In diagnosis: 5. Calcification of the aortic valve per CT then spells "C-O-A-R-S". ??
Posted By: tracy on 2008-09-30
In Reply to:
Subject: In diagnosis: 5. Calcification of the aortic valve per CT then spells "C-O-A-R-S". ??
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Aortic valve type
Subject: Aortic valve type
Okay, my brain is tired. ESL dict. ROS: Cardiovascular: He patient has an aortic __________ valve replacement. He has a history of rheumatic fever.
S/L sen-chewed.
I know this is simple but it won't come to me. This guy is a regular but I'm stumped.
porquine aortic valve
Subject: porquine aortic valve
Has anyone come across this - he spells it for me "porquine" aortic valve. I was thinking maybe porcine, but he spells it as above. Please help!
Aortic valve replacement
Subject: Aortic valve replacement
s/l koprenthee a-overs valve
Need help with aortic valve type? Pretty please..
Subject: Need help with aortic valve type? Pretty please..
80-year-old gentleman with known coronary artery disease, status post aortic valve replacement with #27 (__s/l Terrontist__) aortic valve, coronary artery bypass grafting x5, dyslipidemia, and hypertension.
I owe you if you can help!!! 
Paramont? aortic and mitral valve. TIA. nm
Subject: Paramont? aortic and mitral valve. TIA. nm
nm
aortic valve is s/l trilucid or tri leaflet?
Subject: aortic valve is s/l trilucid or tri leaflet?
XX
TEE for s/l on-phos view of the aortic valve
Subject: TEE for s/l on-phos view of the aortic valve
x
Lambelle excresence or something of the aortic valve.
Subject: Lambelle excresence or something of the aortic valve.
::
Aortic valve replacement. The sutures were brought through...sm
Subject: Aortic valve replacement. The sutures were brought through...sm
the s/l gab A sewing guide.
Wild guess here: S1, S2 and aortic valve areas
Subject: Wild guess here: S1, S2 and aortic valve areas
Moderate aortic valve sclerocalcific changes on echocardiogram.
Subject: Moderate aortic valve sclerocalcific changes on echocardiogram.
rule out coarctation of the aorta and/ s/l R8 bicuspid aortic valve
Subject: rule out coarctation of the aorta and/ s/l R8 bicuspid aortic valve
nt
Some suggestions: Toronto SPV stentless or tilting disk or tricuspid aortic valve? nm
Subject: Some suggestions: Toronto SPV stentless or tilting disk or tricuspid aortic valve? nm
x
help with diagnosis of mitral valve abnormality
Subject: help with diagnosis of mitral valve abnormality
The patient has cardiac disease and mitral valve disease and comes to pulmonology for pulmonary nodules. Doctor says: "I am not sure exactly what the specific anatomical diagnosis was but it was some type of s/l *mixomidis* type abnormality of the mitral valve."
Thanks!
Mitral valve replacement with a #27 St. Jude valve.. or 27..thank you
Subject: Mitral valve replacement with a #27 St. Jude valve.. or 27..thank you
s/l corrid calcification
Subject: s/l corrid calcification
This is a CT scan of the head. Dr says what s/l corrid calcification was seen midline.
s/l pleboic calcification
Subject: s/l pleboic calcification
He has some degenerative change noted about the hips as well as some *s/l pleboic calcification noted in his pelvic inlet.
Could it possibly be calcification???
Subject: Could it possibly be calcification???
x
Help!! Pediatric Calcification???
Subject: Help!! Pediatric Calcification???
For the migraine headaches, the patient is going to continue on the Elavil 50 mg. However she was concerned about breast feeding. The information available does show that it does cross into the breast milk, however in very small doses. Pediatric calcification is that there is potential toxicity.
Last sentence is what ASR spit out, problem is that is what it sounds like, and I'm flummoxed!!!! Help!
mitral annulus calcification...nm
Subject: mitral annulus calcification...nm
x
[s/l Asteroid] calcification of the brain
Subject: [s/l Asteroid] calcification of the brain
figured it out....vascular calcification...whew!
Subject: figured it out....vascular calcification...whew!
how about this - An x-ray was done, lateral, both knees.... calcification overlying the anterior asp
Subject: how about this - An x-ray was done, lateral, both knees.... calcification overlying the anterior aspect..... - nm
aortic?
Subject: aortic?
aortic insufficiency
Subject: aortic insufficiency
1+ aortic insufficiency
I need help understanding the 1 plus. Any clues? This was on the pt's echocardiogram
HNE Aortic Aneurysm????
Subject: HNE Aortic Aneurysm????
Has anyone heard of this??
could it be aortic bifurcation
Subject: could it be aortic bifurcation
could it be aortic bifurcation
aortic root is correct, plus SM
Subject: aortic root is correct, plus SM
probably "Mitral valve - grossly normal valve leaflet morphology and motion."
"Left ventricle - normal systolic and diastolic dimensions, grossly normal segmental wall motion and systolic function overall."
"Aortic valve - mildly sclerotic valve leaflets with no frank stenosis or regurgitation."
Where it says "Atrium normal.", listen for "Right atrium - normal."
Also maybe: "No significant effusion. Intracardiac masses or thrombi - none observed."
And a couple of other places where similar dashes would be appropriate.
maybe "preservation" of the aortic leaflets
Subject: maybe "preservation" of the aortic leaflets
or maybe effacing????
It could have been AFV (aortic flow velocity) or APV sm
Subject: It could have been AFV (aortic flow velocity) or APV sm
(average peak velocity). Also listed under "velocity" is aortic jet velocity and A-peak velocity, though there are no abbreviations provided with these.
ESLs should NOT abbreviate!
Wish I could be of more help.
HELP! Talking about aortic aneurysm
Subject: HELP! Talking about aortic aneurysm
The sentence is:
An ultrasound was done today, revealing it (aortic aneurysm) is now 4.9 cm and perhaps s/l chuck sterinal
s/l chuck stir eenal...???
I am sure I should know this...TIA
s/l thoratic aortic dissection....
Subject: s/l thoratic aortic dissection....
There is a history of hypertension, (s/l thoratic aortic dissection) ?
Thanks
It's thoracic aortic dissection
Subject: It's thoracic aortic dissection
aortic or arteriosclerotic aneurysm?
Subject: aortic or arteriosclerotic aneurysm?
What I would do: Since doc spells it, and
Subject: What I would do: Since doc spells it, and
you have exhausted all your references, I'd type it the way he spelled it and then flag it, saying that the doctor spelled it that way. That covers you. Docs are notorious bad spellers, but he might be privy to something so new it's not on the books yet.
Probably says YAZ and then spells --Y-A-Z
Subject: Probably says YAZ and then spells --Y-A-Z
Similar to Yasmin
http://www.berlex.com/html/press/articles/04212006.html
Don't think that's it, he very clearly spells it.
Subject: Don't think that's it, he very clearly spells it.
But thanks anyway, I just left it blank.
Thanks so much. The doc now spells
Subject: Thanks so much. The doc now spells
osacromale?? which is wrong and nothing in my book under os acromiale but Googled it and got it. In all my years, never heard of it. Again, thanks for your help.
Doc spells PAX or TAX, but believe he's saying "P"
Subject: Doc spells PAX or TAX, but believe he's saying "P"
google "preserved effacing aortic
Subject: google "preserved effacing aortic
She has had s/l diosite dysfunction and aortic stenosis.
Subject: She has had s/l diosite dysfunction and aortic stenosis.
MR (mitral regurgitation) and AI (aortic insufficiency)?
Subject: MR (mitral regurgitation) and AI (aortic insufficiency)?
Nevermind. He's saying mild aortic sclerosis
Subject: Nevermind. He's saying mild aortic sclerosis
Thoracic and abdominal aortic aneurysms....
Subject: Thoracic and abdominal aortic aneurysms....
I need some help....
Dictated: Thoracic and abdominal aortic aneurysms 'smearing' or 'sparing' the renal arteries, status post graft replacement.
Not sure if smearing or sparing makes sense, or if it should be something else!
outflow murmur? can be pulmonary or aortic. nm
Subject: outflow murmur? can be pulmonary or aortic. nm
intra-aortic balloon pump
Subject: intra-aortic balloon pump
not sure if doc is saying something before the intra-aortic kind of s/l balute or blue or he could be trying to say balloon. Not really sure what to make of this. Thanks so much....
He actucally spells it
Subject: He actucally spells it
but I know that he is spelling it from the way the patient spells it. He often spells medications wrong. I am just going to flag it. Thanks for your help.
99% when a dictator spells anything
Subject: 99% when a dictator spells anything
whenever they spell anything, I look it up because 99% of the time the dictator has spelled whatever they are trying to spell INCORRECTLY....it's a general rule of thumb for most MTs to do this - look up anything a dictator spells.........because we ALL know this about the dictators after 25+ years..........for some of us....in this biz. 
he spells out what sounded like R E M P
Subject: he spells out what sounded like R E M P
He spells it later on as spinoglenoid
Subject: He spells it later on as spinoglenoid
Thanks for the help anyway!!
not having any other --HUT-- problems...he spells it
Subject: not having any other --HUT-- problems...he spells it
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