PPH (Procedure for Prolapse and Hemorrhoids)
Posted By: MT50 on 2007-11-02
In Reply to: Patient underwent s/l PPH with drainage of rectal abscess. TIA - Ferris
Subject: PPH (Procedure for Prolapse and Hemorrhoids)
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history of rectal prolapse, underwent an "alt-mar" procedure. Thanks for any help. (nm)
Subject: history of rectal prolapse, underwent an "alt-mar" procedure. Thanks for any help. (nm)
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Hemorrhoids and ? malformation
Subject: Hemorrhoids and ? malformation
In relistening to this piece of the dictation several times it sounds more like he is saying hemorrhoids and ? malformation. The word before malformation "efi?"
Cream for hemorrhoids s/l Paranex? nm
Subject: Cream for hemorrhoids s/l Paranex? nm
back off melissa before you give some of us hemorrhoids
Subject: back off melissa before you give some of us hemorrhoids
im sure you heard of that
external hemorrhoids with s/l exstimatic bleeding?
Subject: external hemorrhoids with s/l exstimatic bleeding?
Dictator is ESL -
Patient with external hemorrhoids with s/l exstimatic bleeding from old trauma.
Rectal exam: hemorrhoids, "suzors", or masses. nm
Subject: Rectal exam: hemorrhoids, "suzors", or masses. nm
Sounds like "orraphy" - internal hemorrhoids with occasional red blood dripping
Subject: Sounds like "orraphy" - internal hemorrhoids with occasional red blood dripping
OB/GYN prolapse 1,2,1 or 1 to 1
Subject: OB/GYN prolapse 1,2,1 or 1 to 1
cystocele was 2 cm above the hymenal ring and her rectocele was 2 cm above the hymenal ring, ie, the patient's prolapse is ^ <INC 00:11:06> s/l "1, 2, 1,/ 1 to 1."
Help - doctor with a very, very, very, very strong accent. I am pulling my hair out. I think I am just frustrated and tired!!!!
Prolapse
Subject: Prolapse
A patient can have either a rectovaginal prolapse or a urethrovaginal prolapse, so perhaps dictator is referring to 2 different areas as having different stages of prolapse?
Rosie
or are they saying vault prolapse?
Subject: or are they saying vault prolapse?
could be if patient has prolapse etc. sm
Subject: could be if patient has prolapse etc. sm
Predictive value of prolapse symptoms: a large database study
mitral valve prolapse (MVP) ? Sm
Subject: mitral valve prolapse (MVP) ? Sm
mitral valve prolapse
excessive retrograde movement of one or both mitral valve leaflets into the left atrium during left ventricular systole, often allowing mitral regurgitation; responsible for the click-murmur of Barlow syndrome, and rarely may be due to rheumatic carditis, a connective tissue disorder such as Marfan syndrome, or ruptured chorda tendinea ("flail mitral leaflet").
MVP is mitral valve prolapse, if that is of any help
Subject: MVP is mitral valve prolapse, if that is of any help
Cold cord prolapse?
Subject: Cold cord prolapse?
Thought that too, but sounds pretty clear.... Thanks. I'm waiting to hear from QA if they've heard it before. :)
Occult cord prolapse
Subject: Occult cord prolapse
I've heard the term occult cord prolapse. I believe that's it.
TEE shows mitral valve prolapse and ... sm
Subject: TEE shows mitral valve prolapse and ... sm
s/l cardi redundancy
Also says "redundancy of the mitral valve and (s/l cardi) leaflet prolapse.
TIA!
microvalve prolapse? Sound right? Or would it be mitral?
Subject: microvalve prolapse? Sound right? Or would it be mitral?
Thanks!
patient w severe metatarsal prolapse please sm
Subject: patient w severe metatarsal prolapse please sm
The conservative means of therapy in this case would be orthotic devices with a deep s/l-rale- for the lesser metatarsal heads and support of the metatarsal necks.
Stage 2 s/l and 3 pelvic organ prolapse
Subject: Stage 2 s/l and 3 pelvic organ prolapse
n/t
I've heard of valve prolapse, as in mitral
Subject: I've heard of valve prolapse, as in mitral
valve prolapse.
I wish, it is a 52-year-old patient and that is all he mentions she had uterine prolapse too
Subject: I wish, it is a 52-year-old patient and that is all he mentions she had uterine prolapse too
s/l rucey procedure -- wondering if it is Ruiz procedure ...
Subject: s/l rucey procedure -- wondering if it is Ruiz procedure ...
The sentence reads "I advised the patient to undergo so-called s/l rucey procedure (i.e., bone graft repair of the nonunion)." This is an orthopaedic doctor dictating. TIA.
Gold's procedure or Gould's procedure..ortho? nm
Subject: Gold's procedure or Gould's procedure..ortho? nm
v
SIMES procedure or SIMS procedure maybe?
Subject: SIMES procedure or SIMS procedure maybe?
Has anyone every heard of the Simes or Sims procedure? I never heard of it and I am having a hard time trying to verify. Perhaps I am not spelling it correctly?
Thanks!
nerve preservation procedure or nerve sparing procedure?
Subject: nerve preservation procedure or nerve sparing procedure?
ILC procedure? Any of these?
Subject: ILC procedure? Any of these?
Transurethral Microwave Thermotherapy (TUMT). Microwave energy delivers temperatures above 45 degrees C (113 F) to the prostate by way of an antenna positioned in the prostate using a special catheter (tube). Another catheter is used to circulate coolant around the urethra, which helps keep you reasonably comfortable throughout the procedure. The entire procedure is computer-controlled, based on temperature recordings obtained in the urethra and rectum. This technique is performed in your doctor's office and takes approximately 90 minutes. Patients are generally given medicine to prevent pain and relieve anxiety. The most common complaints during the treatment are an urge to urinate and a burning sensation in the penis. There are two programs: "standard treatment" or "high-energy" treatment. High-energy treatment delivers more energy to the prostate, which generally provides better results and improved flow, but patients are likely to have more side effects in the recovery period.
Interstitial Laser Coagulation. ILC uses a specially designed laser fiber to deliver heat to the interior of the prostate. The laser fiber is inserted into the prostate using instruments placed in the urethra. The procedure is usually done in the operating room, under anesthesia to numb the pain but not put you to sleep. This technique allows the surgeon to view the prostate directly and to treat specific areas of enlargement.
Transurethral Needle Ablation (TUNA): This technique uses low-level radiofrequency energy delivered through two needles to ablate, or burn away, an area of the enlarged prostate.
Balloon Dilation. A catheter with a balloon at the tip is inserted through the urethra. The balloon is inflated, which stretches the urethra where it has become narrowed by the enlarged prostate.
Transurethral Electrovaporization. This technique uses electrical energy applied through an electrode to rapidly heat prostate tissue, turning the tissue cells into steam. This allows the doctor to vaporize an area of the enlarged tissue and relieve urinary obstruction.
Intraurethral Stents. Stents (wire devices shaped like springs or coils) are placed within the prostate channel (where the urethra runs through the gland) to help keep the channel from tightening around the urethra.
procedure
Subject: procedure
Caldwell-Luc procedure.
procedure
Subject: procedure
s/l popatomy?
were stored ……stainless steel crown
after the procedure...
Subject: after the procedure...
She is doing well, and there were no complications. s/l Email was minimal.
The procedure was an Apligraf placement of an ulcer.
Thanks.
ENT procedure
Subject: ENT procedure
Right ... s/l atacotomy... and tympanoplasty for chronic otitis media.
Procedure D&C
Subject: Procedure D&C
Perineal s/l "was solid" prepped and draped in the usual sterile fashion.
What procedure is being done?
Subject: What procedure is being done?
IBF ixy procedure?
Subject: IBF ixy procedure?
I have an ESL doing an infertility procedure on a woman. Current procedure is an embryo transfer (a first for me), and unfortunately he is referring to another procedure pt has had, which sounds like:
"After the results of the IBF icksee procedure were discussed with tp and her husband, the decision was made to proceed with the transfer of the 2 embryos that resulted from the fertilization process, and this was done under general anesthesia."
Thanks and he gives the procedure
Subject: Thanks and he gives the procedure
as left frontal, parietal, temporal craniectomies.
This is during the procedure. He then goes on to say
Subject: This is during the procedure. He then goes on to say
with the s/l copatation device. I will listen again. Thanks!
procedure used in OB/GYN
Subject: procedure used in OB/GYN
I'm nearing the end of a delivery note, and the doc is talking about the part where the clots and debris are removed from the uterine cavity using a s/l cruday procedure. I KNOW I should know this, but I can't find it in the deep recesses of my brain right now or in any of my research efforts. I believe this word is French, or least it sounds like it is, so I tried croude or something like that to no avail. Am I close?
What procedure is he/she doing?
Subject: What procedure is he/she doing?
op procedure
Subject: op procedure
patient underwent mitral valve repair with a quadrangular resection of the middle scalp of the posterior leaflet and placement of a 33 millimeter ?ent tube flexible annuloplastic ring serial
Procedure
Subject: Procedure
PROCEDURES: IV HYDRATION AND
S/L: IV PRESSERS______
THANKS
second-look? procedure (nm)
Subject: second-look? procedure (nm)
s
Procedure:
Subject: Procedure:
1. Phacoemulsification with lens implant, left eye.
2. Expansion of pupil using a pupil dilator instrument.
procedure help
Subject: procedure help
PROCEDURE
Laparoscopic left colectomy, converted to hand assisted left colectomy with s/l low coloprocto anastomosis, low pelvic anastomosis at 10 cm.
Is this correct? I know this is what he says, but I can't find coloprocto anastomosis or coloproctoanastomosis. Thanks!!
Moh's procedure nm
Subject: Moh's procedure nm
what's the procedure?
Subject: what's the procedure?
nm
What exactly is the procedure? nm
Subject: What exactly is the procedure? nm
Procedure is...
Subject: Procedure is...
It is a revision of an Ahmed valve tube that had slipped. He is probably using the abbreviation.
Thanks so much for your time and help!
What is the procedure?
Subject: What is the procedure?
procedure
Subject: procedure
Kidner procedure
It is one procedure
Subject: It is one procedure
It is one procedure with two techniques needed to carry it out, thus you separate with a comma. Open reduction, internal fixation.
............... fascial procedure? nm
xx
Got a diagnosis or a procedure so we can help you? nm
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