proximal isovelocity surface area (PISA)
Posted By: Crystal S on 2009-05-13
In Reply to: PISA- cardiac procedure - Mary
Subject: proximal isovelocity surface area (PISA)
proximal isovelocity surface area (PISA)?
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Exam of the left hand reveals a 0.5 x 0.5 cm area of s/l pointing along the proximal phalanx to sm
Subject: Exam of the left hand reveals a 0.5 x 0.5 cm area of s/l pointing along the proximal phalanx to sm
the 5th finger on the palmar surface. Thanks for any help.
PISA- cardiac procedure
Subject: PISA- cardiac procedure
I have a RN who is very unclear in her dictation. It is regarding a patient with Coronary artery disease. She states he had a "pizza" and had a stent placed with percutaneous translution (does she mean transillumination?). Can anyone give me some feedback on these two procedures- the "pizza" and percutaneous translution. Thanks
of shooting pain into the left radial wrist and thumb area and over the intercuginous area of the-sm
Subject: of shooting pain into the left radial wrist and thumb area and over the intercuginous area of the-sm
first and second digit of the left hand. Thanks.
that's all I could think of as well..but isn't that the chest area and not the neck area? nm
Subject: that's all I could think of as well..but isn't that the chest area and not the neck area? nm
d
surface
It's plantar surface.
Little area. Same as Kiesselbach area.
Subject: Little area. Same as Kiesselbach area.
I found it in my Sted's Electronic Dictionary. Really good source for everything.
Little area
Syn: Kiesselbach area.
Kiesselbach area
an area on the anterior portion of the nasal septum rich in capillaries (Kiesselbach plexus) and often the seat of epistaxis. Syn: Little area.
"cantor" surface
How about calcaneal surface? Is he/she talking about the heel?
plantar surface.
Since this is the foot, it's probably the plantar surface (bottom).
inferior surface
Subject: inferior surface
or could he be saying sulcus
YES - serosal surface
Subject: YES - serosal surface
Intraarticular surface? NM
Subject: Intraarticular surface? NM
could it be surface ablation?
Subject: could it be surface ablation?
tracking along the "cantor" surface ??
the patient is status post TMA. In discussing the wound healing, she says: There is a small amound of tracking along the "canta", "canter" "cantor" surface. Ideas?
All I can find is a "Cantor" tube, and that's not it. TIA
Volar surface plate perhaps? (nm)
Subject: Volar surface plate perhaps? (nm)
You are right it is char, as in a scorched surface
Subject: You are right it is char, as in a scorched surface
skin surface s/l escoriations
Subject: skin surface s/l escoriations
There are some skin surface s/l escoriations on the antecubital area or above it where the patient has scratched outside of the cast.
This sounds like what it is but I can't find this word anywhere. Any ideas would be appreciated
Thanks
Bowler's surface of forearm?
Subject: Bowler's surface of forearm?
This seems to be my night for strange sounding dictation! Has anyone heard of something that sounds like the bowler's surface of the forearm?
volar surface of forearm? nm
Subject: volar surface of forearm? nm
Think this is probably weight-bearing surface ?? - nm
Subject: Think this is probably weight-bearing surface ?? - nm
interscapular area or inter scapular area or inner scapular?
Subject: interscapular area or inter scapular area or inner scapular?
Physical examination today of the shoulder shows some soreness primarily over the posterior aspect of the shoulder in the *interscapular* area. tia.
The hand has a palmar surface but I don't know what the rest could be nm
Subject: The hand has a palmar surface but I don't know what the rest could be nm
Yes. Means it is flush, not standing out/above the surface. (nm)
Subject: Yes. Means it is flush, not standing out/above the surface. (nm)
x
Proud means above the surface (sticking out)
Subject: Proud means above the surface (sticking out)
First thought is excrescence -- outgrowth from surface etc. nm
Subject: First thought is excrescence -- outgrowth from surface etc. nm
smooth bursal surface thickening?
Subject: smooth bursal surface thickening?
Possibly...
I got it - duh on me . . . it is proximal
Subject: I got it - duh on me . . . it is proximal
proximal? sm
Subject: proximal? sm
Clue=there's no DVT in the LOWER or DISTAL extremity, but there IS thrombus in the GSV which is located in the UPPER or PROXIMAL extremity...and it extends from PROXIMAL down to upper calf....
proximal ?
Subject: proximal ?
proximal?
Subject: proximal?
Verrucous lesions have an irregular or velvety surface. nm
Subject: Verrucous lesions have an irregular or velvety surface. nm
.
then he says extending in the serrosal s/l surface? it's a male patient
Subject: then he says extending in the serrosal s/l surface? it's a male patient
Err, sort of. In your example, it is not proud (is flush w/surface), which is what I meant. (nm)
Subject: Err, sort of. In your example, it is not proud (is flush w/surface), which is what I meant. (nm)
x
Exophytic mass (arising from epithelial surface) ?
Subject: Exophytic mass (arising from epithelial surface) ?
dd
Think undercurrent makes perfect sense. Below the surface etc. sm
Subject: Think undercurrent makes perfect sense. Below the surface etc. sm
Main Entry:un*der*cur*rent
Pronunciation:-*k*r-*nt
Function:noun
1 : a current below the surface
2 : a hidden tendency of feeling or opinion
proximal row carpectomy ?
Subject: proximal row carpectomy ?
xx
proximal migration?
Subject: proximal migration?
xx
Could he/she be stumbling over proximal?
Subject: Could he/she be stumbling over proximal?
it should be proximal - is that what you hear?
Subject: it should be proximal - is that what you hear?
nm
could it be proximal ulnar, sm
Subject: could it be proximal ulnar, sm
I also think it might be technitium rather than technician?
In the posterior horn of the medial meniscus,on the inferior surface, there is SM
Subject: In the posterior horn of the medial meniscus,on the inferior surface, there is SM
one s/l sagittal cuff with one small tear, which I think can likely be treated nonoperatively.
proximal pole corpectomy ?
Subject: proximal pole corpectomy ?
scaphoid has a proximal pole so that might be it.
ORIF of proximal phalanx
Subject: ORIF of proximal phalanx
In this op note, the doctor says a "one five recon plate" was trimmed to the appropriate length, and I placed a "one five" screw distally. Would you agree this should be transcribed as 1.5 (as in mm). He didn't say mm, and I won't go so far as to put mm in the report.
at the proximal 'notch' of the ulna
Subject: at the proximal 'notch' of the ulna
hmm, know it IS proximate (not proximal or approximate)
Subject: hmm, know it IS proximate (not proximal or approximate)
Can't get the middle word though.
cutting the bone wherein the slot has a proximal end proximate to the first end of the body
This is as close as I could find.
proximal crescentic osteotomy (nm)
Subject: proximal crescentic osteotomy (nm)
proximal humeral fracture
Subject: proximal humeral fracture
Doctor says, A "hemolite" proximal humeral fracture was present. Any ideas?
proximal tibial medial compartment
Subject: proximal tibial medial compartment
X-rays reveal severe destruction of the right knee with collapse and osteonecrosis of his medial femoral condyle and no cartilage remaining on his proximal s/l tibial medial compartment either.
tibial wasn't clear...also sounded like it could have been 'through the'
I googled the whole phrase proximal tibial medial compartment, but got no results. I have never heard those words put together like that before. Any suggestions?
Maybe proximal or distal component of a prosthesis? nm
Subject: Maybe proximal or distal component of a prosthesis? nm
s
Pt had proximal femoral resection and hamstring
Subject: Pt had proximal femoral resection and hamstring
lengthening.
He has proximal ulnar nerve s/l a-fla-shen SM
Subject: He has proximal ulnar nerve s/l a-fla-shen SM
and distal ulnar nerve s/l a-fla-shens, which cause clawing most often.
proximal to its insertion in the navicular sounds right to me - nm
Subject: proximal to its insertion in the navicular sounds right to me - nm
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