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Having trouble with this report!!

Posted By: akhan on 2008-07-16
In Reply to:

Subject: Having trouble with this report!!

Same doctor as previous post.  Also states:


Possible neuroendocrine tumor of the (______) with liver metastasis.  Any ideas here?  TIA. 




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I have the same trouble.
Subject: I have the same trouble.

I actually will hard return at the end of the line, which will bring you to the 2nd line going flush, and then hit TAB to line it up.  Takes an extra step, but I have to do that all of the time.  I don't know if this will help you in the short-term until someone wiser can answer or not???   
Thanks! Still having trouble though
Subject: Thanks! Still having trouble though


Word Trouble
Subject: Word Trouble

 


The doctor is saying .... He understands that uric acid can form s/l an nitis for calcium oxalate stones.  TIA.


 


 


trouble with ESL and lab results...
Subject: trouble with ESL and lab results...

I can't really understand this one, very fast speaking ESL and any help is greatly appreciated.


S/l *Laboratory results show white blood cell count of *2.1*, hematocrit of 36.2, and *___* at 217. 


Thanks!


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Subject: Having trouble with link

I am having trouble with the link.  It just brings up Merk page and it is too long for the link for the page? Help?
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Subject: I am having trouble confirming this

term.  The doc is saying was sounds like "Today she has got a "bogie" swelling at the dorsal aspect of the wrist.  The VR fills it in as Bovie swelling.  I can not confirm either one.  Anyone know this one?


Having trouble with an orthopedic sign
Doctor says he has no evidence and sounds like "aster cell" or something ruther. The patient has left elbow pain. When he pushes the elbow with the hand flexed and his elbow straight his arm kind of shakes. I think this is a type of neuro or orthopedic sign.
(S/L) gomatomyositis but having trouble finding
Subject: (S/L) gomatomyositis but having trouble finding

Dr. is very clear but can't find to verify spelling and spell check says it is wrong.
means a person is having trouble...sm
Subject: means a person is having trouble...sm

making a decision.......doesn't know which way to go....


total guess: trouble speaking? nm
Subject: total guess: trouble speaking? nm


Pt w/heart trouble? There's Tikosyn, comes in 125 & 250 mg capsules. Could be taken together for
Subject: Pt w/heart trouble? There's Tikosyn, comes in 125 & 250 mg capsules. Could be taken together for

s
Having trouble tonite! s/l auscious lesions??
Subject: Having trouble tonite! s/l auscious lesions??

patient is also sent for a limited bone scan, to rule out any underlying s/l auscious lesions


 



Diabetic? Some sort of dialysis unit? Heart trouble? Maybe CTU,
Subject: Diabetic? Some sort of dialysis unit? Heart trouble? Maybe CTU,

s
Pt underwent hardware removal R wrist. Now having trouble with thumb extension. sm
Subject: Pt underwent hardware removal R wrist. Now having trouble with thumb extension. sm

Plan - Patient is doing well. Probably s/l TL rupture. Thxs

To QA: I'm having trouble with the diffrence between pressor support and pressure support?
Subject: To QA: I'm having trouble with the diffrence between pressor support and pressure support?

Or are the one and the same? 

 

Example: 

 

The infant is on pressor/pressure support (cardiac section). 

 

I get both on google.  Could you give me an example of when you would use either of these? 

 

Any help clearing this up would be MUCH appreciated!   TIA!

Trouble with difference between PRESSURE support and PRESSOR support...
Subject: Trouble with difference between PRESSURE support and PRESSOR support...

Or are they the same thing?  Dictator says that the infant is gradually weaned from pressure OR pressor support and transferred to p.o. medications.  The infant has congestive heart failure. 

 

The dictator has a very strong accent which makes it even more difficult... he could be saying either.  Thanks for any help!

EKG report
Subject: EKG report

"No weeshnoblomotion abnormalities are identified." What is that word?
thanks everyone. One more report and then I am going to bed.
Subject: thanks everyone. One more report and then I am going to bed.


nothing more to add about the report unless
Subject: nothing more to add about the report unless

the patient had an implanted pacemaker which is not eluded to here.  Just a note, adenosine is not capitalized except to start a sentence.


Maybe you will hear something back.


d~


Sorry, same report...
Subject: Sorry, same report...

"CPK and _______ were negative"  s/l intraconals??


 


Still on the pulmonologist's report...


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Anyone ever heard of an EEG performed on a Nikon Codon machine?  Thanks.
just sent the report on.........nm
Subject: just sent the report on.........nm

x
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Subject: op report sm

What kind of surgery is it? If he used "lap" laparotomy pads may be the second one. They usually say sponge, needle and instrument counts. Will keep thinking on this one. Type of surgery would help.


You don't say where in the report -- sm
Subject: You don't say where in the report -- sm

this is given, or any other context, so I have to wonder if this isn't a problem list perhaps giving more than one diagnosis/problem here (as in (1) portosystemic shunt and (2) nephrolithiasis)...

Just a thought
ENT report - sm
Subject: ENT report - sm

Does include sinus surgeries, Caldwel-Luc surgery. Is also on Flonase. Patient is actually here regarding Grave's disease. I'm wondering if this is Relpax D, but I'm not able to verify that as a drug. Any suggestions?
ENT OP report help, please...
Subject: ENT OP report help, please...

Vocal cord lesion biopsy -


Peripheral -s/l orb or oral- sinuses were intubated to their apices and were normal.


Specimen was sent -s/l informal- and for pathology.


TIA!


OP report
Subject: OP report

OP report, lumbar spine


Next, fluoroscopy was used to place new screws at the L2-3 segment.  Starting points were identified at the confluence of the midpoint of the transverse process, the **manloid** process, and the pars interarticularis



He really mumbles through this part, so I am just not sure, but I have not heard this term used before. Thanks!


op report help please sm...
Subject: op report help please sm...

FINDINGS:  Epidurogram revealed normal (s/l-cephaloquadet-) contrast flow outlining the right L5 nerve root sleeve in the epidural space with good flow achieved medial to the right L5 pedicle.  The patient did experience some concordant L5 symptoms on the right side during the injection.  Vital signs remained stable throughout. 


 


 


 


 


OP Report
Subject: OP Report

Hi all! I am doing an OP for a lumbar spine surgeon, but this is just for an I&D. He says the area was probed with "sucker tips" and was found to be subfascial. I am not too comfortable with what I am finding online for this. Has anyone heard this before? Thanks!
OP report help, please
Subject: OP report help, please

Patient was premedicated with intravenous s/l Benadryl. 


Would that be right?


report does not say .. but says she is on BC
Subject: report does not say .. but says she is on BC


help with op report
Subject: help with op report

I never do op notes!  The sentence reads:


The S/L RAFFAY between the anterior and middle deltoids was then opened.  TIA!


Doing EMG report sm
Subject: Doing EMG report sm

The patient has focal severe slowing primarily in sensory fibers in the right upper extremity, on multiple restimulation unable to elicit a response to both s/l "Palmar 8" studies. 


 


I can't find this anywhere.  Anybody have any ideas?  Thanks!


I wish I could see the report, but
Subject: I wish I could see the report, but

could she be saying communication, as in an opening has formed between 2 sinuses or something?

It is so frustrating to be given only a tidbit of a report instead of being able to puzzle it out from what is going on with the patient.
Thanks, but as I'm into the report it
Subject: Thanks, but as I'm into the report it

sounds like this is some weird wording for microscopic blood.

I've done thousands of endoscopy reports and GI consults, but I can't think why he'd say "affobiddy positive stool" instead of something about occult blood or microscopic blood.
ER report. Sm please
Subject: ER report. Sm please

The patient has a 4 mm calcification on the pelvis on the right which may represent a s/l flevolith, thus a right ureteral calculus could not be entirely occluded. 


OP report
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general s/l elam anesthesia. New to OP reports! TIA


Thanks! That's how I did it in the report nm
Subject: Thanks! That's how I did it in the report nm


OP report
Subject: OP report

s/l -fecal lift- at the base of the appendix
C-sec report
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Does this by some chance have to do with cephalodisproportion, because I looked up Jill Cohen - C-section in google, and there is somebody named Jill Cohen and it talks about labor and delivery and C-section and something this lady wrote about it.  Could this be it.  Check it out on google.
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S/l ESTEEM for pain management?
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" NO BUBBLES ___________ FROM RIGHT TO LEFT SIDE"  s/l caused.  He also said bubble study was done with 9 mL normal saline and "a cc" of air.  Is this written 1 mL? 
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Subject: per report

The only diagnosis is bipolar, duh!
was my last report of the day
Subject: was my last report of the day

and he was getting to me!  my least favorite account, lots of bad dictators
MRI report s/m
Subject: MRI report s/m


MRI of the brain shows what looks to be an acute infarct on DWI on the right brainstem area, which were also changes seen on the T2 weighted - s/l anuses - suggesting that this is probably an infarct, which occurred 7-10 days ago.


any ideas cuz I'm pretty sure there are no weighted "anuses" in the brain, at least not identifiable by MRI.


 


op report help
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Doc states that the the articular surface of the lateral tibial plateau was then s/l stacked as was the weightbearing surface of the lateral femoral condyle.

Thanks
It's an EGD report .... sm
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He states, "Instruments used were a Fujinon esophagogastroduodenoscope and a ________ bougie #54."

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GU op report help please
Subject: GU op report help please

I tried to dilate the urethra with  s/l male sounds, but they would not pass easily due to the false passes. (Talking about bladder stones).


He says it clearly, but I've never heard of these nor can I find it.  Can't find anything under "Mayo" either thinking perhaps it was an instrument of some kind. 


GU op report help please
Subject: GU op report help please

Could it be Dittel?
CXR report...SM
Subject: CXR report...SM

The findings of the daily CXR on this patient are stable and unchanged, but the dictator gets to the "impression" and says:  s/l peri-grass--ity of the chest radiograph. 


I'm sure this is something simple and I should know it - it's probably a "normal" word.  But my brain is just not working tonight.  Help?