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Could it be gout? Anything in lab to suggest excessive uric acid?

Posted By: ag on 2006-07-22
In Reply to: help - Rebecca

Subject: Could it be gout? Anything in lab to suggest excessive uric acid?




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RA, ANA and normal uric acid
Subject: RA, ANA and normal uric acid

I think..
serum uric acid
Subject: serum uric acid


I think Nic is right, serum uric acid.
Subject: I think Nic is right, serum uric acid.


urine for uric acid ?
Subject: urine for uric acid ?


S/L rusperacase...given for elevated uric acid in
Subject: S/L rusperacase...given for elevated uric acid in

NM


pt. with uric acid stones, dr says he takes s/l theralith
Subject: pt. with uric acid stones, dr says he takes s/l theralith


hyperuricemia? high uric acid. Ofen goes along with diabetes. nm
Subject: hyperuricemia? high uric acid. Ofen goes along with diabetes. nm


If you're hearing a lot of syllables, it might be uric acid stone nephrolithiasis. Do a Google
Subject: If you're hearing a lot of syllables, it might be uric acid stone nephrolithiasis. Do a Google

s
bile acid? fibric acid? Here is a link.
Subject: bile acid? fibric acid? Here is a link.

http://www.webmd.com/cholesterol-management/guide/cholesterol-lowering-medication
Just a wild guess and still excessive but could it be
Subject: Just a wild guess and still excessive but could it be


Hirsutism...Excessive hairiness. nm
Subject: Hirsutism...Excessive hairiness. nm

nm
developmental history of excessive cl* and hyperactivity
Subject: developmental history of excessive cl* and hyperactivity


infant with excessive s/l jutrenous possibly seizure manifestation
Subject: infant with excessive s/l jutrenous possibly seizure manifestation


Guessing here, but hydramnios? excessive amniotic fluid? polyhydramnios? nm
Subject: Guessing here, but hydramnios? excessive amniotic fluid? polyhydramnios? nm

 


 


Aerodynia can relate to "swallowing" of excessive air, so flow decreased, less pressure. NM
Subject: Aerodynia can relate to "swallowing" of excessive air, so flow decreased, less pressure. NM

nm
colchicine for gout. nm
Subject: colchicine for gout. nm

nm
colchicine (for gout) nm
Subject: colchicine (for gout) nm


PT with gout given med that s/l Benamed ? 1 bid
Subject: PT with gout given med that s/l Benamed ? 1 bid


Benemid is for gout
Subject: Benemid is for gout


s/l col-chi-zine for gout Thanks!!
Subject: s/l col-chi-zine for gout Thanks!!


s/l 'defacious' gout
Subject: s/l 'defacious' gout

Chronic 'defacious' gout.
tophaceous gout. sm
Subject: tophaceous gout. sm

tophaceous gout.


 


gout in which deposits of uric acid and urates occur as gouty tophi.


Question regarding gout
Subject: Question regarding gout

This patient has gout. Doc states:


He has been carefully watching his diet but on New Years Day he had some prime rib and s/l "Oujoo"  ? 


 


Thanks 


colchicine for gout? Ck spelling. nm
Subject: colchicine for gout? Ck spelling. nm

s
Top 3 meds to treat gout.........sm
Subject: Top 3 meds to treat gout.........sm

NSAIDs, Indomethacin, Probenecid.  Can you hear any of these being dictated?
You are welcome...........suggest...sm
Subject: You are welcome...........suggest...sm

What I do is I put the little feet up on the keyboard - underneath the keyboard on the underside of keyboard are 2 little feet - to have the keyboard now on a little slant (a regular microsoft keyboard) and I try to remind myself to not strike the spacebar as hard as I used to with my right thumb (am right-hand dominant). 


Hope you feel better soon in those hands (my hands feel like the hands of a REAL old person inside them from pounding on some keyboard for pretty much my entire life, piano first for 14 years, then a typewriter, then 5 years I worked in kitchens pounding it out on butcher blocks with knives, then back to MT work commencing in 1980 - so yeah, my hands, while they look young, feel inside like the hands of someone in their 80s!!). 


well then suggest the BOS *S*....NM
Subject: well then suggest the BOS *S*....NM


drug s/l coltizine. Patient has gout, hypertension, CAD and CHF. Thanks!
Subject: drug s/l coltizine. Patient has gout, hypertension, CAD and CHF. Thanks!


tophus of tophi (pl) is calcium deposit from gout. sm
Subject: tophus of tophi (pl) is calcium deposit from gout. sm

tophus, pl. tophi


 




1. See: gouty tophus.


2. A salivary calculus, or tartar.


Syn: gouty pearl.


 


They suggest q. 4 (space)h. (nm)
Subject: They suggest q. 4 (space)h. (nm)

x
was just going to suggest D5W shot as well
Subject: was just going to suggest D5W shot as well


I would suggest maybe *sensations*? just a thought. nm
Subject: I would suggest maybe *sensations*? just a thought. nm

nm
Yes, it shows. Suggest helping yourself out sm
Subject: Yes, it shows. Suggest helping yourself out sm

by investing in some MT reference materials. It's much easier (and much, much faster) to look things up that way, and learn as you are researching. Also suggest your getting someone to mentor you 1 on 1. This job is tough enough!!

Are you the same Rebecca who was a surgical tech for 8 years?


I hear ya, there! For starters, may I suggest sm
Subject: I hear ya, there! For starters, may I suggest sm

your first investing in the big Dorland's medical dictionary with definitions (or Stedman's big one--though I've always preferred the Dorland's). That will hold you for quite a while. As a matter of fact, when I started out, that was pretty much the only reference book we had.

Also, a good drug book would help you immensely--suggest Drake & Drake. Since we have the Internet, you can use that, but the book is more helpful.

After you get going, you'll be able to see what specialties you transcribe the most and then can get the word books specific to that specialty. Like I said, though, the big illustrated dictionary will carry you through for a long time.

If you do ops, I highly recommend Stedman's Med/Surg Equipment Words. This is great when looking up instruments, etc. For example, if you needed to look up a certain catheter, you would have 21 pages of alphabetized catheters listed from which to select. Beats jumping around the Internet, chancing the spellings.

The Stedman's Path/Lab book would be another good investment down the road. Those terms are sometimes very difficult to locate and there are lots of helpful tables in the back of the book.

Little by little you can build up your reference library.

BTW, when you get your reference books, you can look up terms by going to the noun. Earlier you had questioned Mallory-Weiss tear. You would find that in the list under "tear."

Good luck to you in your career!

or we suggest taking a basic medical.....sm
Subject: or we suggest taking a basic medical.....sm

The most basic medical terminology course (my first course 27 years ago) teaches all about the *o* use as a connecting letter for words in medical terminology.  If you haven't even learned that yet, how is it exactly that you are an MT?  *very curious*


 



This is very close so I'll suggest it with a marker.
Subject: This is very close so I'll suggest it with a marker.


Good idea. May be suggest to the Administrator. NM
Subject: Good idea. May be suggest to the Administrator. NM


If a child or juvenile, would suggest growth to be correct
Subject: If a child or juvenile, would suggest growth to be correct

There are articles about the growth of visual fields.
She does not have an extensive history of travel to suggest “ham et ic” infection. sm
Subject: She does not have an extensive history of travel to suggest “ham et ic” infection. sm

presents for evaluation of chronic cough with peripheral eosinophilia and abnormal CT of the chest, per report (thickening of the bronchial wall).  The constellation of findings is suspicious for chronic eosinophilic pneumonia or allergic bronchopulmonary aspergillosis.  However, the patient does not have a prior history of asthma and per report, the chest x-ray or chest CT did not show any pulmonary infiltrates.  She does not have an extensive history of travel to suggest “ham et ic” infection.  However, she traveled through Brazil many years ago.  The IgE levels are elevated but not the point to suggest allergic bronchopulmonary aspergillosis. 


 


Was going to suggest same for both, but with addition of the word "thin" before nonpurulent.
Subject: Was going to suggest same for both, but with addition of the word "thin" before nonpurulent.


On fluoroscein staining there was no evidence of s/l streaming to suggest puncture.
Subject: On fluoroscein staining there was no evidence of s/l streaming to suggest puncture.

I know I should know this, but it has been a long day to say the least.  Thanks!!!!
sentence... His ECG does suggest multis criteria for the LVH in the left axis. thank you
Subject: sentence... His ECG does suggest multis criteria for the LVH in the left axis. thank you


No evidence of cramping abdominal pain that would suggest a s/l hydraged obstruction. Help??
Subject: No evidence of cramping abdominal pain that would suggest a s/l hydraged obstruction. Help??


Lipoic Acid, 300 mg, also known as Alpha Lipoic acid.? nm
Subject: Lipoic Acid, 300 mg, also known as Alpha Lipoic acid.? nm


Salicylic acid
Subject: Salicylic acid

He's definitely saying salicylic acid, but he's saying something before that that s/l asterile sayicylic acid.  Any ideas?  TIA.
how about acetylsalicylic acid
Subject: how about acetylsalicylic acid

does that sound like it?
s/l Alfalypoic acid?
Subject: s/l Alfalypoic acid?

CURRENT MEDICATIONS



  1. Lantus 19 units nightly.

  2. Humalog t.i.d. 1 unit per 10 grams of carbohydrate.

  3. s/l (Alfalypoic) acid 400 mg b.i.d.

  4. Lipitor 20 mg daily.

  5. Lisinopril hydrochlorothiazide 20/12.5 mg daily.

  6. Synthroid 0.075 mg daily.

  7. Aspirin 81 mg daily. 

No idea what this could be.  Still kind of new at this.  Any help would be great.


alphalipoic acid?
Subject: alphalipoic acid?

nm
not sure about the *repodic acid* one, but--sm
Subject: not sure about the *repodic acid* one, but--sm

the second one of s/l Co qid 60 mg is probably *PO* (by mouth) q.i.d. 60 mg. listen again.

valproic acid.
Subject: valproic acid.

x
He might be saying acid brash.
Subject: He might be saying acid brash.

nm