This also pertains to the other question I asked.  This doctor is driving me CRAZY.  The audio quality is horriblel - sounds like he is using a can and a string rather than a PHONE.  AARRGGHH.  <deep breath>

Entire sentence: 

"There is a suggestion of a horseshoe configuration of the kidneys with s/l TALLULAH-FORM shaped tissue extending anterior to the s/l AR-AY-LA." 

We then dilated the urethra all the way up to a 23 French cystoscope. At this point we were able to place the ______ clamp. The tip of the _____ clamp was palpated.

He merely acknowledges a 30 percent reduction in his original pre-operative pain, yet has now developed new s/l “poe-sigh” pain specific to the medial retinaculum and region of the infrapatellar tendon.

Thanks!!!

anterior mediastinum

Anterior mediastinum, the narrow region between the pericardium and the sternum containing the thymus or its remnants, some lymph nodes and vessels and branches of the internal thoracic artery.

If you buy some good dictionaries, you won't need BOS. 

Get yourself a good medical dictionary and look up Chlamydia/chlamydia

The first thing you should learn is HOW to ask a question.  You can't just jump in with one word or half a phrase or a sound-like and cry for help.  You need to give some example of what you are looking for.  People on this board do not mind helping you or they would not be here, but a little more information on your part would help us help you.  Medical transcription is more than just one word or half a phrase or a sound-like and most times it is necessary to give some indication of what is wrong with the patient or a diagnosis in order to get an answer. 

Renal ultrasound was requested in addition to laboratory studies, a BMP, C3, C4, ANKA anti GBN, Cria gobulance, hepatitis B, C, and HIV.  A urine REM and urine protein electrophoresis was also requested. 

These are my sound likes.  HELP!!!!!!!!!!!!!!!!!!!!!!!

Dorland's Medical Dictionary: 

Pexis: 

1.  Fixation of matter by a tissue. 

2.  Surgical fixation, usually by suture. 

Therefore pexed would be past tense, as in was pexed (or fixed).

See also:  http://www.childsdoc.org/spring98/vascular/vasrings.asp

Here's a page that might help you. 

http://davidge2.umaryland.edu/~emig/ekg01.html

Here's a page that might help you. 

http://davidge2.umaryland.edu/~emig/ekg01.html

On 07/11/2005, the patient underwent (1) exploratory laparotomy with biopsy, (2) cholecystectomy, (3) placement of subcutaneous pain pump, (4) central line placement and (5) celiac block.

I am not sure about this statement during a pulse oximetry reading, but elsewhere they will usually say "per physician reading, per ER physician/doctor reading" etc., or it could be "per pulse oximeter reading or per pulse oximeter."

Here is an excerpt from the website listed below (a long address ): 

Intervention: Diagnostic transnasal-transpharyngeal videoendoscopy of the eustachian tube with 30- and 70-degree rigid Hopkins rod endoscopes, 2.5- and 0.8-mm, 0-degree flexible fiber endoscopes performed under local anesthesia in 12 eustachian tubes.

http://otology-neurotology.com/pt/re/otoneuroto/abstract.00129492-200511000-00004.htm;jsessionid=DC3G5ByKzd3Zv6ibCHrKFKO3PBAncKIpu7MECofVA8Q2lthPBr38!-1660146838!-949856145!9001!-1

These are usually in the differentials for pancreatitis diagnoses:Source is Emedicine.com

Aneurysm, Abdominal
Cholangitis
Cholecystitis and Biliary Colic
Cholelithiasis
Gastroenteritis
Hepatitis
Mesenteric Ischemia
Obstruction, Large Bowel
Obstruction, Small Bowel

Other Problems to be Considered:

Perforated viscus
Acute peritonitis
Choledocholithiasis
Macroamylasemia
Macrolipasemia
Intestinal obstruction
Pancreatic cancer
Malabsorption syndromes/processes

This is a pulmonary account.  It sounds like she needed to use the "VAS??" every two hours.

Then again under plan "increase use of vest/VAS??"  It definitely is related to pulmonary.

thanks so much

Astrin

http://www.ihop-net.org/UniPub/iHOP/gs/95695.html

Plus, the word "insure" should be "ensure"

O’Leary uterine artery ligation

. This has been used in cases of bleeding during Caesarean sections (n=265 over 30 years (27)). Sutures including 2-3 cm of myometrium are placed 2-3 cm below the uterine incision.

The uterus is grasped by the assistant and elevated upwards and to the opposite side of the uterine artery which will be ligated to expose the vessels coarse through the broad ligament.

- A large atraumatic needle with no. 1 chromic cutgut, O-vicryl or O-Dexon is passed through and into the myometrium from anterior to posterior 2-3 cm medial to the uterine vessels.

- The needle is brought forward through avascular area in the broad ligament lateral to the uterine artery and vein. The suture is tied anteriorly.

- In case of caesarean section, the sutures are placed 2-3 cm below the level of uterine incision under the reflected peritoneal flap which should be displaced downwards with the bladder to avoid ligation of the ureters.

- If caesarean section was not done, peritoneal incision is not indicated and bladder can be simply pushed downwards.

- Uterine artery ligation is haemostatic by reducing the pulse pressure to the uterus as 90% of its blood supply is from the uterine vessels.

- Collateral circulation and recanalization of the uterine vessels will be established within 6-8 weeks.

 It has a success rate of 95%