really need help with work i can't find whats wrong please help

here's what they say i have wrong Listening/grammar-10 Spelling- 1 Formatting - 1 Punctuation- 8 OPERATIVE REPORT PREOPERATIVE DIAGNOSIS: Right ureter calculus. POSTOPERATIVE DIAGNOSIS: Right distal ureter calculus. PROCEDURE PERFORMED: Cystoscopy right retrograde pyelogram, right ureteroscopy was stone basketing in placement of right ureteral catheter. ANETHESIA: General endotracheal. Specimens right ureteral calculus enter op to complications, none. PROCEDURE: The patient was placed in the lithotomy position; her groin region was prepped and draped in the usual sterile fashion. Urethra was lubricated, 22 French cystoscope was advanced in the bladder, the bladder cystotomy was normal. The right ureteral orifice had some mild adema around it, an 8 French acorn-tipped catheter was placed into the orifice and retrograde pyelogram was performed under fluoroscopy. A filling defect was noted in the distal ureter approximately 3-4 centimeters above the ureteral orifice. The 11.5 French ureteroscope was then obtained, 5 French angle-tipped ureteral catheter was passed through the ureteroscope, both were passed in the bladder under direct vision and the angle-tipped catheter was advanced into the distal right ureter, this scope was then inverted and passed into the right ureteral orifice. Scope was advanced through the submucosal tunnel into the ureter and was carefully manipulated approximately. A yellowish to somewhat irregular calculus was identified in the distal ureter and a Segura stone basket was then obtained, it was passed above the stone and then the stone was ingaged and removed. Repeat retrograde pyelogram was then performed, there was no evidence for residual filling defect, although there did appear to be some spasm with limited drainage of the right dysuria, because of this I passed the ureteroscope again to be certain there were no stone fragments obstructing, there were none, and then I placed the ureteral catheter up into the renal pelvis under cystoscope for control. A 18 French Foley catheter was then placed at the end of the case and both the ureteral catheter and Foley were hooked to the gravity drainage. That patient tolerated procedure well. She was then excavated and then transferred to the recovery room in stable condition.

Without having the benefit of the sound file, I can try and correct the "obvious" errors. How long have you been an MT? Are you just out of school and trying to secure employment? OPERATIVE REPORT PREOPERATIVE DIAGNOSIS: Right ureter calculus. POSTOPERATIVE DIAGNOSIS: Right distal ureter calculus. PROCEDURE PERFORMED: Cystoscopy; (this is 2 separate procedures) right retrograde pyelogram, right ureteroscopy with stone basketing and placement of right ureteral catheter. ANESTHESIA: (You had anesthesia mispelled) General endotracheal. SPECIMENS: Rght ureteral calculus. INTRAOPERATIVE COMPLICATIONS: None. PROCEDURE: The patient was placed in the lithotomy position. Her groin region was prepped and draped in the usual sterile fashion. Urethra was lubricated. A 22-French cystoscope was advanced in the bladder. The bladder cystotomy was normal. The right ureteral orifice had some mild edema around it. An 8-French acorn-tipped catheter was placed into the orifice and retrograde pyelogram was performed under fluoroscopy. A filling defect was noted in the distal ureter approximately 3-4 cm above the ureteral orifice. The 11.5 French ureteroscope was then obtained. A 5-French angle-tipped ureteral catheter was passed through the ureteroscope. Both were passed in the bladder under direct vision and the angle-tipped catheter was advanced into the distal right ureter. This scope was then inverted and passed into the right ureteral orifice. Scope was advanced through the submucosal tunnel into the ureter and was carefully manipulated proximally. A yellowish somewhat irregular calculus was identified in the distal ureter and a Segura stone basket was then obtained. It was passed above the stone and then the stone was engaged and removed. Repeat retrograde pyelogram was then performed. There was no evidence for residual filling defect, although there did appear to be some spasm with limited drainage of the right (not sure what this should be but dysuria is not right) dysuria. Because of this I passed the ureteroscope again to be certain there were no stone fragments obstructing; there were none. Then I placed the ureteral catheter up into the renal pelvis under cystoscope for control. An 18-French Foley catheter was then placed at the end of the case and both the ureteral catheter and Foley were hooked to the gravity drainage. That patient tolerated procedure well. She was then extubated (you had excavated here) and then transferred to the recovery room in stable condition.

Hi I am looking for some help with this work...can't find my errors

PROVISIONAL DIAGNOSIS: 1. Chest pain, rule-out myocardial infarction versus unstable angina. 2. Status post old MI. 3. History of athroscloratic Heart disease with severe angina status post CABG. 4. Chronic hypertension. 5. Diabetes mellitus type 2. 6. Chronic CHF. 7. CVA with residual right hemiparesis. FINAL DIAGNOSIS: Same, with MI ruled out. OPERATIONS: None. BRIEF HISTORY AND PHYSICAL: This is one of several admits for this 59-year-old white male with the above diagnosis who 1 hour prior to admission started with some onset substernal chest pain radiating to his left arm while he was sitting in his wheel chair he also experienced "sweaty palms" and stated this was how he felt prior to his previous myocardial infarctions. VITAL SIGNS: Stable, blood pressure 142/76, the patient was in no obvious distress, skin reveals well healed scars from thoracotomy and left leg vein harvesting. REVIEW OF SYSTEMS: Great to hypertensive changes, without hemorrhages or exudates, lungs were clear, heart regular rate and rhythm with a pericardial friction rub, admits systole heard best over the base, no chest wall tenderness, trasadine line the extremeties with good pulses, muscle weakness in the right arm and leg and decreased fabritory sense below the knees bilaterally secondary to diabetic neuropathy. LABORATORY DATA AND RADIOLOGICAL RESULTS: semi sciatic fission reveals elevated creatinine at 2.1 BUN, 20.2 elevated cholesterol and triglycerides, initial CPK was only 41 with 100% MM fraction and repeat CPK was 35 also 100 % MM, electrolytes within normal limits, digoxin level came back toxic at 2.7 quinidine level subtherapeutic at 1.7 and CPC within normal limits. HOSPITAL COURSE AND TREATMENT: Chest x-ray revealed no acute changes and some lessening of previous cardiomegaly, while in the hospital the patient had no recurrent chest pain, his blood sugar remains stable on his usual doses of insilin. Patient was seen by the dietitian and social worker to assure his adequacy of self care prior to discharge. He will continue his 1800 cal/day diet and usual medicines whi*****lude: isordil 20 mg po q.i.d., cacta-pro 50 mg q.i.d., lasix 40 mg b.i.d., persantine 50 mg t.i.d., digoxin 0.25 mg daily. After skipping one dose tomorrow this is a decrease from his present alternate day regimen; quinidine 200 mg q 4 hours times 6 doses daily which is an increase from his current q.i.d. regimine, cataracs 10 mg t.i.d. pr imaging, thylamine 30 mg qhs pr insomnia, am insulin 10 units regular 35 units mph, pm insulin 5 units regular 10 units mph, nitroglycerin 1/150 sublingually prn chest pain the patient will have a repeat digoxin and quinity level drawn.

thank you!

Beth

Good Morning Monica, Well here it is. I was wondering if you recieved any help on your post. I know it has been a few years,but I am having the same problem that you had.Any help would be appreciated. Thank-you and have a good day.