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elevated liver functions, previous cholecystectomy.

Posted By: mt12 on 2006-09-13
In Reply to:

Subject: elevated liver functions, previous cholecystectomy.

CT showed (S/L) ''normobilia''??  (have looked everywhere and cannot find--thanks for any help.)




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liver functions are within normal limites OR
Subject: liver functions are within normal limites OR

they say liver function tests are within normal limits OR LFTs are within normal limits.
Maybe elevated liver enzyme(s)? nm
Subject: Maybe elevated liver enzyme(s)? nm

s
agree, leave as dictated, those are very elevated liver function tests. nm
Subject: agree, leave as dictated, those are very elevated liver function tests. nm

..
elevated s/l c-ract? protein of 1.8 and a slight elevated glucose at 108.
Subject: elevated s/l c-ract? protein of 1.8 and a slight elevated glucose at 108.

This one Dr. can be very difficult to understand. Please help! :)
Elevated ?GDT?...later says elevated SGOT and SGPT. What is GDT??
Subject: Elevated ?GDT?...later says elevated SGOT and SGPT. What is GDT??


They have different functions
Subject: They have different functions

When I transcribe interventional studies, the radiologist will use a guidewire and a Glidewire in the same procedure, for different purposes.
first thought is respiratory functions. nm
Subject: first thought is respiratory functions. nm


lung functions are in percent (one word)
Subject: lung functions are in percent (one word)

n/m
Could it be TAH/BSO and cholecystectomy?nm
Subject: Could it be TAH/BSO and cholecystectomy?nm


cholecystectomy
Subject: cholecystectomy

Abdomen was s/l sufflated to 40 mmHg pressure.  TIA
cholecystectomy
Subject: cholecystectomy

s/l versastat visaport.  Dictated:  camera was inserted at the site with the versastat visaport.  I can't find anything!!  Help please!
Cholecystectomy with?
Subject: Cholecystectomy with?

I can't really understand what the doctor is saying, but it sounds something like...


The patient had a cholecystectomy with an s/l instenalactectomy?  


Any ideas? 


Re: Laparoscopic cholecystectomy
Subject: Re: Laparoscopic cholecystectomy

Patient having laparoscopic cholecystectomy.  Doctor dictates that he's outlined the risks to the patient, which include "injury to bowel, bile duct, or s/l BLEVUS."


I cannot locate "blevus" anywhere. HELP!


Thanks very much! 


s/l seri - cholecystectomy?
Subject: s/l seri - cholecystectomy?


laparoscopic cholecystectomy with "CVEE" ??
Subject: laparoscopic cholecystectomy with "CVEE" ??

Any clues what this might be?  My best guess is "CVEE"??


Thanks!


laparoscopic cholecystectomy with cholangiogram(s)? nm
Subject: laparoscopic cholecystectomy with cholangiogram(s)? nm


apple port for cholecystectomy? nm
Subject: apple port for cholecystectomy? nm

nm
lap chole - as in laparoscopic cholecystectomy
Subject: lap chole - as in laparoscopic cholecystectomy


doing laparoscopic cholecystectomy, 3 and 1? clips.
Subject: doing laparoscopic cholecystectomy, 3 and 1? clips.

The cystic duct was then identified and skeletonized.  Once it was clearly identified it was divided between 3 and 1 clips.???
Cholecystectomy, vagotomy and pyloroplasty?
Subject: Cholecystectomy, vagotomy and pyloroplasty?


Gallbladder was placed in a s/l indicage bag (This is a cholecystectomy) TIA!
Subject: Gallbladder was placed in a s/l indicage bag (This is a cholecystectomy) TIA!


he's saying lap-chole (laparoscopic cholecystectomy)
Subject: he's saying lap-chole (laparoscopic cholecystectomy)

in case that got cut off above, it's laparoscopic cholecystectomy....
Laparoscopic cholecystectomy "with grams"?
Subject: Laparoscopic cholecystectomy "with grams"?

x
Cholecystectomy -- The fascia was grasped with (s/l "Cokers")
Subject: Cholecystectomy -- The fascia was grasped with (s/l "Cokers")

Any ideas?  I sold my Stedman's Surgery Words book years ago and don't have a new one.  Now I'm on a new account and I keep getting stumped.  Time to buy a new book, of course...  Until then, thanks for your help!
Doctor doing a lap cholecystectomy and says "triange of ?? sounds like kalo"
Subject: Doctor doing a lap cholecystectomy and says "triange of ?? sounds like kalo"

any ideas. triangle of kalo??
maybe he means double hernia surgery, cholecystectomy nm
Subject: maybe he means double hernia surgery, cholecystectomy nm

.
No previous MI. Tx anyway! nm
Subject: No previous MI. Tx anyway! nm

xx
In history or title of procedure? Might be chole for cholecystectomy AND gastroplasty. nm
Subject: In history or title of procedure? Might be chole for cholecystectomy AND gastroplasty. nm

s
You might not like this one, but I would go by what QA said on the previous report. This way you hav
Subject: You might not like this one, but I would go by what QA said on the previous report. This way you have verification in writing of why you chose to keep it this way in case you are questioned on your choice of interpretation. I know we are looking for common sense but we are transcriptions and as we know that is not even close to always being the case in MD dictations.


could it be part of previous ??
Subject: could it be part of previous ??

could it be the dosing of the med before and you think he is going to the next number in the list? The "million" part is making me question this. Otherwise I have no idea. I hope you find your answer!
a previous post
Subject: a previous post

had this same sentence and it was "early satiety"
Patient had laparoscopic cholecystectomy. Returns for eval of "subsactal" wound ??
Subject: Patient had laparoscopic cholecystectomy. Returns for eval of "subsactal" wound ??

Please help, I'm clueless.  Sounds like sub zactal, subsactal??   Thanks!
Patient had lap cholecystectomy. Denies "diet-ation" at current time. ??
Subject: Patient had lap cholecystectomy. Denies "diet-ation" at current time. ??

No other details,  sounds like "diet -ation" ?


Any ideas?


Patient is status-post laparoscopic cholecystectomy with subsequent **ESAP**. TIA
Subject: Patient is status-post laparoscopic cholecystectomy with subsequent **ESAP**. TIA




PS to clarify my previous post
Subject: PS to clarify my previous post

2 drugs:


s/l Cadawa NHCTC; I think it's for hypertension or hyperlipidemia.


s/l Rocethrin. For lesions? Could also be a pain med.


TIA!


 


I took this from a previous post about eponyms... sm
Subject: I took this from a previous post about eponyms... sm

According to BOS

eponyms

"While the use of the possessive form with eponyms remains acceptible, AAMT's preference is generally to drop the possessive form.

Apgar score, Babinski sign, Down syndrome, Gram stain, Hodgkin lymphoma.

Sometimes an awkward construction calls for use of the possessive form. This patient suffers from Hodgkin's."


just a thought..how about no change to previous?
Subject: just a thought..how about no change to previous?


Previous surgery for s/l lat pulley. TIA nm
Subject: Previous surgery for s/l lat pulley. TIA nm


aaaahh, my previous note should be SM!
Subject: aaaahh, my previous note should be SM!


did the link show up with the previous message?
Subject: did the link show up with the previous message?


Found previous note. It was Sigma...nm
Subject: Found previous note. It was Sigma...nm

nm
Says this patient has previous CVT/CBT..have to expand and not sure what it could be for a PMH term,
Subject: Says this patient has previous CVT/CBT..have to expand and not sure what it could be for a PMH term,

any ideas? 


Thanks


Here's a link to a previous MTStars post
Subject: Here's a link to a previous MTStars post

on this same question.  Is this an ENT account?  The best thing would be see if you can get verification from the account, might be some name they have for their own conconction of Maalox, Benadryl and Xylocaine.  I've seen plenty of things misspelled in reports, even standards handed out by an account itself...
no, doesn't make sense....previous does
Subject: no, doesn't make sense....previous does

is this dictator an ESL? 


prior history of left shoulder pain?


previous history of left shoulder pain?


 


Found it in a previous dictation - it is Toronto.
Subject: Found it in a previous dictation - it is Toronto.


OOPS DISREGARD PREVIOUS THIS IS WAY IT IS WRITTEN?
Subject: OOPS DISREGARD PREVIOUS THIS IS WAY IT IS WRITTEN?

A trigger point injection at the right gluteus maximus trigger point was performed using mixture of 2 mL 2% Xylocaine and 1 mL 40 mg per mL Depo-Medrol.
Maybe referring to a stitch from the previous fistula??
Subject: Maybe referring to a stitch from the previous fistula??

x
Agree with previous poster. NEVER GUESS
Subject: Agree with previous poster. NEVER GUESS

x
I was able to locate a previous report which has 1, so I'll go with that
Subject: I was able to locate a previous report which has 1, so I'll go with that


pt with previous respiratory burns on prednisone and now s/l zo air. ?? nm
Subject: pt with previous respiratory burns on prednisone and now s/l zo air. ?? nm


Can you check a sample of doctor's previous
Subject: Can you check a sample of doctor's previous

c