Neck dissection - s/l venicomatants were left in place covering the 12th cranial nerve. TIA
Posted By: Lori Strickland on 2006-10-17
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Subject: Neck dissection - s/l venicomatants were left in place covering the 12th cranial nerve. TIA
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neck dissection with some type of
Subject: neck dissection with some type of
__ ectomy. Here is the context:
status post a recent composite resection including a right neck dissection and ___medivalectomy___ and free flap reconstruction with a fibular free flap.
Maybe my ears are not working right tonight!! Imagine that after being at this for 13 hours today! Okay - many interuptions (I homeschool too), stopping to fix supper etc. but needless to say -- I'm tired!!
supraomohyoid neck dissection. nm
Subject: supraomohyoid neck dissection. nm
s
Under cranial nerve exam
Subject: Under cranial nerve exam
PERRL with left exophoria. Mild left S/L: LI-TOE-SIS or LID-TOE-SIS (chronic)
My expander is changing it to lithosis but I cannot find it!!??
TIA.
cranial nerve palsy
Subject: cranial nerve palsy
with "E stem" to the face?? Thanks!
I don't think there is a cranial nerve XIIII?
Subject: I don't think there is a cranial nerve XIIII?
did you mean cranial nerve VIII?
intact cranial NERVE function?
Subject: intact cranial NERVE function?
never heard that. Possibly cranial nerve II through XII ????
Subject: never heard that. Possibly cranial nerve II through XII ????
xx
found cranial nerve toxicity... nm
Subject: found cranial nerve toxicity... nm
on cranial nerve exam, doc clearly says "equal
Subject: on cranial nerve exam, doc clearly says "equal
ocular motion is intact" - I'm assuming she made a mistake, but want to verify that this isn't a valid term - "equal ocular" ??
Ok, brain overload, cranial nerve exam...sm
Subject: Ok, brain overload, cranial nerve exam...sm
Normal eye movement. Face is symmetric. Normal facial sensation. Tongue and palate are in the midline. Negative s/l "paulpeck" maneuvers.
cranial nerve 3,4,6 S Drives and Lobins are intact?
Subject: cranial nerve 3,4,6 S Drives and Lobins are intact?
I got the
cranial nerves 3,4,6 ??S S-drives and Lowbins? are intact?? Any ideas?
I think the neck is the only place that torticollis occurs.
Subject: I think the neck is the only place that torticollis occurs.
CNS physical exam, cranial nerve???, motor, cerebellum??? and sensory were normal...thanks.ASAP
Subject: CNS physical exam, cranial nerve???, motor, cerebellum??? and sensory were normal...thanks.ASAP
pectoralis nerve goes from the neck into the shoulder. nm
Subject: pectoralis nerve goes from the neck into the shoulder. nm
s
NEURO - Cranial nerve II exam - s/l 'free clots' or 'free cuts' sm
Subject: NEURO - Cranial nerve II exam - s/l 'free clots' or 'free cuts' sm
Fundi with no hemorhages. Visual acuity 20/70 bilaterally. There were no 'free clots.' Cranial nerves III, IV, and VI...
tia
This is for a left neck mass??? nm.
Subject: This is for a left neck mass??? nm.
nm
Left base of femoral neck fracture.
Subject: Left base of femoral neck fracture.
A longitudinal incision extending distally from the greater trochanter base was made and carried out through the subcutaneous tissue s/l (bew-te-gatrol) by (brody-er-cartery).
I would type cranial nerve VII.....blah, blah
Subject: I would type cranial nerve VII.....blah, blah
NM
Left hand laceration, s/l *radial intingenal* nerve injury..Thanks.
Subject: Left hand laceration, s/l *radial intingenal* nerve injury..Thanks.
xx
physical exam: neck shows no s/l N-S-E? looking for a standard abbrev. used for neck. nm
Subject: physical exam: neck shows no s/l N-S-E? looking for a standard abbrev. used for neck. nm
d
There is neck dystonia (neurologic condition affecting the muscles of the neck)?
Subject: There is neck dystonia (neurologic condition affecting the muscles of the neck)?
wound covering
Subject: wound covering
cover the wound with s/l "sagil" covered by alginate and 4 x 4 pad.
costovertebral angle? angle between 12th rib and vertebral column. nm
Subject: costovertebral angle? angle between 12th rib and vertebral column. nm
Xeroform which is a dressing/covering
Subject: Xeroform which is a dressing/covering
Covering for a neurology account
Subject: Covering for a neurology account
This is a neurology account. The patient is in to see the doc for abnormality of gait. The following is in mental status:
He is not able to spell WORLD backwards, but spells it “DRLOW”. Normal repetition. S/L: WRITERS TEST 3/3; 0/3 recall. Moderate impairment of his memory.
Thanks!
a gaiter is a kind of covering for the leg
Subject: a gaiter is a kind of covering for the leg
like a spat if you know what that is - very old fashioned - so it is in the gaiter distribution - just in case you wanted to know what it is.
Covering Urology Account sm
Subject: Covering Urology Account sm
Patient had prostatectomy a month ago. I dilated patient to 22-French with s/l male sounds. I placed a #18 catheter and the staff irregated him until clear.
en caul . . . a thin membrane covering
Subject: en caul . . . a thin membrane covering
xx
Thx so much. Covering a different contract for the weekend and struggling a bit. Thx again.
Subject: Thx so much. Covering a different contract for the weekend and struggling a bit. Thx again.
This is a stretch, but maybe dissection? nm
Subject: This is a stretch, but maybe dissection? nm
nm
s/l sudden dissection
Subject: s/l sudden dissection
I know that sudden dissection can't be right but when transcribing a breast biopsy procedure that what it sounds like. What else could it be? It doesn't sound like sharp or blunt....what else could sound like sudden? Any help would be appreciated.
Thanks
The galea is a flat, thin, fibrous membrane covering the crown of the head.
Subject: The galea is a flat, thin, fibrous membrane covering the crown of the head.
Saf-Gel hydrogel dressing with alginate, dermal wound covering post surgery? NM
Subject: Saf-Gel hydrogel dressing with alginate, dermal wound covering post surgery? NM
nm
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
dissection of the s/l tail of durodas...
Subject: dissection of the s/l tail of durodas...
This is a pyeloplasty. MD says, identified the kidney and then after some dissection of the s/l tail of durodas, we were able to identify the ureter. Any idea?
dissection taken down around the cyst in the scalp
Subject: dissection taken down around the cyst in the scalp
taking all the way down to the s/l gallea???? The cyst was then dissected
s/l nazot Bovie dissection
Subject: s/l nazot Bovie dissection
Omental adhesions are being taken down from gb with hook s/l nayzot (layzot?) Bovie dissection and laparoscopic peanut.
Procedure is a lap chole. Thanks
LND - lymph node dissection
Subject: LND - lymph node dissection
Maybe bundt [cake] dissection?
Subject: Maybe bundt [cake] dissection?
Just kidding.
In 35+ have never heard anyone say bunt dissection. I would wager the doc just mispronounced blunt - however I would leave a blank since you're not 100% sure.
Help with groin node dissection terms
Subject: Help with groin node dissection terms
I have never done an op note and have certainly never done a groin node dissection! There are no sample reports available. I have done this doctor before in his clinical setting and he is one of my favorites, but no op notes - the problem is a very poor quality recording - and in an area that I do not have experience!! HELP!! Each line is a separate issue. Some I just need some verifcation that I did it right.
We dissected the lymph node bearing tissue off of the external __s/l dish__ muscle, exposed the femoral nerve artery and vein.
We used hemoclips and silk ___ for hemostasis and controlled lymphatic vessels.
We dissected along the superficial femoral artery and femoral nerve to __revolve?__ the lymph node bearing tissue from this area.
We irrigated __and assured?__ hemostasis
We identified the ureter which was reflected medially.
assured hemostasis placing __ FloSeal __ along the obturator foramen area and there was no sign of bleeding
We closed the fascia with a running loop #1 _PDS__ suture.
closing the femoral canal defect with an interrupted, figure of 8, Ethibond suture.
Thanks for any help or reassurance!!!
"Katy" dissection in a thyroid lobectomy?
Subject: "Katy" dissection in a thyroid lobectomy?
Has anyone ever heard of this "Katy" dissection in a thyroid lobectomy? Help!
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
rectum was moblilized from the sacral ala using blunt dissection
Subject: rectum was moblilized from the sacral ala using blunt dissection
Aortic dissection status post bentile (s/l) procedure
Subject: Aortic dissection status post bentile (s/l) procedure
is anyone familiar with a procedure for aortic dissection that sounds like bentile or ventile procedure?
"underoging an emergent bentile procedure for an acute aortic dissection"
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
nerve preservation procedure or nerve sparing procedure?
Subject: nerve preservation procedure or nerve sparing procedure?
Ever heard of a bowen board to measure arm range of motion pre and post axillary node dissection?
Subject: Ever heard of a bowen board to measure arm range of motion pre and post axillary node dissection?
Thanks for the help.
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.
:-)
Cranial nerves
Subject: Cranial nerves
I know that cranial nerves are counted in Roman numerals, II-XII. When the doctor dictates the number first, though, how do we type it? 7th nerve? Seventh nerve? Is there a standard. I don't have access to the handbook. Thanks!
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