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Sep 2 20:15
• Med list - brief note - no PMH/HPI for help - .wav sent + msk
Fri Sep 3 04:16:48 2010 msk
Lipitor, diltiazem, ___, hydrochlorothiazide.
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Fri Sep 3 04:20:22 2010 KB
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• s/l ? punctable? s/m + m i m e f p
Fri Sep 3 04:02:54 2010 m i m e f p
Today’s examination of the breast showed skin of the breast nipple area is normal. No masses in either breast. No s/l ?punctable? abnormalities. Lymph nodes are not enlarged.
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Fri Sep 3 04:10:53 2010 Mano
Palpable ?
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Fri Sep 3 04:12:06 2010 m i m e f p
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• go to the *supracasmatic* cistern and open it. + d
Fri Sep 3 03:20:51 2010 d
We followed it and identified all the major vessels. Then we followed the A1, go to the ________ cistern and open it and empty CSF space.
PROCEDURE/OPERATION
Left pterional craniotomy and clipping of the anterior communicating aneurysm.
ESL with very strong accent. I've googled, checked several anatomy sites and checked archives and I'm not finding anything with my spelling.
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Fri Sep 3 03:26:18 2010 OP
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• EMG/nerve conduction study showed neuropathic and myopathic "units." + idk
Fri Sep 3 02:23:37 2010 idk
Muscle biopsy showed no evidence of myopathic component. EMG/nerve conduction study showed neuropathic and myopathic "units." The patient had additional lab work.
ESL doc. Patient with numbness and tingling of leg and foot.
Thanks for the help!
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Fri Sep 3 03:15:28 2010 Jax
Electromyography (EMG) – refers to direct examination of skeletal muscles using needle a small needle electrode. This is to look at the stability of muscle membrane, denervation/injury potentials, the muscle unit action potential, and the recruitment pattern of the muscles. (Translation: to see if a muscle is irritable, crying for help, neuropathic-appearing, myopathic-appearing, or weak).
He may be using units as a shorthand for muscle unit action potential, saying that the patient had neuropathic and myopathic muscle unit action potential.
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Fri Sep 3 02:29:25 2010 d f l l n n
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Fri Sep 3 02:30:04 2010 idk
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• what a way to express something - she is mobile with a wheelchair - strange
Fri Sep 3 01:27:08 2010 strange
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Fri Sep 3 03:39:08 2010 i o n h p d
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Fri Sep 3 03:43:58 2010 Mano
Ambulates means "to move about"
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Fri Sep 3 02:07:05 2010 d f l l n n
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• WAV. allergy + wav
Fri Sep 3 01:21:38 2010 wav
ALLERGIES:
_____ SOLUTION.
VICRYL SUTURES.
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Fri Sep 3 01:38:49 2010 sound files deleted
accuracy).
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Fri Sep 3 01:41:06 2010 Mgt's fan
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Fri Sep 3 01:29:36 2010 OP
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Fri Sep 3 01:23:23 2010 OP
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Fri Sep 3 01:38:21 2010 Mgt's fan
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Fri Sep 3 01:38:54 2010 Mgt's fan
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Fri Sep 3 01:40:40 2010 Mgt's fan
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Fri Sep 3 01:41:22 2010 OP
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Fri Sep 3 01:44:35 2010 Mgt's fan
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Fri Sep 3 01:51:40 2010 OP
left some patient ID info in them. Though you never know. Especially since I was being accused of "hogging" the system. :/ Which system might not even be here if I hadn't posted the first sound file (on my own) ever posted on this board some years ago. Whatever. Y'all have fun, now. ;)
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Fri Sep 3 02:19:16 2010 pat pat
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Fri Sep 3 02:34:07 2010 :}
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Fri Sep 3 01:26:58 2010 don't hog both
please.
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Fri Sep 3 01:29:15 2010 OP
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Fri Sep 3 01:44:52 2010 thanks though
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• neuroforamen or neural foramen - ortho
Fri Sep 3 00:03:42 2010 ortho
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Fri Sep 3 00:22:14 2010 d f l l n n
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Fri Sep 3 00:06:35 2010 Mgt's fan
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• THis med was spelled out as 'bunetide' any ideas what it could really be? + THanks!
Thu Sep 2 23:36:56 2010 THanks!
PMH: hypertension, hypercholesterolemia, and essential tremor
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Thu Sep 2 23:55:32 2010 Mgt's fan
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Fri Sep 3 00:24:33 2010 d f l l n n
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Fri Sep 3 00:46:22 2010 Mgt's fan
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Fri Sep 3 00:50:59 2010 Mgt's fan
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Fri Sep 3 00:26:21 2010 k e k n n i
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Fri Sep 3 00:26:53 2010 k e k n n i
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• Looking for a Dr. s/l Mc oon tuck in nj. no other info was given. any ideas? - me
Thu Sep 2 23:32:04 2010 me
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Fri Sep 3 00:26:01 2010 op
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Fri Sep 3 00:35:14 2010 d f l l n n
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Fri Sep 3 00:25:37 2010 d f l l n n
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• Mobilization of colon during duodenectomy to complete s/l Katavarush + maneuver.nm
Thu Sep 2 22:50:48 2010 maneuver.nm
nm
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Thu Sep 2 22:54:07 2010 poi
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Thu Sep 2 22:58:05 2010 poi
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Thu Sep 2 22:54:02 2010 Mgt's fan
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Thu Sep 2 22:57:08 2010 Mgt's fan
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Thu Sep 2 23:09:04 2010 nm
nm
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• Echo question, please sm.......... + Jax
Thu Sep 2 22:36:49 2010 Jax
List of labs and studies performed:
Standard echocardiogram which revealed the s/l "sandy" contrast injection during low power reveals some enhancement of soft tissue mass in right atrial and IVC junction suggesting intratumor vasculature. Additional thrombi cannot be excluded.
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Thu Sep 2 22:54:06 2010 Jax
have it for future reference?
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Thu Sep 2 22:55:25 2010 poi
link
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Thu Sep 2 23:01:34 2010 Jax
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Thu Sep 2 23:03:26 2010 poi
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Thu Sep 2 22:47:22 2010 poi
contrast agents for use in echocardiogram, Optison and Definity. Sound like either of those?
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Thu Sep 2 23:07:59 2010 Mgt's fan
link above.. (somehow, I am unable to)..
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Thu Sep 2 22:49:22 2010 Mgt's fan
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• pls help with wav B + f e f d c n
Thu Sep 2 22:11:59 2010 f e f d c n
We discussed the various risks and benefits of implantation including capsular contracture, infection, hematoma, need for re____________, asymmetry, loss of nipple sensation
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Thu Sep 2 22:20:37 2010 poi
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Thu Sep 2 22:23:08 2010 poi
Repair or revision surgery
Regardless of the type of implant, it is likely that women with implants will need to have one or more additional surgeries (re-operations) over the course of their lives. Breast implants do not last forever. According to studies conducted by implant companies for the U.S. FDA, they sometimes only last a few years. Most common indications for re-operations have included major or minor complications, capsular contracture treatment, and replacement of ruptured/deflated implants.[64] Re-operation rates are predictably more frequent in breast reconstruction cases due to the dramatic changes in the soft-tissue envelope and anatomical breast borders after mastectomy, particularly when patients have received adjuvant XRT.[64] Breast cancer patients also frequently undergo staged procedures for reconstruction of the nipple-areola complex (NAC) and symmetry procedures on the opposite breast.
It appears that re-operation rates in cosmetic cases can be improve
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Thu Sep 2 22:25:47 2010 f e f d c n
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• PTT 24.5, INR 0.9. _______2.7, uric acid 6.5, amylase 50, lipase 36. ... + wav
Thu Sep 2 21:45:39 2010 wav
PTT 24.5, INR 0.9. _______2.7, uric acid 6.5, amylase 50, lipase 36.
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Thu Sep 2 22:18:48 2010 hi i got it
with D-dimer
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Thu Sep 2 22:20:37 2010 Mgt
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Thu Sep 2 22:17:47 2010 tnx
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Thu Sep 2 22:05:47 2010 poi
and D-dimer is the only thing I find searching.
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Thu Sep 2 22:20:01 2010 Mgt
Unable to cinch down AFT or AFP as a method, qualitative or quantitative, of measuring D-dimer, but that's my suspicion.
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Thu Sep 2 21:51:11 2010 billybob
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Thu Sep 2 22:00:51 2010 billybob
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• .The left lower extremity is wrapped and very dense dressing and _____ ... + mp3 help
Thu Sep 2 21:36:19 2010 mp3 help
.The left lower extremity is wrapped and very dense dressing and ________. We did not ________that dressing due to fact that it was dry and intact and that the family has limited resources for replacing the dressings that are already on.
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Thu Sep 2 21:43:49 2010 tnnnnnnnnnnnnxxxxxxx
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Thu Sep 2 21:37:24 2010 poi
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Thu Sep 2 21:38:37 2010 poi
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• s/l stratis? underlay + f e f d c n
Thu Sep 2 21:10:40 2010 f e f d c n
She tolerated the hernia repair without difficulty and she was repaired primarily with a s/l stratis? underlay due to fascial weakness.
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Thu Sep 2 21:15:53 2010 poi
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Thu Sep 2 21:16:23 2010 poi
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Thu Sep 2 21:18:55 2010 f e f d c n
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• His tumor is ________ mutant. ... + wav
Thu Sep 2 20:51:52 2010 wav
His tumor is ________ mutant.
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Thu Sep 2 21:33:38 2010 tnx poi
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Thu Sep 2 21:02:53 2010 poi
link
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• comma... + qwert
Thu Sep 2 20:24:35 2010 qwert
XXX is a 64-year-old gentleman with complaints of pain into the left thigh and weakness into the legs, in particular in the left leg.
need comma after "particular" ?
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Thu Sep 2 21:10:56 2010 Carol
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Thu Sep 2 21:10:04 2010 kaz
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Thu Sep 2 21:30:50 2010 kaz
HADN'T put. So when I say, "I wouldn't put one there," I'm answering her question of whether she needs a comma after "in particular". I think that you and I are in agreement, Carol, but just wanted to make it clear to the op.
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• how to type L1-L2 w/o the hyphen? Acct specs: No hypens. + dd
Thu Sep 2 20:02:00 2010 dd
paraspinal muscle tenderness at L1-L2.
I am not sure how to type L1-L2 without the hyphens. We can use no hypens on this account.
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Thu Sep 2 22:21:37 2010 needsleep
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Thu Sep 2 22:31:06 2010 ?*(
the same thing as a -. but I'm so sick of accounts just going willynilly on all this stuff. MTing is going down the freaking tubes. A lot of my friends got laid off from their companytoday,
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Thu Sep 2 22:44:44 2010 needsleep
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Thu Sep 2 20:40:40 2010 Mgt
I don't believe accounts have the "standing" to demand that MTs depart from industry "best practices." If all providers of MT services were to "hang tough," you'd think the deviant accounts would have to relent. Can't the AMA exert influence? supposedly AMA and AHDI collaborate on medical language issues.
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Thu Sep 2 20:47:02 2010 however,
compatible with the account printers. The company is the one who is culpable here.
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Thu Sep 2 20:16:08 2010 LiliK
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Thu Sep 2 20:36:15 2010 ick is right
this is a mess.
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Thu Sep 2 20:06:12 2010 ?
should tell you what to do. Why no hyphens. That is absurd!
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Thu Sep 2 20:08:39 2010 dd
The hypens were not coming through on the client's end, so they said to not use them at all. It has not been that much of an issue until this problem. I just sent to QA. :) It has me stumped though.
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Thu Sep 2 20:10:51 2010 ;D
the platform.
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Thu Sep 2 20:16:09 2010 dd
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Thu Sep 2 20:16:37 2010 dd
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Thu Sep 2 20:35:18 2010 Oh MY
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• pls help with wav A + f e f d c n
Thu Sep 2 19:41:25 2010 f e f d c n
he needs significant aggressive nutritional support and continued support on the _________ mattress for healing of this wound.
The patient has sacral pressure sore.
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Thu Sep 2 19:44:40 2010 reseach. nm
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Thu Sep 2 19:51:06 2010 f e f d c n
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Thu Sep 2 19:45:32 2010 nm
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• I think that the exercise she gets _______she gets some of this is wor ... + wav
Thu Sep 2 19:30:25 2010 wav
I think that the exercise she gets _______she gets some of this is worth __________.
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Thu Sep 2 19:37:29 2010 in gold. nm
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Thu Sep 2 19:40:24 2010 awesome nm
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• s/l rea + tina
Thu Sep 2 19:18:25 2010 tina
Specifically, there was a normal-appearing thymus and no lymphadenopathy within the mediastinal "s/l rea" hilar region and axillary regions in either side. The lungs were clear.
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Thu Sep 2 19:51:53 2010 Carol
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• please sm + amanda
Thu Sep 2 18:57:15 2010 amanda
IV fluid given with 200 mL normal saline bolus and then D5 quarter-normal saline at maintenance 60 mL/hour.
Is this correct...she is stumbling all through this. Thanks.
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Thu Sep 2 18:59:37 2010 nm
they gave her a 200 mL bolus of normal saline and then started D5 quarter normal saline at a maintenance (rate) at 60 mL/h
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Thu Sep 2 19:00:21 2010 e b m g h n
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• see msg + matt
Thu Sep 2 18:49:48 2010 matt
. Contrast was injected and revealed good blood flow with some retention of contrast _s/l "into"_ large pseudoaneurysms.
Px has 2 large pseudoaneurysms.
could it be "in 2"???
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Thu Sep 2 18:58:39 2010 e b m g h n
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• S/L "bayler" + e h g k b h
Thu Sep 2 18:49:13 2010 e h g k b h
Interdental wires were released by "bayler, cut and removed first from the upper maxilla and then the lower maxilla, and the arch bars were removed totally with no difficulty.
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Thu Sep 2 18:55:34 2010 OP
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Thu Sep 2 18:58:06 2010 nm
were using the term baler as in a similar piece of equipment like they use to bale hay, but no luck so far.
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• opinion needed + SM
Thu Sep 2 18:45:32 2010 SM
On examination, she was a well-developed, well-nourished woman in no immediate discomfort. Spurling, Tinel, and Phalen signs were negative. She had a positive Tinel sign over the ulnar nerves on both medial epicondyles about equal side to side. Strength was good. There was no wasting.
Is MD making a mistake by saying Tinel in first sentence?
Not sure if I should delete the first Tinel. thanks
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Thu Sep 2 18:53:15 2010 poi
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Thu Sep 2 18:57:17 2010 thanks both.
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Thu Sep 2 18:47:52 2010 nm
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• It showed a descending and sigmoid diverticulosis without evidence of diverticulitis. + Thanks.
Thu Sep 2 18:44:01 2010 Thanks.
It showed a small fat-containing umbilical hernia and dilatation of the common bile duct likely related to reservoir effect status post cholecystectomy and a 1.4 cm low-density lesion near the s/l south-a-from ligament.
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Thu Sep 2 18:46:33 2010 Carol
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Thu Sep 2 18:49:02 2010 OP
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• Pt is s/l hubbering her arm near her torso to minimize pain. - h o o f f h
Thu Sep 2 18:40:14 2010 h o o f f h
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Thu Sep 2 19:40:28 2010 OP
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Thu Sep 2 18:41:38 2010 h o o f f h
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Thu Sep 2 18:40:51 2010 billybob
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Thu Sep 2 18:40:40 2010 wild guesses
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• She did have an endoscopy completed on 07/26/2010 that was normal. In addition sm + WAV
Thu Sep 2 18:30:00 2010 WAV
she had a colonoscopy with _____ biopsy completed on 07/27/2010.
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Thu Sep 2 18:33:49 2010 poi
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Thu Sep 2 18:37:43 2010 OP
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Thu Sep 2 18:36:26 2010 nm
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Thu Sep 2 18:37:38 2010 poi
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Thu Sep 2 18:32:47 2010 m
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Thu Sep 2 18:33:35 2010 Thanks again.
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• help + wav
Thu Sep 2 18:20:41 2010 wav
STUDIES: Left heart catheterization performed in 2005 demonstrates an EF of 15% with a totally occluded ostial LAD with collateral from RCA and non-obstructive disease in CRCA.
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Thu Sep 2 18:26:54 2010 THANK YOU VERY MUCH
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Thu Sep 2 18:40:17 2010 :)
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Thu Sep 2 18:25:04 2010 ???
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Thu Sep 2 18:23:38 2010 nm
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Thu Sep 2 18:38:56 2010 night at least 15
times, lol. She started switching from mp3's to wavs and vice versa, but it is usually the same few dictators over and over again, all clearly speaking English. Wonder if her teacher (or employer!) knows how much of the work people here actually do for her, lol. An accurate document is the key though, right?
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Thu Sep 2 18:26:14 2010 (sounds ok:-) Mgt
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Thu Sep 2 18:27:51 2010 nm
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Thu Sep 2 18:25:14 2010 lol NO
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Thu Sep 2 18:23:22 2010 so its correct ?
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Thu Sep 2 18:25:19 2010 correct. FSMT
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Thu Sep 2 18:26:21 2010 FSMT
very vague.
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Thu Sep 2 18:22:22 2010 FSMT
what you already have here.
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• mp3 - pls check below
Thu Sep 2 18:17:07 2010 pls check below
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Thu Sep 2 18:20:02 2010 uploaded in
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• check it pls + wav check it
Thu Sep 2 18:08:28 2010 wav check it
STUDIES: Left heart catheterization performed in 2005 demonstrates an EF of 15% with a totally occluded ostial LAD with collateral from RCA and non-obstructive disease in CRCA.
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Thu Sep 2 18:14:04 2010 some problem
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Thu Sep 2 18:12:00 2010 pls check mp3
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Thu Sep 2 18:11:47 2010 m
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• help + mp3
Thu Sep 2 18:05:49 2010 mp3
Patient is married with 2 children, 4 grandchildren, lives in _______.
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Thu Sep 2 18:10:32 2010 nm
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Thu Sep 2 18:11:45 2010 thanx
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• Potassium 5.6. Will monitor but no "crag pit" for now. (Not Kayexalate). + TIA nm
Thu Sep 2 18:03:07 2010 TIA nm
nm
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Thu Sep 2 18:09:02 2010 nm
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Thu Sep 2 18:13:55 2010 Thanks. nm
nm
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• S/l pronouncing "air gel" but spelling s/l "a y i capital GEL" 1 puff each nostril - daily.
Thu Sep 2 17:59:15 2010 daily.
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Thu Sep 2 18:10:51 2010 OP
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• Stop spelling PLEASE. lol. risperidone R E S P E R A D O N. - lolol
Thu Sep 2 16:59:22 2010 lolol
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• Patient with grypsosis, shingles and "triricular" changes present. No board and care + will take him.n
Thu Sep 2 16:49:40 2010 will take him.n
nm
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Thu Sep 2 17:00:07 2010 Margaret
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Thu Sep 2 17:01:38 2010 nm
nm
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• ESL doc, not very familiar with her, have googled everything I can think of, pls sm + Cremsmom
Thu Sep 2 16:48:28 2010 Cremsmom
Indication for the procedure was very large renal pelvis with pyelocaliectasis and apparent right UPJ obstruction on CT scan.
Findings: Retrograde pyelogram reveals normal distal and midureter, narrow segment on UPJ location, and quite dilated ______ s/l pie-ron
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Thu Sep 2 17:04:53 2010 Margaret
Believe "pyelon" is Latin meaning "pelvis."
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Thu Sep 2 18:35:34 2010 admin
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Thu Sep 2 17:27:57 2010 poi
and criticize but not stick your neck out to try and help.
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Thu Sep 2 17:49:29 2010 spout #33.
should use it. How about that!
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Thu Sep 2 18:19:00 2010 Margaret
What is not acceptable on this Board is you ad hominem belittling, sour, negative and tiresome attitude. Maybe you took fewer years of Latin in school than I did. I realize you are constitutionally predisposed to disbelieve ANYTHING I say is EVER correct. Well, occasionally You are wrong. And Thank You! I feel better now!
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Thu Sep 2 21:41:48 2010 admin
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Thu Sep 2 17:25:59 2010 Margaret
Search: In English Latin
Full-text search
Home Dictionary Laboratory results SYMPTOM & DIAGNOSIS SEARCH
pyelon
In English
renal pelvis, kidney pelvis, pelvis of the kidney
Description:
The renal pelvis is the funnel-like dilated proximal part of the ureter in the kidney.
Sponsor results:
Legend: add,
Colors: Editor, Contribution, Common spelling mistake;
2007-05-17 03:46:02 Other languages
Latin - pelvis renalis, pyelon
English - renal pelvis, kidney pelvis, pelvis of the kidney
Arabic -
French -
Spanish -
Italian - pelvi renale o bacinetto renale,
German - Nierenbecken,
Polish - miedniczka nerkowa,
Russian -
Slovak - obličková panvička,
Czech -
Romanian - pelvis renal, bazinet, lighenuţ. (înv.)
Hungarian - vesemedence
Swedish - njurbäcken
Port
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Thu Sep 2 17:27:40 2010 Margaret
http://www.super55.com/word.php?id=5980&lang=eng&word=%20pyelon
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Thu Sep 2 17:21:36 2010 Margaret
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Thu Sep 2 17:48:30 2010 spouting off more
your citation is wrong. I'm just saying that I've never ever heard that used by a doctor and I'm saying I seriously doubt that is what he said or meant.
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Thu Sep 2 17:09:26 2010 poi
translate on the report? Would you then type pelvis?
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Thu Sep 2 17:09:51 2010 poi
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Thu Sep 2 17:19:26 2010 Margaret
it appears primarily in scholarly peer-reviewed journals. Beyond my knowledge how to make the dictation "spiffy" for QA, now that I see that the word, quite well-accepted scientifically, hasn't yet "made the cut" into English language. "Pyelo-" is closer to doc's word, but "pelvis" is closer to his meaning.
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Thu Sep 2 17:06:24 2010 Margaret
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cut and paste characters:
α
β
γ
μ
π
²
³
¼
½
¾
¢
°
±
×
÷
≥
≤
©
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•
À Á Â Ã Ä Å à á â ã ä å
È É Ê Ë è é ê ë
Ì Í Î Ï ì í î ï
Ò Ó Ô Õ Ö Ø ò ó ô õ ö ø
Ù Ú Û Ü ù ú û ü
Ç ç Ñ ñ
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