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Biliary T-tube, drainage of bile/debris after ERCP or other cholangio procedure Nm

Posted By: Cyndiee on 2008-11-13
In Reply to: ? t tube - TheQUeen

Subject: Biliary T-tube, drainage of bile/debris after ERCP or other cholangio procedure Nm

nm


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extrahepatic or biliary? bile duct? nm
Subject: extrahepatic or biliary? bile duct? nm


It does not sound like biliary/bile duct!
Subject: It does not sound like biliary/bile duct!


Is the common bile duct and intrahepatic biliary tree--sm
Subject: Is the common bile duct and intrahepatic biliary tree--sm

two separate structures.  Should they be listed under two headings?
could he be saying drainage tube? NM
Subject: could he be saying drainage tube? NM


Peritoneal bile, or intraperitoneal bile? (NM)
Subject: Peritoneal bile, or intraperitoneal bile? (NM)

NM
HEENT: Nares thin drainage? or possibly some drainage...
Subject: HEENT: Nares thin drainage? or possibly some drainage...

sounds like she is saying thin Thanks
Nares: Mucoid drainage? Purulent drainage?
Subject: Nares: Mucoid drainage? Purulent drainage?

.
debris; retained
Subject: debris; retained

nm
or ERCP perhaps?
Subject: or ERCP perhaps?

it doesn't really sound like your s/l.
that would be ERCP...
Subject: that would be ERCP...


endoscopic retrograde cholangiopancreatography


He has had problems with accumulation of squamous, "cholestea", debris in the mastoid cavity.
Subject: He has had problems with accumulation of squamous, "cholestea", debris in the mastoid cavity.

Is this right???
s/l cotton lewing stent during ERCP
Subject: s/l cotton lewing stent during ERCP

TIA
ERCP-endoscopic retrograde cholangiopanceatograpy, GI diagnostic proceudre? NM
Subject: ERCP-endoscopic retrograde cholangiopanceatograpy, GI diagnostic proceudre? NM

nm
ERCP question: Sphincterotomy was performed with 2 balloon s/l sleeves? swedes? sleeds? Help!
Subject: ERCP question: Sphincterotomy was performed with 2 balloon s/l sleeves? swedes? sleeds? Help!


The patient has a s/l pesh tube for feeds. Doesn't s/l push tube. nm
Subject: The patient has a s/l pesh tube for feeds. Doesn't s/l push tube. nm

.
P? Bile
Subject: P? Bile

No, that is not correct in the dictionary searches I have done.  I did find where maybe it would be peritoneal bile, but from the bile duct, I am still not sure.
Patient with gangrene of foot. On exam, the entire foot is ulcerated with s/l us-i-nest debris.
Subject: Patient with gangrene of foot. On exam, the entire foot is ulcerated with s/l us-i-nest debris.

:-)
biliary?
Subject: biliary?


bile acid sequestrant
Subject: bile acid sequestrant


Figured it out -- bile acid
Subject: Figured it out -- bile acid


possibly purulent bile? nm
Subject: possibly purulent bile? nm


Got it, "some bile duct" . . thanks!
Subject: Got it, "some bile duct" . . thanks!


Maybe biliary disease.
Subject: Maybe biliary disease.


PE tube - pressure equalization tube
Subject: PE tube - pressure equalization tube

Could it be "pressure" ventilation tube?


8-0 NG tube or 8.0 NG tube? dictated "eight-oh"
Subject: 8-0 NG tube or 8.0 NG tube? dictated "eight-oh"


I wonder if it's common bile duct stone? nm
Subject: I wonder if it's common bile duct stone? nm

nm
Is peri-renal bile correct?
Subject: Is peri-renal bile correct?


Dictation sounds like:  Upon entering the bile duct, peri-renal bile was drained.


i found it.... biliary dilatation
Subject: i found it.... biliary dilatation


biliary saturation is correct. nm
Subject: biliary saturation is correct. nm


The doc is not saying biliary ductal ablation, is he?
Subject: The doc is not saying biliary ductal ablation, is he?


biliary colic stools????
Subject: biliary colic stools????

Has anyone heard of biliary colic stools and if so what is it? 
are you sure it is not biliary colic and stones?
Subject: are you sure it is not biliary colic and stones?

n.m
I might very well be biliary colic stools. sm
Subject: I might very well be biliary colic stools. sm

Is this a nephrology or urology patient? Or even a GI patient?

When you have gallbladder problems, liver problems, etc., the stools are usually a different color. They can be clay colored, black, tarry, yellow, green like baby stools, etc. So biliary colic stools could be right.
bile reflux versus reflex...sm plse
Subject: bile reflux versus reflex...sm plse

I always thought it was bile reflux pertaining to the gallbladder but he clearly says bile reflex. Which is correct? TIA
With the addition of Zetia or a s/l bile a sed binding agent. TIA
Subject: With the addition of Zetia or a s/l bile a sed binding agent. TIA


mild s/l muritzes of the common bile duct. TIA!!!
Subject: mild s/l muritzes of the common bile duct. TIA!!!


Cotton-Leung biliary stent
Subject: Cotton-Leung biliary stent

/s
listen for "primary biliary cirrhosis "
Subject: listen for "primary biliary cirrhosis "


Hepatic biliary scan with s/l cc air stimulation
Subject: Hepatic biliary scan with s/l cc air stimulation

I am typing a sonogram of the abdomen report.  Dr. says the patient has acalculous cholecystitis.  Clinical information with a hepatic biliary scan with (s/l) cc air stimulation scan?? should be considered.  Any ideas? 


hepatic? biliary? Does it seem like it pertains to current
Subject: hepatic? biliary? Does it seem like it pertains to current

s
Intra- or extrahepatic biliary dilatation
Subject: Intra- or extrahepatic biliary dilatation

too late?
probably stands for common bile duct exploration--CBDE.
Subject: probably stands for common bile duct exploration--CBDE.

x
My guess...get rid of the A and "No biliary ductal dilatation"...nm
Subject: My guess...get rid of the A and "No biliary ductal dilatation"...nm

nm
There is pneumobilia which is gas in the biliary tree (maybe doc is adding an extra sound?)
Subject: There is pneumobilia which is gas in the biliary tree (maybe doc is adding an extra sound?)


CT drainage
Subject: CT drainage


CT drainage of fluid collection is what the dict is saying in the preop dx.  He is doing an exploratory laparotomy.  How should this be typed in the preop dx, as we are not to use abbreviations?


discharge, drainage, or pus IMO nm
Subject: discharge, drainage, or pus IMO nm

x
post ? drainage
Subject: post ? drainage

I need help one more time, please.


The Dr. dictates: "post ? drainage, although it may be better after using Allegra-D"


"Rhinorrhea/ post ? drainage - May be secondary to allergies....


Likely postnasal drainage
Subject: Likely postnasal drainage


has to be postnasal drainage
Subject: has to be postnasal drainage

In the nose there is no other place to drain that is
"Post"
I&D - incision and drainage.
Subject: I&D - incision and drainage.

x
CD - continuous drainage
Subject: CD - continuous drainage

continuous drainage