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Help, sounds like sacral alum insufficiency?? nm

Posted By: shortcake on 2008-11-22
In Reply to:

Subject: Help, sounds like sacral alum insufficiency?? nm

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sacral ala insufficiency
Subject: sacral ala insufficiency


depends on context: acute-on-chronic renal insufficiency or renal insufficiency, acute on chronic.
Subject: depends on context: acute-on-chronic renal insufficiency or renal insufficiency, acute on chronic.

x
renal insufficiency
Subject: renal insufficiency

We will check her electrolytes to make sure she did __________ any renal insufficiency.                                               S/l did not fillup


renal insufficiency? nm
Subject: renal insufficiency? nm

x
aortic insufficiency
Subject: aortic insufficiency

1+ aortic insufficiency


I need help understanding the 1 plus. Any clues? This was on the pt's echocardiogram


co-renal insufficiency?
Subject: co-renal insufficiency?

She has mild co-renal insufficiency.
s/l exshirt insufficiency SM
Subject: s/l exshirt insufficiency SM

The pt. states that she does have some s/l exshirt insufficiency with some early satiety and bloating with meals. 


Patient has pancreatic cancer. 


2/6 or II/VI tricuspid insufficiency??
Subject: 2/6 or II/VI tricuspid insufficiency??


sacral ala
Subject: sacral ala


She has chronic renal insufficiency and will be followed by...
Subject: She has chronic renal insufficiency and will be followed by...

a s/l deme nephrologist.  thank you
gastric insufficiency? merely guessing here
Subject: gastric insufficiency? merely guessing here


Can you hear hamstring insufficiency ?
Subject: Can you hear hamstring insufficiency ?


Which is correct - 2/6 or II/VI tricuspid insufficiency??
Not sure how to write this??  Thanks!
Nevermind; adrenal insufficiency
Subject: Nevermind; adrenal insufficiency


sacral fracture
Subject: sacral fracture

Patient presents with crush injuries it sounds like the doc is saying he has a right sacral "alabody" fracture....
L4 through L5 or L4 through S1 sacral fusion?
Subject: L4 through L5 or L4 through S1 sacral fusion?


sacral? cecal?
Subject: sacral? cecal?

DICT: Small free fluid deep pelvis on the left, some "sacral/cecal" duct ectasia S1-S2 nerve roots.

1. Is it 'sacral' or 'cecal'? Could it be something besides these?

2. Is 'S1-S2 nerve roots' formatted properly?


TIA!!!
s/l sacral dysgenesis...sm
Subject: s/l sacral dysgenesis...sm

I know there is a sacral agenesis but it surely sounds like she is saying a "dys" in front of it.  Is there anything like that?  Thanks.
Sacral dimple?
Subject: Sacral dimple?

That's the only thing I can think of that would sound like that.


 


Maybe "mild chronic renal insufficiency" nm
Subject: Maybe "mild chronic renal insufficiency" nm

x
MR (mitral regurgitation) and AI (aortic insufficiency)?
Subject: MR (mitral regurgitation) and AI (aortic insufficiency)?


lumbosacral or lumbar sacral, or
Subject: lumbosacral or lumbar sacral, or

do they both mean the same thing?
Sacral alar fracture.
Subject: Sacral alar fracture.

//
? right sacral muscle group
Subject: ? right sacral muscle group


fith-lumbar-first sacral
Subject: fith-lumbar-first sacral

Can you believe that QA said it should be:


1.  Right-sided fifth lumbar-first sacral herniated nucleus pulposus.


Thanks for the responses though! 


sacral ala is an accurate term, but...
Subject: sacral ala is an accurate term, but...

only you know if that's what you're hearing.
Probably sacral decubitus ulcer.
Subject: Probably sacral decubitus ulcer.


Dr. could be referring to co-existing renal insufficiency; meaning,
Subject: Dr. could be referring to co-existing renal insufficiency; meaning,

accompanied by other diagnosis/diagnoses.
lower extremity vesicular or vascular insufficiency?
Subject: lower extremity vesicular or vascular insufficiency?

not sure which he is saying
She has no s/l scoteria or stouteria, so I do not think she has chronic pancreatic insufficiency
Subject: She has no s/l scoteria or stouteria, so I do not think she has chronic pancreatic insufficiency


Ever heard of Pegasus injections for liver insufficiency? TIA
Subject: Ever heard of Pegasus injections for liver insufficiency? TIA


salcral sulci (sacral groove etc) sm
Subject: salcral sulci (sacral groove etc) sm


The Hesch Method: Excerpt from workbook: Sacral Torsion





The traditional approach utilizes only a few tests, which include palpation of only 8 sacral landmarks: the sacral base, the sacral sulci, ...
www.heschmethod.com/sacraltorsion.shtml - 17k - Cached - Similar pages


COMLEX sample questions





Palpation of the sacral sulci in the Sphinx position exaggerates the asymmetry of the sacral sulci ... The sacral sulci are deeper than average bilaterally. ...
www.mommd.com/comlexsample.shtml - 54k - Cached - Similar pages


The Hesch Method: Excerpt from workbook: Sacral Torsion





The traditional approach utilizes only a few tests, which include palpation of only 8 sacral landmarks: the sacral base, the sacral sulci, ...
www.heschmethod.com/sacraltorsion.shtml - 17k - Cached - Similar pages


COMLEX sample questions





Palpation of the sacral sulci in the Sphinx position exaggerates the asymmetry of the sacral sulci ... The sacral sulci are deeper than average bilaterally. ...
www.mommd.com/comlexsample.shtml - 54k - Cached - Similar pages

sacral sulci. sorry. Watching game. nm
Subject: sacral sulci. sorry. Watching game. nm


Listen again - should be a number, such as L4-5 sacral fusion.
Subject: Listen again - should be a number, such as L4-5 sacral fusion.

nm
s/l Aleeven foam to sacral wound
Subject: s/l Aleeven foam to sacral wound

xx
type of mattress for sacral ulcer
Subject: type of mattress for sacral ulcer

This is an elderly female with a cocygeal ulcer. She as on a s/l LOPULSATE AIRLOSE mattress during her hospital stay?

ESL dictating so I'm having trouble hearing her.
venous insufficiency of the left leg probably from (post**s/l aldidic) syndrome
Subject: venous insufficiency of the left leg probably from (post**s/l aldidic) syndrome


Sacral ulcer, local wound care with a ----- AG? TIA
Subject: Sacral ulcer, local wound care with a ----- AG? TIA

xxx
Sacral fx: "...at the level of the SI joint with some mild s/l BARTING." SM
Subject: Sacral fx: "...at the level of the SI joint with some mild s/l BARTING." SM

The "b" is very pronounced. 
never mind. It is sacral agenesis. She says absent sacrum after it,. Thanks. nm
Subject: never mind. It is sacral agenesis. She says absent sacrum after it,. Thanks. nm

d
vestigial? sacral ala is correct, not sure about the word *type* nm
Subject: vestigial? sacral ala is correct, not sure about the word *type* nm


If you google sacral nerve stimulation, bellows and
Subject: If you google sacral nerve stimulation, bellows and

toe, you will find out what he was talking about. 
rectum was moblilized from the sacral ala using blunt dissection
Subject: rectum was moblilized from the sacral ala using blunt dissection


Dysgensis: defective development; malformation, therefore sacral dysgenesis is defect or malformatio
Subject: Dysgensis: defective development; malformation, therefore sacral dysgenesis is defect or malformation of the sacrum


There is a Maigne test - a new test for vertebrobasilar insufficiency...nm
Subject: There is a Maigne test - a new test for vertebrobasilar insufficiency...nm

.
Is your patient a male? There are male sounds and female sounds. sm
Subject: Is your patient a male? There are male sounds and female sounds. sm

Male sounds are shaped differently than female sounds. Obviously, male sounds being longer. They are used to dilate the urethra in order to facilitate the passage of stones or perhaps JJ stents etc. They come in different diameters ie..18FR, 20FR etc. Hope this helps.
sounds like JEP?
Are you sure it is not LUMP? Listen again.
sounds like
Subject: sounds like

post op day 1 from an esophagogastrectomy, _________ Laprobiotic? or laprobotic?


Sounds right.
Subject: Sounds right.

You also might just hear them say bands 27. Means the same thing. Go ahead with it.
sounds right to me, thanks!
Subject: sounds right to me, thanks!


sounds okay to me.
Subject: sounds okay to me.

x