Wierd! Shoulder surgery on an infant would be unusual too. sm

• PMH: *Appey* and right shoulder surgery. - voo
  • appy....appendectomy - nm
    • Checked EMR-no appendectomy-Thanks for trying. - voo
      • You are probably right, an appendectomy would be - unusual on an infant. (nm)
        • Wierd! Shoulder surgery on an infant would be unusual too. sm - oldtimer

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Rotator cuff tear, s/l *sivicovian* impingement, and bicepts tendonosis.

Thanks.

The patient seen back in follow up postop 08/27/08 arthroscopic subacromial decompression, with excision of subdeltoid subacromial bursa, excision of anterior-inferior __________________configuration, excision of inferior osteophytes AC joint. 

Don't laugh, sounds like "acromy green templand"  or "greentemp and".  Thanks for ANY suggestions! 

The patient is an infant. The doctor dictates "PAST MEDICAL HISTORY:  *Appey* and right shoulder surgery.

Sounds familiar to me, but I cannot remember what it means. I've searched everywhere...PLEASE HELP!

Using the Opis?? system, sutures were placed from anterior to posterior. 

Arthroscopic shoulder surgery for rotator cuff tear.

The electrosurgical device, vapor turbovac? was introduced into the joint, and the anterior capsule was carefully released off the anterior glenoid neck to improve external rotation.

decompression with acromioplasty and resection of acromioclavicular joint and rotator cuff repair OPUS? system, arthroscopic.  Thanks.

There is a medial compartment and a lateral compartment where the femur meets the tibia, and it sounds like the doctor is specifying the proximal portion of the medial compartment. Adding "tibial" does make it sound strange....

Hope this helps.

Could be anterior fontanel soft and flat...gotta love those docs who abbreviate everything imaginable...

The cord was double clamped and cut and the infant was taken to stabelette?? for evaluation.  I'm pretty sure what he is saying is not stabelette (s/l stable-let) but that is what it sounds like. 

Feeding regimen is ** Persobe** 24 kilocalories/ounce

I guess it has been longer than I thought. LOL Is it possible to be per Sobe? When I look up Sobe, I just get the drink you buy at the store. Thanks!

http://www.healthtouch.com/bin/EContent_HT/drugShowLfts.asp?fname=usp0681.htm&title=MCT+Oil+%2C+Enteral+Nutrition+Formula%2C+Modular&cid=HT

• Accupep HPF ⁹
  
• Advera ²
  
• Alitraq ⁹
  
• Amin-Aid ²
  
• Attain ¹⁰
  
• Carnation Instant Breakfast ⁷
  
• Carnation Instant Breakfast No Sugar Added ⁷
  
• Casec ⁸
  
• CitriSource ¹⁰
  
• Citrotein ¹⁰
  
• Compleat Modified ¹
  
• Compleat Regular ¹
  
• Comply ¹⁰
  
• Criticare HN ⁹
  
• Crucial ²
  
• Deliver 2.0 ¹⁰
  
• DiabetiSource ²
  
• Elementra ⁸
  
• Ensure ¹⁰
  
• Ensure with Fiber ⁶
  
• Ensure High Protein ¹⁰
  
• Ensure HN ¹⁰
  
• Ensure Plus ¹⁰
  
• Ensure Plus HN ¹⁰
  
• Entrition Half-Strength ¹⁰
  
• Entrition HN ¹⁰
  
• Fiberlan ⁶
  
• Fibersource ⁶
  
• Fibersource HN ⁶
  
• Glucerna ²
  
• Glytrol ³
  
• Great Shake ⁷
  
• Great Shake Jr ⁷
  
• Hepatic-Aid II ²
  
• Immun-Aid ²
  
• Impact ²
  
• Impact with Fiber ³
  
• Introlan ¹⁰
  
• Introlite ¹⁰
  
• Isocal ¹⁰
  
• Isocal HN ¹⁰
  
• Isolan ¹⁰
  
• Isosource ¹⁰
  
• Isosource HN ¹⁰
  
• IsoSource VHN ⁶
  
• Isotein HN ¹⁰
  
• Jevity ⁶
  
• Kindercal ⁶
  
• Lipisorb ²
  
• Magnacal ⁵
  
• MCT Oil ⁸
  
• Menu Magic Instant Breakfast ⁷
  
• Menu Magic Milk Shake ⁷
  
• Meritene ⁷
  
• Microlipid ⁸
  
• Moducal ⁸
  
• Nepro ²
  
• NuBasics ¹⁰
  
• NuBasics with Fiber ⁶
  
• NuBasics Plus ¹⁰
  
• NuBasics VHP ¹⁰
  
• Nutren 1.0 ¹⁰
  
• Nutren 1.5 ¹⁰
  
• Nutren 2.0 ⁵
  
• Nutren 1.0 with Fiber ⁸
  
• NutriHep ²
  
• Nutrilan ¹⁰
  
• NutriVent ²
  
• Osmolite ¹⁰
  
• Osmolite HN ¹⁰
  
• Pediasure ¹⁰
  
• Pediasure with Fiber ⁶
  
• Peptamen ⁴
  
• Peptamen Junior ⁴
  
• Peptamen VHP ⁴
  
• Perative ²
  
• Polycose ⁸
  
• Pre-Attain ¹⁰
  
• ProBalance ⁶
  
• Profiber ⁶
  
• ProMod ⁸
  
• Promote ¹⁰
  
• Promote with Fiber ⁶
  
• Propac Plus ⁸
  
• Protain XL ²
  
• Pulmocare ²
  
• Reabilan ⁹
  
• Reabilan HN ⁹
  
• Replete ¹⁰
  
• Replete with Fiber ⁶
  
• Resource ¹⁰
  
• Resource Plus ¹⁰
  
• Respalor ²
  
• SandoSource Peptide ⁹
  
• 206 Shake ⁷
  
• Sumacal ⁸
  
• Suplena ²
  
• Sustacal ¹⁰
  
• Sustacal Basic ¹⁰
  
• Sustacal with Fiber ⁶
  
• Sustacal Plus ¹⁰
  
• Sustagen ⁷
  
• Tasty Shake ⁷
  
• Tolerex ⁹
  
• TraumaCal ²
  
• Traum-Aid HBC ²
  
• Travasorb HN ⁹
  
• Travasorb Renal Diet ²
  
• Travasorb STD ⁹
  
• TwoCal HN ¹⁰
  
• Ultracal ⁶
  
• Ultralan ¹⁰
  
• Vital High Nitrogen ⁹
  
• Vitaneed ¹
  
• Vivonex Pediatric ⁹
  
• Vivonex Plus ⁹
  
• Vivonex T.E.N. ⁹

5-day-old infant with episode of bradycardia.

the infant was noted to have by auscultation 4 episodes of heart rate in the 80s.  She had a peirdowski? OR POSSIBLY She had appeared ____?

Doc has a thick Spanish/Portuguese accent. I am really stumped by this and curious as to what it could be.

Thanks!