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neck dissection with some type of

Posted By: at the end of a LONG day on 2006-09-18
In Reply to:

Subject: neck dissection with some type of

__ ectomy.  Here is the context:


status post a recent composite resection including a right neck dissection and ___medivalectomy___ and free flap reconstruction with a fibular free flap. 


Maybe my ears are not working right tonight!! Imagine that after being at this for 13 hours today!  Okay - many interuptions (I homeschool too), stopping to fix supper etc.  but needless to say -- I'm tired!!




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supraomohyoid neck dissection. nm
Subject: supraomohyoid neck dissection. nm

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Neck dissection - s/l venicomatants were left in place covering the 12th cranial nerve. TIA
Subject: Neck dissection - s/l venicomatants were left in place covering the 12th cranial nerve. TIA

x
I think this is the type of incision used in Head and Neck Surgery. see inside
Subject: I think this is the type of incision used in Head and Neck Surgery. see inside

Schobinger 1957-(fig 3a and 3b) Higher horizontal incision allows easier access to oral cavity and
various modifications for posterior vertical limb.
Shorter superior flap allows midline lip splitting extension with less likelihood of loss of tip (Becker 1984, fig 3c)

Also found:

Surgical treatment of many tumors of the head and neck require extended approaches. Many cervicotomies have been described in the treatment of head and neck and cervical tumors; careful thought must be made by a surgeon when surgical treatment is planned for an extended tumor.Our purpose is to show the versatility of the modified Schobinger incision.



physical exam: neck shows no s/l N-S-E? looking for a standard abbrev. used for neck. nm
Subject: physical exam: neck shows no s/l N-S-E? looking for a standard abbrev. used for neck. nm

d
There is neck dystonia (neurologic condition affecting the muscles of the neck)?
Subject: There is neck dystonia (neurologic condition affecting the muscles of the neck)?


This is a stretch, but maybe dissection? nm
Subject: This is a stretch, but maybe dissection? nm

nm
s/l sudden dissection
Subject: s/l sudden dissection

I know that sudden dissection can't be right but when transcribing a breast biopsy procedure that what it sounds like.  What else could it be?  It doesn't sound like sharp or blunt....what else could sound like sudden?  Any help would be appreciated. 


Thanks


s/l thoratic aortic dissection....
Subject: s/l thoratic aortic dissection....

There is a history of hypertension, (s/l thoratic aortic dissection) ?


 


Thanks


It's thoracic aortic dissection
Subject: It's thoracic aortic dissection


dissection of the s/l tail of durodas...
Subject: dissection of the s/l tail of durodas...

This is a pyeloplasty.  MD says, identified the kidney and then after some dissection of the s/l tail of durodas, we were able to identify the ureter.  Any idea? 
dissection taken down around the cyst in the scalp
Subject: dissection taken down around the cyst in the scalp

taking all the way down to the s/l gallea????  The cyst was then dissected
s/l nazot Bovie dissection
Subject: s/l nazot Bovie dissection

Omental adhesions are being taken down from gb with hook s/l nayzot (layzot?) Bovie dissection and laparoscopic peanut.

Procedure is a lap chole. Thanks
LND - lymph node dissection
Subject: LND - lymph node dissection


Maybe bundt [cake] dissection?
Subject: Maybe bundt [cake] dissection?

Just kidding.

In 35+ have never heard anyone say bunt dissection. I would wager the doc just mispronounced blunt - however I would leave a blank since you're not 100% sure.
Help with groin node dissection terms
Subject: Help with groin node dissection terms

I have never done an op note and have certainly never done a groin node dissection!  There are no sample reports available.  I have done this doctor before in his clinical setting and he is one of my favorites, but no op notes - the problem is a very poor quality recording - and in an area that I do not have experience!!  HELP!!  Each line is a separate issue.  Some I just need some verifcation that I did it right.


We dissected the lymph node bearing tissue off of the external __s/l dish__ muscle, exposed the femoral nerve artery and vein. 


We used hemoclips and silk ___ for hemostasis and controlled lymphatic vessels.


We dissected along the superficial femoral artery and femoral nerve to __revolve?__ the lymph node bearing tissue from this area.   


We irrigated __and assured?__ hemostasis


We identified the ureter which was reflected medially.


assured hemostasis placing __ FloSeal __ along the obturator foramen area and there was no sign of bleeding


We closed the fascia with a running loop #1 _PDS__ suture. 


closing the femoral canal defect with an interrupted, figure of 8, Ethibond suture.


Thanks for any help or reassurance!!!


"Katy" dissection in a thyroid lobectomy?
Subject: "Katy" dissection in a thyroid lobectomy?

Has anyone ever heard of this "Katy" dissection in a thyroid lobectomy? Help!
rectum was moblilized from the sacral ala using blunt dissection
Subject: rectum was moblilized from the sacral ala using blunt dissection


Aortic dissection status post bentile (s/l) procedure
Subject: Aortic dissection status post bentile (s/l) procedure

is anyone familiar with a procedure for aortic dissection that sounds like bentile or ventile procedure? 


"underoging an emergent bentile procedure for an acute aortic dissection"


Ever heard of a bowen board to measure arm range of motion pre and post axillary node dissection?
Subject: Ever heard of a bowen board to measure arm range of motion pre and post axillary node dissection?

Thanks for the help.
V neck
Subject: V neck

Is this correct V neck, v neck, or V-neck??? Help appreciated.


Thanks 


Neck: Supple, no LAD. What's the LAD mean?
Subject: Neck: Supple, no LAD. What's the LAD mean?

: Supple, no LAD, no jugular venous distention, no thyromegaly


I'm sorry, what does this have to do with a neck exam?
Subject: I'm sorry, what does this have to do with a neck exam?

nm
The area was the neck...sm
Subject: The area was the neck...sm

I have already turned in the report. Even QA could not figure out what she was saying. They asked that a blank be left. Thank you for trying though. I appreciate it.
how about "torticollis of her neck."
Subject: how about "torticollis of her neck."


Could he be saying "area of his neck" or even C8?
Subject: Could he be saying "area of his neck" or even C8?

x
Abdomen: tip of the neck?
Subject: Abdomen: tip of the neck?

ABDOMEN: Normal bowel sounds, soft, nondistended. On the tip of the ___ nontender. Sounds like he is saying tip of the neck. Is that possible?


medication gel for neck
Subject: medication gel for neck

Medication S/l pi'a'low- gel on the back of her neck with amitriptyline Neurontin and lidocaine.


Thanks


neck rigidity
Subject: neck rigidity

That is what I was thinking.  Can this been seen in the neuro exam because that is where she is next?
Under Neck Exam
Subject: Under Neck Exam

Neck:  He has hard scar tissue in the right of his neck, but no nodes are noted.  s/l Adison's test is positive. 
s/l "tech-ib" neck? sm
Subject: s/l "tech-ib" neck? sm

ER assessment of pnt with h/o of CVAs: Contractures in all extremities. Extremely s/l "tech-ib" neck and working very hard to breathe.
neck length
Subject: neck length


Neck Tenderness
Subject: Neck Tenderness

I'm typing a report and this it what it sounds like..


NECK:  Supple, no overtechial?? tenderness or paraoverchevial??? tenderness at this time.


Does anyone know these types of tenderness in the neck?? Thank you!!


Neck Exam
Subject: Neck Exam

Neck: No jugular venous pressure; no s/l 'hepatoreflux'.


Need help with the term hepatoreflux!


I would put it under a heading of NECK. sm
Subject: I would put it under a heading of NECK. sm

One of the tests for meningitis is to bend your chin to your chest or to your shoulders. So if the pateint can to this, they have no meningeal signs or meningismus.
s/l Neck retid
Subject: s/l Neck retid

Anyone have an idea what my doc might be saying? It s/l "retid." Here it is in context: 


"A No. 15 blade was employed to make a curvilinear incision along a neck retid"


Thanks!


 


s/l nava-neck
Subject: s/l nava-neck

The patient was placed on Omnipred and s/l Nava-neck three times a day in the right eye. 
Neck muscles?
Subject: Neck muscles?

Needing help with this sentence please.

'The medial aspect of the (s/l longest cola) muscles (s/l colorized) bilaterally at this level.'

Thanks in advance.
Neck: Decreased ROM in all "axies"
Subject: Neck: Decreased ROM in all "axies"


JVD is cardiac or neck. Put it where it's dictated. nm
Subject: JVD is cardiac or neck. Put it where it's dictated. nm

xx
Hmm. Usually femoral neck fractures are
Subject: Hmm. Usually femoral neck fractures are

described as Garden fractures, ranging from I through IV.

How does the sentence read and what type of report are you typing?
neck is rigid but s/l puretic.
Subject: neck is rigid but s/l puretic.

flaccid quadriplegia but the neck is rigid but s/l puretic (patient in a coma from CP arrest).  I don't think pruritic makes sense.


Swollen gland on neck
Subject: Swollen gland on neck

He developed a sore throat that is worse on the right side on 08/23.  It is getting worse.  He has got a swollen  _____ gland on his neck. 


s/l tudor


femoral neck fracture
Subject: femoral neck fracture

This fellow has a femoral neck fracture.
HEENT: Neck supple ? nm
Subject: HEENT: Neck supple ? nm


Neck exam - pulses
Subject: Neck exam - pulses

Has anyone ever heard of Carotid "end" pulses.  This is the second time he has said this and sounds like "end" pulses.  Is it possible he could be saying carotid "and" pulses are diminished bilaterally.  I cannot find anything anywhere.


Thanks, Karen 


I meant area on her neck
Subject: I meant area on her neck


like a V-neck sweater? what exactly are you talking about? nm
Subject: like a V-neck sweater? what exactly are you talking about? nm

context people, CONTEXT
Jowling in neck __(s/l rid'-i-dees)
Subject: Jowling in neck __(s/l rid'-i-dees)


I agree with "torticollis of her neck."
Subject: I agree with "torticollis of her neck."

Torticollis is caused by muscle spasm, so hemorrhage is not likely to be what he's saying, IMO.


This is for a left neck mass??? nm.
Subject: This is for a left neck mass??? nm.

nm
do you hear glenoid neck?
Subject: do you hear glenoid neck?

s