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CT of the head

Posted By: lola on 2007-08-30
In Reply to:

Subject: CT of the head

The patient has a history of a remote-appearing lacunar infarct within the left frontal lobe adjacent to the left frontal horn of the left lateral ventricle and mild periventricular white matter chronic small-vessel disease on CT scan of the head without contrast.


I am just concerned with the ..periventricular white matter chronic small-vessel disease


How would you type this? the doctor just says it without any pausing.


ahhhhhhh!




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CT head/esl doc
Subject: CT head/esl doc

CT brain showed central s/l "cortical and cerebellar" involutional changes, old infarct in the territory of the anterior s/l "BR" of the left middle cerebral artery.


Not sure on the wording in first one.  I am coming up with a blank on the second.


Ha ha! This doc is exactly enough of a bu**head to say this... (sm)
Subject: Ha ha! This doc is exactly enough of a bu**head to say this... (sm)

Thanks! I bet that's it!
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Subject: s/l CVC of the head was done???


Head. Thank you!
Subject: Head. Thank you!

xx
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Subject: Help! Head CT. SM

Elderly patient with transient alteration of awareness.  It reads:


"Minor periventricular areas of low attenuation without definite evidence of s/l TRANS-UH-TIN-UH-MUL flow CSF to suggest acute hydrocephalus."


HEAD CT
Subject: HEAD CT


I am have troubles filling in the blanks here, can anyone lead me in the right direction?


HEAD CT


Contiguous axial image was obtained from base of the skull to the vertex without (intravenous) IV contrast. Multiple regions of decreased density are seen in the right and left internal capsule. There is no evidence of benign shift, common mass effect or (avastment) of cell _______intervals or cisterns. The cell _____intervals are_________ . Inspections of _________was unremarkable.


HEAD CT
Subject: HEAD CT


IMPRESSION


1. Multiple regions of low density in both sides of internal capsule. (cannot understand this word) represent old white matter infarcts.


head?
Subject: head?


CT of Head.
Subject: CT of Head.

Does this sound right: ...effacement of sulci, ventricles, or cisterns. Inspection of (bone or brain?) windows are unremarkable.
Head laceration still.
Subject: Head laceration still.

Doctor is referring to s/l "Harrow" arterial bleeders being cauterized.  Can't find anything on this either?


 


Head CT scan.
Subject: Head CT scan.

Head CT scan per verbal report from the radiologist is that the patient has very large subdurals bilaterally. The largest component of these are chronic subdurals. Some small, newer, subdurals are also seen. This is causing some effacement of the __________ (s/l girye)


 


caudad, towards the head end of something
Subject: caudad, towards the head end of something

s
head at spines -7
Subject: head at spines -7


help on MRI of the head results
Subject: help on MRI of the head results

The patient had an MRI with gadolinium of the head.  I'm having some trouble understanding the results because this is unfamiliar to me.  She is a cancer patient with metastatic melanoma and the MRI was ordered due to severe vomiting and blurry vision.  He says the MRI "revealed no definite metastatic disease, significant [s/l hypotense? maybe hypodense or hypertensive?] [s/l mara signal?] of the cervical spine of unclear significance, heterogeneous [s/l coabnormality?], for which in matter of fact these cannot be excluded."  That last phrase sounds a little weird too, but I'm pretty sure that's what he says.  Any ideas?
from the ipsilateral head
Subject: from the ipsilateral head

nm
Thank you! That is it! It just was not clicking in my head.
Subject: Thank you! That is it! It just was not clicking in my head.

nm
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Subject: Thanks for the info. Never head them from our FPs. nm


lol maybe his head is up his butt!
Subject: lol maybe his head is up his butt!


head trauma
Subject: head trauma

The patient had head trauma and a few months later was found to have a s/l flabomorphit adenoma.


This is an Asian dictator who is very difficult to understand.  Any help would be appreciated.


I think you two got it. You know its there in your head you just can't extract it!
Subject: I think you two got it. You know its there in your head you just can't extract it!

..
banging head here
Subject: banging head here

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Subject: Not unless the patient has his head up his @ss nm

.
Head exam: See
Subject: Head exam: See

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Head injury
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S/L copidus calluseium ???


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Subject: Of course! Where's my head today! LOL Thanks


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Subject: humeral head. nm


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Subject: Head: S/L no other symmetries are seen

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I have head that dictated before.
Subject: I have head that dictated before.

He's probably referring to a weak tendon, with no strength.
here are some examples off the top of my head.
Subject: here are some examples off the top of my head.

CMP (or electrolytes, SMA) - sodium, potassium, chloride, CO2 (or bicarb), BUN, creatinine, glucose, and calcium.

PT, PTT, INR.

Troponin, CK, CK-MB.
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Subject: Think you just need Trendelenburg position (head down) here. nm

s
CT of head shows a lacune?
Subject: CT of head shows a lacune?

CT scan of the head shows an old left  ____ , no acute findings.


Blank s/l lacune, lacoon?


Normal Head CT w/ and w/out contrast... s/m
Subject: Normal Head CT w/ and w/out contrast... s/m

The third, fourth and lateral ventricles are normal in size and position.  The s/l (calcified pine needles)  midline.  s/l (Cory calication) is seen bilaterally.  The base of ganglia, brain stem and basal sisterns are unremarkable.  


I know these aren't even close... but I've listened so many times that is all I hear anymore... especially the 'pine needles'  


OB/GYN term help....The head was noted to be..sm
Subject: OB/GYN term help....The head was noted to be..sm

in an ROP position at +4 out of 5 with some "campt" or "campet".  I cannot find either term, but spell check corrects to CAMPT? 


TIA and Happy Thanksgiving!


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Subject: my eyes just rolled out of my head...

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Subject: First thing that pops into my head is

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Subject: Here are the shoulder views that I can think of off the top of my head

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Subject: pt with closed head injury

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Subject: Timo head support


Yeah! (My head hurts from that one :-)
Subject: Yeah! (My head hurts from that one :-)


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Subject: in the skull/head...septum s/l pol-u-se-na. nm

d
Computed tomography of the head (HCT) ?
Subject: Computed tomography of the head (HCT) ?


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Subject: S/L: HEAD SHOT GUN MOVEMENTS

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Subject: head/neck exam

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Subject: Head/neck exam

in the physical exam under head/neck...s/l arcus sinosis is present.


Thanks so much anway..still scratching my head
Subject: Thanks so much anway..still scratching my head


Regarding the swelled head comment, here is a
Subject: Regarding the swelled head comment, here is a

quote:  "I am 100% sure that I am more refined and more educated and more knowledgable than you. "


I'm not the one who said it.