On Physical Exam:
Rectal: ________ (s/l talor) motions were intact. Point to point was intact. Sensation was normal.. ?????? She is NOT saying sphinter... ...
New Gastro doc. Sounds like he is saying:
"Rectal tone is normal (s/l) 'oh-tuh-high'. There were no masses palpable."
It sounds like he's saying it as one word. (No accent.) ...
Rectal exam reveals 2 irritated s/l KOFFA-like lesions noted at the rectum. These do not appear to be thrombosed hemorrhoids.
A: Probable anorectal HPV.
P: Treat with Aldara cream.
Thanks for your help. ...
I am unable to find this. Doing a rectal exam and the doc says what sounds like "Card control is good". Is that correct? Is it an abbreviation? Thinking of everything it might be and just not getting it. ...
The physician is saying ileovesical fistula. Verbatim account but can make small changes to make correct. Is ileovesical a word or should I change this to colovesical? I can't find ileovesical documented anywhere. ...
because of the diameter of the AV fistula, we decided to primarily repair this with interrupted 6-0 Prolene. This did not compromise or lose/loose lumen/lumina of/or fistula, but yet repaired the defect. ...
I can't figure out this one word.
s/l ray-tack or ray-tech
Methylene blue was injected into the 11 o'clock fistula opening and there was no excretion into the 10 o'clock one but there was a little staining on a (raytack) that was placed in the anal canal.
Thanks ...
Would really appreciate any help with this "needle" please. A child is having a fistula repair. Thank you.
Next, 1% Xylocaine with 1:100,000 epinephrine was infiltrated subcutaneously around the subcoronal fistula site for hemostasis and a circular incision was marked around the fistula tract. This incision was made with a 15 scalpel blade superficially through the epithelium only. Using 6-0 PDS sutures on a * s/l beevuan* needle as traction sutures, the surroundi ...
I managed to squeak through the rest, but the drainage at the end stumps me.
"Prior to closure, *15 round Foley colluded blade* drains are brought out through lateral stab incisions secured with 2-0 nylon suture." Thanks! ...
Is there any clear way to know how I&D should be expanded? Am I correct to assume irrigation and debridement for a wound and incision and drainage for an abscess?
What about for a paronychia? Right now I have a patient who was I&D'd recently for a paronychia, which is an abscess, so I assume it was incised and drained, but it also says the nail was debrided. ...
Patient is having evaluation for tonsils and adenoids. Doc says: "Patient had a s/l clerbitous postnasal drainage. No mass or lesion noted in the oral cavity."
He speaks really fast, so this might even be "clear something nasal drainage." I'm just not sure what this might be. Any ideas? Thanks. And the "a" could just be a pause. Again, not sure.
...
Pt with adenocarcinoma of hte distal rectum.
An almost hemi-circumferential flat tumor within depression and bleeding that extended to the "pec nee ah" line was notable, which was also palpable on rectal exam. ...
I mean I must have come across this before and if I have and have typed pussy drainage, I guess I never really thought it sounded funny... but tonight it does and Im totally confused. With pus translate to pussy when describing a wound's drainage? Or should I change it to pus-like drainage? ...