Median sternotomy created using s/l Realtrak retractor of the left anterior chest wall.
Posted By: Spice on 2005-08-04
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strained s/l "straitus" anterior muscle, chest wall strain
Yes: median sternotomy ... Cox-Maze
Subject: Yes: median sternotomy ... Cox-Maze
.
probably means left anterior descending. Instead of saying LAD, just saying left AD.
Subject: probably means left anterior descending. Instead of saying LAD, just saying left AD.
x
Pt with fat pad noted on chest wall. sm
Subject: Pt with fat pad noted on chest wall. sm
No hepatosplenomegaly. s/l Job space was not dull
"ASD" placement in chest wall
Thorax has a well-healed placement of ASD in the left chest wall. I can't tell if I'm hearing AST, ASD, or ??? Can't find anything that really fits without question. Patient has non-Hodgkin's
Thanks!
maybe new onset chest wall syndrome? NM
Subject: maybe new onset chest wall syndrome? NM
xx
anterior abdominal wall was cleaned using a s/l "swaburette".. any ideas??
Subject: anterior abdominal wall was cleaned using a s/l "swaburette".. any ideas??
dried, Dermabond was placed to the 5 mm trocar sites.
Anyone hear of s/l nuisance chest wall syndrome..TIA
Subject: Anyone hear of s/l nuisance chest wall syndrome..TIA
mastectomy and reconstruction followed by ETC and local chest wall radiation
Subject: mastectomy and reconstruction followed by ETC and local chest wall radiation
NM
on problem list... ***abotsive*** right chest wall mass... nm TIA =)
Subject: on problem list... ***abotsive*** right chest wall mass... nm TIA =)
x
duodenal ulcer at anterior wall, status post BICAP and injection..sm
Subject: duodenal ulcer at anterior wall, status post BICAP and injection..sm
in dx..need to spell it out.
the patient stated he has had a s/l ??PARTNESS?? over the anterior chest with incredible pain
Subject: the patient stated he has had a s/l ??PARTNESS?? over the anterior chest with incredible pain
NM
LAD left anterior descending (branch)
Subject: LAD left anterior descending (branch)
ENT eval: she had a "fur-on-gole interior canal wall of her left ear which was opened & purulenc
Subject: ENT eval: she had a "fur-on-gole interior canal wall of her left ear which was opened & purulence
hard to hear this, she rattles it off so fast I could have it completely off.
All I can think of pleuritic left-sided chest pain?
Subject: All I can think of pleuritic left-sided chest pain?
x
s/l left festurnal burning chest pain?
Subject: s/l left festurnal burning chest pain?
ejection (or early) systolic murmur at the anterior ascending right and (or "or") left lower s
Subject: ejection (or early) systolic murmur at the anterior ascending right and (or "or") left lower sternal border (?)
Large, firm, calcified/fatty s/l sulpification-like mass in the left chest
Subject: Large, firm, calcified/fatty s/l sulpification-like mass in the left chest
x
wall leaks? wall leakage? nm
Subject: wall leaks? wall leakage? nm
s/l “the hell with systolic anterior motion of the anterior mitral leaflet is noted.”
Subject: s/l “the hell with systolic anterior motion of the anterior mitral leaflet is noted.”
From a TEE report (doctor with thick Indian accent):
s/l “the hell with systolic anterior motion of the anterior mitral leaflet is noted.”
do you hear anterior flexion (anterior west makes no sense) nm
Subject: do you hear anterior flexion (anterior west makes no sense) nm
sternotomy
Subject: sternotomy
Can you hear that. It is another word for cutting open to relieve the stenosis.
sternotomy? (no message)
Subject: sternotomy? (no message)
xyz
sternotomy scar
Subject: sternotomy scar
nm
take back?? sternotomy.
Subject: take back?? sternotomy.
Pre and postop diagnoses is coagulopathy. The procedure is TAKE BACK? sternotomy. Never heard of this. Thanks.
Usually a fistula is created in the forearm to allow for dialysis. Does that help? nm
Subject: Usually a fistula is created in the forearm to allow for dialysis. Does that help? nm
x
Abdomen: Negative. The "tic was created"...
Subject: Abdomen: Negative. The "tic was created"...
that is all he says about the abdomen in the whole report 
Angie
P2 is the sound created by the closing of the pulmonic valve.
Subject: P2 is the sound created by the closing of the pulmonic valve.
Thought that should be it. It threw me, because of the "was created" part of it. Thanks!
Subject: Thought that should be it. It threw me, because of the "was created" part of it. Thanks!
Homans sign, Hohmann retractor (not Homan's retractor). nm
Subject: Homans sign, Hohmann retractor (not Homan's retractor). nm
x
There is a Davis-Geck retractor. Also Gelpi retractor. nm
Subject: There is a Davis-Geck retractor. Also Gelpi retractor. nm
x
vaginal retractor s/l "lundsford" retractor? nm
Subject: vaginal retractor s/l "lundsford" retractor? nm
could it be median nerve
Subject: could it be median nerve
instead of radian.
Chest exam on H&P, chest is symmetrical, free of dull s/l dull suspence straight, and without pectus
Subject: Chest exam on H&P, chest is symmetrical, free of dull s/l dull suspence straight, and without pectus
excurvatum. No sure of "free of dull suspence straight"
median or ulnar nerve? nm
Subject: median or ulnar nerve? nm
Typing an op...median sternoscopy?
Subject: Typing an op...median sternoscopy?
can't find anything!!! TYTYTY
median nerve distribution
Subject: median nerve distribution
:)
Patient with epicondylitis, median neuropathy. SM
Subject: Patient with epicondylitis, median neuropathy. SM
I am going to put her in for therapy, s/l steroid phoresis, and s/l fluid-o therapy to the elbow.
It's median sensory evoked potential....
Subject: It's median sensory evoked potential....
This test is dedicated to testing the median nerve.
Correction: That should say median rothay of tongue. Thanks.
Subject: Correction: That should say median rothay of tongue. Thanks.
median branch of calcaneal nerve? nm
Subject: median branch of calcaneal nerve? nm
Pt. with lumbar median branch radiofrequency ablation.
Subject: Pt. with lumbar median branch radiofrequency ablation.
radiofrequency needles were then inserted under fluoroscopic control down to the area of the
s/l mamillopapillary ligament at all 3 sites. The doc is pretty clear when he pronounces it, but I can't document it anywhere, not even in Dorland's.
my post was deleted - I had radial and median nerve -
Subject: my post was deleted - I had radial and median nerve -
nm
Funny thing, I had this yesterday and left 3 blanks that QA also left blank.
Subject: Funny thing, I had this yesterday and left 3 blanks that QA also left blank.
x
pain over the left hip and a biopsy of the left s/l SA pablum showed adenocarcinom
Subject: pain over the left hip and a biopsy of the left s/l SA pablum showed adenocarcinom
n
spoon retractor found online; spoon of the retractor?-nm
Subject: spoon retractor found online; spoon of the retractor?-nm
S/P left total knee reconstruction. On exam, has a palpable s/l clod defect on the left knee.
Subject: S/P left total knee reconstruction. On exam, has a palpable s/l clod defect on the left knee.
:-)
doing a Carpal tunnel release s/l SUN retractors or Thumb retractors to the median nerve
Subject: doing a Carpal tunnel release s/l SUN retractors or Thumb retractors to the median nerve
Gut Wall
Subject: Gut Wall
Are you sure he/she isn't saying gut wall guarding in the abdominal exam, then going into the extremity exam?
s/l over the wall tenderness
Subject: s/l over the wall tenderness
Doc says she has some ecchymosis around her eye. She has some minor lateral ... over the wall .... tenderness and some tenderness at the zygoma but there is no palpable stepoff and no significant swelling.
Any suggestions. Thanks.
wall board
Subject: wall board
a total guess - like rom for shoulders?
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