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As a child the pt was on s/l sheep (or cheap) thyroid. Help!

Posted By: jb on 2008-04-13
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Subject: As a child the pt was on s/l sheep (or cheap) thyroid. Help!

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I researched and found that it is sheep. ~nm~
Subject: I researched and found that it is sheep. ~nm~


Shoddy means inferior or cheap.
Subject: Shoddy means inferior or cheap.

It is definitely shotty.
shotty, like BB shot. Shoddy is cheap, inferior. nm
Subject: shotty, like BB shot. Shoddy is cheap, inferior. nm

s
Since they mentioned cost, I agree with the bleach as a cheap
Subject: Since they mentioned cost, I agree with the bleach as a cheap

s
maybe just before child???
Subject: maybe just before child???

nm
I would use mother's just as you did child's. nm
Subject: I would use mother's just as you did child's. nm

s
New one for me. Child? skeletal age? Just a WAG here. nm
Subject: New one for me. Child? skeletal age? Just a WAG here. nm


Is this child on a ventilator or something like that? nm
Subject: Is this child on a ventilator or something like that? nm

z
1 year old child. Please sm
Subject: 1 year old child. Please sm

"X-rays reviewed that show a s/l **bubble** type fracture to the radius on the right" Assessment: Right radius fracture. Thanks for any help! :)
Well-child check?
Subject: Well-child check?

GENITOURINARY:  Bilaterally descended testis with a normal penis.  He has s/l [10 and 1].  s/l He was normal side to side during this exam.


Is it a child? Maybe trying to pronounce RSV?
Subject: Is it a child? Maybe trying to pronounce RSV?

Respiratory syncytial virus.
died as a child maybe? nm
Subject: died as a child maybe? nm

 

Is it a child? Maybe PediOtic?
Subject: Is it a child? Maybe PediOtic?


Try Child B cirrhosis -sm
Subject: Try Child B cirrhosis -sm

Child-Turcotte-Pugh Scoring System for Cirrhosis
thyroid ?
Subject: thyroid ?

Could he be saying "enlargement" or "nodules".  I would thing "enlargement" would be the most logical of the two.
does this have to do with thyroid?
Subject: does this have to do with thyroid?


Yes it is the thyroid. Thank you so much! -nm-
Subject: Yes it is the thyroid. Thank you so much! -nm-

x
Down syndrome child with colostomy...sm
Subject: Down syndrome child with colostomy...sm

underwent  "PSARP" ? two weeks ago.   Very clear, but have not been able to find. 


States colostomy is health and then states that the s/l "peroneum" is well healed........should that not be peritoneum?  Thanks.


Child's PE s/l genus algus...........
Subject: Child's PE s/l genus algus...........

Here is the whole sentence: 


His musculoskeletal exam shows 15 degrees genus algas bilaterally.


Thanks for any ideas.


Child Assistance Program
Subject: Child Assistance Program

.
Child psych eval...please sm
Subject: Child psych eval...please sm

Psych eval for a 7-year-old student with ADHD...


He says the following:


He showed a moderately delayed score in the working memory area when he had difficulty recalling S/L: wrote, auditorily presented information.  Weakness in this area may impact his ability to remember, recite, and manipulate sequences for academic tasks.


WROTE auditorily presented information?  TIA


Child- Pugh classification (duh), yes, that's it. Thanks! nm
Subject: Child- Pugh classification (duh), yes, that's it. Thanks! nm


for a child with cancer..under PE HEENT
Subject: for a child with cancer..under PE HEENT

Oropharynx is without erythma, s/l epistasis? , petechia, or s/l yeast? 


does this seem right?


Child with Sickle cell
Subject: Child with Sickle cell

Doctor says antibiotic coverage with s/l Ceftrax 7-850 IV q12 ?  and Vanco 250 IV q6 (does he mean also vancomycin?)
child blood pressure
Subject: child blood pressure

Sounds like "blood pressure equal, good cap refill."  Would this be correct for a 2-year-old child's blood pressure?  Thanks so much!


child with respiratory distress
Subject: child with respiratory distress

He says, "The pulse oximetry is showing 95% on room air. 


The s/l <T4 or P4?> was around 150 to 200 over s/l <260 or 20 60?>  at this time." 


child or adult? What are some of pt's other problems? nm
Subject: child or adult? What are some of pt's other problems? nm

x

Child psych - about CAT test...
Subject: Child psych - about CAT test...

The Children’s Apperception Test (CAT) asks the child to create stories to a series of picture S/L: CAUGHT or CUT stimuli which depict cartoon animals in “storybook” scenarios. 


Any ideas?  Thanks in advance!


Thank you. Called Lyndebo as a child sm
Subject: Thank you. Called Lyndebo as a child sm

Because growing up, my name was Lyndia Beauregard. I kept my married name obviously, LOL. If I told you my middle name you'd know my mom was a fruitcake.
Child with necrotizing enterocolitis
Subject: Child with necrotizing enterocolitis

Necrotizing enterocolitis requiring s/l arial colectomy.
Having a NSVD does not mean the child is living.
Subject: Having a NSVD does not mean the child is living.


EDGING: child psychiatry
Subject: EDGING: child psychiatry

what is edging?
More info. Man woman child?
Subject: More info. Man woman child?


Child-Pugh score
Subject: Child-Pugh score

x
T3, T4 and TSH are thyroid studies. sm
Don't know about the cytes part you are hearing.
SICU thyroid?
Subject: SICU thyroid?

SICU thyroid?
thyroid mass
Subject: thyroid mass

Under medical history the doctor says, pretty clearly, "stick left thyroid mass"


 


I cannot verify this term. Any help appreciated. thank you


Possibly Thyroid
Subject: Possibly Thyroid

It's 20 mg. The patient also has orthostatic edema, acute on chronic renal insufficiency and hypokalemia.
I have this at last once a week and it is always thyroid. I have never
Subject: I have this at last once a week and it is always thyroid. I have never

had it with a cardiac origin. 
Cytomel - thyroid- nm
Subject: Cytomel - thyroid- nm

ss
? thyroid panel. (n/m)
Subject: ? thyroid panel. (n/m)


thyroid nodule
Subject: thyroid nodule

thyroid lumpectomy is scheduled
thyroid retractor sm
Subject: thyroid retractor sm

Doc is saying Mahoney thyroid retractor. I cannot locate this after searching through numerous books.  I do find Mahorner thyroid retractor.  Anyone heard of  Mahoney?  TIA.
thyroid question
Subject: thyroid question


  1. Hypothyroidism-clinically s/l youth thyroid.  Could this be.....cannot find it in my books!!!! 

when doc dictates L-thyroid sm
Subject: when doc dictates L-thyroid sm

Does he mean levothyroxine or Levothroid?
Can someone help with thyroid medication.
Subject: Can someone help with thyroid medication.

Dictates patient is hyperthyroid and is on s/l levothyroid 0.125/day.
Yes, it is thyroid surgery, Thanks!
Subject: Yes, it is thyroid surgery, Thanks!


thyroid question
Subject: thyroid question

There is a past history of hyperthyroidism but TSH on 03/11/2008 was 0.86, indicating a ?? thyroid state.  S/l "new" thyroid state.  Thanks for the help!


Thyroid ultrasound help!
Subject: Thyroid ultrasound help!

 


A second s/l interbrachiable/interpranchable nodule measuring 1.5 cm * 0.9 * 1.4 cm is present overlying the lower pole of the right lobe.


Doc also talks about interpranchable  mass measuring 3.1 cm * 3.5 * 2.2 is seen overlying the midbody of the right lobe.


This is an ultrasound of thyroid gland..Any help??


thyroid lobectomy
Subject: thyroid lobectomy

they can remove just 1 lobe to relieve a goiter
thyroid enlargement? nm
Subject: thyroid enlargement? nm