s/l quick section GBM? see note.
Posted By: GA_MT on 2008-11-11
In Reply to:
Subject: s/l quick section GBM? see note.
Recurrent glioblastoma multiforme in left frontal area and possible left parieto-occipital area. S/l Quick section compatible with glioblastoma multiforme.
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quick section (as in frozen section) is correct.
Subject: quick section (as in frozen section) is correct.
x
C-section OP note...
Subject: C-section OP note...
s/l he is saying atanic contractions. TIA!
I'm typing a c-section op note. Is it pericolic ..sm
Subject: I'm typing a c-section op note. Is it pericolic ..sm
"processes" were suctioned for blood clot? Thank you in advance.
Quick question - Clinic note, doc dictates the word pantalones - Spanish for pants. Would you... sm
Subject: Quick question - Clinic note, doc dictates the word pantalones - Spanish for pants. Would you... sm
type as dictated, or change it to "pants" ? My first instinct was to look up the word "pantalones" online to make sure I spelled it correctly, and type as dictated. Then I thought, for clarity (and future readers of the note who might not speak Spanish - though I think you could figure out what is meant by reading the report), should I change it to "pants" ? She does say "pantalones" in kind of a "cute" way. She also yawns loudly at the end, so maybe she's a little loopy.  LOL Opinions?
C-section or cesarean section sm
Subject: C-section or cesarean section sm
Not cAesarean section - contrary to popular belief, it was not named after Julius Caesar.
C-section or cesarean section nm
Subject: C-section or cesarean section nm
Psych note Axis III s/l VPS and neuropathy. No health history in the note. Only meds listed psych
Subject: Psych note Axis III s/l VPS and neuropathy. No health history in the note. Only meds listed psych
noteworthy; note worthy; note-worthy
Subject: noteworthy; note worthy; note-worthy
Just wondering if there is any general rule about transcribing noteworthy.
Also, status post; status-post.
Thank you.
Please help. It is in the ROS section (SM)
There has been no eye inflammtion. No problems with alopecia. There has been no eye inflammation. No s/l "sick ahm plot" complex or oral lesions.
Can't figure this out. Thank you for any help you might be able to offer.
Chickadee 
c-section
Subject: c-section
pt with McDonald's cerclage and frank breech presentation with sl-ancervical dilatation.
C-section
Subject: C-section
At the time of cord clamp sl-all I can hear is "sol" at the end 2 grams is given in the OR to the patient
C section
Subject: C section
PAST SURGICAL HISTORY: C section or C-section ?
C-section. nm.
Subject: C-section. nm.
nm
please help with OB C-section
Subject: please help with OB C-section
I don't usually type OP reports, but I got this one and need a little help with a C-section. It's a primary low-flap transverse C-section due to breech presentation.
He says the rectus muscles were separated and taken down. Then: The superior most aspect of the s/l "perineum" was nicked. Thought this should be peritoneum.
Then: Bowel floor s/l "was placed" a low marginal incision.
any help?
Doing a C-section, doc says SM
Subject: Doing a C-section, doc says SM
the IFE was attached and removed after vertex was delivered. What is IFE? Thanks.
C-section help
Subject: C-section help
The scalpel was then used to make curvilinear hysterotomy, through which the infant was delivered and was s/l dooley ? suctioned.
c-section - nm
Subject: c-section - nm
C-section with s/l DPS?
Subject: C-section with s/l DPS?
Status post primary low transverse cesarean section with s/l DPS.
Other diagnoses include:
Uterine pregnancy at 39 weeks and 1 day gestation.
Breech presentation.
Multiparous desiring permanent sterilization.
Anemia.
c-section or C-section?
Subject: c-section or C-section?
Caesarean section
Subject: Caesarean section
I am having an extremely difficult time understanding a doctor with an accent. The fascia was opened in the tremboralis manner. I'm not sure if he's saying in, on or under and the other word, I have no clue. Help! Thanks.
cesarean section
Subject: cesarean section
temporalis fascia??
permanent section?
Subject: permanent section?
Typing a C-section OP sm
Subject: Typing a C-section OP sm
This incision was extended bilaterally using s/l Danish scissors.
OB question - C-section
Subject: OB question - C-section
Light meconium noted with s/l full or four waters. Full? Can't find it anywhere. TIA!
C-section term
Subject: C-section term
The infant's head delivered s/l "in call."
Thanks.
C-section term
Subject: C-section term
That's it. Thanks for your help everyone!
that's the section m docs usually put it in.
Subject: that's the section m docs usually put it in.
(PS: The patient is about to have a C-section.) -nm
Subject: (PS: The patient is about to have a C-section.) -nm
nm
It was under the impression section
Subject: It was under the impression section
I have heard of that also, but it was under his impressions. This doctor is such a mumble mouth! *sigh*
permanent section??
Subject: permanent section??
x
frozen section? nm
Subject: frozen section? nm
.
Would this be safe during a C-section
Subject: Would this be safe during a C-section
Thanks
C section question - sm
Subject: C section question - sm
Dictated: "The skin was then closed with staples, and new skin was applied." Help with new skin? Thanks!!
is it in the respiratory section?
Subject: is it in the respiratory section?
Thanks, it is a cesarean section.
Subject: Thanks, it is a cesarean section.
No I don't have a demographic section, only sm
Subject: No I don't have a demographic section, only sm
The history section and a PE section along with x-rays and plan section. I hope this helps.. :-)
Leg length is roughly measured from the anterior-superior iliac spine to the medial malleolus. It is measured on the left side at 37-3/4 and on the right side at 37 inches even. Again, this is a rough measurement.
Wow, that was quick thank you..nm
Subject: Wow, that was quick thank you..nm
x
Man that was quick!! Thanks much! :)
Subject: Man that was quick!! Thanks much! :)
thanks, your too quick
Subject: thanks, your too quick
wow that was quick, thanks!
Subject: wow that was quick, thanks!
need help quick please!
Subject: need help quick please!
s/l *vazalan* eye drops - no dosage given - no mention of glaucoma or any eye conditions - only hypertension, hypothyroidism, GI bleed. The patient is 87 years old.
Any ideas. I'm almost to the end of the report.
quick -- need help with a.....sm
Subject: quick -- need help with a.....sm
Axis I: (s/l) "Contact" disorder, adolescent onset.
The patient is 16 years old.
I can't find that in my Stedman's psych book.....Any suggestions? Thanks!
That was quick! Thanks so much. xxx
Subject: That was quick! Thanks so much. xxx
xxx
Thank you both for your quick help
Subject: Thank you both for your quick help
need help quick!
Subject: need help quick!
Has anyone heard of a cream that the doctor specifically spelled as RASHNAL ointment? This is a podiatrist. Thanks!
need help quick!
Subject: need help quick!
well that's it! Thank you VERY much!!! I was typing in Rashnal and only garbage was coming up!!!
Help! Quick! Please
Subject: Help! Quick! Please
Nursing reports that she is finally able to tolerate ____| QA MARKER: 20 |____ tube feedings at 30 cc per hour.
s/l Patinogin
fetal scapley??? (C-section) Help!
Subject: fetal scapley??? (C-section) Help!
...patient taken back to the operating room, at which time they hooked up the fetal scapley to the monitor and noticed it was at 120s, but then continued to decelerate.....
This is a c-section for a baby with deceleration bradycardia and arrest of descent.
You don't use slang in a diagnosis section
Subject: You don't use slang in a diagnosis section
.
They are using it in the laboratory section of the dictation. nm
Subject: They are using it in the laboratory section of the dictation. nm
It is listed in the diagnosis section and (sm)
Subject: It is listed in the diagnosis section and (sm)
the history is that the patient has had 4 preterm deliveries (all 32 weeks and less) by cesarean section and presented for contractions. she has been on 17-alpha hydroxxyprogesterone since week 16, but no mention of her present week gestation. she was sent home on bedrest with the injections and cervical length measurement
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