neck surgery...sugar roll?
Posted By: ALH on 2008-04-22
In Reply to:
Subject: neck surgery...sugar roll?
The patient was placed in the supine position with his neck in slight extension, with a s/l sugar roll underneath this back.
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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.
Sugar tong splint or sugar tone splint?
Subject: Sugar tong splint or sugar tone splint?
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)?
how about negative log roll?
Subject: how about negative log roll?
X
agree with log roll
Subject: agree with log roll
That is definitely it...... I thought the "O" was roll
Subject: That is definitely it...... I thought the "O" was roll
nm
Maybe roll check?
Subject: Maybe roll check?
rate roll on EKG?
Subject: rate roll on EKG?
An EKG was normal except the **rate rolls** of a rapid heart.
What is WAG sugar?
Subject: What is WAG sugar?
What does it stand for? I can't find it on Google. Thanks
Maybe ABDs, roll gauze, etc...?? nm
Subject: Maybe ABDs, roll gauze, etc...?? nm
s
pullway sheath? on a roll here. nm tks.
Subject: pullway sheath? on a roll here. nm tks.
ss
Axial loading. Log roll is right too. Don't know about the other two. nm
Subject: Axial loading. Log roll is right too. Don't know about the other two. nm
nm
Yes actually it was for low blood sugar so
Subject: Yes actually it was for low blood sugar so
I bet you are right, thank you!
sugar tong
Subject: sugar tong
It is a sugar tong splint
blood sugar in the 60s
Subject: blood sugar in the 60s
sixties? 60s? 60's?
blood sugar
Subject: blood sugar
Sentence reads: I have asked the patient to check his blood sugars at 2 o'clock in the morning to see if he is s/l sa-mog-ing.
Thanks
Sugar seldrums?
Subject: Sugar seldrums?
I have searched and searched and listened and listened and just can't get this one. Help please! Doctor is from India and has an accent. It might be "cell" or something. Any advice would be great. If you notice any other errors, please inform.
His initial evaluation with electrocardiogram and blood work to include CK-MB and troponin levels were okay. He was recommended to adjust his insulin better and was sent home on Sunday morning. He has been taking ten units of Lantus since then. Sugar (s/l seldrums) were 90/100. Prior to this episode, he had a few days of hypoglycemia which would not get corrected even after drinking Coke. He was taking twenty units of Lantus.
WAG but sugar usually runs 90/100? nm
Subject: WAG but sugar usually runs 90/100? nm
Neurosurgery, placed on backboard with s/l "Hick's roll". TIA
Subject: Neurosurgery, placed on backboard with s/l "Hick's roll". TIA
nm
s/l *aly-ureth* roll gauze and Coban sm
Subject: s/l *aly-ureth* roll gauze and Coban sm
The patient elects to proceed with the Una boot wrap today. With informed consent this was applied followed by _____ roll guaze and Coban. The patient is to go immediately home and begin wearing her surgical shoe.
I'm not sure if this is ____, roll gauze, and Coban OR if it is a kind of roll gauze and Coban
The patient has a sprained ankle.
Thanks!
Just a guess, 3-layer bump was placed (as in a roll)
Subject: Just a guess, 3-layer bump was placed (as in a roll)
I'm thinking something like a "neck roll" added to
Subject: I'm thinking something like a "neck roll" added to
bed to elevate her head - just a guess
B50 - low blood sugar treatment?
Subject: B50 - low blood sugar treatment?
Hi guys,
I have a report where the patient had a blood sugar of 21 in the ER, was given (sl) amp of B50? Something like that, can't find any reference of anything remotely close. Any help is appreciated!
No hyphen in motor vehicle. Maybe driving a 4 x 4 with a roll bar
Subject: No hyphen in motor vehicle. Maybe driving a 4 x 4 with a roll bar
s
Thanks a million, that must be it then, was unfamiliar, definitely sounds like body roll, thank you!
Subject: Thanks a million, that must be it then, was unfamiliar, definitely sounds like body roll, thank you!
Dictator stumbling - low blood sugar nm
Subject: Dictator stumbling - low blood sugar nm
Low blood sugar
diligent in checking his blood sugar
Subject: diligent in checking his blood sugar
Maybe in the past she has fasting blood sugar of 110.
Subject: Maybe in the past she has fasting blood sugar of 110.
gave for low blood sugar s/l ampidy 50
Subject: gave for low blood sugar s/l ampidy 50
I believe it is Dexi-stick blood sugar.
Subject: I believe it is Dexi-stick blood sugar.
Google this to get more information.
Diabetic pregnant patient with low blood sugar in a.m. (sm)
Subject: Diabetic pregnant patient with low blood sugar in a.m. (sm)
who is thought to be having "a sa-mo-gie". Thanks
Dexi or Dexy? Blood sugar taken by EMS in the field..TIA (nm)
Subject: Dexi or Dexy? Blood sugar taken by EMS in the field..TIA (nm)
nn
Sorry, I meant fingerstick blood sugar taken by EMS in the field.. TIA (nm)
Subject: Sorry, I meant fingerstick blood sugar taken by EMS in the field.. TIA (nm)
mm
gonarthrosis is correct. There is a "field test" for hips, so maybe log roll, extension, and
Subject: gonarthrosis is correct. There is a "field test" for hips, so maybe log roll, extension, and field test
Fasting blood sugar? Working them up for diabetes, lightheadedness, heart stuff? nm
Subject: Fasting blood sugar? Working them up for diabetes, lightheadedness, heart stuff? nm
s
Somogyi. It's also called dawn phenomenon or rebounding high blood sugar.
Subject: Somogyi. It's also called dawn phenomenon or rebounding high blood sugar.
x
Fasting lipid profile and fasting blood sugar perhaps?
Subject: Fasting lipid profile and fasting blood sugar perhaps?
You need to correlate the correct abbreviations with the patient's medical history, eg. does the patient have diabetes, high cholesterol, etc.
it is roll ball cautery or roller ball or
Subject: it is roll ball cautery or roller ball or
rollerball. Googled roll ball and roller-ball comes up. My Surgical Word Book has rollerball endometrial ablation but the doc is clearly saying ROLL BALL. She is saying is very slowly and precise. This drives me nuts.
takedown surgery vs take down surgery--which is correct? nm
Subject: takedown surgery vs take down surgery--which is correct? nm
or Bennell roll as in bennell bandage
Subject: or Bennell roll as in bennell bandage
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.
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