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I & D also means irrigation and debridement

Posted By: The Gingerbread Man on 2006-12-23
In Reply to: s/l *i and d* left hip. (sm) - NDMT

Subject: I & D also means irrigation and debridement

If the patient has a wound, say a sacral decubitus, they could be doing that.


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It's a perirectal absces--incision and drainage rather than irrigation/debridement! nm
Subject: It's a perirectal absces--incision and drainage rather than irrigation/debridement! nm

x
debridement
Subject: debridement


The femoral trochlea demonstrated an area of grade III and grade IV hylan cartilage change. This area was gently debrided with a s/l full-radial resector?


debridement ?
Subject: debridement ?

I cannot figure out what this doctor is saying, it starts under "operative technique"


Patient was "????" prepped and draped in the usual fashion in a supine position. The tourniquet was placed in the right upper arm.


It sounds like he is saying "freight wrapped" or maybe "tight wrapped"???? I could not find any reference to either of those terms.  Can anyone help?!?


Thanks!


can you hear debridement?
Subject: can you hear debridement?

x
Knife used for debridement
Subject: Knife used for debridement

After general anesthesia, the leg was elevated and then using dermatome and _____ knife a debridement was done. 

OPERATIVE PROCEDURE:   Extensive debridement of left lower leg, fairly large area 20 cm x 16 cm and 10 cm x 15 cm. 


 


It sounds like bouillon and I know that is not correct...any help would be appreciated.


 


s/l debridement of stratus
Subject: s/l debridement of stratus

PROCEDURE:  Drainage of seroma, debridement of stratus, placement of drain left breast.
Wound irrigation
Subject: Wound irrigation

Wound was irrigated with 500cc of normal saline s/l hevakins cleanse solution.
s/l NPK solution for irrigation? Help please
thank you
s/l kef-sell irrigation
Subject: s/l kef-sell irrigation

The implant was prepped on the back table with s/l kef-sell irrigation. 
Could it be Kefzol irrigation? sm
Subject: Could it be Kefzol irrigation? sm

Kefzol is a powder (cefazolin) that is placed in a wound after irrigation.
Kessel irrigation
Subject: Kessel irrigation


can you hear *irrigation*?
Subject: can you hear *irrigation*?

x
"Nizod" irrigation?
Subject: "Nizod" irrigation?


nasal irrigation maybe
Subject: nasal irrigation maybe


I&D, debridement plug VAC placement??? (sorry such a bad day)
Subject: I&D, debridement plug VAC placement??? (sorry such a bad day)


FYI this is a wound debridement procedure
Subject: FYI this is a wound debridement procedure

x
Chronic debridement or debriding?
Subject: Chronic debridement or debriding?


s/l thrombitus? saline irrigation
Subject: s/l thrombitus? saline irrigation

He has used the term twice and both times that is exactly what it sounds like he is saying.  I can't find anything close to this in any of my references.  Am I missing something easy?  Any help appreciated!
s/l critter wound irrigation
Subject: s/l critter wound irrigation


Help please - s/l "LP Vapor suction 3.5" - for debridement
Subject: Help please - s/l "LP Vapor suction 3.5" - for debridement


I think it's debridement/shaving knee arthroscopy...
Subject: I think it's debridement/shaving knee arthroscopy...


s/l placement of lizera from foot debridement?
Subject: s/l placement of lizera from foot debridement?

placement of s/l **lizera** from foot debridement?

I appreciate any help!
Patient undergoing debridement for osteomyelitis by DPM.
Subject: Patient undergoing debridement for osteomyelitis by DPM.

We then packed the wound with s/l "prodance" or "prodanz" mixed with vancomycin 1 gm and 85 mg of tobramycin.
There is an Asepto bulb irrigation system, too. nm
Subject: There is an Asepto bulb irrigation system, too. nm

s
The wounds were irrigated with s/l GU irrigation. Is this correct? TIA!
Subject: The wounds were irrigated with s/l GU irrigation. Is this correct? TIA!


I found Stedman's pronounciation for debridement - (da-bred-mon ')
Subject: I found Stedman's pronounciation for debridement - (da-bred-mon ')


Does it sound like antral needle (for sinus irrigation?)? NM
Subject: Does it sound like antral needle (for sinus irrigation?)? NM

nm
Devonna bach irrigation used to irrigate abdominal cavity
Subject: Devonna bach irrigation used to irrigate abdominal cavity

nm
Better ask your QA. Some "verbatim" means "not really verbatim," some means "strictl
Subject: Better ask your QA. Some "verbatim" means "not really verbatim," some means "strictly verbatim." nm

x
Para means near. Parathoracic means near the thoracic muscles. nm
Subject: Para means near. Parathoracic means near the thoracic muscles. nm

x
My ortho surgeons use the basket forceps routinely to retrieve fragments after debridement.....sm
Subject: My ortho surgeons use the basket forceps routinely to retrieve fragments after debridement.....sm

of the meniscus, not just in urology, other surgeries, also, I do mostly OPs. :-)
Surgery irrigation fluid, s/l "Adept solution or Depp solution" nm
Subject: Surgery irrigation fluid, s/l "Adept solution or Depp solution" nm

xxxx
Do you know what this means?
Subject: Do you know what this means?

Any idea what this means?
Yes, believe that's what he means! ESL? nm
Subject: Yes, believe that's what he means! ESL? nm

x
yes, means not sure
Subject: yes, means not sure

you should get a regular dictionary too
Does anyone know what DAC means?
Subject: Does anyone know what DAC means?


I'm sure it is what he means, but (sm)
Subject: I'm sure it is what he means, but (sm)

He says it so weird.  I was wondering if anyone ever heard of heparnotic or something similar--I can't find it anywhere.  He has said it before and says it the same way each time.  I'm stumped. 
That means nothing!!
Subject: That means nothing!!

/
You do know what that means?? sm
Subject: You do know what that means?? sm

Means YOU ARE ONE OF US!!!! We are just plain old puzzle solvers who try to decipher the clues!!!


 


Glad to help. Keep going. !!!  Good luck!! 


If this is a UTI, I think it means this. sm
Subject: If this is a UTI, I think it means this. sm

The patient went ahead and took something for the UTI, causing partial clearing of the urine, so the results of the UA are skewed.


 


Whew!!  It is Monday or what!!!!


Not sure what she means . . .
Subject: Not sure what she means . . .

Patient in the ER with urosepsis. . .


"They did a cadaver and laminectomy from L2-L4."  That's the sentence.  I don't know if she's just spacing a little with the cadaver part or am I missing something???


maybe it means less than 2:40
Subject: maybe it means less than 2:40

nm
It means...
Subject: It means...

exploratory laparotomy
unless he means sm
Subject: unless he means sm

co as in co-morbid, the person already had this problem.

(NtBNP), and N-terminal atrial natriuretic peptide ...... be certain whether co-morbid
I think that is what he means but not said clearly!
Subject: I think that is what he means but not said clearly!


probably what she means
Subject: probably what she means

but not what she says... we can't send to editing unless it has more than 3 blanks... going to send a note to supervisor .
yes thanks I do think that's what he means
Subject: yes thanks I do think that's what he means

he did not pronounce the n but I'm sure that's it... new medication.  Thank you
Since neo- means new, that would
Subject: Since neo- means new, that would

make sense.  He is making a new palate.  BTW, I think Coblator is a brand name. 


Can you tell me what it means?
Subject: Can you tell me what it means?

REally? I can't find Craco anywhere. Do you know what it means?
that must be what he means...thanks : )
Subject: that must be what he means...thanks : )


Maybe what he really means is
Subject: Maybe what he really means is

problematic