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May 12 17:11
• canal finder was used to *breathe* the canal of both the proximal
+ sm
** • debride? - taco

• . It was *nebulized* and mobilized so that the neighboring soft tissues could easily
+ ?
** • medialized? - taco

• allergy to Maxolon as well as an old anaesthetic, ____ to which she developed anaphyl
+ WAV
** • anyone have even a guess? - ??

• right pleural effusion is _______ and she is referred now
+ wav
** • chylous - taco
**** • thank - you

• a place to camp in Oregon or Washington?
+ RMT
** • Flagging it and moving on. Thanks anyway! ~ nm - RMT
** • I'm not hearing Snake River or Two Rivers ~ nm - RMT

• that her right pleural effusion is *callus* and she is referred now
+ ?
** • pleural cavity and pink *callus* fluid was aspirated + can't be...

• normal diastolic dysfunction
+ SUN
** • How can it be explained that doctor is right? ... + SUN
**** • I would think it is up to the doctor to do his/her own explaining. - Questyr
** • normal diastolic dysfunction + sun
** • There are over 6000 hits on Google, several in medical journals. Also the general rule sm + :)

• Lethargy, falls and __________ .
- :) wav

• The patient also had a very high blood pressure at presentation, which has sm
+ :) wav

• The patient has a history of heavy alcohol intake and the patient has, __________ sm
+ wav :)

• History has been obtained from the __________ obtained from the ER physician.
- wav ;)
** • If he was just changing his mind as to what he said, then I + Questyr
**** • got it. Sign out received. Thanks. - :)

• An awl was then used for entry point on the femur. The femur was then ...
+ wav
** • R U sure doc said "sizer was based"...just seems he might have said "placed" - Questyr
** • 5 degrees valgus right. - billybob
** • nevermind. - guy

• The patient is a 68-year-old female with a history of bilateral valgus ...
+ wav
** • knees and severe lateral - Questyr
**** • Thanks a lot. - guy

• some type of scan used to help in diagnosis of parkinson's
- s/l deltamine
** • dopamine? - taco

• Oncology
+ b o h b c p
** • 12.6 distending? - Oasis

• knee rehab scooter or a *migo* or**mego*?
- j b k m b e
** • never mind found Amigo - j b k m b e

• Preoperative Diagnosis: RECTAL MASS. Procedure: EXAM UNDE ...
+ wav
** • DRE mass.........and poor sphincter tone. Sigmoidoscopy mass - nm
**** • Thanks a lot. - guy

• The patient was then prepped and draped in the usual sterile fashion. ...
+ wav
** • got it. thanks. + guy

• When the distal interlocking screw was removed from the nail, purulent ...
+ wav
** • bolt - poi
**** • Thanks a lot. - guy

• Differential includes CNS versus arrhythmia versus s/l*Fago syndrome* vs dehydration
- Pls help
** • ???vagal??? (see link)....see what you think + Questyr
**** • yes it is ....thank you - g c o o h o

• The cord was clamped x2 and cut. The infant was handed to the waiting ...
+ wav
** • 1. presenting part ..2. vertex - poi
**** • Thanks a lot. - guy

• Procedure: TERTIARY LOW-FLAP TRANSVERSE REPEAT CESAREAN SECTION WIT ...
+ mp3
** • Liletta - nm
** • no luck here either...sorry - poi
**** • Thanks for the effort. - guy

• Preoperative Diagnosis: A 33-YEAR-OLD GRAVIDA 3, PARA 2-0-0-2 AT 30 ...
+ wav
** • #2 scheduled for? No clue on #1 - poi
** • 38 not 30 - poi
**** • Thanks a lot. Thanks for the correction. - guy

• Further dissection carried down using low current Bovie cautery until the lamina sm
+ wav :)
** • Could he be saying "until the laminae of the L5 and S1 nerve roots were exposed." ??? - Questyr
**** • yes when I relistened that was what he said. He is stumbling over a lot of this report. - :)
**** • Even if he may have said lamina...you would need the plural the way the + Q

• Edema __________ . She has significant lower extremity edema.
- wav :)
** • does he usually give punctuation? WAG - Edema (colon) - poi
**** • no he does not say this on everything. it sounds to me like he is saying including sm + :)
****** • sorry, I don't hear that. My other thought was *in groin* - poi
******** • I have already sent several in with blanks on that. I am going to get some feedback sm + :)

• With good exposure, we then opened up the peritoneum overlying the bla ...
+ wav
** • this then was - poi
**** • Thanks a lot. - guy

• The patient is a 69-year-old gentleman with workup for microhematuria. ...
+ wav
** • suspicious - poi
**** • Thanks a lot. - guy

• After the consent was confirmed in the preoperative holding area, the ...
+ mp3
** • nevermind. - guy

• The patient presented to emergency department on 08/26/16 with severe ...
+ wav
** • diagnostic biopsy #3 - nm
** • periureteral collection, unable to rule out urinoma #1 - nm
**** • Thanks a lot. - guy

• The patient is a 52-year-old man with a history of nephrolithiasis wit ...
+ mp3
** • interventions - nm
**** • Thanks a lot. - guy

• Preoperative Diagnosis: URETERAL OBSTRUCTION, RIGHT. Procedu ...
+ wav
** • 1. No extravasation on retrograde pyelogram or... - poi
**** • I can't get #2 - poi
****** • Thanks a lot. - guy

• INTRAOPERATIVE FINDINGS: 1. Intercartilaginous incision performed ...
+ wav
** • Pogonion. Thanks to poi. - guy
** • pogonion - The most anterior point of the chin on the mandible in the midline. Also called + poi
**** • good solve, poi - t
****** • Thanks I was coming up blank looking in the nose, but guy threw me the chin clue + poi
******** • you were looking in whose nose? - haha
**** • Thanks a lot. - guy

• This is adjusted with silver nitrate with resolution. He has no other ...
+ mp3
** • toxic habits - poi
**** • Thanks a lot. - guy

• Preoperative Diagnosis: HISTORY OF NASAL BONE FRACTURES, EXTERNAL N ...
+ wav
** • pogonion - poi
**** • never heard that word before - I like it! - t
**** • Thanks a lot. You saved me 4 blanks. - guy
****** • totally new word for me! - poi

• Preoperative Diagnosis: BILATERAL _____ ULCERATIONS. Procedu ...
+ wav
** • pedal - taco
**** • Thanks a lot. - guy

• with nausea, vomiting, diarrhea, some s/l chicken feelings, and dizziness. TIA!
+ hmm?
** • Thanks for the suggestions. Not clear to me, so flagging and moving on. - OP
** • shaky/shaking? - nm
** • chilling? - Oasis

• Depo, depo (lower case), or depot? Thanks!
+ tlh
** • ... + b l k h p o
** • depot (generic) - taco

• help with "index pregnancy" sm pls
+ mt
** • Maybe "In this pregnancy, " ??? - b k l o l i
**** • exactly what I was thinking... - t
** • flagged - mt

• all soft tissue _____ for the rotator cuff repair.
+ wav
** • to prepare for? - taco
**** • ty - -

• Internal rotation *sick sickle* level
+ sm
** • C6? - b k l o l i
**** • or thoracic 6? (to account for the "sick") (internal rotation is to a vertebral level) - taco
****** • I like yours better. C6 would make ya sort of a contortionist me thinks. - b k l o l i
******** • thank - you

• continue using a cane to diminish ________ on left side
+ mp4

• enlargement due to *pretty* changes of the
+ sm
** • arthritic? - nm
**** • thanks - -

• had marked ______ prostatic hypertrophy
+ mp3
** • trilobar - nm
**** • thanks - -

• control of her fasting _______ postprandial
+ wav
** • and 2-hour - nm
**** • ty - -

• The patient also __________ history of __________ .
- wav :)
** • also comes with? - wag
** • micturia so we will do a bladder scan ____ to rule out obstructive uropathy. - b k l o l i
**** • i think it is hematuria, not micturia - b k l o l i

• The patient has nonspecific left-sided __________ chest pain.
- wav :)
** • gotit. - :)

• Pelvis ultrasound shows a __________ vascular 6.3 cm mass in the anterior ______, sm
+ wav :)
** • heterogenous ... uterine fundus ... given interval change in order to... - m i f c c m
**** • Thanks so much. - :)

• SKIN: The patient has __________ discoloration, has pallor positive.
- :) wav
** • Your WAV not there. - Questyr
**** • it will not even load that page for me. - :)
****** • it's there now. - :)
******** • ???underlying??? - Questyr
********** • Thanks. I thought that's what I was hearing. - :)

• Care was taken not to expose this. A back cut was made in the left po ...
+ wav
** • sorry it is too late but I think it is galea incision. - :)
**** • You may be right with galea (or galeal), but I don't think + Q
****** • Galea incisions used a standard blade tip, set on coagulating mode, with power of 20 W sm + :)
******** • You are right though that is not incision. She is saying galea region but sm + :)
********** • Thanks a lot. i was hearing region also. - guy
********** • Me too, but I can't make it out. - Q
************ • it just bugs me to get that close and not figure it all out. LOL - :)
************** • Fluff + Q
** • nevermind. - guy
**** • What was the answer? - Questyr



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