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Dec 2 11:16
• s/l white paste antibiotics
+ sm
** • wide-based? - nm
** • Usually hear preop or prophylactic, so not sure what this could possibly - be

• Ever hear of "carpenter's maneuver" (SM)
+ lb
** • Nevermind -sent with a blank. - b k l o l i

• speed of light dictator doing a chest x-ray interpretation - is it
+ xyz
** • bone and (parenchyma is soft tissue) - b k l o l i
**** • Thanks so much! - xyz

• bowels daily. She says ______ left upper extremity
+ mp4
** • agree - bowels daily and, she says, urine. - b k l o l i
** • Bowels daily, she says, and urine? - billybob
**** • ty - -

• background slowing ______ discharge patient
+ mp3
** • slowing as well as right-sided ???? discharges noted. The patient - billybob
**** • thanks - -

• restoration of flow to *TI TI 3*, extubated afterwards
+ sm
** • TIMI 3 would fit this context - taco
** • added - wav
**** • will add after below is done - -
****** • adding wav - -

• Thought process showed no overt paranoia, ____ current location. No suicidal ideation
- wav :)

• Preoperative Diagnosis: DEFECTIVE MANDIBULAR HARDWARE AND PERICORON ...
+ wav
** • a lateral releasing (what I hear) - b k l o l i
**** • Thanks a lot. - guy

• to the ones who answered my question yesterday about the
+ sm

• patient with a distal radius fracture
+ sm please

• vocal cord biopsy - "After blanching, a pickup *insizzori* was used . . .
+ sm
** • I'd agree with what you have in your message. - b k l o l i

• Preoperative Diagnosis: A 21-YEAR-OLD GRAVIDA 2, PARA 1 AT 32-2 WEE ...
+ wav

• Preoperative Diagnosis: LEFT HEEL MELANOMA. Procedure: LE ...
+ wav
** • heel. On lymphoscintigraphy, she was seen - poi
**** • Thanks a lot. Thanks for the correction. - guy
**** • Thanks a lot. - guy

• access vs. axis (2 places)
+ sm
** • looks like it s/b access (as in vascular access) (see link) + Questyr
**** • Thanks. That was my assumption but wanted to confirm with someone else. - op

• INDICATION: This is a 42-year-old gentleman who underwent _____ repai ...
+ mp3
** • tetrology of Falot (check my spelling) - b k l o l i
**** • Goodnight, past my bedtime. *snore* - b k l o l i
****** • Thanks a lot. sweet dreams. - guy

• Preoperative Diagnoses: 1. PROSTHETIC PULMONARY VALVE ENDOCARDITIS ...
+ wav
** • SM + b k l o l i
**** • Thanks a lot. - guy

• Preoperative Diagnoses: 1. PROSTHETIC PULMONARY VALVE ENDOCARDITIS ...
+ wav
** • got it. thanks. - guy

• Next, the trials were removed and the canal was cleaned using a _____ ...
+ wav
** • nevermind. - guy

• **This showed stable alignment and full flexion, internal rotation at ...
+ wav
** • I don't hear beginning, but think "stable alignment IN full flexion," + poi
**** • Thanks a lot. - guy

• The neck cut was marked and was performed using oscillating saw. The ...
+ mp3
** • corkscrew and a ___ as a skid? - poi
**** • Thanks a lot. - guy

• Preoperative Diagnosis: RIGHT DISPLACED FEMORAL NECK FRACTURE. ...
+ wav
** • 1. collar? 2. endo femoral - poi
**** • Thanks a lot. - guy

• endoscopy - s/l JFGVD scope was passed . . . .
- thanks
** • mebbe some type of "videoscope" instead of VD scope? Not sure on the JFG though. - b k l o l i
**** • I think GFG videoscope. see link + b k l o l i

• Patient with frequent/recurrent UTIs.
+ sm
** • Thank you! I'll take a look at those! - OP
** • I find Cranfix - b k l o l i
**** • and found Cran-Max oral - b k l o l i

• occasionally vomits and occasionally has acid reflux for which she takes __.
+ WAV
** • Beano - nm
**** • Now that you write it, I can hear it! Good show! - Q
** • anyone help please!? - ??
**** • Sorry. I couldn't get it. - Questyr

• sp knee replacement
+ sm
** • subsidence - my guess

• The patient was brought to the operating room and placed in a supine p ...
+ wav
** • He says "sequents" ...think he's referring to sequential compression device - Questyr

• MP3 help (ESL doctor)
+ TYIA
** • inhalers?? - nm
**** • agree - j
** • Sorrry. Can't get it. - Questyr

• The cervix was then evaluated to fit a VCare manipulator device. The ...
+ mp3
** • nevermind. - guy

• Preoperative Diagnosis: SYMPTOMATIC FIBROID UTERUS. Procedur ...
+ wav
** • nevermind. - guy

• A ventricular pacing wire was attached. Retrosternal space and left p ...
+ wav
** • Argyle - nm
**** • Thanks a lot. - guy

• Protamine was given to reverse the heparin and poor quality of clot wa ...
+ mp3
** • This is partially attributed to the - poi
**** • Thanks a lot. - guy

• The circumflex marginal coronary artery was now inspected. The specim ...
+ wav
** • evidence of.. might listen for "1.5 to 2" - poi
**** • Thanks a lot. - guy

• Preoperative diagnosis: Left thumb _____ arthritis.
- wav :)
** • Got this. - :)

• Currently, no evidence for new *P E E*, CHF or acute MI.
+ ?
** • since pulmonary embolus is mentioned later, I'd guess it is just "PE"? - taco

• Preoperative diagnosis: Left carpal tunnel syndrome, left 3rd trigger finger. sm
+ :) wav

• A #5 French open end catheter primed with *0.5% omnipaque and placed at the
+ sm
** • Omnipaque is capped, but not sure on tht 0.5%. Pinpoint is 1 - word.
**** • ty - -

• s/l Copper 133 ANA positive at 1280.
+ sss
** • Actually nevermind, pretty sure he's saying copper. Ty anyway. - sss
** • any more help? Sentence before and after? Diagnosis? - more info?
**** • Patient is undergoing a leukemia workup. - sss
** • forgot the period after 133. - sss

• s/l near thump Snellen chart
+ Alicia
** • near point ? - nnm
**** • Makes sense. Already sent in - Alicia
** • Sending in for query - Alicia

• The test for the __ shows elevated chromosome 16 ratio
+ WAV
** • answer is PGS - thank you everyone!
** • "Test for the PGA" is what I hear and it seems to get good Google support. - taco
**** • sounds like ?PZS or PCS cannot verify either - ??
****** • I don't know. I listened again and it sounds pretty clearly like PGA to me, and it fits. - taco
******** • I think the "S" sound you're hearing is from "shows" - t
** • Chorionic villus sampling (CVS) maybe? - b k l o l i
**** • I feel like the first letter is a P and not a C, what do you think? - ?
****** • i am not sure if I hear P or B. - b k l o l i

• elbow exam. S/l murkin maneuver
+ sm
** • It's probably milking. Googled "merkin maneuver elbow" no quotes. - nm
** • empty can? - wag

• Sound file editor
+ pie

• All skin _______were elliptically excised
+ wav
** • Old skin scar elliptically excised..... - think I got it
**** • good job - I couldn't make it out at all. - t
****** • thanks - !

• She had a scan a year ago that showed ____ dilatation of the ventricular system and
+ mp3
** • ex vacuo (see link) + Questyr
** • ex vacuo - poi
**** • Thank you so much! - op

• Diagnosis: Peritonitis from ileocolonic anastomotic leak with ilieocol ...
+ wav
** • ileocolic *fistula* following closure of the ostomy?? - poi
**** • ... - thank you
** • ____ from the ostomy - isgal
** • Can you back up a bit? It starts right at the blank - isgal
**** • done that + wav

• He has regular bowel movements which vary from 1-2 per day after he co ...
+ wav
** • ... - thank you
** • Malecot's catheter - poi
** • #2 Malecot's catheter - isgal
** • 1. Metamucil - poi

• There is a _____ pacemaker noted.
- isgal
** • one lead - poi
**** • Thanks a lot. - isgal
** • hint? sound file? - poi
**** • oops, sorry, I put up an mp3 but forgot to indicate that. - isgal

• Preoperative Diagnosis: ABNORMAL UTERINE BLEEDING SECONDARY TO HYPE ...
+ wav
** • posterior flexion - poi
**** • Thanks a lot. - guy

• Preoperative Diagnosis: A 37-YEAR-OLD GRAVIDA 3, PARA 2-0-1-2 WITH ...
+ wav
** • the stitches?? - poi
**** • Thanks a lot. - guy

• Preoperative Diagnosis: SAGITTAL CRANIOSYNOSTOSIS. Procedure ...
+ mp3
** • got the second blank. thanks. + guy
**** • ...modified scalp incision? - what I hear
****** • Thanks a lot. - guy

• He has been using a ___ boot for his right leg and has been relatively sedentary sm
+ Wav :)
** • sounds like cold boot to me, which could make sense, but hard - to be sure.
** • tried but could not get it. sorry - guy

• Preoperative Diagnosis: A 20-YEAR-OLD GRAVIDA 2, PARA 0-0-1-0 AT 20 ...
+ wav
** • got it. thanks. - guy

• REVIEW OF SYSTEMS: Left flank pain, left lower quadrant pain, cough _____ hematuria.
- WAV :)
** • cough with sputum, hematuria? (cut off) - billybob
**** • Thanks. - :)

• The palpation of turbinates showed the a fibrotic ________ probably from prior surger
+ mp3 posted
** • showed they were very fibrotic/hard, probably - nm
**** • Thank you. - mp3 posted

• a urine demonstrated __ growth of E coli at more than 108/L with some pyuria
+ WAV
** • pure - nm
**** • thank you nm! - ft

• medication: s/l Suh - VAL - uh - Vair
+ MT10
** • sevelamer - taco
**** • Thanks much! - MT10

• We will do an ultrasound of the kidney to rule out hydronephrosis ______. sm
+ WAV :)
** • or other underlying pathology - isgal
**** • thank you. - :)

• showed 3 cm lesion of _____ with dense periphery
+ mp4
** • decreased attenuation? - nm
**** • thanks - -

• 7 mm shift of midline ______ to the right
+ mp3
** • structures - b k l o l i
**** • thank you - -

• UA itself was unremarkable with 50 of glucose and _______. Patient was also sm
+ wav :)
** • 2 RBCs - nm
**** • Thank you! - :)

• EGD
+ sm please
** • incisura - taco
**** • Thank you! - nm

• The patient appears alert and *bitted*, is able to answer all questions
+ sm
** • oriented? - poi
**** • can't hear that - kind of sounds like bedded - nm
****** • bedded would make sense - just means in bed - taco
******** • ok, thanks - :)

• there is no doubt that some of her symptoms do worsen with __ products
+ WAV
** • flour ? - nnm

• He is very active in sports. He does soccer, surfing, and ____ without any issues.
- mp3
** • never mind, got it - op

• Amplatzer Duct Occluder or Amplatzer duct occluder?
- caps ?
** • Amplatzer is the trademark and other words are generic, so Amplatzer capped only. - Oasis
**** • ... - thans
****** • ... - sorry - thanks

• Once this was done, tourniquet was let down to identify any bleeding v ...
+ wav
** • This was also the time where there... (He corrected himself after "After." - isgal
**** • Thanks a lot. Thanks for the correction. - guy



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