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Aortic valve replacement. The sutures were brought through...sm

Posted By: oldtimer on 2008-02-21
In Reply to:

Subject: Aortic valve replacement. The sutures were brought through...sm

the s/l gab A sewing guide.


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Aortic valve replacement
Subject: Aortic valve replacement

s/l koprenthee a-overs valve
Mitral valve replacement with a #27 St. Jude valve.. or 27..thank you
Subject: Mitral valve replacement with a #27 St. Jude valve.. or 27..thank you


Aortic valve type
Subject: Aortic valve type

Okay, my brain is tired.  ESL dict. ROS:  Cardiovascular:  He patient has an aortic __________ valve replacement.   He has a history of rheumatic fever.


S/L sen-chewed.


I know this is simple but it won't come to me.  This guy is a regular but I'm stumped. 


porquine aortic valve
Subject: porquine aortic valve

Has anyone come across this - he spells it for me "porquine" aortic valve.  I was thinking maybe porcine, but he spells it as above.  Please help!
Need help with aortic valve type? Pretty please..
Subject: Need help with aortic valve type? Pretty please..

80-year-old gentleman with known coronary artery disease, status post aortic valve replacement with #27 (__s/l Terrontist__) aortic valve, coronary artery bypass grafting x5, dyslipidemia, and hypertension. 


 


I owe you if you can help!!! 


Paramont? aortic and mitral valve. TIA. nm
Subject: Paramont? aortic and mitral valve. TIA. nm

nm
aortic valve is s/l trilucid or tri leaflet?
Subject: aortic valve is s/l trilucid or tri leaflet?

XX
TEE for s/l on-phos view of the aortic valve
Subject: TEE for s/l on-phos view of the aortic valve

x
Lambelle excresence or something of the aortic valve.
Subject: Lambelle excresence or something of the aortic valve.

::
Wild guess here: S1, S2 and aortic valve areas
Subject: Wild guess here: S1, S2 and aortic valve areas


In diagnosis: 5. Calcification of the aortic valve per CT then spells "C-O-A-R-S". ??
Subject: In diagnosis: 5. Calcification of the aortic valve per CT then spells "C-O-A-R-S". ??


Moderate aortic valve sclerocalcific changes on echocardiogram.
Subject: Moderate aortic valve sclerocalcific changes on echocardiogram.


yeah, if the patient has had a valve replacement(nm)
Subject: yeah, if the patient has had a valve replacement(nm)


rule out coarctation of the aorta and/ s/l R8 bicuspid aortic valve
Subject: rule out coarctation of the aorta and/ s/l R8 bicuspid aortic valve

nt
an "autograft cadaveric pulmonary valve replacement?" (sm)
Subject: an "autograft cadaveric pulmonary valve replacement?" (sm)

relatively new to cardiology- it sounds like the doc is saying that the patient is status post "aortic valve autograft cadaveric pulmonary valve replacement."

Am I just misunderstanding the terms, or am I mishearing what she's saying? I thought (could be mistaken?) that autograft meant it was grafted in from somewhere in your own body, and cadaveric meant it was taken from a cadaver. So how can a replacement be both autograft and cadaveric?


s/l prif-u-mist. Pt had a valve replacement and really doesn't list anything else in his ROS. TI
Subject: s/l prif-u-mist. Pt had a valve replacement and really doesn't list anything else in his ROS. TIA


Some suggestions: Toronto SPV stentless or tilting disk or tricuspid aortic valve? nm
Subject: Some suggestions: Toronto SPV stentless or tilting disk or tricuspid aortic valve? nm

x
I think that's correct; sternal sutures are sutures in the sternum, makes sense
Subject: I think that's correct; sternal sutures are sutures in the sternum, makes sense


Talking about sutures... two sutures placed S/L sefla to the first
Subject: Talking about sutures... two sutures placed S/L sefla to the first

Two additional sutures were placed sefla to the first, approximating the right and left sides of the wrap without going through the esophagus.


Maybe, sternal sutures or mediastinal sutures?
Subject: Maybe, sternal sutures or mediastinal sutures?

x
It could be "is brought in" nm
Subject: It could be "is brought in" nm

nm
And what brought him to the hospital?
Subject: And what brought him to the hospital?

Come on, don't be stingy.
Pt. brought in her own BP machine. sm
Subject: Pt. brought in her own BP machine. sm

We get a different reading from our own s/l memo machine
Well this brought a smile to my day - dork flap! :) nm
Subject: Well this brought a smile to my day - dork flap! :) nm

s
effect (Something brought about by a cause or agent; a result)
Subject: effect (Something brought about by a cause or agent; a result)


effect: Something brought about by a cause or agent; a result.
Subject: effect: Something brought about by a cause or agent; a result.


s/l "posterior pharynx carotid??or brought in??...
Subject: s/l "posterior pharynx carotid??or brought in??...

the plane???  Doctor referring to patient that came in sick, coughing, sinus drainage,sore throat.  I have absolutely no idea!


Are you sure it is just "tiny" sutures? Where are the sutures?
Subject: Are you sure it is just "tiny" sutures? Where are the sutures?

What area of the body are we taking about?
after reviewing the s/l Ř%", the patient was brought to the operating room
Subject: after reviewing the s/l Ř%", the patient was brought to the operating room

after reviewing the s/l "4%", the patient was brought to the operating room
for low hemoglobin question of oozing or s/l ecliperation? was brought up
Subject: for low hemoglobin question of oozing or s/l ecliperation? was brought up


aortic?
Subject: aortic?


aortic insufficiency
Subject: aortic insufficiency

1+ aortic insufficiency


I need help understanding the 1 plus. Any clues? This was on the pt's echocardiogram


HNE Aortic Aneurysm????
Subject: HNE Aortic Aneurysm????

Has anyone heard of this??
could it be aortic bifurcation
Subject: could it be aortic bifurcation

could it be aortic bifurcation
aortic root is correct, plus SM
Subject: aortic root is correct, plus SM

probably "Mitral valve - grossly normal valve leaflet morphology and motion."

"Left ventricle - normal systolic and diastolic dimensions, grossly normal segmental wall motion and systolic function overall."

"Aortic valve - mildly sclerotic valve leaflets with no frank stenosis or regurgitation."

Where it says "Atrium normal.", listen for "Right atrium - normal."

Also maybe: "No significant effusion. Intracardiac masses or thrombi - none observed."

And a couple of other places where similar dashes would be appropriate.
maybe "preservation" of the aortic leaflets
Subject: maybe "preservation" of the aortic leaflets

or maybe effacing????
It could have been AFV (aortic flow velocity) or APV sm
Subject: It could have been AFV (aortic flow velocity) or APV sm

(average peak velocity). Also listed under "velocity" is aortic jet velocity and A-peak velocity, though there are no abbreviations provided with these.

ESLs should NOT abbreviate!

Wish I could be of more help.
HELP! Talking about aortic aneurysm
Subject: HELP! Talking about aortic aneurysm

The sentence is:


An ultrasound was done today, revealing it (aortic aneurysm) is now 4.9 cm and perhaps s/l chuck sterinal


s/l chuck stir eenal...???
I am sure I should know this...TIA


s/l thoratic aortic dissection....
Subject: s/l thoratic aortic dissection....

There is a history of hypertension, (s/l thoratic aortic dissection) ?


 


Thanks


It's thoracic aortic dissection
Subject: It's thoracic aortic dissection


aortic or arteriosclerotic aneurysm?
Subject: aortic or arteriosclerotic aneurysm?


replacement
Subject: replacement

could possibly be "unicompartmental" ? That is all I have heard of, so far. ks
s/l help hip replacement
Subject: s/l help hip replacement

Hip replacement


lucency between the muscle (s/l mesacrulia) and the metallic stem of the femoral prosthetic component


marked (s/l esistabulized or s/l asystabilized protrusio)


google "preserved effacing aortic
Subject: google "preserved effacing aortic


She has had s/l diosite dysfunction and aortic stenosis.
Subject: She has had s/l diosite dysfunction and aortic stenosis.


MR (mitral regurgitation) and AI (aortic insufficiency)?
Subject: MR (mitral regurgitation) and AI (aortic insufficiency)?


Nevermind. He's saying mild aortic sclerosis
Subject: Nevermind. He's saying mild aortic sclerosis


Thoracic and abdominal aortic aneurysms....
Subject: Thoracic and abdominal aortic aneurysms....

I need some help....


Dictated: Thoracic and abdominal aortic aneurysms 'smearing' or 'sparing' the renal arteries, status post graft replacement. 


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Subject: outflow murmur? can be pulmonary or aortic. nm


intra-aortic balloon pump
Subject: intra-aortic balloon pump

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Hip replacement question
Subject: Hip replacement question

Anyone hear of aluminoceramic loupe navigation in regard to hp replacement?