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probably includes 'descension' (of fetal head) in there. Don't know what the

Posted By: 'trans' part could be. nm on 2007-04-16
In Reply to: Help needed on delivery note - ob/gyn help

Subject: probably includes 'descension' (of fetal head) in there. Don't know what the

s


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Med list includes s/l queramferamine sm
Subject: Med list includes s/l queramferamine sm

pt is 85 but lists only bilateral hip replacement and asthma for PMH.  Is having trouble breathing.
it includes in his current medications
Subject: it includes in his current medications

amlodipine, Budeprion, __(nephro-lite/-light)___, lorazepam, hydrocodone, alprazolam, and RenaGel.
Med list includes s/l Lentium. Any help?
Subject: Med list includes s/l Lentium. Any help?


His current Rx includes (s/l Narnia) 700 mg q. day - nm
Subject: His current Rx includes (s/l Narnia) 700 mg q. day - nm


Long list of meds includes s/l ba vay so nm
Subject: Long list of meds includes s/l ba vay so nm

.
Cardiac patient's list of medications includes
Subject: Cardiac patient's list of medications includes

s/l Diameril.  Help?
Pt has sickle cell. Med list includes s/l gentx nm
Subject: Pt has sickle cell. Med list includes s/l gentx nm


fetal tissue cell transplant. Is it really cell? I could only find fetal tissue transplant. Thanks!
Subject: fetal tissue cell transplant. Is it really cell? I could only find fetal tissue transplant. Thanks!


Pt with irritable bowel, tests includes s/l "IBA first step". Anybody heard of this? TIA. nm
Subject: Pt with irritable bowel, tests includes s/l "IBA first step". Anybody heard of this? TIA. nm

nm
please help! Past medical history includes s/l spilling? cardiac enzymes. Thanks!
Subject: please help! Past medical history includes s/l spilling? cardiac enzymes. Thanks!


Previous surgery includes lateral release of the s/l D&ACL reconstruction as well as shoulder.
Subject: Previous surgery includes lateral release of the s/l D&ACL reconstruction as well as shoulder.


diagnosis for operation includes intrauterine pregnancy at term, failure to progress and sm
Subject: diagnosis for operation includes intrauterine pregnancy at term, failure to progress and sm

and fetal s/l "a-sink-qua-sism".


fetal PCA
Subject: fetal PCA

In approximately 30% of people, one or both PCAs take origin from the internal carotid artery (ICA) directly or via the posterior communicating artery. Direct origin from the ICA is termed "fetal PCA" (when the ipsilateral P1 segment is congenitally absent). This may have important consequences, in that stroke in the PCA territory may be caused by occlusive disease of the anterior circulation. (from eMedicine)
http://www.emedicine.com/neuro/byname/posterior-cerebral-artery-stroke.htm

Do you think it's fetal scalp?
Subject: Do you think it's fetal scalp?

Does this make sense? 


Hooking up the fetal scalp to the monitor?


Fetal lobulation
Subject: Fetal lobulation

Fetal lobulation, renal


embryologically, the kidney develops in several lobules. Incomplete fusion of these lobules can persist postnatally and even into adult life. This fetal lobulation is recognized on intravenous urography as smooth regular indentations in the renal contour, without parenchymal thinning or abnormalities in the underlying calyx. Inflammatory scars are deeper and typically associated with an abnormal underlying calyx. Renal infarcts are generally random in distribution and cause a broad flat depression in the renal outline. Fetal lobulation may also be recognized at CT, MRI or ultrasound.


Fetal fibronectin???
Subject: Fetal fibronectin???

Please double check my spelling!!!
MFM; Maternal Fetal Medicine, nm
Subject: MFM; Maternal Fetal Medicine, nm

X
fetal scapley??? (C-section) Help!
Subject: fetal scapley??? (C-section) Help!

...patient taken back to the operating room, at which time they hooked up the fetal scapley to the monitor and noticed it was at 120s, but then continued to decelerate.....


This is a c-section for a baby with deceleration bradycardia and arrest of descent.


fetal scalp lead
Subject: fetal scalp lead

(I hope this wasn't too late to reply).

:)
Probably FSE - Fetal Scalp Electrode
Subject: Probably FSE - Fetal Scalp Electrode

x
fetal biophysical profile? nm
Subject: fetal biophysical profile? nm

s
internal fetal electrode ?
Subject: internal fetal electrode ?


antenatal fetal surveillance (nm)
Subject: antenatal fetal surveillance (nm)


Pt with ADHD - and ? fetal alc effect - sm
Subject: Pt with ADHD - and ? fetal alc effect - sm

Physical xm: His forhead seems to be slightly sloped back, with a very prominent jaw. He has a slightly large s/l feltrum and question whether there might have been any fetal alcohol effects.
s/l toco fetal monitoring
Subject: s/l toco fetal monitoring

She is being transferred for S/L toco or tocal fetal monitoring.
Fetal cord activity?
Subject: Fetal cord activity?

In a missed abortion, it sounds like he is saying 'without any evidence of fetal cord activity', or maybe connectivity, but it's a really mushy voice.
no, know sounds like fetal, definately a "f"
Subject: no, know sounds like fetal, definately a "f"

x
difficult fetal presentation and deliverysm
Subject: difficult fetal presentation and deliverysm

google.com and type in your word or phrase, brings up articles.


 


Fetal Presentation
Abnormal Presentation: Asynclitism. Definition. Lateral flexion of head ...
Mild asynclitism is normal; Extreme asynclitism interferes with delivery ...
www.fpnotebook.com/OB33.htm - 21k - Cached - Similar pages


Positive fetal lung maturity as per s/l
Subject: Positive fetal lung maturity as per s/l

Positive fetal lung maturity as per 'puh tel'. ???
s/l topo or tolpol for fetal assessment
Subject: s/l topo or tolpol for fetal assessment

 Hi!  Need help as soon as possible.  Typing history and physical for admission of a woman in labor.  Here is what is dicated:


Fetal heart rate tracing is in the 140s and reassuring with good variability, accelerations, and no decelerations.  (s/l topo or tolpol) is minimal if at all.


Thanks in advance!!


She had a fetal s/l barbenectom done on 01/17/2007, which was negative
Subject: She had a fetal s/l barbenectom done on 01/17/2007, which was negative

n
fetal hear tones were s/l rashaling.nm
Subject: fetal hear tones were s/l rashaling.nm


sorry supposed to be fetal heart tones
Subject: sorry supposed to be fetal heart tones


Could it be some type of fetal electrode monitor?
Subject: Could it be some type of fetal electrode monitor?


fetal tissue is fine the way you have it. Hear it often. nm
Subject: fetal tissue is fine the way you have it. Hear it often. nm

x
Could be 'FSE', fetal scalp electrode..(nm)
Subject: Could be 'FSE', fetal scalp electrode..(nm)

nm
A small s/l ply Q cup vaccum was placed on the fetal vertex.
Subject: A small s/l ply Q cup vaccum was placed on the fetal vertex.


I've heard of maternal-fetal cyst. NM
Subject: I've heard of maternal-fetal cyst. NM

xxx
preeclampsia? fetal urine into amnionic fluid ? WAG here. nm
Subject: preeclampsia? fetal urine into amnionic fluid ? WAG here. nm


pt medication list includes s/l lodapine. Purpose for medication is not stated. TIA
Subject: pt medication list includes s/l lodapine. Purpose for medication is not stated. TIA


fetal heart sound normal, s/l "good axils, no D cells" ?
Subject: fetal heart sound normal, s/l "good axils, no D cells" ?


CT head/esl doc
Subject: CT head/esl doc

CT brain showed central s/l "cortical and cerebellar" involutional changes, old infarct in the territory of the anterior s/l "BR" of the left middle cerebral artery.


Not sure on the wording in first one.  I am coming up with a blank on the second.


Ha ha! This doc is exactly enough of a bu**head to say this... (sm)
Subject: Ha ha! This doc is exactly enough of a bu**head to say this... (sm)

Thanks! I bet that's it!
CT of the head
Subject: CT of the head

The patient has a history of a remote-appearing lacunar infarct within the left frontal lobe adjacent to the left frontal horn of the left lateral ventricle and mild periventricular white matter chronic small-vessel disease on CT scan of the head without contrast.


I am just concerned with the ..periventricular white matter chronic small-vessel disease


How would you type this? the doctor just says it without any pausing.


ahhhhhhh!


s/l CVC of the head was done???
Subject: s/l CVC of the head was done???


Head. Thank you!
Subject: Head. Thank you!

xx
Help! Head CT. SM
Subject: Help! Head CT. SM

Elderly patient with transient alteration of awareness.  It reads:


"Minor periventricular areas of low attenuation without definite evidence of s/l TRANS-UH-TIN-UH-MUL flow CSF to suggest acute hydrocephalus."


HEAD CT
Subject: HEAD CT


I am have troubles filling in the blanks here, can anyone lead me in the right direction?


HEAD CT


Contiguous axial image was obtained from base of the skull to the vertex without (intravenous) IV contrast. Multiple regions of decreased density are seen in the right and left internal capsule. There is no evidence of benign shift, common mass effect or (avastment) of cell _______intervals or cisterns. The cell _____intervals are_________ . Inspections of _________was unremarkable.


HEAD CT
Subject: HEAD CT


IMPRESSION


1. Multiple regions of low density in both sides of internal capsule. (cannot understand this word) represent old white matter infarcts.


head?
Subject: head?


CT of Head.
Subject: CT of Head.

Does this sound right: ...effacement of sulci, ventricles, or cisterns. Inspection of (bone or brain?) windows are unremarkable.