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Evaluation for possibility of lymphoma

Posted By: jss on 2008-11-12
In Reply to:

Subject: Evaluation for possibility of lymphoma


His peripheral blood lymphocyte analysis revealed no s/l coronal populations.


 




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Is there any possibility
Subject: Is there any possibility

That's for pulmonary artery hypertension.
Always a possibility...
Subject: Always a possibility...

Could be from the area of the thigh up to the mid-pubic line???
Lymphoma
Subject: Lymphoma

Doc dictates "differential diagnosis includes not only lymphoma or typical __________ disease."  Sounds like cabriculous. Any ideas? 


Thank you. 


Lymphoma
Subject: Lymphoma

Wow, there's another "D" out there. Perhaps I should change my ID to avoid confusion; I've been posting as such for a while. I hope you found the answer to the word/phase in question.
Now thats a good possibility!

Guess your up late too?  Somehow don't think thats what my doc was saying, although would be more interesting!!!!


 


Dawn


Flailing. Another possibility. nm
Subject: Flailing. Another possibility. nm

x
That's a definite possibility
Subject: That's a definite possibility

I'm thinking that too. He might be saying something to the effect that the pt needs to step up, get going, finally agree to have this test performed. Thanks for the help
found a possibility, but (sm)
Subject: found a possibility, but (sm)

I personally wouldn't take it upon myself to add any initials at all unless they were specifically requested.
RE: B-Cell lymphoma....
Subject: RE: B-Cell lymphoma....

doc says 'B-cell lymphoma involving the vertebral body of D5.' Is D5 correct as that is what he is saying. working on discharge summary. TIA
S/L trinda, its for lymphoma
z
Fiddle lymphoma
Subject: Fiddle lymphoma

The doctor says fiddle lymphoma twice, and I can't find anything to make sense of it. 
another possibility -- "choanal atresia"?? -- nm
Subject: another possibility -- "choanal atresia"?? -- nm

.
That's a possibility, but I'm not sure. I had to go ahead and send. Thanks!
Subject: That's a possibility, but I'm not sure. I had to go ahead and send. Thanks!


hmmm--good possibility...sm
Subject: hmmm--good possibility...sm

I had to send it back already with blanks and a note to my coordinator for some help. this sounds pretty close, as in the note to the referring physician, he mentioned a urine test for this too. It is hard to believe a one year old baby would have something like this though, but I do appreciate your help. I will let you know when I find out definitely what it is. oh, and I am hopped up on Hershey kisses with caramel, so don't feel bad! LOL. thanks again. I have a feeling this might be it.
another possibility is buccal mucosa nm
Subject: another possibility is buccal mucosa nm

/
Looks like Tina may have hit it, but if not, possibility of Coumadin? nm
Subject: Looks like Tina may have hit it, but if not, possibility of Coumadin? nm

,,
Para 2 with twins (another possibility)
Subject: Para 2 with twins (another possibility)

x
Xalatan - possibility if for eye dictation
Subject: Xalatan - possibility if for eye dictation


WAG here... possibility would be "pretty small"??? NM
Subject: WAG here... possibility would be "pretty small"??? NM

x
that's a possibility - I'll have to listen again...sm
Subject: that's a possibility - I'll have to listen again...sm

I listened over the phone last night - we were even thinking that he was saying "a bit of" pancreatitis in the hx (which doesn't make sense, either), but it's mentioned in the dx, too, and he wouldn't be saying that in the dx...I'm stumped.
GAU evaluation
Subject: GAU evaluation

Does anyone know what this pertains to?  I do not find anything in my Stedman's reference that would shed light on it.  The patient is 51 years old and it is a very short dictation with little detail. 
hmmm, could be. Pt had non Hodgkin's lymphoma.
Subject: hmmm, could be. Pt had non Hodgkin's lymphoma.

definitely sounded like a "tica" at the end though.   we will see if the QA gives me the heads up.
I found a Lennert ('s) lymphoma.
Subject: I found a Lennert ('s) lymphoma.

Maybe it's that kind of cell.
Lymphoma lesion type???
Subject: Lymphoma lesion type???

Diagnosis was made of  non-cleaved, non-Hodgkin’s lymphoma (SNC lymphoma) with a staging laparotomy with extensive involvement in many sites, treated with CHOP x 16 cycles.  He was restage in January of this year and a _________lesion was seen.  Lymphoma versus pseudocyst.  Now admitted for further chemotherapy with DHAP.


 Word sounds like anpandacardic or pandcardic - an clues?


Try 'nonbulky' Hodgkin's lymphoma
Subject: Try 'nonbulky' Hodgkin's lymphoma


NK-cell non-Hodgkin's lymphoma? nm
Subject: NK-cell non-Hodgkin's lymphoma? nm


star cell lymphoma??
Subject: star cell lymphoma??

Anyone heard of star cell lymphoma?
star cell lymphoma??
anyone heard of star cell lymphoma??
small cell lymphoma? nm
Subject: small cell lymphoma? nm

x
positive biopsy for lymphoma sm
Subject: positive biopsy for lymphoma sm

sounds like something-Burke cells? please help
last CBC, her leukocytes?? i know nothing to do with thyroid panel but a possibility. nm
:
Googling suggested polysplenia as a possibility.
Subject: Googling suggested polysplenia as a possibility.

(nm)
another possibility - Zaroxolyn, depending on dialect?
Subject: another possibility - Zaroxolyn, depending on dialect?


That's a possibility. It's garbled, but I hear what might be atrophy but don't know.
Subject: That's a possibility. It's garbled, but I hear what might be atrophy but don't know.


Yes, that is also a possibility, if listen closely, you should hear which??? >-)
Subject: Yes, that is also a possibility, if listen closely, you should hear which??? >-)

x
Actually, giving it more thought, Ceptaz is also a possibility. sm
Subject: Actually, giving it more thought, Ceptaz is also a possibility. sm

...though none of these are cardiac meds, actually.
Wound care - Another possibility would be to go to one of the s/l echinocadins. Help Please! nm TIA
Subject: Wound care - Another possibility would be to go to one of the s/l echinocadins. Help Please! nm TIA

x


evaluation and treatment?
Subject: evaluation and treatment?

x
Evaluation of right shoulder . . .
Subject: Evaluation of right shoulder . . .

Evaluation of his right shoulder shows he does have some atrophy in his 'p_____ disfaucet'.


I know that is not right, but that I was I get from his garble and what sounds like him eating the recorder. LOL


Thanks.


s/l fornik evaluation (sm)
Subject: s/l fornik evaluation (sm)

The patient had been on aspirin at the time of his stroke.  He was changed to Plavix.  He may be considered for __________ evaluation in the future. 


This doctor flies through the dictation at warp speed, but the closest I can hear is "fornik."


Thanks.


Maybe "eval" for evaluation???
Subject: Maybe "eval" for evaluation???

x
Re-evaluation or Reevaluation?
Subject: Re-evaluation or Reevaluation?

Any idea whether this word has a hyphen or not?


Thank you


Could the doc just be stumbling on GU evaluation? Sorry not more help Nm
Subject: Could the doc just be stumbling on GU evaluation? Sorry not more help Nm

nm
maybe for "a VATS" evaluation ??
Subject: maybe for "a VATS" evaluation ??


yes, RICE, non-Hodgkin's lymphoma, and Cytoxan
Subject: yes, RICE, non-Hodgkin's lymphoma, and Cytoxan


Typing patient with lymphoma.. Please see message. Thanks.
Subject: Typing patient with lymphoma.. Please see message. Thanks.

Some patients if they have a lot of disease tend to have a lot of lymphoma in their peripheral blood, and that’s considered like kind of an extra s/l narital site but yours was negative.


...otherwise. CHOP protocol is used for lymphoma, not leukemia. nm
Subject: ...otherwise. CHOP protocol is used for lymphoma, not leukemia. nm

s
mantle cell lymphoma question
Subject: mantle cell lymphoma question

Dr. says what sounds like "stage IV E mantle cell lymphoma" and I have researched and can't find anything.  Help please!
Maybe sclerae-gray test, that would be more for neurological, but maybe a possibility.
Subject: Maybe sclerae-gray test, that would be more for neurological, but maybe a possibility.


s/l "Osfinder" evaluation of cervix
Preoperative diagnosis is:
RECURRENT HIGH-GRADE SQUAMOUS INTRAEPITHELIAL LESION FOLLOWING CONE BIOPSY AND CERVICAL STENOSIS PENDING PATHOLOGY.

Procedure is:
EXAMINATION UNDER ANESTHESIA, **OSFINDER** EVALUATION AND DILATATION OF THE CERVIX.

vVery muffled, but "--finder" seems clear (??).
sentence..Returned for re-evaluation of her...
Subject: sentence..Returned for re-evaluation of her...

blood pressure.  She is on clathylone, verapamil 240 b.i.d., Mevacor 20 b.i.d., Prilosec, Flexeril, Mataglip and atenolol 25 a day.


She has had restriction of activity secondary to her let shoulder surgery and her right hip arthalgias.


Physical normal.  She was given instructions to start water aerobics at the YMCA.  A return visit in a year.  Thats all the info I have.