thanks, my brain is dead today

• There were no s/l free-fry fragments (MRI of spine) - sm for entire sentence
  • free fragments - MT50
    • thanks, my brain is dead today - nm
      • KFC - nana
    • probably stumbling on the phrase free fragments (nm) - sassee

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Can anyone tell me if I have the form of the word malleoli correct in this sentence.  Should it be malleoli or malleolus in this sentence.  The doc is saying malleoli, but it sounds funny to me.  Here is the sentence:

She has mild edema to the left ankle with mild tenderness over the bilateral malleoli, a little more prominent over the lateral malleoli, just anterior. 

TIA

PA states The patient was admitted for a ________ graft posterior tibial artery distal to previous anastomosis. s/l gem or gen graft (not jump graft).

She says it clear twice during same dictation 

After she has been on this dose for 1 week, we will check the Lamictal level at a S/L: troff point, which will help guide our future dosing based on her clinical response as well. 

Thanks!

Nitazoxanide is used to treat children with infectious diarrhea caused by the organisms Cryptosporidium parvum or Giardia lamblia. It is prescribed for children 1 year old and older. For infectious diarrhea caused by the organism Cryptosporidium parvum only the oral suspension form of Nitazoxanide should be used to treat children 1 to 11 years old.

Infectious diarrhea is marked by abnormal bowel habits, including increased stool frequency, as well as watery stools. It is normally caused by contaminated food or water.

Here's the URL: http://www.drugs.com/pdr/nitazoxanide.html

The doctor is saying the "rest of the review of systems are negative." Shouldn't it be "rest is negative."  ?? Or is rest considered pleural?  Help me, I can't think today!!

You know what's bad? I have heard so much ESL butchering of grammar that improper grammar is starting to sound correct to me.

TIA

She has a history of rectal prolapse and had ____water placed and there was some question if the ____water perforated her vagina creating a rectovaginal fistula.

It sounds like he is saying "tertiary" but that does not make sense.  I read somewhere that warm water is sometimes used to reduce a prolapse but I'm not coming up with a word for "warm" even in the thesaurus that sounds like that. 

Thanks for the help!  You all are very dependable!