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This is a stretch, but maybe dissection? nm

Posted By: MTTomb on 2006-05-18
In Reply to: Help with cardio. (ESL) sm - Stumped

Subject: This is a stretch, but maybe dissection? nm

nm


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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


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!!


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
supraomohyoid neck dissection. nm
Subject: supraomohyoid neck dissection. nm

s
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.

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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!
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"


Neck dissection - s/l venicomatants were left in place covering the 12th cranial nerve. TIA
Subject: Neck dissection - s/l venicomatants were left in place covering the 12th cranial nerve. TIA

x
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.
its a stretch, but??
calcaneal surface?
This is a stretch, but...SM
Subject: This is a stretch, but...SM

 


Okay, this is a stretch but, I'm wondering if MD could be referring Arzol silver nitrate sticks (see web site) that they use for expistaxis.?   Sorry, I'm not much help.  I've always typed silver nitrate for this. 


http://www.delasco.com/pcat/1/Pharmaceuticals/Silver_Nitrate_Sticks/dlmis058/


a bit of a stretch but
Subject: a bit of a stretch but

perhaps Gemzar?
This is a stretch, but could it be sm
Subject: This is a stretch, but could it be sm

NCAP (nasal continuous airway presure) ?? Not sure if this fits. Just an idea.

This is a stretch, but...
Subject: This is a stretch, but...

I typed radiology for quite a while. My doctors were always saying "streak artifact" when hardware was involved. And some of them really slurred and it sounded like all kinds of things...Just a guess.
This is a stretch but...sm
Subject: This is a stretch but...sm

This site gives a type of seizure as "simple" partial seizures.

http://www.neurologychannel.com/seizures/types.shtml
this might be a stretch but could it be...
Subject: this might be a stretch but could it be...

over the region of the lateral epicondyle
Might be a stretch...
Subject: Might be a stretch...

but could he be saying "SVT with a nodal reentrant?"
A stretch but...
Subject: A stretch but...

symmetry??
this is a stretch, but could it be Atacand?
Subject: this is a stretch, but could it be Atacand?

e
Stretch, but maybe "verapamil"...nm
Subject: Stretch, but maybe "verapamil"...nm

nm
stretch here.... lupus-like?
Subject: stretch here.... lupus-like?

x
stretch here, could it be Nexium?
Subject: stretch here, could it be Nexium?


A stretch maybe..but could he be saying "palmar"
Subject: A stretch maybe..but could he be saying "palmar"

at least that would have to do with the hand
It's a far stretch from optic...
Subject: It's a far stretch from optic...

but maybe lung volume?
Kind of a stretch..
Subject: Kind of a stretch..

from baffa but maybe cath, short for catheter?
a stretch, but could it be ...triaged and placed on..?
Subject: a stretch, but could it be ...triaged and placed on..?


Long stretch....dyspneic maybe? nm
Subject: Long stretch....dyspneic maybe? nm


Another stretch, maybe meningeal varices?
Subject: Another stretch, maybe meningeal varices?


striae (stretch marks)
Subject: striae (stretch marks)


Maybe you are looking for striae, or stretch marks.
Subject: Maybe you are looking for striae, or stretch marks.

xx
Good stretch! I believe you are correct. thanks!
Subject: Good stretch! I believe you are correct. thanks!


"googler" as in internet fan (a stretch maybe) nm
Subject: "googler" as in internet fan (a stretch maybe) nm


This is a real stretch but, how about canthus? sm
Subject: This is a real stretch but, how about canthus? sm

I have a friend with dry eyes who does a lot of computer work. She had collagen plugs put into the tear ducts in the inner corners of her eyes. Her eye doc did it. Like I say, this is a stretch.
Kind of a stretch from your s/l, but maybe "torqued" ? nm
Subject: Kind of a stretch from your s/l, but maybe "torqued" ? nm


A real stretch.....Synagis? nm
Subject: A real stretch.....Synagis? nm

nm
kind of a stretch, but maybe "telemetry"
Subject: kind of a stretch, but maybe "telemetry"


A bit of a stretch, but "Finkelstein's test" ? nm
Subject: A bit of a stretch, but "Finkelstein's test" ? nm


kind of a stretch, but could it be "debilitating" ??
Subject: kind of a stretch, but could it be "debilitating" ??


maybe 12.2 hundred-mile stretch nm
Subject: maybe 12.2 hundred-mile stretch nm

xx
kind of a stretch, but could it be "...for monitoring
Subject: kind of a stretch, but could it be "...for monitoring

and observation." ??
kind of a stretch, but if your s/l is pronounced
Subject: kind of a stretch, but if your s/l is pronounced

"boll-eye" - doc could be saying "doll's eye" - that's actually considered a "sign" and not phenomenon, but sometimes docs interchange those things - again, just a wild guess.
This is a real stretch...but could it be commissure? sm
Subject: This is a real stretch...but could it be commissure? sm

(n.) A collection of fibers connecting parts of the brain or spinal marrow; a chiasma.
(n.) A joint, seam, or closure; the place where two bodies, or parts of a body, meet and unite; an interstice, cleft, or juncture.
(n.) The line of junction or cohering face of two carpels, as in the parsnip, caraway, etc.
(n.) The point of union between two parts, as the angles of the lips or eyelids, the mandibles of a bird, etc.

kind of a stretch from your s/l, but maybe "subcostal" ? (nm)
Subject: kind of a stretch from your s/l, but maybe "subcostal" ? (nm)

nm
such a stretch but can you hear pemoline Cylert?
Subject: such a stretch but can you hear pemoline Cylert?

good luck