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Cholecystitis operative report for school #11239
05/18/10 06:39 PM
05/18/10 06:39 PM
Joined: May 2010
Posts: 4
Des Moines, Iowa
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Momof2angels Offline OP
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Momof2angels  Offline OP
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I am struggling to comprehend what the gastroenterologist is saying in this report. Here is where i am struggling.

ndications of a 65-year-old woman who was found at home one day prior to operation in a very confused state. (Orochop?) revealed severe diabetic ketoacidosis. Over the ensuing 36-hours she developed a septic appearing picture requiring pressure support, and intubation. Prior to intubation she complained of right upper quadrant pain and an ultrasound revealed an (infimatis?) gallbladder with air in the biliary tree.

The common bile ducts were noted to be dilated, and when it was opened, (perilon?) bile drained out as well.

The abdomen was entered. The gallbladder was noted to be enfimatis and demadus.

If you have any clue please let me know. I swear i slow it down over and over and search and search but for some reason I am just not getting it.

Thank you!

Re: Cholecystitis operative report for school [Re: Momof2angels] #11240
05/18/10 08:44 PM
05/18/10 08:44 PM
Joined: May 2010
Posts: 16
Ohio
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amysnow76 Offline
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Ohio
Are you going through Allied? I just did this report a few days ago. It was hard. I will look for it and get back.

Re: Cholecystitis operative report for school [Re: amysnow76] #11241
05/18/10 08:57 PM
05/18/10 08:57 PM
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Des Moines, Iowa
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Momof2angels Offline OP
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Des Moines, Iowa
Yes ma'am, I sure am! I'm struggling, but I know I can do it and if there is any doubts as to it they will get better with time. I don't have too many problems with this exact report, but some parts are a little unsure. One thing I am unhappy with in terms to this school is that I can submit a dictation assignment and it will not be graded for nearly a week. I have only until September to finish up and they take too long to grade work. I don't know. Let me know where I've went wrong so far and I would be happy to do the same thing for you along the way!!

Re: Cholecystitis operative report for school [Re: Momof2angels] #11242
05/19/10 01:51 PM
05/19/10 01:51 PM
Joined: May 2010
Posts: 16
Ohio
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amysnow76 Offline
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Ohio
1. Work up
2. emphysematous
3. purulent
4. emphysematous and edematous

Thanks. Good luck.

Re: Cholecystitis operative report for school [Re: amysnow76] #11243
05/19/10 05:21 PM
05/19/10 05:21 PM
Joined: May 2010
Posts: 4
Des Moines, Iowa
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Momof2angels Offline OP
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Thank you so much!!

Re: Cholecystitis operative report for school [Re: Momof2angels] #11246
05/22/10 11:49 PM
05/22/10 11:49 PM
Joined: Mar 2010
Posts: 12
Florida
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KFields Offline
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KFields  Offline
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Posts: 12
Florida
Dear Moonof2Angels,

I am also an Allied student and am working on the same lesson! I just read your post and saw that the responder was also an Allied student. This is great. Pehaps the 3 of us will be able to help each other at times. I have also had trouble understanding some of the dictations and it is frustrating. It would be nice to have a link to fellow students.

I will check this site regularly. Feel free to post any questions, and I will certainly help if I can.

kmfields



KMFields
Re: Cholecystitis operative report for school [Re: amysnow76] #11249
05/24/10 11:17 PM
05/24/10 11:17 PM
Joined: May 2010
Posts: 4
Hastings, NE
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annk Offline
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annk  Offline
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Hastings, NE
I am also an Allied student trying to finish this same lesson. I can't figure out what he is saying in the following sentences:
No biliary duct (obilitaiton) was noted and not stones were found.
The skin was closed with staples. _____(sounds like padurns were secured?)
Does anyone else feel like it is taking them forever to get through this course? There are times when I question if I can do this or not?
Thanks for all of you helpful posts:)


annk68
Re: Cholecystitis operative report for school [Re: annk] #11250
05/25/10 11:58 PM
05/25/10 11:58 PM
Joined: Mar 2010
Posts: 12
Florida
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KFields Offline
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KFields  Offline
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Posts: 12
Florida
Dear AnnK,

Maybe:
1. ductal dilitation
2. The drain was secured.

The course is taking much longer than I expected. This is much more involved than I (niavely) thought. However, I do love it. I am learning a lot but it seems that we are only scratching the surface. I want to be prepared to work wehn I finish.

Don't give up, even if you are frustrated. Everything new seems daunting at first. Perhaps this site will be helpful. It has been a big help to me. It is very informative and the individuals seem supportive. That is nice because taking online courses can leave one feeling like Robinson Crusoe!

Good luck




KMFields
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