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stone basketing... grab it and basket it to pull it out. nm

Posted By: Wanderer on 2007-12-10
In Reply to: Lithotripsy and attempts at stone s/l vesking...nm - op note challenged

Subject: stone basketing... grab it and basket it to pull it out. nm

s


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ever hear of stone-tome? doc says sphincterotome/stone-tome sm
Subject: ever hear of stone-tome? doc says sphincterotome/stone-tome sm

to remove bile duct stone. 
Listened again and it s/l degrees of grab. nm
Subject: Listened again and it s/l degrees of grab. nm

.
no problem. if all else fails with stedman, grab webster
Subject: no problem. if all else fails with stedman, grab webster

/
nitanol basket?
Used in retrieving stones from ureter.  Thanks!
nitinol basket

You can google for more info. 


basket punch? There is a brand name. sm
Subject: basket punch? There is a brand name. sm

ArthroCare wand. arthrowand might be a slang term. There is also a basket forceps but used in stone retreival in urology etc.
S/l basket forceps, *menisca trim* and ArthroWand
Subject: S/l basket forceps, *menisca trim* and ArthroWand

TIA for any ideas.
basket forceps for meniscal trim, ArthroCare Wand, do lots of these OPs......nm
Subject: basket forceps for meniscal trim, ArthroCare Wand, do lots of these OPs......nm

nm
basket forceps for meniscal trim, ArthroCare Wand, do lots of these OPs......nm
Subject: basket forceps for meniscal trim, ArthroCare Wand, do lots of these OPs......nm

nm
My ortho surgeons use the basket forceps routinely to retrieve fragments after debridement.....sm
Subject: My ortho surgeons use the basket forceps routinely to retrieve fragments after debridement.....sm

of the meniscus, not just in urology, other surgeries, also, I do mostly OPs. :-)
Might be stone in the CBD. nm
Subject: Might be stone in the CBD. nm

s
s/l pull on dexelation
Subject: s/l pull on dexelation

LUNGS: Revealed diminished breath sounds bilaterally with pull on dexelation.
I'm about to pull my hair out!
Subject: I'm about to pull my hair out!

Infectious disease doctor (foreign) patient has a febrile illness, elevation of protein in spinal fluid.  Differential diagnoses include leptospirosis,  then what sounds something like "trepadoma paladin",  I"m clueless! 
It's possible. They need to pull on something to remove these tubes, so either could be okay. n
x
Cast may be okay. It could just be a remnant of a stone. nm
x
Colon s/l bolic stone
Subject: Colon s/l bolic stone

Says this over and over and can't seem to quite pick it up.  Thanks in advance!!!! 
Have had this same ESL all and ready to pull my hair out!!!
Subject: Have had this same ESL all and ready to pull my hair out!!!

start IV fluids with D5 one-half at (s/l 8) cc per hour - or it could be 18 or 80, but I really think it is 8.  Does that sound right? 


There is a push-pull procedure - nm
Subject: There is a push-pull procedure - nm


Pt with large stone with sig s/l hydrouretrophrosis.........tia NM
Subject: Pt with large stone with sig s/l hydrouretrophrosis.........tia NM

x
midureteral pelvic stone? nm
Subject: midureteral pelvic stone? nm

nm
s/l Swavay pull through laparascopic
Subject: s/l Swavay pull through laparascopic

nt
could be pinna pull (earlobe)
Subject: could be pinna pull (earlobe)

in children they tug on the earlobe gently to see if it seems to hurt them, indicating a possible ear infection.
Ha ha..it would be very like this doctor to pull some Latin on me :) Thx so much!
Subject: Ha ha..it would be very like this doctor to pull some Latin on me :) Thx so much!


Help! Ready to pull my hair out!!
Subject: Help! Ready to pull my hair out!!

Horrible sound quality, I now have 5 blanks in this report.  Need help with this anesthesiology consultation on pending shoulder surgery.


There is no tenderness along the right or left brachial plexus, the ________ groove or supraclavicular region. There is no tenderness along the right or left anterior or medial _________ muscles. The patient's upper extremity shows the _________ muscle mass appears symmetrical.


I'm sorry, the sound is so bad I don't even know what these words sound like.  It doesn't help that the dictator has marbles in his mouth!!  I just don't have a clue!!


s/l two-sided pull-away sheath?
Subject: s/l two-sided pull-away sheath?

on permacath placement?  TIA
I wonder if it's common bile duct stone? nm
Subject: I wonder if it's common bile duct stone? nm

nm
? pull-on or pilon knee brace.
Subject: ? pull-on or pilon knee brace.


Lithotripsy and attempts at stone s/l vesking...nm
Subject: Lithotripsy and attempts at stone s/l vesking...nm

nm
its prob hair pull test.
Subject: its prob hair pull test.

just a guess
In PMH, sounds like prada gland stone
Subject: In PMH, sounds like prada gland stone

This is just in the list of past medical history information...

"She has a history of a prada gland stone"...any ideas????

Thanks!!!
Med for kidney stone, s/l *Starolith* may be OTC naturopathic
Subject: Med for kidney stone, s/l *Starolith* may be OTC naturopathic

x


 


left urethral or ureteral stone
Subject: left urethral or ureteral stone

mt transcribed it as left urethral stone and i changed it to left ureteral stone, because as i understand it, there is only one urethra and bilateral ureters, am i right? or can it also be left urethral?
You are correct, ureteral stone, I get plenty of uro ops......NM :-)
Subject: You are correct, ureteral stone, I get plenty of uro ops......NM :-)

nm
Trupole is Tru-Pull Lite brace!
Subject: Trupole is Tru-Pull Lite brace!

I just had this too and googled it.  DonJoy Tru-Pull Lite brace.
stone "in gradu" formation...
Subject: stone "in gradu" formation...

That is the complete sentence if that helps any?
I like this site, you can pull by lab test, conditions, ages, etc.
Subject: I like this site, you can pull by lab test, conditions, ages, etc.

http://www.labtestsonline.org/
There is a gastric pull-up procedure for esophageal cancer. nm
Subject: There is a gastric pull-up procedure for esophageal cancer. nm


Just a little humor for a Friday morning. Urologist, Dr. Stone.nm
Subject: Just a little humor for a Friday morning. Urologist, Dr. Stone.nm


CT scan was performed and showed a 1-x-4-mm kidney stone SM
Subject: CT scan was performed and showed a 1-x-4-mm kidney stone SM

in the bladder with mild s/l "apney" of the ureter.
obstructing right s/l mo-adi renal pelvic stone. sm for complete infor. sm
Subject: obstructing right s/l mo-adi renal pelvic stone. sm for complete infor. sm

He brought a CT from an outside hospital which showed a cross fused renal ectopic system, heterotopic in origin.  There were bilateral renal calculi and an obstructing right modi renal pelvic stone which was likely accouting for his symptoms. 
kind of reaching: maybe steinstrasse (streak of stone particles) nmsg
Subject: kind of reaching: maybe steinstrasse (streak of stone particles) nmsg

x
cardiac catheterization, s/l After balloon valvuloplasty, on pull back, there was a 32 hour gradient
Subject: cardiac catheterization, s/l After balloon valvuloplasty, on pull back, there was a 32 hour gradient

is 32 hour gradient correct???  Thanks...
A tug is a type of strap, so traction tug makes sense if they're trying to pull the pelvis in a
Subject: A tug is a type of strap, so traction tug makes sense if they're trying to pull the pelvis in a

s
If you're hearing a lot of syllables, it might be uric acid stone nephrolithiasis. Do a Google
Subject: If you're hearing a lot of syllables, it might be uric acid stone nephrolithiasis. Do a Google

s
wood plane is correct, as if they pull the tip back like a wood plane as they take the images nm
Subject: wood plane is correct, as if they pull the tip back like a wood plane as they take the images nm

nm