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Head laceration still.

Posted By: tiredfingers on 2005-09-05
In Reply to:

Subject: Head laceration still.

Doctor is referring to s/l "Harrow" arterial bleeders being cauterized.  Can't find anything on this either?


 




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scalp laceration
Subject: scalp laceration

Patient presents to the ER with a scalp laceration, the wound is explored with sterile gloves s/l "gallian" is intact.  I am lost, not sure what it is???
tape laceration
Subject: tape laceration

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Tape laceration-- sm
Subject: Tape laceration-- sm

Says that: she has a tape laceration on the underside of her upper arm, otherwise the skin is doing reasonably well.


Thanks!


nvm - stellate laceration
Subject: nvm - stellate laceration


stellite laceration?
Subject: stellite laceration?

He provided complex laceration repair with debridement of the _____ laceration


s/l stellite


Stellate laceration.
Subject: Stellate laceration.

nm
canalicular laceration (sm)
Subject: canalicular laceration (sm)

FROM: http://www.emedicine.com/oph/topic218.htm


Synonyms and related keywords: canalicular laceration, canalicular system, canaliculi, tear drainage system, lacrimal drainage apparatus, lacrimal system, lacrimal sac, nasolacrimal duct, mucosal ducts, tear ducts
Forehead laceration
Subject: Forehead laceration

He says it is full thickness but it does not go through the - galeum. I know there's the galea but i'm not sure what would be sounding like it ends with an M.
Probably midline laceration...nm
Subject: Probably midline laceration...nm


Laceration repair
Subject: Laceration repair

It is a laceration repair.   I was not sure; so, I left a blank.  However, if anyone knows what he would be saying, I would really appreciate knowing for future reference
just a guess: laceration
Subject: just a guess: laceration


finger laceration "eppidiceum" ?
Subject: finger laceration "eppidiceum" ?

This is driving me crazy.  He has said it 4 times. 
"under the eppidiceum"  so maybe he is referring to the skin of the finger?  The laceration is near the nail bed.  I can't find it, have been looking and looking. 
type of dressing for laceration
Subject: type of dressing for laceration

s/l 'veer - form' dressing 9definitely a 'v' and not a 'p'.


also need to know about this one too . . .


molar laceration on the thumb.  Is molar correct?


 


thank you in advance


laceration s/l *corporal* orbital area
Subject: laceration s/l *corporal* orbital area


Might be "Xeroform" dressing and "volar" laceration (nm)
Subject: Might be "Xeroform" dressing and "volar" laceration (nm)

xx
No the bleeding was as a result of a chin laceration. LET is correct. TIA
Subject: No the bleeding was as a result of a chin laceration. LET is correct. TIA

I googled it and found it using LET applied to the wound site (e.g)...  Thanks... 
Left hand laceration, s/l *radial intingenal* nerve injury..Thanks.
Subject: Left hand laceration, s/l *radial intingenal* nerve injury..Thanks.

xx
Pt had a chainsaw injury to the leg causing a laceration and s/l cortal defect to the bone. TIA
Subject: Pt had a chainsaw injury to the leg causing a laceration and s/l cortal defect to the bone. TIA


CT head/esl doc
Subject: CT head/esl doc

CT brain showed central s/l "cortical and cerebellar" involutional changes, old infarct in the territory of the anterior s/l "BR" of the left middle cerebral artery.


Not sure on the wording in first one.  I am coming up with a blank on the second.


Ha ha! This doc is exactly enough of a bu**head to say this... (sm)
Subject: Ha ha! This doc is exactly enough of a bu**head to say this... (sm)

Thanks! I bet that's it!
CT of the head
Subject: CT of the head

The patient has a history of a remote-appearing lacunar infarct within the left frontal lobe adjacent to the left frontal horn of the left lateral ventricle and mild periventricular white matter chronic small-vessel disease on CT scan of the head without contrast.


I am just concerned with the ..periventricular white matter chronic small-vessel disease


How would you type this? the doctor just says it without any pausing.


ahhhhhhh!


s/l CVC of the head was done???
Subject: s/l CVC of the head was done???


Head. Thank you!
Subject: Head. Thank you!

xx
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Subject: Help! Head CT. SM

Elderly patient with transient alteration of awareness.  It reads:


"Minor periventricular areas of low attenuation without definite evidence of s/l TRANS-UH-TIN-UH-MUL flow CSF to suggest acute hydrocephalus."


HEAD CT
Subject: HEAD CT


I am have troubles filling in the blanks here, can anyone lead me in the right direction?


HEAD CT


Contiguous axial image was obtained from base of the skull to the vertex without (intravenous) IV contrast. Multiple regions of decreased density are seen in the right and left internal capsule. There is no evidence of benign shift, common mass effect or (avastment) of cell _______intervals or cisterns. The cell _____intervals are_________ . Inspections of _________was unremarkable.


HEAD CT
Subject: HEAD CT


IMPRESSION


1. Multiple regions of low density in both sides of internal capsule. (cannot understand this word) represent old white matter infarcts.


head?
Subject: head?


CT of Head.
Subject: CT of Head.

Does this sound right: ...effacement of sulci, ventricles, or cisterns. Inspection of (bone or brain?) windows are unremarkable.
Head CT scan.
Subject: Head CT scan.

Head CT scan per verbal report from the radiologist is that the patient has very large subdurals bilaterally. The largest component of these are chronic subdurals. Some small, newer, subdurals are also seen. This is causing some effacement of the __________ (s/l girye)


 


caudad, towards the head end of something
Subject: caudad, towards the head end of something

s
head at spines -7
Subject: head at spines -7


help on MRI of the head results
Subject: help on MRI of the head results

The patient had an MRI with gadolinium of the head.  I'm having some trouble understanding the results because this is unfamiliar to me.  She is a cancer patient with metastatic melanoma and the MRI was ordered due to severe vomiting and blurry vision.  He says the MRI "revealed no definite metastatic disease, significant [s/l hypotense? maybe hypodense or hypertensive?] [s/l mara signal?] of the cervical spine of unclear significance, heterogeneous [s/l coabnormality?], for which in matter of fact these cannot be excluded."  That last phrase sounds a little weird too, but I'm pretty sure that's what he says.  Any ideas?
from the ipsilateral head
Subject: from the ipsilateral head

nm
Thank you! That is it! It just was not clicking in my head.
Subject: Thank you! That is it! It just was not clicking in my head.

nm
Thanks for the info. Never head them from our FPs. nm
Subject: Thanks for the info. Never head them from our FPs. nm


lol maybe his head is up his butt!
Subject: lol maybe his head is up his butt!


head trauma
Subject: head trauma

The patient had head trauma and a few months later was found to have a s/l flabomorphit adenoma.


This is an Asian dictator who is very difficult to understand.  Any help would be appreciated.


I think you two got it. You know its there in your head you just can't extract it!
Subject: I think you two got it. You know its there in your head you just can't extract it!

..
banging head here
Subject: banging head here

That's my DUH for the week! Thanks!
Not unless the patient has his head up his @ss nm
Subject: Not unless the patient has his head up his @ss nm

.
Head exam: See
Subject: Head exam: See

"An s/l OMIRE reservoir is present on the left side of the patient's scalp."
Head injury
Subject: Head injury

S/L copidus calluseium ???


New at this, but could it be "of her head"?
Subject: New at this, but could it be "of her head"?


Of course! Where's my head today! LOL Thanks
Subject: Of course! Where's my head today! LOL Thanks


titribation of his head?
Subject: titribation of his head?

Dr says titribation of his head or something that sounds like that, anyoe know what that is?
titubation of head?
Subject: titubation of head?

could it be titubation of his head
trauma to the head?
Subject: trauma to the head?


humeral head. nm
Subject: humeral head. nm


Head: S/L no other symmetries are seen
Subject: Head: S/L no other symmetries are seen

In PE, doctor dictates Head: Normocephalic. No masses are appreciated. No (sound like "no other symmetries are seen."  This is a new one on me! Thank you in advance for any help.
I have head that dictated before.
Subject: I have head that dictated before.

He's probably referring to a weak tendon, with no strength.
here are some examples off the top of my head.
Subject: here are some examples off the top of my head.

CMP (or electrolytes, SMA) - sodium, potassium, chloride, CO2 (or bicarb), BUN, creatinine, glucose, and calcium.

PT, PTT, INR.

Troponin, CK, CK-MB.