ENT eval: she had a "fur-on-gole interior canal wall of her left ear which was opened & purulenc
Posted By: was expressed. nm TIA on 2005-12-08
In Reply to:
Subject: ENT eval: she had a "fur-on-gole interior canal wall of her left ear which was opened & purulence
hard to hear this, she rattles it off so fast I could have it completely off.
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Median sternotomy created using s/l Realtrak retractor of the left anterior chest wall.
can you hear canal impingement or canal compromise?
Subject: can you hear canal impingement or canal compromise?
x
bundle canal is femoral canal!!!!
Subject: bundle canal is femoral canal!!!!
You're awesome. I was so totally off... it is femoral canal. Thank you. Guess I had too many hours in today....just didn't hear it that way until your help. Thanks again!
wall leaks? wall leakage? nm
Subject: wall leaks? wall leakage? nm
interior?
Subject: interior?
example... the apex of the interior articular process of L4 may erode the pars interarticularis L5 from above in cases of collapse of the L4-L5 intervertebral disc
interior
Subject: interior
it is interior but would it be torque??
Subject: it is interior but would it be torque??
1+ anterior or interior torque? sm
Subject: 1+ anterior or interior torque? sm
Severe ankle sprain.
distal interior (s/l) subtillenepical region
Subject: distal interior (s/l) subtillenepical region
Thank you both so much - you opened my eyes
Subject: Thank you both so much - you opened my eyes
opened longitudinally
Subject: opened longitudinally
xx
Too weird...when I opened this first time....sm
Subject: Too weird...when I opened this first time....sm
I only had the "subject" sentence and not the last 2 sentences. Am I crazy and somehow I just didn't see them...or is that possible somehow???
Never mind, i opened up your site and seen it. thank you
Subject: Never mind, i opened up your site and seen it. thank you
doing tracheotomy...the midline s/l ruf-fae was then opened. nm
Subject: doing tracheotomy...the midline s/l ruf-fae was then opened. nm
d
my surgeon always says opened in the "direction of its fibers"
Subject: my surgeon always says opened in the "direction of its fibers"
Never mind, she finally opened up her mouth. It is genasense.
Subject: Never mind, she finally opened up her mouth. It is genasense.
http://www.genta.com/genta/Products/genasense.html
A long shot--the surgeon opened the Ray-Tec sponge and moistened it? nm
Subject: A long shot--the surgeon opened the Ray-Tec sponge and moistened it? nm
x
Never mind, she finally opened up her mouth, it was trephine reamer.
Subject: Never mind, she finally opened up her mouth, it was trephine reamer.
xx
ENT eval
Subject: ENT eval
Furuncle
PT eval
Subject: PT eval
The therapist is saying 1-1/2 fingers breath from the chest. How should this be typed? Fingersbreadth or fingerbreadths?
Psych eval
Subject: Psych eval
This was under mental status:
Mood was stressed and angry with a S/L: VER-EH-BY affect.
I definately hear the long "i" sound at the end. Unless he is saying "variable" wrong...
Thanks!
Psych eval
Subject: Psych eval
Psych eval.
Scores were invalid during his testing because he refused to cooperate on certain tasks - doc dictates:
"Interpretation of WISC-IV scores for him is given consciously, due to the s/l: manual refusal behaviors noted during testing."
Manual refusal behaviors? Is this right? Thanks!
Funny thing, I had this yesterday and left 3 blanks that QA also left blank.
Subject: Funny thing, I had this yesterday and left 3 blanks that QA also left blank.
x
pain over the left hip and a biopsy of the left s/l SA pablum showed adenocarcinom
Subject: pain over the left hip and a biopsy of the left s/l SA pablum showed adenocarcinom
n
Psych eval question
Subject: Psych eval question
This patient is on Zoloft and has a history of Oppositional Defiant Disorder, ADHD, and anxiety.
This is under AXIS I:
1. Generalized Anxiety Disorder, 300.02.
2. S/L Dysplymic or Disemployment Disorder, 300.4.
It does not sound like dysthymic. Thanks,
Is this correct?? (Psych Eval)
Subject: Is this correct?? (Psych Eval)
Under Axis Formulation:
AXIS I: Schizoaffective Disorder, Bipolar s/l: subtag.
I have not encountered this word and tried to google subtag to no avail.
Thanks.
Psych eval question
Subject: Psych eval question
This is under the discussion part of the dictation and it is a continuation, of which I was not the typist for the first part of the evaluation...
My assessment of him reveals many strengths, including long-term friendships, good relations with family members, solidly normal intelligence including strong S/L: visual enhance auto reasoning, and absence of any “behavior problems” in the usual sense of the word.
Does this make sense??? Thanks for any help.
thought attrition?? Psy eval
Subject: thought attrition?? Psy eval
At this time, he denies any ideas of reference, no thought broadcasting, no thought ATTRITION??
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
if it is OB, could it be uterine infection eval?
Subject: if it is OB, could it be uterine infection eval?
nm
s/l liftlocks on shoes-OT eval
Subject: s/l liftlocks on shoes-OT eval
The patient is having an OT evaluation. He is in a wheelchair. The sentence is under ADLs and states, "He uses (s/l liftlocks or lislocks) on his shoes and these work well."
Psych eval - speech?
Subject: Psych eval - speech?
Speech, attention shows s/l circumstantially evasive and guarded. circumstantially?
DNP, CBC to eval for s/l neocult anemia
Subject: DNP, CBC to eval for s/l neocult anemia
Psych Eval. s/l *egomastria.* Please SM.
Subject: Psych Eval. s/l *egomastria.* Please SM.
She is in a state of emotional disequilibrium. This includes problems with depression, irritability, agitation, lassitude and malaise, as well as lack of s/l *egomastria,* indicating she has trouble with regard to clear thought processes associated with her disturbance in regards to her auditory hallucinations and delusional ideation. TIA
PT Eval - s/m emtican test? nm
Subject: PT Eval - s/m emtican test? nm
Thanks!
Any ideas on this one appreciated! Psych eval...
Subject: Any ideas on this one appreciated! Psych eval...
He has some mild anxiety about S/L: WALT issues but does not have any symptoms suggestive of an anxiety disorder.
He was diagnosed with ADHD and PDD.
TIA
probably means left anterior descending. Instead of saying LAD, just saying left AD.
Subject: probably means left anterior descending. Instead of saying LAD, just saying left AD.
x
psych eval - never heard of a similar word...sm
Subject: psych eval - never heard of a similar word...sm
I also believe the diagnosis of Disruptive Behavior Disorder Not Otherwise Specified should be ruled out for her given high levels of concerns of these types seen for her at school. However, it does seem possible that some of these behaviors are related to issues with attention span and/or learning, and in particular, auditory memory; conceivably, as these issues are successfully addressed, we may see less pronounced S/L: SUP-TUNE-IS on her part, at least in the classroom.
Spacuda step test? Vestibular eval
Subject: Spacuda step test? Vestibular eval
S/L spacuda step testing. Football player with concussion after helmet-to-helmet hit, now complaining of dizziness and headaches.
The sentence is:
"His *Spacuda?* step testing was intact."
She is doing dynamic balance testing on him.
Thanks!
In Stedmans I found gap detection. I googled that with interior gap and I actually found something.
Subject: In Stedmans I found gap detection. I googled that with interior gap and I actually found something.
Uporanary since the house is good. That really has me stumped.
Thanks so much for helping.
Patient had laparoscopic cholecystectomy. Returns for eval of "subsactal" wound ??
Subject: Patient had laparoscopic cholecystectomy. Returns for eval of "subsactal" wound ??
Please help, I'm clueless. Sounds like sub zactal, subsactal?? Thanks!
Social work eval s/l full-'scaled' or 'skilled' survey sm
Subject: Social work eval s/l full-'scaled' or 'skilled' survey sm
hx of baby with head injury
Full-scaled survey seems to make the most sense- can anyone verify this?
TIA
S/P left total knee reconstruction. On exam, has a palpable s/l clod defect on the left knee.
Subject: S/P left total knee reconstruction. On exam, has a palpable s/l clod defect on the left knee.
:-)
furuncle of ear canal sm
Subject: furuncle of ear canal sm
Search Results for ear canal - Encyclopædia Britannica
Boil in the ear (furuncle) from the ear disease article Infection of a hair
follicle anywhere on ... Expand your search on ear canal with these databases: ...
www.britannica.com/search?query=ear+canal+& submit=Find&source=MWTEXT - 48k - Cached - Similar pages
MedlinePlus Medical Encyclopedia: Furuncle
A furuncle is an infection of a hair follicle. (Also see carbunculosis.) ...
Furuncles can be very painful if they occur in areas like the ear canal or nose ...
www.nlm.nih.gov/medlineplus/ency/article/001474.htm - 26k - Cached - Similar pages
ear canal lesion
Subject: ear canal lesion
Hi! I'm looking for an ear canal lesion that sounds like the dictator is saying "choleastoma." Can anyone verify this or let me know the correct term? I'd be sooooooo grateful! Thanks a kazillion!
nutrient canal NM
Subject: nutrient canal NM
/
canal area
Subject: canal area
I believe he may be saying canal area.
flowrun canal?
Subject: flowrun canal?
On exam today he has intact inguinal __________ s/l flowrun canal.
Kennell/canal???
Subject: Kennell/canal???
They were tied to each other anteriorly followind completion of Kennell??
s/l Attica canal?
Subject: s/l Attica canal?
doctor dictating angiogram and angioplasty, s/l "attica" canal?
in the medullary canal
Subject: in the medullary canal
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