Home     Contact Us    
Main Board Job Seeker's Board Job Wanted Board Resume Bank Company Board Word Help Medquist New MTs Classifieds Offshore Concerns VR/Speech Recognition Tech Help Coding/Medical Billing
Gab Board Politics Comedy Stop Health Issues
ADVERTISEMENT




Serving Over 20,000 US Medical Transcriptionists

Down syndrome child with colostomy...sm

Posted By: msd on 2005-10-26
In Reply to:

Subject: Down syndrome child with colostomy...sm

underwent  "PSARP" ? two weeks ago.   Very clear, but have not been able to find. 


States colostomy is health and then states that the s/l "peroneum" is well healed........should that not be peritoneum?  Thanks.




Complete Discussion Below: marks the location of current message within thread

The messages you are viewing are archived/old.
To view latest messages and participate in discussions, select the boards given in left menu


Other related messages found in our database

child has Crouzon syndrome, seizures
Subject: child has Crouzon syndrome, seizures


child with "flowchard" syndrome and cleft lip. nm
Subject: child with "flowchard" syndrome and cleft lip. nm

x
colostomy
Subject: colostomy

I actually had that surgery. It is common to have a colostomy and then six months later have it reversed or sometimes they call it a takedown. There is a cecostomy that is a fecal catheter if I am reading right so it could be either colostomy or cecostomy.

An ileal resection is the treatment, so I don't know how it was put in as part of the disease.
Pt doing well following takedown of colostomy...take down??? Thx nm
Subject: Pt doing well following takedown of colostomy...take down??? Thx nm

nm
endescending colostomy?
Subject: endescending colostomy?

She blatantly says endescending colostomy, never heard it before.  Any ideas?
?SP? colectomy and colostomy
Subject: ?SP? colectomy and colostomy

"She has history of stage IIIB colon cancer with ?SP? colectomy and colostomy.  She is on adjuvant chemotherapy....."


bright red blood per the colostomy
should it be colostomy bag? The doc just says...no bright red blood per the colostomy.
**diversionary** colostomy and had *stomonecrosis**
Subject: **diversionary** colostomy and had *stomonecrosis**


Ever heard of a Hewitt? procedure done with a colostomy.
Subject: Ever heard of a Hewitt? procedure done with a colostomy.

Physician has in parentheses (abdominoperineal resection) but clear states


patient under went a Hewitt? and at that time a colostomy was done..


Thanks


Do they have a colostomy or ileostomy? Might be appliance is intact. nm
Subject: Do they have a colostomy or ileostomy? Might be appliance is intact. nm

s
end-to-side colostomy, describing the anastomosis? nm
Subject: end-to-side colostomy, describing the anastomosis? nm

s
Colostomy, but Brooke-type suture I guess. Thank
Subject: Colostomy, but Brooke-type suture I guess. Thank

x
Hartmann _______ procedure - general surgeon talking about colostomy
Subject: Hartmann _______ procedure - general surgeon talking about colostomy

He's definitely saying Hartmann's ________ procedure, and the blank sounds like "lung."


Thanks so much! 


Could it be as simple as hepatorenal syndrome or hypo/hyperventilation syndrome? Does neuro give a
Subject: Could it be as simple as hepatorenal syndrome or hypo/hyperventilation syndrome? Does neuro give a

s
possibly Ayerza syndrome? Search to see if it fits. How is your syndrome being treated? nm
Subject: possibly Ayerza syndrome? Search to see if it fits. How is your syndrome being treated? nm

s
Patellofemoral syndrome versus Patella-femoral syndrome? (sm)
Subject: Patellofemoral syndrome versus Patella-femoral syndrome? (sm)

Are there any ortho MTs who can give documentation regarding the above, in so far as, what distinguishes one from the other?  Thanks in advance.


s/l either "Lilly Geilech" syndrome or "Rolling Geilich syndrome"
Subject: s/l either "Lilly Geilech" syndrome or "Rolling Geilich syndrome"

It's in the secondary diagnosis, and an ESL doc. Any suggestions?
Could it just be trisomy syndrome or Cri-du-chat syndrome? So many to choose from. nm
Subject: Could it just be trisomy syndrome or Cri-du-chat syndrome? So many to choose from. nm

s
maybe saying something like FB syndrome or failed back surgery syndrome ?
Subject: maybe saying something like FB syndrome or failed back surgery syndrome ?


? s/l bichette syndrome, pachette syndrome, has anyone heard of that?
Subject: ? s/l bichette syndrome, pachette syndrome, has anyone heard of that?


dysmetabolic syndrome versus metabolic syndrome
Subject: dysmetabolic syndrome versus metabolic syndrome

Is dysmetabolic syndrome and metabolic syndrome used interchangeably?  In this dictation the doctor refers to it in the past medical history as metabolic syndrome and then in the assesment/plan as dysmetabolic syndrome. 
"imperforated anus, failed colostomy, imperforated anus, plan to do sl teeshart procedure"
Subject: "imperforated anus, failed colostomy, imperforated anus, plan to do sl teeshart procedure"


maybe just before child???
Subject: maybe just before child???

nm
I would use mother's just as you did child's. nm
Subject: I would use mother's just as you did child's. nm

s
New one for me. Child? skeletal age? Just a WAG here. nm
Subject: New one for me. Child? skeletal age? Just a WAG here. nm


Is this child on a ventilator or something like that? nm
Subject: Is this child on a ventilator or something like that? nm

z
1 year old child. Please sm
Subject: 1 year old child. Please sm

"X-rays reviewed that show a s/l **bubble** type fracture to the radius on the right" Assessment: Right radius fracture. Thanks for any help! :)
Well-child check?
Subject: Well-child check?

GENITOURINARY:  Bilaterally descended testis with a normal penis.  He has s/l [10 and 1].  s/l He was normal side to side during this exam.


Is it a child? Maybe trying to pronounce RSV?
Subject: Is it a child? Maybe trying to pronounce RSV?

Respiratory syncytial virus.
died as a child maybe? nm
Subject: died as a child maybe? nm

 

Is it a child? Maybe PediOtic?
Subject: Is it a child? Maybe PediOtic?


Try Child B cirrhosis -sm
Subject: Try Child B cirrhosis -sm

Child-Turcotte-Pugh Scoring System for Cirrhosis
Sigmoid colectomy with Hartmann's pouch and end sigmoid colostomy Op.
Subject: Sigmoid colectomy with Hartmann's pouch and end sigmoid colostomy Op.

There was a large perforation of the sigmoid colon present in an area markedly filled with stool.  There was large s/l skivus stool present both in the colon and into the peritoneal cavity.



 


Child's PE s/l genus algus...........
Subject: Child's PE s/l genus algus...........

Here is the whole sentence: 


His musculoskeletal exam shows 15 degrees genus algas bilaterally.


Thanks for any ideas.


Child Assistance Program
Subject: Child Assistance Program

.
Child psych eval...please sm
Subject: Child psych eval...please sm

Psych eval for a 7-year-old student with ADHD...


He says the following:


He showed a moderately delayed score in the working memory area when he had difficulty recalling S/L: wrote, auditorily presented information.  Weakness in this area may impact his ability to remember, recite, and manipulate sequences for academic tasks.


WROTE auditorily presented information?  TIA


Child- Pugh classification (duh), yes, that's it. Thanks! nm
Subject: Child- Pugh classification (duh), yes, that's it. Thanks! nm


for a child with cancer..under PE HEENT
Subject: for a child with cancer..under PE HEENT

Oropharynx is without erythma, s/l epistasis? , petechia, or s/l yeast? 


does this seem right?


Child with Sickle cell
Subject: Child with Sickle cell

Doctor says antibiotic coverage with s/l Ceftrax 7-850 IV q12 ?  and Vanco 250 IV q6 (does he mean also vancomycin?)
child blood pressure
Subject: child blood pressure

Sounds like "blood pressure equal, good cap refill."  Would this be correct for a 2-year-old child's blood pressure?  Thanks so much!


child with respiratory distress
Subject: child with respiratory distress

He says, "The pulse oximetry is showing 95% on room air. 


The s/l <T4 or P4?> was around 150 to 200 over s/l <260 or 20 60?>  at this time." 


child or adult? What are some of pt's other problems? nm
Subject: child or adult? What are some of pt's other problems? nm

x

Child psych - about CAT test...
Subject: Child psych - about CAT test...

The Children’s Apperception Test (CAT) asks the child to create stories to a series of picture S/L: CAUGHT or CUT stimuli which depict cartoon animals in “storybook” scenarios. 


Any ideas?  Thanks in advance!


Thank you. Called Lyndebo as a child sm
Subject: Thank you. Called Lyndebo as a child sm

Because growing up, my name was Lyndia Beauregard. I kept my married name obviously, LOL. If I told you my middle name you'd know my mom was a fruitcake.
Child with necrotizing enterocolitis
Subject: Child with necrotizing enterocolitis

Necrotizing enterocolitis requiring s/l arial colectomy.
Having a NSVD does not mean the child is living.
Subject: Having a NSVD does not mean the child is living.


EDGING: child psychiatry
Subject: EDGING: child psychiatry

what is edging?
More info. Man woman child?
Subject: More info. Man woman child?


Child-Pugh score
Subject: Child-Pugh score

x
Surgical skin prep? Colostomy bag prep? Or something else? nm
Subject: Surgical skin prep? Colostomy bag prep? Or something else? nm

s
intranasal "redium" implants as a child. . TIA nm
Subject: intranasal "redium" implants as a child. . TIA nm