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should this be effusion or fusion? see note

Posted By: GA_MT on 2008-06-17
In Reply to:

Subject: should this be effusion or fusion? see note

PROCEDURES


1.  L4-5 posterolateral effusion or fusion.


2.  L4-5 posterior monosegmental instrumentation.


3.  L4 central decompressive laminectomy.




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Don't know what the O word is, but it's most like fusion not effusion
Subject: Don't know what the O word is, but it's most like fusion not effusion


scarification? or serous effusion, cloudy effusion?
Subject: scarification? or serous effusion, cloudy effusion?


Opps interbody fusion,not body fusion
Subject: Opps interbody fusion,not body fusion

x
T-U fusion or TU fusion. also, hypocalcemia, yes. see message
Subject: T-U fusion or TU fusion. also, hypocalcemia, yes. see message

found on line:
"On EKG, hypocalcemia may be signified by a lengthening of the ST segment and QT interval"

T-U fusion (from what I can find) is related to hypokalemia rather than hypocalcemia. Might take some searching?

"Other findings associated with hypokalemia include the following: The U wave and T wave merge in some cases to form a T-U wave which may be misdiagnosed as a prolonged QT interval."
http://cmbi.bjmu.edu.cn/uptodate/electrocardiography%20tutorial/ECG%20tutorial-Miscellaneous%20diagnoses.htm



Psych note Axis III s/l VPS and neuropathy. No health history in the note. Only meds listed psych
Subject: Psych note Axis III s/l VPS and neuropathy. No health history in the note. Only meds listed psych


3-4 mm effusion is how I'd do it. Anyone else?
Subject: 3-4 mm effusion is how I'd do it. Anyone else?


Same here I would use 3-4 mm effusion....nm
Subject: Same here I would use 3-4 mm effusion....nm

x
TU effusion
Subject: TU effusion


EKG shows sinus bradycardia with possible hypocalcemia or TU effusion.


Can possible hypocalcemia be found on an EKG and any clues on TU effusion (can this be found on EKG)?????


Effusion - Is there
Subject: Effusion - Is there

such thing as a plural form?  Doesn't seem like there would be but dictators say that way (effusions) often.
Ott effusion? Odd effusion?
Subject: Ott effusion? Odd effusion?

The context is degenerative changes of the spine with osteophyte and s/l "odd effusion".
There is a 3- to 4-mm effusion noted.
Subject: There is a 3- to 4-mm effusion noted.

Is this correct?


Thank you very much!


Then it may be pulmonary effusion. nm
Subject: Then it may be pulmonary effusion. nm


intense effusion
Subject: intense effusion

nm
how about "a tense effusion"
Subject: how about "a tense effusion"


tense effusion
Subject: tense effusion

Rapid onset (within two hours) of a large, tense effusion suggests rupture of the anterior cruciate ligament or fracture of the tibial plateau

(www.aafp.org/afp/20030901/907.html)
Yes, plural effusion
Subject: Yes, plural effusion


pleural effusion
Subject: pleural effusion

I keep hearing laryn- with L beginning
syringopleural effusion......nm
Subject: syringopleural effusion......nm


Serous effusion sm
Subject: Serous effusion sm

and he is saying something to do with decreased TM movement on insufflation.
s/l perishable effusion?? nm
Subject: s/l perishable effusion?? nm

v
Pleural effusion?
Subject: Pleural effusion?


OM with scarring and effusion? nm
Subject: OM with scarring and effusion? nm


Right-sided pleural effusion
Subject: Right-sided pleural effusion

Evidence of old TBC. I'm thinking he means tuberculosis. Is that right. Also under discharge medications he has Rifamate, Theo-Dur and it sounds like he's saying prinsom or primson and taper down over two weeks. Any ideas? Thanks a bunch.
OME= otitis media with effusion.
Subject: OME= otitis media with effusion.


Loculated pleural effusion......
Subject: Loculated pleural effusion......

pleural fluid which has been loculated or encysted between layers of visceral pleural within the fissures or between partially fused visceral and parietal layers adjacent to the chest wall, diaphragm or mediastinum. 
cardio again... s/l chloral effusion
Subject: cardio again... s/l chloral effusion


never mind. i got it....pleural effusion..thanks anyways
Subject: never mind. i got it....pleural effusion..thanks anyways


malignant pleural effusion?
Subject: malignant pleural effusion?


Is it possible to have effusion with metal cage around it?
Subject: Is it possible to have effusion with metal cage around it?

 
usually hear pericardial effusion
Subject: usually hear pericardial effusion

n.m
ESL: pleural effusion phrases
Subject: ESL: pleural effusion phrases

Doctor with a fairly thick Indian accent dictates the following:


Large left pleural effusion with probable s/l "ectelectisis" or organization. Moderate to large right pleural effusion and s/l "side diesease" is noted.


OME = otitis media with effusion or effusions. nm
Subject: OME = otitis media with effusion or effusions. nm


Any chance you might be hearing "uveal effusion?" nm
Subject: Any chance you might be hearing "uveal effusion?" nm

x
Could be "pleurisy" causing a pleural effusion - nm
Subject: Could be "pleurisy" causing a pleural effusion - nm


Plexus tube for pleural effusion
Subject: Plexus tube for pleural effusion

Thanks!
Otitis media with "scaral" effusion
Subject: Otitis media with "scaral" effusion

This is a young child with otitis media and a previous history of ear tubes. He says what sounds like otitis media probably with "scaral or skaral" effusion.  Any ideas? 
No effusion. Positive s/l postbursal tenderness ??? This is a new doc for me. TIA
Subject: No effusion. Positive s/l postbursal tenderness ??? This is a new doc for me. TIA


Patient has s/l blig-a-ma-sy causing a pleural effusion.
Subject: Patient has s/l blig-a-ma-sy causing a pleural effusion.

Thanks so much!!!
Pt with history of pleural effusion and had s/l talc procedure
Subject: Pt with history of pleural effusion and had s/l talc procedure


fusion
Subject: fusion

Fusion with V toss???
Try "a fusion". nm
Subject: Try "a fusion". nm

.
fusion
Subject: fusion


fusion
Subject: fusion

nm
I would use C5, C6, and C7 fusion
Subject: I would use C5, C6, and C7 fusion

x
could it be fusion?
Subject: could it be fusion?

xx
Past medical history: Bilateral pleural effusion, then s/l
Subject: Past medical history: Bilateral pleural effusion, then s/l

chronic stasis - period.  Would that be right?
Pleural effusion. Status post drainage and s/l tophrodesis sm
Subject: Pleural effusion. Status post drainage and s/l tophrodesis sm

Malignant right-sided pleural effusion.  Status post drainage and s/l "tophrodesis"
occipitothoracic fusion? nm
Subject: occipitothoracic fusion? nm


L4 through L5 or L4 through S1 sacral fusion?
Subject: L4 through L5 or L4 through S1 sacral fusion?


Doing spine fusion. Can anyone...
Subject: Doing spine fusion. Can anyone...

help is lanx deformity instrumentation system?
probably auto fusion
Subject: probably auto fusion