QA results on help from yesterday

• orthopedic help - sm please
  • Put under GENERAL looking at face and commenting on findings, flat affect. nm Ta - CAMT
  • QA results on help from yesterday - OP
  • somewhat flat affect is correct. - Lori
  • Could it be just as you said 'somewhat flat affect" - sm - Mel
    • they do this after or before vitals too...sm - General exam too
    • ortho help - sm
      • somewhat flat in affect? sm - Txczech
        • thank you both - sm

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if the dictator was Hispanic.......no V in the Spanish alphabet so yeah dictator could be saying Abodart or albodart for Avodart!!!  The license plates in Havana, Cuba say HABANA.......not Havana....

Just FYI...........*S*

gastric bypass surgery.............

ANA was markedly positive at one to twenty-five sixty

any ideas on this one. 1:25 60

This is a woman with Stage IV malignant mesothelioma.  I'm a little lost on the CT results here.  For part of it I got the words I think, but since I don't totally understand it I'm not sure exactly where commas go, etc.  Then there's the part where I'm not getting the words.  I'll put that part in brackets.  So here goes if anyone can help. 

"On the CT, the impression is chronic occlusion of the central left internal jugular and brachiocephalic (actually sounds more like bronchocephalic but that doesn't seem to be a word so does brachiocephalic make sense here?) right subclavian [vena porous SVC with compression against noticed?] and tracheal deviation."

Doctor is saying, "...central disc herniation at the C3-C4 level impressing the ventral cord and a central disc protrusion at C6-C7, which s/l bifaces the ventral subarachnoid cord."

It sounds like he's saying bifaces.  Could that be correct?  If not, any suggestions?

Wondering how the results below should be transcribed.

Yesterday in the ER he had blood work, which showed normal renal function and electrolytes and an INR of 2.0.  His BMP was beneath the threshold for his age at 1-3-8-8.  (dictated "one, three, eight, eight") 

TIA!!!

Her ionized calcium was 1.10 with ??____________ 1.12 to 1.32.

s/l *acility

This is from someone who mumbles and stumbles over words all the time, so I'm not sure how helpful my sounds likes are going to be, but I'll give it a try.

"Mammograms were performed and compared to previous studies available.  There was no [s/l change breaths or chains breast] or heterogeneous [s/l stem cell?].  There is a rectangular density in the superior portion of the right oblique view, which may represent a residual from a previous [s/l porta or porter] drain."

Would heterogenous stem cell fit there?  I think that's possible she's saying that, but not sure if that would be from a mammogram result.  I haven't heard that one before.

I'm sure I know the word, because it sounds very familiar, but I just can't quite get it.

Dictated:  UA shows some ketones, large occult blood, many white cells, some moderate red cells, and *10 to 50* bacteria.

Should that be 10:50 bacteria or 10-50? 

Thanks!

I can't really understand this one, very fast speaking ESL and any help is greatly appreciated.

S/l *Laboratory results show white blood cell count of *2.1*, hematocrit of 36.2, and *___* at 217. 

Thanks!

Doc is giving foot x-ray results as follows.

IMPRESSION:  Oblique fracture, which is postoperative at the level of the first metatarsal.  S/L "Os-like" displacement at the fracture site is noted.

Anyone ever hear of something like that?  Thanks

when referring to culture results - is the lower or upper case form of "pseudomonas" "lactobacillus" and "enterococcus" used?

Chinese ESL dictator:  His UA was negative.  His whipose DNA not detected. 

Patient has severe fatigue with unknown etiology; other labs are cortisol, double-stranded DNA, ACTH....

Help?!?!?

Is uncompelling a word?

Or is it noncompelling?

Thanks!

Please help

1. Heart Murmur.  1A Echocardiography documenting ___________, sounds like he is saying edicstenosis.

CT reveals a spiculated lobulater right upper lobe pulmonary nodule.  There is no significant adenopathy noted.  Significant emphysematous change with bi-apical _____ bullous seen.  S/l globes or gloves but doc is soft spoken so cannot hear clearly.