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Just a guess, 3-layer bump was placed (as in a roll)

Posted By: MT50 on 2007-11-07
In Reply to: Ankle ORIF: A s/l three liter bump was placed. - Orthopedic positioning NM

Subject: Just a guess, 3-layer bump was placed (as in a roll)




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supraSMAS layer
Subject: supraSMAS layer

how should this be written?  A supraSMAS layer was then elevated with the needlepoint cautery.  Is it supra SMAS, supraSMAS or something entirely different?


desquamated -- sheds outer skin layer etc. nm
Subject: desquamated -- sheds outer skin layer etc. nm


bump
Subject: bump

A bump is used to elevate the body part during surgery.
It is bump.
Subject: It is bump.

x
yes, they say bump, as in increase
Subject: yes, they say bump, as in increase

nm
s/l bump orthopedic
Subject: s/l bump orthopedic

Shoulder was placed on bump and prepped with alcohol.
he had a slight s/l bump in his BUN and creatinine
Subject: he had a slight s/l bump in his BUN and creatinine


s/l BUMP chemo regimen
Subject: s/l BUMP chemo regimen

for treatment of acute lymphoblastic leukemia. Anyone ever heard of this? TIA.
Ankle ORIF: A s/l three liter bump was placed.
Subject: Ankle ORIF: A s/l three liter bump was placed.

thanks
how about negative log roll?
Subject: how about negative log roll?

X
agree with log roll
Subject: agree with log roll


That is definitely it...... I thought the "O" was roll
Subject: That is definitely it...... I thought the "O" was roll

nm
Maybe roll check?
Subject: Maybe roll check?


rate roll on EKG?
Subject: rate roll on EKG?

An EKG was normal except the **rate rolls** of a rapid heart.
Maybe ABDs, roll gauze, etc...?? nm
Subject: Maybe ABDs, roll gauze, etc...?? nm

s
pullway sheath? on a roll here. nm tks.
Subject: pullway sheath? on a roll here. nm tks.

ss
Axial loading. Log roll is right too. Don't know about the other two. nm
Subject: Axial loading. Log roll is right too. Don't know about the other two. nm

nm
Neurosurgery, placed on backboard with s/l "Hick's roll". TIA
Subject: Neurosurgery, placed on backboard with s/l "Hick's roll". TIA

nm
s/l *aly-ureth* roll gauze and Coban sm
Subject: s/l *aly-ureth* roll gauze and Coban sm

The patient elects to proceed with the Una boot wrap today.  With informed consent this was applied followed by _____ roll guaze and Coban.  The patient is to go immediately home and begin wearing her surgical shoe. 


I'm not sure if this is ____, roll gauze, and Coban OR if it is a kind of roll gauze and Coban


The patient has a sprained ankle.


Thanks!


neck surgery...sugar roll?
Subject: neck surgery...sugar roll?

The patient was placed in the supine position with his neck in slight extension, with a s/l sugar roll underneath this back. 
I'm thinking something like a "neck roll" added to
Subject: I'm thinking something like a "neck roll" added to

bed to elevate her head - just a guess
No hyphen in motor vehicle. Maybe driving a 4 x 4 with a roll bar
Subject: No hyphen in motor vehicle. Maybe driving a 4 x 4 with a roll bar

s
Thanks a million, that must be it then, was unfamiliar, definitely sounds like body roll, thank you!
Subject: Thanks a million, that must be it then, was unfamiliar, definitely sounds like body roll, thank you!


gonarthrosis is correct. There is a "field test" for hips, so maybe log roll, extension, and
Subject: gonarthrosis is correct. There is a "field test" for hips, so maybe log roll, extension, and field test


it is roll ball cautery or roller ball or
Subject: it is roll ball cautery or roller ball or

rollerball.  Googled roll ball and roller-ball comes up.  My Surgical Word Book has rollerball endometrial ablation but the doc is clearly saying ROLL BALL.  She is saying is very slowly and precise.  This drives me nuts.
I guess it could be intravenous, but I'll turn in a blank rather than guess. Thanks!!!
Subject: I guess it could be intravenous, but I'll turn in a blank rather than guess. Thanks!!!


or Bennell roll as in bennell bandage
Subject: or Bennell roll as in bennell bandage


Avelox is a guess...might not be a good guess, though! nm
Subject: Avelox is a guess...might not be a good guess, though! nm

nm
My only other guess would be "anger burst." Just a guess.
Subject: My only other guess would be "anger burst." Just a guess.

x
I'd guess
Subject: I'd guess

stercoral colitis
My guess
Subject: My guess

maybe he's saying "pyelo" short for pyelonephritis
My guess sm
Subject: My guess sm

My guess would be candida esophagitis. 
just a guess
Subject: just a guess

but i think he is abbreviating -- so i would just put it inside quotes as you have it -- as it could refer to too many different things, if that is what he is doing.
and guess what?
Subject: and guess what?

depending on what lab you work in, all specs and values are different also. i worked in two different labs so I KNOW
Guess
Subject: Guess

I'm guessing the "caphate tethose" is ______ TED hose. The word prior, I don't know.

Without more...this is only a guess.
just a guess here....
Subject: just a guess here....

demonstrated increased L3-4
THAT was my next guess!!! lol nm
Subject: THAT was my next guess!!! lol nm

nm
my best guess...
Subject: my best guess...

maybe Denonvilliers fascia and transversalis fascia.
just a guess
Subject: just a guess

Decadron ?
This is a guess
Subject: This is a guess

I have never had a doc dictate it, but a list I obtained several years back from MT Desk that lists lots of "normal" physical exam phrases lists, under HEENT, flattening of the (left/right) nasolabial fold . . . maybe?
OA would be my guess too. nm
Subject: OA would be my guess too. nm

m
not sure but my guess would be SM
Subject: not sure but my guess would be SM

that the doctor will use a dye or ink of some kind to mark a spot where they remove a polyp or see something, so that they can locate the area more readily on followup.

but thats just a guess. I do rad and pathology and never have done gastroenterology procedure stuff.
I guess you mean that SM
Subject: I guess you mean that SM

there must be two openings in the nasal cavity.  Ostium means opening.  Meatus means opening also.  So if it is as you say, then ostium (opening) meatal (opening) complex is what you are referring to.   Plus that, there is no such word as ostio. 


I was referring to the osteum (bone) and meatus (opening) or the osteomeatal complex of the nose.   


just a guess
Subject: just a guess

Could it be primary biliary cirrhosis?
Thanks so much. Should have gotten that, I guess.
Subject: Thanks so much. Should have gotten that, I guess.


482,000? GUESS
Subject: 482,000? GUESS

Normal platelet counts range from 150000 to 400000 per cu/ml, so maybe he/she is saying 482000
Okay, thanks. I guess he
Subject: Okay, thanks. I guess he

is just adding an r there at the beginning!


Here is my guess
Subject: Here is my guess

"Status post left hemispheric CVA with resultant mild right hemiparesis."
guess....sm
Subject: guess....sm

Just guessing here, but first sentence might be uterus normal tone, size and position.  Second sentence - about *____ dilated, should probably be  a number, not "already"  Uterus was sounded to 10 cm.   Sorry, can't help with the next sentence.


Best guess :)
Subject: Best guess :)

You're right on the "marrow" portions, but the only thing I can even hazard a guess at on the morphology is "an echoic." 


Maybe this will help - just saw your post and feel your pain! 


Just a guess
Subject: Just a guess

but could it be "1 to 2?"