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? Abnormal Pap smears.

Posted By: pc on 2007-12-18
In Reply to: gyne help - ML

Subject: ? Abnormal Pap smears.




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Pap smears? HUS or HGUS?
Subject: Pap smears? HUS or HGUS?

History of abnormal pap smear (HUS).

HUS or HGUS? This doc is talking so fast I can't make it out. HVUS maybe? Does anyone have any ideas?
Maybe just frank smears? nm
Subject: Maybe just frank smears? nm

nm
something to do with annual Pap smears? wild guess nm
Subject: something to do with annual Pap smears? wild guess nm


Nope, I definitely hear Zank smears
Subject: Nope, I definitely hear Zank smears


they do acid-fast smears on sputum, etc. Here is link from labcorp.com.
Subject: they do acid-fast smears on sputum, etc. Here is link from labcorp.com.





































Acid-Fast (Mycobacteria) Broth-Based Culture and Smear and Susceptibility
    
Number
182675
CPT
87015; 87116; 87206
Related Information

  • Acid-Fast (Mycobacteria) Antibiotic Susceptibilities
  • Default Test Order for Ambiguous Orders
  • Organism Identification, Mycobacteria
  • Synonyms
    Blood Mycobacteria Culture ; Culture, Acid-Fast (Sputum, Tissue, Urine, and Gastric Contents) ; Culture, Blood, Mycobacteria ; Mycobacteria Culture (Sputum, Tissue, Urine, and Gastric Contents)
    Test Includes
    Mycobacteria culture (AFB) and smear when appropriate; smears are not performed on blood or when there is less than 2 mL of cerebrospinal fluid. Susceptibility testing [test 088161] is performed at an additional charge when Mycobacterium spp is recovered. Culture and identification (additional charges/CPT code[s] may apply). CPT coding for microbiology and virology procedures often cannot be determined before the culture is performed. Requests with only a written order and no test number indicated will be processed according to Default Test Order for Ambiguous Orders .
    Specimen
    First morning sputum (not saliva) (three separate specimens from three separate days are recommended), fasting gastric aspirate, induced sputum, whole blood, tissue, biopsy, bronchial aspirate, urine, skin, cerebrospinal fluid, bone marrow, body fluid, stool. Swabs of exudate from skin sources are acceptable, otherwise, swab specimens should not be submitted. Collect aspirate using sterile, nonbacteriostatic saline or other noninhibitory medium. Do not send syringe. It will be rejected.

    abnormal LFT
    Subject: abnormal LFT



    Abnormal liver function tests. We will check repeat s/l HP LFTs today .


    This is under assessment/plan, so I need to spell it out. I am unsure of the HP part. I know its liver function tests.


    The pt does have hyperlipidemia. Help!


    possibly abnormal? nm
    Subject: possibly abnormal? nm

    x
    abnormal amylase
    Subject: abnormal amylase

    BUN and serum creatinine
    would they say abnormal s/l Total at EKG?
    Subject: would they say abnormal s/l Total at EKG?


    Abnormal s/l larges . . .
    Subject: Abnormal s/l larges . . .

    A CT scan showed an abnormal liver with "larges" of decreased continuation.


    Any suggestions please????


     


    abnormally/an abnormal
    Subject: abnormally/an abnormal

    Sudden brain toot..

    would it sound better to say " no evidence of an abnormally enhancing mass.'

    or "no evidence of an abnormal enhancing mass."


    Only thing I can think of is lipase, or abnormal ALT
    Subject: Only thing I can think of is lipase, or abnormal ALT

    x
    says pt had abnormal Pap smear with s/l Askis?
    Subject: says pt had abnormal Pap smear with s/l Askis?


    abnormal thyroid testing
    Subject: abnormal thyroid testing

    The patient's TSH and s/l TPL antibodies were normal with a mild decrease in her Free T4 level. 
    Fossae of abnormal signal
    Subject: Fossae of abnormal signal

    Sl/ foesi (would that be spelled fossae?) of abnormal signal on enhancement?  I know I have heard this before but my brain is just numb today.  Fighting a migraine -- losing the battle and I'm so tired.  Thanks for any help. 
    ? two foci of abnormal activity
    Subject: ? two foci of abnormal activity


    Abnormal Protein S, s/l CNN and possible lipid antibody. sm
    Subject: Abnormal Protein S, s/l CNN and possible lipid antibody. sm

    Doc says, "pt  has hx of abnormal protein S, (s/l) CNN, and possible lipid antibody,  all three.  Hx of DVT in 2001.  She had pulmonary embolus in June at which time she had Factor V difficiency.  She has multiple coagulopathies."   Any help appreciated.Thx. mmw 


    Maybe eccentric, grossly abnormal or unusual? nm
    Subject: Maybe eccentric, grossly abnormal or unusual? nm

    s
    Pica. It means an abnormal desire to eat
    Subject: Pica. It means an abnormal desire to eat

    substances not normally eaten, like chalk, ashes, glue, paper, detergent.

    http://www.m-w.com/dictionary/pica
    syndrome related to abnormal TFTs.
    Subject: syndrome related to abnormal TFTs.

    I know, didn't make sense to me either, but it does exist.
    pulmonary embolism or abnormal bleeding.
    Subject: pulmonary embolism or abnormal bleeding.

    x
    Abnormal ECT, baseline "wander" in "V 4" or "lead four". ?? nm
    Subject: Abnormal ECT, baseline "wander" in "V 4" or "lead four". ?? nm


    Eyes: Noted to have abnormal ACE level. sm
    Subject: Eyes: Noted to have abnormal ACE level. sm

    She has no URI symptoms, but last year she was noted to have on and off SOB with elevated s/l D timer. TIA
    Abnormal DTRs can be a sign of being euthyroid.
    Subject: Abnormal DTRs can be a sign of being euthyroid.

    x
    anergia (abnormal lack of energy)
    Subject: anergia (abnormal lack of energy)

    anergia-abnormal lack of energy
    eye exam s/l no abnormal s/l*glossing or nicking
    Subject: eye exam s/l no abnormal s/l*glossing or nicking

    I know nicking is correct but can't find s/l glossing in stedmans.  Anybody?  TIA
    Got it, epiphora (abnormal flow of tears). Thanks for your help!
    Subject: Got it, epiphora (abnormal flow of tears). Thanks for your help!

    ..
    I think you were right, ECG 7-14 was abnormal, today's visit is normal in comparison
    Subject: I think you were right, ECG 7-14 was abnormal, today's visit is normal in comparison


    patient with abnormal parathyroid hormone level
    Subject: patient with abnormal parathyroid hormone level

    CPEP, IPEP, and ACE levels were ordered. 


    I am just wanting to know if I am typing these correctly?  Any light anyone can shed on this would be GREATLY appreciated.  (It's a general surgery consultation.)


    Thank you, in advance!!!


     


    She had a history of an abnormal Pap smear and has had a _____ done last year.
    Subject: She had a history of an abnormal Pap smear and has had a _____ done last year.

    x
    AIMS test (abnormal involuntary movement scale)
    Subject: AIMS test (abnormal involuntary movement scale)


    Abnormal CT scan: Lesion that appears to be "an algomized" effusion or soft tissue. sm
    Subject: Abnormal CT scan: Lesion that appears to be "an algomized" effusion or soft tissue. sm

    She has a pleural-based lesion in the right lower lobe that appears to be either an algomized effusion or soft tissue. She also has multiple pulmonary nodules bilaterally suggestive of either a metastatic neoplastic disease or granulomatis changes.
    Under past medical history - history of abnormal s/l petatrie functioning. I really cannot make *sm
    Subject: Under past medical history - history of abnormal s/l petatrie functioning. I really cannot make *sm

    it out.  It is a foreigner.  He is saying it very fast.  History of abnormal petatrie functioning is what is sounds like to me.  I have no clue.