Usually hear how much dilated, how much effaced, and where the head is, so sm...
Posted By: Haven't done OB in a while on 2006-06-09
In Reply to: Cervix 690 minus 1 with swelling. sm - mls
Subject: Usually hear how much dilated, how much effaced, and where the head is, so sm...
it would be something like patient presents at 7 cm dilation, 50% effaced, with the head at -1, or sometimes just as numbers with slashes 7/50/-1. I'm not positive of the order of the values, though. Maybe someone more experienced with OB notes can help you there. You wouldn't have specific numbers like 6.9 etc., at least not that I've ever heard of. nm
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50% effaced (dilated), then usually mention a "station" going from -5 to +5. nm
Subject: 50% effaced (dilated), then usually mention a "station" going from -5 to +5. nm
s
0 in 50% effaced
Subject: 0 in 50% effaced
0 and 50% effaced
probably zero and 50% effaced.
Subject: probably zero and 50% effaced.
effacement is thinning of the cervix that occurs during pregnancy as delivery nears. Zero could be dilation of cervix or baby's station.
0 and 50% effaced (1st time here)
Subject: 0 and 50% effaced (1st time here)
cervix 3 (cm), 90(% effaced), 0 (station)
Subject: cervix 3 (cm), 90(% effaced), 0 (station)
nm
Her cervix on initial exam was 0 in 50% effaced.
Subject: Her cervix on initial exam was 0 in 50% effaced.
Is this the proper way to transcribe this- 0 in 50%? It looks akward.
GI - Dilated B-ring?
Subject: GI - Dilated B-ring?
Just looking for some quick help...
She has had EGD in March of 2007 with a small hiatal hernia noted and a B-ring that was dilated
I am not familiar with this term... Anyone?
ASR also typed pt is 81 cm dilated!!! nm
Subject: ASR also typed pt is 81 cm dilated!!! nm
Yikes!
usually dilated "cardiomyopathy," but not sure if
Subject: usually dilated "cardiomyopathy," but not sure if
that works with your s/l.
Help, please, never do angio: dilated to s/l 16 **bars**
Subject: Help, please, never do angio: dilated to s/l 16 **bars**
4 cm dilated, 80% efface and 0 station
Subject: 4 cm dilated, 80% efface and 0 station
idiopathic dilated cardiomyopathy
Subject: idiopathic dilated cardiomyopathy
ventricle is globally hypokinetic and dilated NM
Subject: ventricle is globally hypokinetic and dilated NM
xx
if it's not dilated bowel loops; possibly intestinal?
Subject: if it's not dilated bowel loops; possibly intestinal?
Hepatic duct was dilated with a s/l Chahyndra dilator.
Subject: Hepatic duct was dilated with a s/l Chahyndra dilator.
Cervix was dilated with s/l anti or hani dilators. TIA.
Subject: Cervix was dilated with s/l anti or hani dilators. TIA.
re: bowel obstruction: dilated loops are s/l AIR-E-POSED? anterior to the liver
Subject: re: bowel obstruction: dilated loops are s/l AIR-E-POSED? anterior to the liver
chest film showed calcific aorta with dilated s/l aschetic thoracic aorta
Subject: chest film showed calcific aorta with dilated s/l aschetic thoracic aorta
Can you hear bunion for the first word? And the second can you hear symptomatic or sensory pain?
Subject: Can you hear bunion for the first word? And the second can you hear symptomatic or sensory pain?
CT head/esl doc
Subject: CT head/esl doc
CT brain showed central s/l "cortical and cerebellar" involutional changes, old infarct in the territory of the anterior s/l "BR" of the left middle cerebral artery.
Not sure on the wording in first one. I am coming up with a blank on the second.
Ha ha! This doc is exactly enough of a bu**head to say this... (sm)
Subject: Ha ha! This doc is exactly enough of a bu**head to say this... (sm)
Thanks! I bet that's it!
CT of the head
Subject: CT of the head
The patient has a history of a remote-appearing lacunar infarct within the left frontal lobe adjacent to the left frontal horn of the left lateral ventricle and mild periventricular white matter chronic small-vessel disease on CT scan of the head without contrast.
I am just concerned with the ..periventricular white matter chronic small-vessel disease
How would you type this? the doctor just says it without any pausing.
ahhhhhhh!
s/l CVC of the head was done???
Subject: s/l CVC of the head was done???
Head. Thank you!
Subject: Head. Thank you!
xx
Help! Head CT. SM
Subject: Help! Head CT. SM
Elderly patient with transient alteration of awareness. It reads:
"Minor periventricular areas of low attenuation without definite evidence of s/l TRANS-UH-TIN-UH-MUL flow CSF to suggest acute hydrocephalus."
HEAD CT
Subject: HEAD CT
I am have troubles filling in the blanks here, can anyone lead me in the right direction?
HEAD CT
Contiguous axial image was obtained from base of the skull to the vertex without (intravenous) IV contrast. Multiple regions of decreased density are seen in the right and left internal capsule. There is no evidence of benign shift, common mass effect or (avastment) of cell _______intervals or cisterns. The cell _____intervals are_________ . Inspections of _________was unremarkable.
HEAD CT
Subject: HEAD CT
IMPRESSION
1. Multiple regions of low density in both sides of internal capsule. (cannot understand this word) represent old white matter infarcts.
head?
Subject: head?
CT of Head.
Subject: CT of Head.
Does this sound right: ...effacement of sulci, ventricles, or cisterns. Inspection of (bone or brain?) windows are unremarkable.
Head laceration still.
Subject: Head laceration still.
Doctor is referring to s/l "Harrow" arterial bleeders being cauterized. Can't find anything on this either?
Head CT scan.
Subject: Head CT scan.
Head CT scan per verbal report from the radiologist is that the patient has very large subdurals bilaterally. The largest component of these are chronic subdurals. Some small, newer, subdurals are also seen. This is causing some effacement of the __________ (s/l girye)
caudad, towards the head end of something
Subject: caudad, towards the head end of something
s
head at spines -7
Subject: head at spines -7
help on MRI of the head results
Subject: help on MRI of the head results
The patient had an MRI with gadolinium of the head. I'm having some trouble understanding the results because this is unfamiliar to me. She is a cancer patient with metastatic melanoma and the MRI was ordered due to severe vomiting and blurry vision. He says the MRI "revealed no definite metastatic disease, significant [s/l hypotense? maybe hypodense or hypertensive?] [s/l mara signal?] of the cervical spine of unclear significance, heterogeneous [s/l coabnormality?], for which in matter of fact these cannot be excluded." That last phrase sounds a little weird too, but I'm pretty sure that's what he says. Any ideas?
from the ipsilateral head
Subject: from the ipsilateral head
nm
Thank you! That is it! It just was not clicking in my head.
Subject: Thank you! That is it! It just was not clicking in my head.
nm
Thanks for the info. Never head them from our FPs. nm
Subject: Thanks for the info. Never head them from our FPs. nm
lol maybe his head is up his butt!
Subject: lol maybe his head is up his butt!
head trauma
Subject: head trauma
The patient had head trauma and a few months later was found to have a s/l flabomorphit adenoma.
This is an Asian dictator who is very difficult to understand. Any help would be appreciated.
I think you two got it. You know its there in your head you just can't extract it!
Subject: I think you two got it. You know its there in your head you just can't extract it!
..
banging head here
Subject: banging head here
That's my DUH for the week! Thanks!
Not unless the patient has his head up his @ss nm
Subject: Not unless the patient has his head up his @ss nm
.
Head exam: See
Subject: Head exam: See
"An s/l OMIRE reservoir is present on the left side of the patient's scalp."
Head injury
Subject: Head injury
S/L copidus calluseium ???
New at this, but could it be "of her head"?
Subject: New at this, but could it be "of her head"?
Of course! Where's my head today! LOL Thanks
Subject: Of course! Where's my head today! LOL Thanks
titribation of his head?
Subject: titribation of his head?
Dr says titribation of his head or something that sounds like that, anyoe know what that is?
titubation of head?
Subject: titubation of head?
could it be titubation of his head
trauma to the head?
Subject: trauma to the head?
humeral head. nm
Subject: humeral head. nm
Head: S/L no other symmetries are seen
Subject: Head: S/L no other symmetries are seen
In PE, doctor dictates Head: Normocephalic. No masses are appreciated. No (sound like "no other symmetries are seen." This is a new one on me! Thank you in advance for any help.
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