doing hysterectomy as header for DRAINS: s/l Fluid degravity???
Posted By: OB Drains on 2007-09-19
In Reply to:
Subject: doing hysterectomy as header for DRAINS: s/l Fluid degravity???
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Abdominal drains - sounds like "flat footed drains." He's chomping gum while saying it. NM
Subject: Abdominal drains - sounds like "flat footed drains." He's chomping gum while saying it. NM
Header in ROS
Subject: Header in ROS
In the review of systems portion of a consult the doctor is dicating and header and it sounds like mythrologic (it's negative so reads MITHROLOGIC: Negative). Any suggestions? Thx.
two flat (pen) Blake’s drains or (10) Blake's drains? nm
Subject: two flat (pen) Blake’s drains or (10) Blake's drains? nm
x
It was under the ANESTHESIA header sooo nope, no more. sorry.
Subject: It was under the ANESTHESIA header sooo nope, no more. sorry.
You install drywall, not fluid. Fluid is instilled. nm
Subject: You install drywall, not fluid. Fluid is instilled. nm
nm
aqueous fluid . Fluid gets blocked with glaucoma. nm
Subject: aqueous fluid . Fluid gets blocked with glaucoma. nm
If you mean the phrase "primary care physician" I only capitalize it when it is a header follo
Subject: If you mean the phrase "primary care physician" I only capitalize it when it is a header followed by the name of the physician
it's this DRAINS: 1 Hemovac
Subject: it's this DRAINS: 1 Hemovac
however, there is on occasion in an op report where they say this and this is how I transcribe it.
DRAINS: Two 15-mm round Jackson-Pratt
Drains secured
Subject: Drains secured
thanks that sounds good. there are 2 drains mentioned 10 JP and 12 French Thanks!!
There are vascular drains that are coaxial
Subject: There are vascular drains that are coaxial
aspirin comes in grains...not drains.
Subject: aspirin comes in grains...not drains.
I think there are flat and "fluted" drains
Subject: I think there are flat and "fluted" drains
Aspirin s/l grains or drains 5 daily. sm
Subject: Aspirin s/l grains or drains 5 daily. sm
1. Non-insulin-dependent diabetes.
2. ASCVD status post CABG.
3. Status post CVA without neurologic deficit, except for some mild dysphagia.
4. Obstructive cerebrovascular disease.
Given dipyridamole 50 mg t.i.d. He is to continue with s/l s/l aspirin grains/drains 5 daily.
Thanks!
S/L "P-mack" drains for orthopedic surgery. Thanks, nm
Subject: S/L "P-mack" drains for orthopedic surgery. Thanks, nm
x
Never mind. He said deep Hemovac drains. nm
Subject: Never mind. He said deep Hemovac drains. nm
x
Possibly lateral canthus? MEROCEL® Eye Drains
Subject: Possibly lateral canthus? MEROCEL® Eye Drains
Surgery help. s/l flow-to-gravity drains? sm for context:
Subject: Surgery help. s/l flow-to-gravity drains? sm for context:
1.5% glycine was used for continuous inflow irrigation, with flow-to-gravity drains and multiple times the bladder was drained.
Hysterectomy
Subject: Hysterectomy
Laparoscopic supracervical hysterectomy: Surgeon is entering peritoneum. She's opened the fascia, anchored it with Vicryl, attached CO2 and then she says something like "Lidopril" placed through. Pretty sure there are 3 syllables but she is swallowing the second half of the word. The "Lido" is fairly clear, but can't swear she isn't saying "Lighted". Anyone ever hear of lidocaine being placed with CO2 insufflation? After that, she placed 2 trocars and inspected the abdomen. Any idea what this is? I am stumped.
hysterectomy
Subject: hysterectomy
Partial hysterectomy followed by s/l "Second's procedure" to remove everything except on ovary.
hysterectomy - I think - sm
Subject: hysterectomy - I think - sm
Patient had a tubal ligation, a _______ vh
I hear something like flay vh or filet vh - and assume it is a type of vaginal hysterectomy.
Any ideas? Thank you.
OB. She is a G3 P3 55P5 who wants a hysterectomy
Subject: OB. She is a G3 P3 55P5 who wants a hysterectomy
hysterectomy and "morsillation"
Subject: hysterectomy and "morsillation"
Typing about a hysterectomy is almost as bad as having one. Okay, my problem is the doctor is talking about leiomyoma and s/l "morsillation" or "morphilation" or something like that. What is it?? Does anyone know?? HELP! It's my last dictation of the night and I'm falling asleep...
hysterectomy question...sm
Subject: hysterectomy question...sm
All the knots were tied s/l "intra-oc-cue-pour-ally".
sure not hysterectomy , just a guess
Subject: sure not hysterectomy , just a guess
good luck
"standfield" incision?? hysterectomy-sm
The patient has a defect from her s/l "stand still", "standfield", "fan field" incicion due to a total abdominal hysterectomy.
Any ideas?? TIA
THAT's it...total abdl hysterectomy and...sm
Subject: THAT's it...total abdl hysterectomy and...sm
total abdominal hysterectomy and bilateral salpingo-oophorectomy a.k.a. TAH/BSO 
Pt having hysterectomy. s/l fibrillar cotton placed..nm
Subject: Pt having hysterectomy. s/l fibrillar cotton placed..nm
hysterectomy surgical clamp
Subject: hysterectomy surgical clamp
Help! Doing a hysterectomy, doc says "next, the s/l minahans were used to clamp just below the level of the cervix bilaterally"
Total Hysterectomy....s/l corneal
Subject: Total Hysterectomy....s/l corneal
Okay...so I know we do not have a cornea in our vagina, but I can't think of the word...he says " the cuff was closed with a series of interrupted sutures at each of the s/l corneals....any help??
thanks in advance!!
s/l 'R&N' clamps, uses both straight and curved during hysterectomy. Thanks! nm
x
Hysterectomy with sacrospinus fixation using 'Kepia'?
Subject: Hysterectomy with sacrospinus fixation using 'Kepia'?
TUIA.
is there a s/l Longstiener???? weighted speculum used for a hysterectomy? Thanks
Subject: is there a s/l Longstiener???? weighted speculum used for a hysterectomy? Thanks
hysterectomy....s/l Roomy?? uterine manipulator?? Thanks again
Subject: hysterectomy....s/l Roomy?? uterine manipulator?? Thanks again
s/l sihi pneumatic hose for hysterectomy. thanks
Subject: s/l sihi pneumatic hose for hysterectomy. thanks
;)
hysterectomy s/l lingal loop approach? nm
Subject: hysterectomy s/l lingal loop approach? nm
x
No, this is something they put on the incision area before closing such as after a hysterectomy. It
Subject: No, this is something they put on the incision area before closing such as after a hysterectomy. It
is Plasmax or mex platelet fraction.
Total abdominal hysterectomy positions
Subject: Total abdominal hysterectomy positions
Patient was placed in (s/l matron dome based) position. Also....
O’Connor-O’Sullivan self-retaining retractor with (s/l glider) blade attachment was carefully inserted to avoid pressure on any organs......
s/l 'The patient is status post hysterectomy...
Subject: s/l 'The patient is status post hysterectomy...
and (s/l)TNA or T&A??? HELP!!! T&A does not seem to make sense, and I can not find anything on TNA.
vaginal hysterectomy, anterior s/l sera repair
Subject: vaginal hysterectomy, anterior s/l sera repair
LAVH? laparoscopic assisted vaginal hysterectomy. NM
Subject: LAVH? laparoscopic assisted vaginal hysterectomy. NM
x
Pt with robotic hysterectomy. The s/l B-Care system was placed and the KOH cup was stitched.
Subject: Pt with robotic hysterectomy. The s/l B-Care system was placed and the KOH cup was stitched.
I can't document this anywhere.
Abdominal hysterectomy...s/l "Multi____" had been applied to cervical stump...
Subject: Abdominal hysterectomy...s/l "Multi____" had been applied to cervical stump...
and the operation was continued. TIA
Laparoscopic hysterectomy...s/l circumcised incision made on cervix? nm
Subject: Laparoscopic hysterectomy...s/l circumcised incision made on cervix? nm
nm
Pt with vaginal hysterectomy. Pedicle was transfixed with a Vicryl s/l Ř and aft" stitch.
Subject: Pt with vaginal hysterectomy. Pedicle was transfixed with a Vicryl s/l Ř and aft" stitch.
At first, it sounded like she was saying a 4 and F stitch, but this lady doc has a "Barbie" voice with a severe case of the sinusitis. Any ideas?
Total abdominal hysterectomy, bilateral salpingo oophorectomy
Subject: Total abdominal hysterectomy, bilateral salpingo oophorectomy
FINAL DIAGNOSES:
- Post menopausal bleeding.
- Sudden (s/l meromyosins) of the uterus.
- Uterine (s/l myomatosis).
- Serous cyst adenoma of the right ovary.
- Pelvic pain.
Ever heard of s/l Chinese clamps? This is for a hysterectomy and bilateral salpingo-oophorectomy.
Subject: Ever heard of s/l Chinese clamps? This is for a hysterectomy and bilateral salpingo-oophorectomy.
fluid
Subject: fluid
cloudy
IV fluid/ESL/help
Subject: IV fluid/ESL/help
The patient has tube feeds, uti acute gastric tract, & dehydration. She was continued on IV fluids. Doctor says the IV fluids are called~~~S/L cit-twin-flagyn??
IV fluid help.
Subject: IV fluid help.
This patient is elderly and has stopped eating for a couple of days. Doctor says what s/l "will give him IV fluid, normal saline with 10 of K at 100 an hour over the next 24 hours." (Assume K is potassium?)Does this sound correct? I'm not too familiar with this kind of stuff. Thanks.
62 cc of fluid
Subject: 62 cc of fluid
full fluid WBC
Subject: full fluid WBC
Urinalysis: Positive nitrite with large leukocytes, "full fluid" WBC.
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