject: report does not say .. but says she is on BC


help with op report
Subject: help with op report

I never do op notes!  The sentence reads:


The S/L RAFFAY between the anterior and middle deltoids was then opened.  TIA!


Doing EMG report sm
Subject: Doing EMG report sm

The patient has focal severe slowing primarily in sensory fibers in the right upper extremity, on multiple restimulation unable to elicit a response to both s/l "Palmar 8" studies. 


 


I can't find this anywhere.  Anybody have any ideas?  Thanks!


I wish I could see the report, but
Subject: I wish I could see the report, but

could she be saying communication, as in an opening has formed between 2 sinuses or something?

It is so frustrating to be given only a tidbit of a report instead of being able to puzzle it out from what is going on with the patient.
Thanks, but as I'm into the report it
Subject: Thanks, but as I'm into the report it

sounds like this is some weird wording for microscopic blood.

I've done thousands of endoscopy reports and GI consults, but I can't think why he'd say "affobiddy positive stool" instead of something about occult blood or microscopic blood.
ER report. Sm please
Subject: ER report. Sm please

The patient has a 4 mm calcification on the pelvis on the right which may represent a s/l flevolith, thus a right ureteral calculus could not be entirely occluded. 


OP report
Subject: OP report

general s/l elam anesthesia. New to OP reports! TIA


Thanks! That's how I did it in the report nm
Subject: Thanks! That's how I did it in the report nm


OP report
Subject: OP report

s/l -fecal lift- at the base of the appendix
C-sec report
Subject: C-sec report

Does this by some chance have to do with cephalodisproportion, because I looked up Jill Cohen - C-section in google, and there is somebody named Jill Cohen and it talks about labor and delivery and C-section and something this lady wrote about it.  Could this be it.  Check it out on google.
PT report
Subject: PT report

S/l ESTEEM for pain management?
report
Subject: report

Does any one know focal tics of sounds like aphitical movements. Thank could use the help.
TEE report - Need help
Subject: TEE report - Need help

" NO BUBBLES ___________ FROM RIGHT TO LEFT SIDE"  s/l caused.  He also said bubble study was done with 9 mL normal saline and "a cc" of air.  Is this written 1 mL? 
per report
Subject: per report

The only diagnosis is bipolar, duh!
was my last report of the day
Subject: was my last report of the day

and he was getting to me!  my least favorite account, lots of bad dictators
MRI report s/m
Subject: MRI report s/m


MRI of the brain shows what looks to be an acute infarct on DWI on the right brainstem area, which were also changes seen on the T2 weighted - s/l anuses - suggesting that this is probably an infarct, which occurred 7-10 days ago.


any ideas cuz I'm pretty sure there are no weighted "anuses" in the brain, at least not identifiable by MRI.


 


op report help
Subject: op report help

Doc states that the the articular surface of the lateral tibial plateau was then s/l stacked as was the weightbearing surface of the lateral femoral condyle.

Thanks