The superior incision was performed of the "sounds like alips" and the Adair clamps were used against a green towel to elevate the flap which was then done using electrocautery and some dissection.

Is there anyone who may know what this word may be??

THANK YOU

I googled modified radical mastectomy incision and found the following:

http://findarticles.com/p/articles/mi_gx5198/is_2004/ai_n19119896/

Scroll down to the description paragraph and you will find your word.

HTH

Thank You, Thank You, Thank you I searched high and low for that.

Hi out there. I too am brand new to this and do appreciate your help. I am ready to turn in Quiz 30 but have one little blip left.

Moses Isaacs
HPI
complained of a very poor appetite and ________ with reported 250-pound weight loss recently.

Thank You Kathy

anemia

Anybody that can help with Quiz 31.....

(1) is it "noted" or "noticed"??

Rodney Samuels:
(2) PE: Chest: Fine _____ heard

(3) Extremities: Gross _____ edemas present.

(4) PLAN: Cardiac duplex ______ echocardiography.


Mary Davis:
(5) Her cholesterol was 485, triglycerides 3,235 and HDL cholesterol 18 ____________ deciliter.

(6) PAST HISTORY: Medication: ___________ x 1.

(7) PE: There is also _________ tenderness in the left upper quadrant.

(8) IMPRESSIONS: 3. Scleral injection, this may be related to the patients recent intemperate _________ of ETOH rather than conjunctivitis or acute inflammatory problem.

(9) PLAN: EKG and chest film CPK serum _____ total and direct protein serum albumin CBC and WBC with differential fasting 2-hours postprandial somnolence.


Jaime Chavez:
(10) LAB DATA: ______ vasculature appears normal.

(11) CARDIOCATH SUMMARY: With a heart rate of 58 the cardiac out-put had __________ illusion was 6.1,

(12) The _______ interval is 102 milliseconds, putative ventriculography is mild anterolateral hypokinesis;

(13) HEENT: Extraocular movements intact. _______ normal.

(14) NEUROLOGIC: Motor and sensory _______ grossly intact.

(15) FINAL DIAGNOSIS: Organic heart disease: 1. Etiology, ____sclerosis.


Arturo Silva:
(16) PMH: . _________ and IV ____ three years PTA.

(17) LAB DATA: AST 122, _____ 34%, hemoglobin 13.6

(18) ASSESSMENT: 1. Bilateral ________ bronchial pneumonia with probableabscess formation. Rule out sepsis. This pattern is typical of Klebsiella. Ordered exact _________ awaits results of the sputum culture.

(19) PROGNOSIS: It is also important to watch for the _______ of _______ treatments and treat with ______ valium if this should occur in addition. Recommend __________ gases q. 4-hours

(20) It is important that valium not be administered for DT’s until the patient’s arterial __________ is ________.


Robert Toda:
(21) PREOPERATIVE DIAGNOSIS
Status post _______ infarction with post infarction angina. Status post PTCA.

(22) PROCEDURE: which under hemodynamic monitoring was advanced to the left coronary ostium, engaged and ______ angiograms of the left coronary system were then obtained.


Randy Donnely:
(23) FINDINGS AND PROC:Consequently; a needle was placed into the sub-retinal space on two occasions ________ through the sclerostomy and scants fluid was released.


Any help would be GREATLY APPRECIATED!!!!

I have a couple issues that I'm trying to figure out on Quiz 31, Rodney Samuels...

PLAN

___________ digitalize, replace potassium, follow electrolytes...

Cardiac duplex _____________ echocardiography.

Thanks for any help!!

cardiac duplex 2-D echocardiography.

Thank you very much Jurob!!

I had the 1st one on Rodney Samuels Quiz 31 all wrong her, maybe this will help you figure out what I am looking for.

PLAN
_______________ 200 mg p.o. q.12 h. to begin with. Lasiz 40 mg IV now & 40 mg p.o. b.i.d.

Thanks!

Quiz 31 - Rodney Samuels HELP!!

PREVIOUS HISTORY
This is _________________ increasing ankle edema without chest pain. ??? this whole sentence sounds goofy.

Thank you ...

Quiz 31 - Mary Davis

HISTORY OF PRESENT ILLNESS
1. ....the patient stated she noted the onset of __________ pain especially in the left upper quadrant.

2. The patient stated that since the last episodes she had _________ though she denied making any dietary changes & miss her recent clean appointment.

3. PAST HISTORY
Medications: _____________ x 1.

4.Neurologic:
Examination for the pinprick and ___________ abnormalities is negative.

5. last sentence of the report
Recommending that pregnancy not be ___________.

Thanks for any help!!

Theo-Dur 200 mg

1. severe pain

2. since the last episode she had been relatively well though she denied making any dietary changes and missed her recent clinic appointments.

3. (Dr. misspeaks, should be) Operations: Cesarean section x 1.

4. vibratory

5. attempted.

This has been accompanied by increasing ankle edema without chest pain.

I have.... This has been accompanied by increasing ankle edema???

1. serious pain,
2. she had been relatively well
3. (i need that one also)
4. vibratory abnormalities
5. not be obtained

Thank U caw!!!

any help on my other ones.....?????

Anybody that can help with Quiz 31.....

(1) is it "noted" or "noticed"??

Rodney Samuels:
(2) PE: Chest: Fine _____ heard

(3) Extremities: Gross _____ edemas present.

(4) PLAN: Cardiac duplex ______ echocardiography.


Mary Davis:
(5) Her cholesterol was 485, triglycerides 3,235 and HDL cholesterol 18 ____________ deciliter.

(6) PAST HISTORY: Medication: ___________ x 1.

(7) PE: There is also _________ tenderness in the left upper quadrant.

(8) IMPRESSIONS: 3. Scleral injection, this may be related to the patients recent intemperate _________ of ETOH rather than conjunctivitis or acute inflammatory problem.

(9) PLAN: EKG and chest film CPK serum _____ total and direct protein serum albumin CBC and WBC with differential fasting 2-hours postprandial somnolence.


Jaime Chavez:
(10) LAB DATA: ______ vasculature appears normal.

(11) CARDIOCATH SUMMARY: With a heart rate of 58 the cardiac out-put had __________ illusion was 6.1,

(12) The _______ interval is 102 milliseconds, putative ventriculography is mild anterolateral hypokinesis;

(13) HEENT: Extraocular movements intact. _______ normal.

(14) NEUROLOGIC: Motor and sensory _______ grossly intact.

(15) FINAL DIAGNOSIS: Organic heart disease: 1. Etiology, ____sclerosis.


Arturo Silva:
(16) PMH: . _________ and IV ____ three years PTA.

(17) LAB DATA: AST 122, _____ 34%, hemoglobin 13.6

(18) ASSESSMENT: 1. Bilateral ________ bronchial pneumonia with probableabscess formation. Rule out sepsis. This pattern is typical of Klebsiella. Ordered exact _________ awaits results of the sputum culture.

(19) PROGNOSIS: It is also important to watch for the _______ of _______ treatments and treat with ______ valium if this should occur in addition. Recommend __________ gases q. 4-hours

(20) It is important that valium not be administered for DT’s until the patient’s arterial __________ is ________.


Robert Toda:
(21) PREOPERATIVE DIAGNOSIS
Status post _______ infarction with post infarction angina. Status post PTCA.

(22) PROCEDURE: which under hemodynamic monitoring was advanced to the left coronary ostium, engaged and ______ angiograms of the left coronary system were then obtained.


Randy Donnely:
(23) FINDINGS AND PROC:Consequently; a needle was placed into the sub-retinal space on two occasions ________ through the sclerostomy and scants fluid was released.


Any help would be GREATLY APPRECIATED!!!!

Top

(1) noted
(2) rales
(3) Gross pitting edema is present.
(4) 2D
(5) 18 mg/dL.
(6) Operations: Cesarean section x 1.
(7) rebound
(8) ingestion
(9) amylase

I have some more issues w/Mary Davis Quiz 31

under PHYSICAL EXAMINATION (about the 3rd to last sentence)
(1) A small ____________ is seen eminating from the cervical canal.
IMPRESSION #2
(2) Rule out pseudocyst or _____________.
(3) The fullness of the cul-de-sac may be secondary to ascities ____________ of gynecologic problem.

PLAN - 2nd sentence
(4) To ________ out the pancreatic status & rule out teh presence of a pancreatic pseudocyst.

PLAN - 2nd paragraph
(5) ...whichever is the most __________ to a positive result to aerate the status of the peritoneal fluid....

Thanks for any help!!

(1) A small amount of pus is seen emanating...
(2) Rule out pseudocyst or superimposed candidiasis.
(3) rather than a gynecologic problem
(4) to evaluate the pancreatic status
(5) whichever is the most amenable to a positive result, to evaluate the status

(10) Pulmonary
(11) cardiac output and thermodilution was 6.1
(12) The R-to-R interval is 102 msec. (3) Qualitative ventriculography: There is mild anterolateral hypokinesis;
(13) Fundi normal
(14)modality
(15)Etiology: Atherosclerosis.
(16) The patient had shortness of breath and hives following an IVP three years PTA.
(17) protime
(18) consolidative bronchopneumonia......Klebsiella, although the exact etiology awaits
(19)It is important to watch for the development of delirium tremens and treat with parenteral Valium if this should occur. In addition, recommend arterial blood gases q.4 h.
(20) arterial blood gas baseline is established.
(21) myocardial
(22) engaged, and cineangiograms of the left
(23)Consequently, a needle was placed into the subretinal space on two occasions through the sclerostomy, and scant fluid was released.

caw.......U R THE BEST!!!!! THANK U! THANK U!

Wanted to let everybody know that I failed Quiz 30..... I agree with whoever said, "they are setting us up to fail" I have called numerous times and all I get from the instructors is "use your resources" Does that mean I need to take a Dr.'s course and a language course....?? I have read other posts, seems like others are having probs also, atleast I'm not the only one!! My daughter is going to college for LVN/RN and she made the comment her classes are easier and better insrtucted than this! You would think they wanted us to succeed to promote their name!???? I have seen on other MT sites and spoke with friends who work in an office, they do hire without diploma and alot of reports they do are MUCH less complex than these!!! Good-Luck to all! Would like to hear from any grads that are working. See if this is worth my time and money!!! THANX!!

I totally agree w/you. I just got mine back in the mail yesterday & failed as well. Not sure what to do here. I have got the same answers as you too..."use your resources", well, right now they are one of my resources & are not that helpful at all. I'm also questioning whether this is worth my time & money anymore. At this rate I will never land a job w/my grades.

Thank you so very much, your help is greatly appreciated.

Quiz #31
Arturo Silva

PHYSICAL EXAMINATION
(1)The patient is a ________ 44-years-old HIspanic male in _______.

DATABASE
(2) The chest x-rays showed large are of consolidation in the right upper lobe and left lower lobe with a __________ changes bilaterally throughout the lungs????

RECOMMENDATIONS
(3) Begin _________ with vitamin supplementation

(1) The patient is a poorly nourished 44-year-old Hispanic male in severe respiratory distress.

(2) .....lower lobe with bullous changes

(3) Begin D5W with...

Thanks so much for your help caw!!

Quiz 31 --- Randy Donnelly

(1)PRIMARY PROCEDURE: __________________, retinotomy, gas fluid exchange, scleral buckle and 28% (or percent??) SFA injection.
(2)FINDINGS & PRODEDURES: (last paragraph)The patient received 500 mg of Diamox, 120 mg Solu-Medrol intravenously and 12 mg Decadron and 20 mg gentamicin ______________.

Thanks for any help!!

PRIMARY PROCEDURE
PARS PLANA VITRECTOMY, RETINOTOMY, GAS/FLUID EXCHANGE, SCLERAL BUCKLE AND 28% SFA INJECTION.

20 mg gentamicin subconjunctivally.

Thanks again, you are a saint!

I have 1 more...hopefully I'm done w/questions for awhile

Quiz 31 Arturo Silva

PAST MEDICAL HISTORY: Allergies, __________________wtih shortness of breath and hives, following an IVP three years PTA.

Thanks again

Allergies: IODINE ALLERGY. The patient had shortness of breath and hives following an IVP three years PTA.

(footnote says to edit to two sentences so only the allergy statement is capitalized.)

Thanks again...

Me again.... I have one also on 31

Arturo Silva:
Operations: Hepatic biopsy three years prior to admission to moderate ??? hepidorsal??? disease.

...prior to admission showed moderate hepatocellular disease.

Quiz 31
Jaime Chavez

LAB AND XRAY DATA
(1) __________ interval 168 milliseconds, secure restoration104 milliseconds...

CARDIOCATH SUMMARY
(2) Pulmonary vascular resistance 52, _____ stomach reistance 83.

Robert Toda
PROCEDURE
(3)Cardiac output ________ dilution measurements were done and then cardiac catheter was then pulled back into the pulmonary artery position.

(4)This catheter was then exchanged for a 6-0 French Jenkins right __________ catheter and under hemodynamic monitoring again.

Randy Donnelly
FINDINGS AND PROCEDURES
(5) The incision was made at the limbus with relaxing incisions made approximately at eight o'clock (or is it 8:00)????

Thanks much!!

(1) P-R interval 168 msec, QRS duration 104 msec,

(2) Pulmonary vascular resistance 52, systemic vascular resistance 83.

(3) Cardiac output thermodilution....

(4) ...exchanged for a 6 French Judkins right 4 coronary catheter..

(5) 8 o'clock.

These reports are just practicums...you can leave as many blanks as you need..they will send you the key back to grade it yourself.

Thank U AGAIN!!!!

Thank you for all your help...

I'm glad it's not graded. I'm thinking of giving myself 100% and posting it

Really nice info. thanks for sharing this.

Generic Viagra

I am on the Quiz 31 (Arturo Silva). I am trying to understand the medication said after gentamicin oxacillin. Can anyone help with this? Thank you in advance!

gentamicin, oxacillin and cefotaxime

I have a question on Course 31: Arturo Silva

HPI: ....began a course of ____________ 250 mg p.o. q.i.d.?

Any information would be greatly appreciated.

Another question on Course 31: Arturo Silva

Physical Examination
ABDOMEN: There are ____________ bowel sounds diffusely throughout the abdomen.

Thank you!

Arturo Silva

HPI....began a course of erythromycin 250 mg p.o. q.i.d.

Arturo Silva

PE
ABDOMEN: There are increased bowel sounds diffusely throughtout the abdomen.

Thank you so much Judy!

you are welcome