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

Posted By: nm on 2006-01-31
In Reply to:

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

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    I & D also means irrigation and debridement
    Subject: I & D also means irrigation and debridement

    If the patient has a wound, say a sacral decubitus, they could be doing that.
    I&D - incision and drainage.
    Subject: I&D - incision and drainage.

    x
    probably I&D -- incision and drainage
    Subject: probably I&D -- incision and drainage


    Could it be I&D, meaning incision and drainage? nm
    Subject: Could it be I&D, meaning incision and drainage? nm


    I wouldn't cuz it means incision&drainage..sm
    Subject: I wouldn't cuz it means incision&drainage..sm

    incised and drained....but that's just me.....


    also means incision and debridement and possibly other things.........as I know it.....


    incision and drainage for abscess on buttocks and thigh
    Subject: incision and drainage for abscess on buttocks and thigh

    .
    status post exam under anesthesia with an incision and drainage of his rectal abscess and (C-TOM)
    Subject: status post exam under anesthesia with an incision and drainage of his rectal abscess and (C-TOM)

    status post exam under anesthesia with an incision and drainage of his rectal abscess and (C-TOM) placement. Any help would be appreciated. Thank you in advance
    HEENT: Nares thin drainage? or possibly some drainage...
    Subject: HEENT: Nares thin drainage? or possibly some drainage...

    sounds like she is saying thin Thanks
    Nares: Mucoid drainage? Purulent drainage?
    Subject: Nares: Mucoid drainage? Purulent drainage?

    .
    s/l C-ton in place for perirectal abscess
    Subject: s/l C-ton in place for perirectal abscess

    the patient had perirectal abscess incision and drainage...s/l c-ton in place upon discharge.


    Incision, they first make a small incision for the port or trocar to go in for viewing the GI system
    Subject: Incision, they first make a small incision for the port or trocar to go in for viewing the GI system

    nm
    Yes there is V-shaped incision and an inverted T-incision, so maybe they converted from a V to T
    Subject: Yes there is V-shaped incision and an inverted T-incision, so maybe they converted from a V to T


    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
    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. :-)
    CT drainage
    Subject: CT drainage


    CT drainage of fluid collection is what the dict is saying in the preop dx.  He is doing an exploratory laparotomy.  How should this be typed in the preop dx, as we are not to use abbreviations?


    discharge, drainage, or pus IMO nm
    Subject: discharge, drainage, or pus IMO nm

    x
    could he be saying drainage tube? NM
    Subject: could he be saying drainage tube? NM


    post ? drainage
    Subject: post ? drainage

    I need help one more time, please.


    The Dr. dictates: "post ? drainage, although it may be better after using Allegra-D"


    "Rhinorrhea/ post ? drainage - May be secondary to allergies....


    Likely postnasal drainage
    Subject: Likely postnasal drainage


    has to be postnasal drainage
    Subject: has to be postnasal drainage

    In the nose there is no other place to drain that is
    "Post"
    CD - continuous drainage
    Subject: CD - continuous drainage

    continuous drainage


    The patient has no discharge, drainage, or pus.
    Subject: The patient has no discharge, drainage, or pus.


    yes, they say thin/thick drainage
    Subject: yes, they say thin/thick drainage

    nm
    thrush? drainage? exudate? nm
    Subject: thrush? drainage? exudate? nm

    s
    s/l catheter drainage for bladder
    Subject: s/l catheter drainage for bladder

    $