Help needed on delivery note

The doctor dictates "the patient pushed for 2 hours with adequate maternal effort.  There was minimal (s/l) "transcessation"   It sounds close to that, but can't get it......any ideas?  Thanks!

• Help needed on delivery note - ob/gyn help
  • probably includes 'descension' (of fetal head) in there. Don't know what the - 'trans' part could be. nm
    • Actually............. - ob/gyn help

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"The head was at minus 1 station over 5."  Must comply with AAMT BOS.

Thank you for taking a peek and seeing if you can help me on this one!  

Cannot find RML.     Repaired with 2-0 Vicryl. 

Thank you, Thank you, Thank you!!!!!

Helping out on different account - I am unfamiliar with labor and delivery notes -

The patient is a G1, P0 at 40 weeks plus 4 days, s/l Vye el equals 35-week ultrasound.

Help!!

Dictator says GCCT negative, and I have to expand the abbreviation, and I cannot find anything in my abbrev. books.  This is in the lab testing where they talk about the patient having an O positive blood type, rubella immune, GBBS negative, then she says GCCT or GC CT negative.  Can anyone tell me how to expand GCCT?

Thanks...

The cord was double clamped and cut and the infant was taken to stabelette?? for evaluation.  I'm pretty sure what he is saying is not stabelette (s/l stable-let) but that is what it sounds like. 

PROCEDURE

1.  External version attempt unsuccessful?

2.  Primary low transverse cesarean section. 

Does #1 make sense?? 

When typing a delivery report what does it mean when they say P1001. I think the first is the pregnancy, but what do the other numbers stand for?

C-section findings listed "clear fluid with (s/) nicouette delivery."

Thanks for any suggestions!

Doctor describing breech delivery - says the "Marcells Smelly Vite maneuver" was used.

I know I've heard this before, but my brain is just not cooperating today ... TIA

Just wondering if there is any general rule about transcribing noteworthy.

Also, status post; status-post.

Thank you.

I got cystoproctography, but does cystoproctoscopy exists as i could not find it in  stedman also,

thank u

james

How do you type this?  I never did ob/gyn before.  What does miss mean, and how do I format?  Any help is appreciated.  Thank you.

PAST MEDICAL HISTORY

1.      Gynecologic – G3, P2, 1 miss.  She had been followed by Dr. XXXXXXXX   Her last Pap smear was approximately two years ago, as was mammogram.  Menses are on a q 28-30 day cycle, but there are periods where she will skip and have a menses q.o. month.

Need help with words in bold.  Thank you.

SKIN:  Lots of seborrheic keratoses.  He does have an elevated 9 mm papule on left side of the face, which has some vascularization and central core.  It almost looks like acanthokeratosis, but basal cell carcinoma cannot be fully ruled out.  No other suspicious lesions.  He does have some miliary rubra on the back. 

leiomyoma, singular; leiomyomata, pleural. Leiomyomatas is not a word.

My doctor keeps saying psoricytic arthritis. I transcribe for him a lot, but this is what he is saying.

I am thinking he means psoriatic arhtritis. What do you think?

Doing a rotator cuff tear repair.  two words 

Procedure: 1) Left shoulder arthroscopy, subacromial decompression with MINIMUMFER?  procedure.

the left upper extremity was prepped and draped in the usual sterile manner utliizing 8 pounds of traction in the ARTHREX?? arm holder?

THANKS