delivery report

When typing a delivery report what does it mean when they say P1001. I think the first is the pregnancy, but what do the other numbers stand for?

• delivery report - Carla
  • See message - jss
    • Thanks for the explanation - Carla
      • no problem. :) - jss

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Helping out on different account - I am unfamiliar with labor and delivery notes -

The patient is a G1, P0 at 40 weeks plus 4 days, s/l Vye el equals 35-week ultrasound.

Help!!

Dictator says GCCT negative, and I have to expand the abbreviation, and I cannot find anything in my abbrev. books.  This is in the lab testing where they talk about the patient having an O positive blood type, rubella immune, GBBS negative, then she says GCCT or GC CT negative.  Can anyone tell me how to expand GCCT?

Thanks...

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. 

PROCEDURE

1.  External version attempt unsuccessful?

2.  Primary low transverse cesarean section. 

Does #1 make sense?? 

C-section findings listed "clear fluid with (s/) nicouette delivery."

Thanks for any suggestions!

"The head was at minus 1 station over 5."  Must comply with AAMT BOS.

Thank you for taking a peek and seeing if you can help me on this one!  

The doctor dictates "the patient pushed for 2 hours with adequate maternal effort.  There was minimal (s/l) "transcessation"   It sounds close to that, but can't get it......any ideas?  Thanks!

Doctor describing breech delivery - says the "Marcells Smelly Vite maneuver" was used.

I know I've heard this before, but my brain is just not cooperating today ... TIA

Cannot find RML.     Repaired with 2-0 Vicryl. 

Thank you, Thank you, Thank you!!!!!

I have never heard "estimated time of delivery" but I assume that would be ETD.

the patient had an implanted pacemaker which is not eluded to here.  Just a note, adenosine is not capitalized except to start a sentence.

Maybe you will hear something back.

d~

"CPK and _______ were negative"  s/l intraconals??

Still on the pulmonologist's report...

What kind of surgery is it? If he used "lap" laparotomy pads may be the second one. They usually say sponge, needle and instrument counts. Will keep thinking on this one. Type of surgery would help.

Vocal cord lesion biopsy -

Peripheral -s/l orb or oral- sinuses were intubated to their apices and were normal.

Specimen was sent -s/l informal- and for pathology.

TIA!

OP report, lumbar spine

Next, fluoroscopy was used to place new screws at the L2-3 segment.  Starting points were identified at the confluence of the midpoint of the transverse process, the **manloid** process, and the pars interarticularis

He really mumbles through this part, so I am just not sure, but I have not heard this term used before. Thanks!

FINDINGS:  Epidurogram revealed normal (s/l-cephaloquadet-) contrast flow outlining the right L5 nerve root sleeve in the epidural space with good flow achieved medial to the right L5 pedicle.  The patient did experience some concordant L5 symptoms on the right side during the injection.  Vital signs remained stable throughout. 

Patient was premedicated with intravenous s/l Benadryl. 

Would that be right?

I never do op notes!  The sentence reads:

The S/L RAFFAY between the anterior and middle deltoids was then opened.  TIA!

The patient has focal severe slowing primarily in sensory fibers in the right upper extremity, on multiple restimulation unable to elicit a response to both s/l "Palmar 8" studies. 

I can't find this anywhere.  Anybody have any ideas?  Thanks!

The patient has a 4 mm calcification on the pelvis on the right which may represent a s/l flevolith, thus a right ureteral calculus could not be entirely occluded. 

general s/l elam anesthesia. New to OP reports! TIA