ESR can be 0-30 to be normal. nm
Posted By: itzme on 2009-04-07
In Reply to: Patient with diarrhea. Labs: s/l ESR 3 but sound is a bit distorted. Does that sound low for ESR? - Thanks
Subject: ESR can be 0-30 to be normal. nm
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no dont think so, the two line prior are LFTS normal and Chem-7 was normal
Subject: no dont think so, the two line prior are LFTS normal and Chem-7 was normal
I would use saline since it's the solution he's changing from half-normal to normal, not the
Subject: I would use saline since it's the solution he's changing from half-normal to normal, not the
s
normal Pap smear in there anywhere? Normal Pap in 2006?nm
Subject: normal Pap smear in there anywhere? Normal Pap in 2006?nm
normal motility? normal motilities? nm
Subject: normal motility? normal motilities? nm
You are probably hearing normal BUS or normal BUSV. sm
Subject: You are probably hearing normal BUS or normal BUSV. sm
BUS Bartholins/Urethra/Skene’s
BUSV Bartholins/Urethra/Skene’s/vagina.
Here is abbrev link for you.
http://www.healthsystem.virginia.edu/internet/obgyn-clerkship/UVA/Abbreviations.cfm
In LD says UA normal and then what sounds like C-MENT T is normal (maybe CMT)? nm
Subject: In LD says UA normal and then what sounds like C-MENT T is normal (maybe CMT)? nm
may be normal values or normal range? nm
Subject: may be normal values or normal range? nm
nm
limit of normal. sometimes hear "upper limit of normal", or "lower limit..." n/m
Subject: limit of normal. sometimes hear "upper limit of normal", or "lower limit..." n/m
Yes, a normal way they
Subject: Yes, a normal way they
Perhaps meaning borderline enlarged, but not to that point yet.
S1 and S2 normal, no S3, no S4
Subject: S1 and S2 normal, no S3, no S4
this is what they usually say - might say S3 split or S3 or S4 blowing systolic murmur
Normal?
Subject: Normal?
Best to give sentence here, but could he be saying normal rectal exam.
Could it be normal?
Subject: Could it be normal?
as in soft options of a normal diet, or even maybe 'normal or soft'
AST, ALT, GGT normal. sm
Subject: AST, ALT, GGT normal. sm
s/l alkalne isophosphatase enzymes have not been done. TIA
Normal GI -----? nm
Subject: Normal GI -----? nm
Yes, it's normal, I think :-) nm
Subject: Yes, it's normal, I think :-) nm
CVA is normal?
Subject: CVA is normal?
This is in regards to an elevated hematocrit. The doctor states there is no sign of bleeding and then says what sounds like the "CVA" or something DA -all I can tell is that it seems to end in D, KCDA? Is normal, so that is encouraging as well. There is page turning going on that makes it impossible to hear properly!
Actually, a 38 would be more normal on my research. nm
Subject: Actually, a 38 would be more normal on my research. nm
s
ESL~~~S/L left t's were normal
Subject: ESL~~~S/L left t's were normal
Her electrolytes showed that she was hypokalemia with potassium of 3.3, and her sugar was 40. *** were normal~~~I just can't make it out. S/L left t's were normal any suggestions? thank you all!!
Could be CPK and isoenzymes were normal. nm
Subject: Could be CPK and isoenzymes were normal. nm
Neither. I take it, and all my lab work is normal.
Subject: Neither. I take it, and all my lab work is normal.
I am taking it to shrink my thyroid which is enlarged.
normal lab values
Subject: normal lab values
That's really nice that you took time to list several options for me! Thanks!
situation normal, all ------ up
Subject: situation normal, all ------ up
lipase normal? nm
Subject: lipase normal? nm
normal fimbria seen
Subject: normal fimbria seen
CPH MB normal values: less than 3%-5%
Subject: CPH MB normal values: less than 3%-5%
Normal AST and ALT levels.........
Subject: Normal AST and ALT levels.........
From Google:
What are normal levels of AST and ALT?
The normal range of values for ALT (SGPT) is from 7 to 56 units per liter of serum.
The normal range of values for AST (SGOT) is from 5 to 40 units per liter of serum (the liquid part of the blood).
Normal 10-66 but could be elevated in CKD.nm
Subject: Normal 10-66 but could be elevated in CKD.nm
nm
phallus normal? nm
Subject: phallus normal? nm
xxx
possibly..."(the) normal"..??
Subject: possibly..."(the) normal"..??
.
MM normal phenotype?
Subject: MM normal phenotype?
Does anyone know what this refers to? Is it MM or MN?
would assume not normal
Subject: would assume not normal
not chronic for him, or something he doesn't normally show on his EKG. Sorry, probably has an accent, I assume.
Normal levels of CPK
Subject: Normal levels of CPK
are 38-174 units/L, so probably would be 13.91.
s/l GU: normal micterishid?
Subject: s/l GU: normal micterishid?
In the review of systems, the doc says "GU: normal micterishid? Has not noted any lumps in testicles..........."
Does this sound like anything real?
Thanks,
Abby
EKG sl normal brain?
Subject: EKG sl normal brain?
Her repeat EKG showed some atrial flutter. She had small vessel ischemic changes, significant atrophy but the normal brain otherwise without mass, acute infarct or hemorrhage.
Any ideas?
Are they dictating "a TSH too is normal? nm
Subject: Are they dictating "a TSH too is normal? nm
probably normal LV function
Subject: probably normal LV function
meaning left ventricular
normal A and BUAs
Subject: normal A and BUAs
On examination of the neck, dictator says what s/l "Normal A and BUAs are present in the supine position." Any ideas?
WAG here but normal A and B waves? sm
Subject: WAG here but normal A and B waves? sm
http://www.meddean.luc.edu/lumen/meded/medicine/pulmonar/pd/pstep33.htm
At 0o jugular veins should be filled. An impulse visible just prior to S1 or the upstroke of the carotid is the "a-wave". This will be followed by a x-descent. The 'c' wave is usually not visible. The 'v' wave occurs after the start of the carotid upstroke and during ventricular systole (which is atrial diastole). When the tricuspid valve opens there is a brisk descent (y-descent).
Observe the
OB-GYN - "quad" screen normal? sm
Subject: OB-GYN - "quad" screen normal? sm
No slang allowed. Anyone know the full expansion for this screen? TIA!
s/l LSKB within normal limits.......
Subject: s/l LSKB within normal limits.......
abdomen physical examination
Thanks
A troponin of 0.2 is still elevated with normal being
Subject: A troponin of 0.2 is still elevated with normal being
x
normal oral flora? (nm)
Subject: normal oral flora? (nm)
Neurological: Normal mero?
Subject: Neurological: Normal mero?
The patient is a 17-day-old infant
Neurological: Normal ___.
Blank s/l normal ma-row perhaps mero?
SMAC normal, except......and the rest..sm
Subject: SMAC normal, except......and the rest..sm
Doubtful he is saying the meaning of SMAC....they don't usually, though they do with the CBC = complete blood profile.....
I think he/she is saying SMAC normal, except........etc., etc.
normal saline with Hibiclens? sm
Subject: normal saline with Hibiclens? sm
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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' 
I would flag it, 5 mg b.i.d. is not a normal dose
Subject: I would flag it, 5 mg b.i.d. is not a normal dose
Here's some info copied and pasted from my QuickLook drug reference. It looks like 4 mg a day total is about the highest dose.
Usual Dosage Oral: Note: Treatment >4 months should be re-evaluated to determine the patient's continued need for the drug
Adults:
Anxiety: Immediate release: Effective doses are 0.5-4 mg/day in divided doses; the manufacturer recommends starting at 0.25-0.5 mg 3 times/day; titrate dose upward; maximum: 4 mg/day
Anxiety associated with depression: Immediate release: Average dose required: 2.5-3 mg/day in divided doses
Panic disorder:
Immediate release: Initial: 0.5 mg 3 times/day; dose may be increased every 3-4 days in increments ≤1 mg/day; many patients obtain relief at 2 mg/day, as much as 10 mg/day may be required
Extended release: 0.5-1 mg once daily; may increase dose every 3-4 days in increments ≤1 mg/day (range: 3-6 mg/day)
Switching from immediate release to extended release: Patients may be switched to extended release tablets by taking the total daily dose of the immediate release tablets and giving it once daily using the extended release preparation.
Preoperative sedation: 0.5 mg in evening at bedtime and 0.5 mg 1 hour before procedure
Dose reduction: Abrupt discontinuation should be avoided. Daily dose may be decreased by 0.5 mg every 3 days, however, some patients may require a slower reduction. If withdrawal symptoms occur, resume previous dose and discontinue on a less rapid schedule.
Dosage Forms
Solution, oral (Alprazolam Intensol®): 1 mg/mL (30 mL)
Tablet (Xanax®): 0.25 mg, 0.5 mg, 1 mg, 2 mg
Tablet, extended release (Xanax XR®): 0.5 mg, 1 mg, 2 mg, 3 mg
Tablet, orally-disintegrating (Niravam™): 0.25 mg, 0.5 mg, 1 mg, 2 mg [orange flavor]
EKG: ADP NP (or) and P are interval normal axis.
Subject: EKG: ADP NP (or) and P are interval normal axis.
I hate abbreviations.
The only thing that shows up in my cardiology book is adenosine diphosphage, and that doesn't tell me what the next NP or and P would mean. I wish they'd just say what they mean instead of abbreviating, because if I can't figure them out I'm blanking them.
RA, ANA and normal uric acid
Subject: RA, ANA and normal uric acid
I think..
normal follicular pattern?
Subject: normal follicular pattern?
xx
seriously, do you not understand normal thinking?
Subject: seriously, do you not understand normal thinking?
nm
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