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I am doing a dictation report in Urology and in the list of impressions, the doctors dictates: Hyponatremia, probably secondary to hyperglycemia. (sounds like he says "transficate" artificial and "transficies" amd Zarololyn. These words beginning with "t" have me stumped and in all my time of transcribing, cannot comprehend what is actually being dictated relating to the condition. Can anyone help me out? Thanks in advance.