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s/l jump to the PDA...see text inside.

Posted By: GA_MT on 2009-05-28
In Reply to:

Subject: s/l jump to the PDA...see text inside.

It was noted that the radial artery graft to the circumflex and s/l jump to the PDA was totally occluded


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I think I'd blank it as that's quite a big jump in value unless they
Subject: I think I'd blank it as that's quite a big jump in value unless they

s
Jump Graft is Correct
Subject: Jump Graft is Correct

I work for a hospital and we hear this all the time. It is jump graft.
s/l Peer jump threshold
Subject: s/l Peer jump threshold

Dictator is doing an audiometric exam and mentions 'peer jump threshold'. Is this correct?
jump is correct...as in "jump graft" nm
Subject: jump is correct...as in "jump graft" nm


chandelier sign...pain so bad it makes you jump off the table and
Subject: chandelier sign...pain so bad it makes you jump off the table and

s
More text
Subject: More text

I have explained to him that it is experimental therapy. There is no guarantee of success. The turbacent toxicities are substantial and these were discussed with the patient.    


Need to know how it was used in the text.
Subject: Need to know how it was used in the text.

xx
Sorry, misunderstood the text.
Subject: Sorry, misunderstood the text.


More text would be helpful. sm
Subject: More text would be helpful. sm

If this is ortho, the second term probably should be Brudzinski sign.
a little more info/text might help
Subject: a little more info/text might help

 . . of what you are transcriting - is patient pre-  or perioperative . . parative not a medical word that I can find . . . a derivative of "parous" possibly?
May be PERIORAL but need more text to be sure...
Subject: May be PERIORAL but need more text to be sure...

Is in on the face (around the mouth in particular)?
aortogram cath see text
Subject: aortogram cath see text

During (Seldinger technique)approach to the infrarenal aorta..."to get full approach for the "UnaFlush or UniFlush" catheter. At first I tried to hear "Omniflush" but at the end of the report, it sounded much more like "UnaFlush or UniFlush." Any clues?
Not enough text to go on, but suspect you're sm
Subject: Not enough text to go on, but suspect you're sm

missing something here. Buccal is an adjective, so if that is indeed the correct term, you need a noun to go with it. What kind of surgery is this?
More text, is it a cancer note, what are we looking at?
Subject: More text, is it a cancer note, what are we looking at?


Full text as dictated (sm)
Subject: Full text as dictated (sm)

Here's the full text as dictated without any edit.

Would appreciate any opinions. Thanks!

"Recently, he went to a massage parlor that was given by a woman and he said he had more than just a massage. He said that she performed a hand job on them. Basically, that was pretty much about it. She masturbated him with her hand and after that, he started to have some discomfort. He denies having any oral, vaginal, or anal sex with this person. He said that after all that, he said he started to get this discomfort."
If you post more text, we can probably figure it out.
Subject: If you post more text, we can probably figure it out.

x
hmmm... what's the text book way?
Subject: hmmm... what's the text book way?

I really don't know. It's a school assigned transcript looking for a I guess "Text Book" way of transcribing it. But all she dictates is
Pyscho was consulted. for her 'Hospital Course.' ... So I was confused at to whether leave it or expand.. but as I see what your saying.. because when I expand it those ways.. doesn't really make sense.. maybe they are wanting me to realized that and not expand but "" the report.
hm...any more info? before or after text? is this urine, blood, or? nm
Subject: hm...any more info? before or after text? is this urine, blood, or? nm


text before? after? context? type of report? help us help you... nm
Subject: text before? after? context? type of report? help us help you... nm


Inside
as part of the neurological exam, you have sensory testing and withdrawing to pain or (some kind of) stimuli would be correct. Not sure about the phraseology in your report, maybe 'withdrawal sensation' ??

See Inside
Subject: See Inside

I would type it as "1-year-5-month-old girl"
See inside (sm)
Subject: See inside (sm)

That is probably mosaicism or punctation.


 


Changes Associated with High Grade SIL



  1. Blood Vessel changes (Coarse punctation or mosaicism)
  2. Abnormal blood vessels
  3. Erosions
  4. Dense Acetowhite staining of epithelium

Please see inside.
Subject: Please see inside.

On his hearing test, the patient could not hear frequencies at 1000-2000-4000 with his right ear at 40 decibels.  He could not hear 1000 with his left ear at 40 decibels.  However, during the whisper test, he was able to hear three items in each ear from at least 7 feet away.


 


I have no idea how to type the 1000 2000 4000.  This is on a physical exam.  Thanks for any help!!


see inside
Subject: see inside

s/l 'tramcentel' metered dose inhaler 4 puffs b.i.d.
see inside
Subject: see inside

that would be 8-French Judkins, left-4 coronary catheter.
see inside
Subject: see inside


Prolapse is assessed as none, grade 1 (in vagina), grade 2 (to introitus), and grade 3 (outside vagina).
see inside....*S*
Subject: see inside....*S*

Subject: I would do it like this...


I would do it this way...



CLINICAL IMPRESSION:
1. Fever.
2. Bronchitis.  Rule out a right pneumonia.
3. Chronic lymphocytic leukemia.
4. Atrial fibrillation.  Rule out arrhythmia.



The reason I do it that way is because way before, we used to line Rule out under let's say Atrial fibrillation, yielding 2 lines.  It used to be done that way back in the early 90s.  Now it is not done that way.  So, I give the impression which would be atrial fibrillation and begin a new sentence....because they have to rule out an arrhythmia.  I don't think it is etched in stone, so either/or would be fine.  *S*



You had to look inside
Subject: You had to look inside


see inside
Subject: see inside

I have heard "estrogen receptor" and "progesterone receptor" positive in breast cancer, so think "estra septa" could be "estrogen receptor.

Not sure what "heptra" could be.


see inside...........
Subject: see inside...........

Mohs surgery, named after surgeon Frederick Mohs who
developed the Mohs procedure...........
See inside.
Subject: See inside.

PAST SURGICAL HISTORY: s/l-TAB or TAV x2.

Anyone now?

Thanks for the help!
See inside.
Subject: See inside.

A plastic wound exposure fish was placed overlying the bowel to allow placement of the composite Gore-Tex and Prolene mesh patch and the mesh was secured. At the end, he said it again and it was clear that he was saying "wound fish", but for the life of me I can't find it said this way anywhere.
I can only think of 2, see inside.
Subject: I can only think of 2, see inside.

bradyarrhythmia (brady·ar·rhyth·mia) (brad”e-ə-rith´me-ə) [brady- + arrhythmia] any disturbance in the heart rhythm in which the heart rate is abnormally slowed, usually to less than 60 beats per minute in an adult.

Or tachybradyarrhythmia aka tachybrady syndrome.
BUS, see inside.
Subject: BUS, see inside.

BUS - Bartholin's, Urethral and Skene's glands.

Good site for abbv lookup:

http://www.pharma-lexicon.com/
see inside
Subject: see inside

Surgical luminaire
Document: United States Patent 5709459
Abstract: A luminaire for use during a medical procedure utilizes a single optic fiber for providing a beam of light having an initial beam width and an initial beam energy. The width of the beam is adjustable without substantially decreasing the beam energy, and the beam of adjusted width can be directed onto a surgical field. A headband for mounting a luminaire is formed of a perspiration-absorbent cloth strip, has hook-and-clasp engagement, and includes a luminaire mount.

Doing basic research is very fulfilling.

Sorry - please see inside --
Subject: Sorry - please see inside --

..dyskeratosis in the form of CORE-ON, squarmous dysplasia...


See inside
Subject: See inside

You need to learn to use Google: type what it sounds like to you in quotes on Google.

It is Indermil (Indermil Tissue Adhesive).

Learn to use Google and then you can be independent with your research!

See inside. sm
Subject: See inside. sm

Truvada


Second word is most likely Sustiva.  It is an HIV drug.  Doctor's spelling...well, we know! 


see inside
Subject: see inside

maybe conus and torus tubarius -- but look it up as i am not very recent on this part of anatomy.
inside
Subject: inside

i believe it is:

'no cord or (blank?) or obstruction.
see inside
Subject: see inside

"paring" of the wart, not sure about varisel - could be variceal - need the sentence please
see inside
Subject: see inside

Probably nitroglycerin since patient has angina. Is there a new drug called Endura? Couldn't find that one. Anyway, could doc be say Lasik PCO?

I dont know about the 3rd drug.

see inside
Subject: see inside

for ATMs could it be TMs? What part of the exam is he/she in?

Not sure about the "fell" culture, sorry
see inside--sm
Subject: see inside--sm

Spurling's test Spine extended with head rotated to affected shoulder while axially loaded Cervical nerve root disorder
see inside
Subject: see inside

You're awesome! I even looked under tests in Dorlands. Where did you find it?
see inside
Subject: see inside

I would put 60s and 70s and calcium one every day, just the way it is dictated or one q.d.
see inside for some possible help....sm
Subject: see inside for some possible help....sm

."@#$#&*&(" : No recent skin rash.  and then something else "@#$#$" : No anemia or lymph gland problems


--------------------------


DERMATOLOGIC:  No recent skin rash.


HEMATOLOGIC/LYMPHATIC:  No anemia or lymph gland problems.


Please see inside for s/l help
Subject: Please see inside for s/l help

She does note upon urination here that she has developed a thicker vaginal mucus; therefore, another indication that she is ovulating.  She has never had middschmert’s pain.  She denies any trauma to her abdomen.  She denies any abnormal vaginal discharge or bleeding
see inside--sm
Subject: see inside--sm

Yersinia enterocolitica is an important human pathogen that researchers increasingly recognize as a cause of various clinical syndromes
see inside
Subject: see inside

can you give a s/l "sounds like". First may be contrast or intravenous contrast and second may air under the diaphragm.
see inside
Subject: see inside

http://www.medgadget.com/archives/2005/04/insorb_resorbab.html