Then it does make a little sense in that context

• what type of lab test shows no air in the rectum? - jackie
  • There are several x-rays that would show this - Rad MT
    • its under lab data, and the pt does have a possible obstruction - jackie
      • Then it does make a little sense in that context - Rad MT
  • If it's a lab test and not some kind of scan, xray, or study, then you're mis-hearing - something there! nm
    • finally got it, it was obstructive series!! Thanks all :) - jackie
      • Ah! He probably means what most doctors call sm - Rad MT
  • I agree that the only test - Misha
  • Is it an x-ray being included (sm) - brighteyes
    • no dont think so, the two line prior are LFTS normal and Chem-7 was normal - jackie
      • Can you hear something like sm - Txczech

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pt had a cholecystectomy symptomatic with right upper quadrant pain with elevated liver function studies thereafter.

Is there a better way to say this?

Certainly, if there is any kind of stricture or lesion that might improve his nutritional status, this certainly could lead to his improved comfort and increased survival.

The pt has dysphagia and has lost weight, so doc is sending him to an ENT physician.

He is talking about lab results and he says:

"negative immunofixation s/l tighter"

does "tighter" make sense here?

It sounds like he is saying: Temperature was flat at the time of discharge. 

I have never heard that before. Would that be right? TIA!

I am covering this acct for someone and don't know if this makes sense. 

This patient is returning for followup after a left carotid endarterectomy.

The doctor says:

My impression is that the patient has s/l failed to the left carotid endarterectomy, and the right side has 50-79% stenosis, which is asymptomatic.

Both sides have 50-79% stenosis...............................THANKS FOR ANY HELP!

pt already had the colectomy and I don't hear her say "with" takedown.

Not sure that he is saying this exactly...

BTA of the circumflex was performed with stent in 2 proportions; proximal and mid-circumflex.

Thank you!

On exam, he dictates, "No focal motor or neurological s/l os."   

tia.

The patient had bilateral breath sounds, s/l color transient capnometer and no epigastric sounds. 

s/l color transient ??

some s/l vertusion or hematamatic material was in the right fallopian tube. 

I don't think hematamatic is a word, but I am nearly 100% sure that is what is being said

It sounds pretty clear - Pt has dull headache, with 3 episodes of intermittent, severe, sharp pain, left-sided.  Last 3067.  Had left eye twitching. 

I can't figure out what the "last 3067" means??

TIA

The patient is status post a motor-vehicle accident.

Doctor dictates: "He was driving forbora a Bar A with bar anticipation."

Please help! Can't figure out where one word starts and one word ends. I know this sounds ignorant but need help! Thanks in advance.

ap and lateral films reveal cervical femoral neck fracture ???  If so, please explain to me.  tysom

 Patient has pain with supination and dorsum volar flexion and dorsiflexion

Also in the same paragraph X-rays show he has end stage arthritis with DRUJ s/l alsub cystic changes - could he have just been saying and some.

Thanks in advance for any help

Being that it appeared he was s/l NPA or in PA we went down to s/l viagrum.  He had bicarb.  He had calcium.

This is an elderly male in cardiac arrest.  TIA.

The patient has received 2 units of blood (briskly) just prior to coming to the operating room. 

He says "open parentheses s/l briskly closed parentheses".  Does briskly make sense?  Not 100% sure that is what he says. 

"of the interrogation of the tricuspid regurgitation" is the part I am questioning.

Estimation of the right ventricular systolic pressure of the interrogation of the tricuspid regurgitation yields a pressure of between 15-20 mm of mercury, which is normal. 

total hip arthroplasty/total hip resurfacing???