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MD says D5, not D50. Is he just slurring? See mssg

Posted By: jan on 2006-01-01
In Reply to:

Subject: MD says D5, not D50. Is he just slurring? See mssg

The patient was started on Avelox 400 mg IV; D5 half normal saline 75 cc/hour


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see mssg.
Subject: see mssg.

Not sure if this is what you are looking for, but check out:


 


Immune-related hydrops fetalis (IHF) results from alloimmune hemolytic disease or Rh isoimmunization. The mother is sensitized and has antibodies against fetal blood cells, causing hemolysis in the fetus when circulated maternal antibodies (immunoglobulin G [IgG]) cross the placenta to reach fetal circulation. Most cases occur because of antibodies to D-positive Rh antigen, although some cases can occur because of antibodies to C-positive and E-positive Rh antigens. Rare blood group antibodies, such as the Kell (K) system and the Duffy (Fy) system, also can cause hydrops.


Please see mssg.
Subject: Please see mssg.

I'm not sure how much help this is but your "5" sound reminds me of phyte as in dermato"phyte".
PSE 1 tablet bid. Help please see mssg.
Subject: PSE 1 tablet bid. Help please see mssg.

ASSESSMENT/PLAN 

Sinusitis/bronchitis – prednisone 60 mg to 10 mg, decreasing by 10 mg daily; Avelox 400 mg daily for 14 days, and then take PSE 1 tablet b.i.d; Albuterol MDI 2 puffs every 6 hours. 
s/l Doe dose see mssg
Subject: s/l Doe dose see mssg

ASSESSMENT/PLAN 


1.      Thyroid carcinoma – a TSH and free T4 have been requested.  Review of laboratory studies requested by Dr. X in June of 2005 demonstrated an elevated TSH level at 8.  Apparently s/l DOE DOSE adjustment was made.  We will need to discuss thyroid suppression and goal of TSH with Dr. x.    She is due for thyroid scan.


 


It is definately not low dose.  It sounds like doe dose.  Am i missing something ???


No clue. See mssg.
Subject: No clue. See mssg.

Patient has prostate cancer in remission and stage IV mantle cell lymphoma.
Opinions needed See MSSG
Subject: Opinions needed See MSSG

 


 


Question: would you put "Romberg negative.  No pronator drift.  Gait is normal." under extremities or neuro?    Thanks


 


EXTREMITIES:  No clubbing, cyanosis, or edema.  Distal pulses are 2+ and equal throughout.  Romberg negative.  No pronator drift.  Gait is normal.


 


NEUROLOGIC:  Cranial nerves II-XII are intact.  DTRs are 2+ and equal throughout.  Romberg negative.  No pronator drift.  Gait is normal.


I type out the whole phrase. (no mssg)
Subject: I type out the whole phrase. (no mssg)

.
It could be either - is the doc slurring so much you can't tell?
Subject: It could be either - is the doc slurring so much you can't tell?

Abduction is movement AWAY from the center of the body (like abducting someone - you take them away).


Adduction is movement TOWARD the center of the body.


So unless you can see the patient or the x-rays or whatever, you may just have to listen carefully.


Thanks to both. He was slurring and
Subject: Thanks to both. He was slurring and

now is saying it better. Yes, sensory. Just wanted to be sure.
Maybe slurring
Subject: Maybe slurring

*A/C* junction?
Perhaps he was slurring through it, but it was sure two syllables. Thank you!
Subject: Perhaps he was slurring through it, but it was sure two syllables. Thank you!

x
Could it be that doc is slurring and means
Subject: Could it be that doc is slurring and means

C4 and C3 paraplegia?
not slurring, C4 s/l HID or ash-a-dee paraplegia.nm
Subject: not slurring, C4 s/l HID or ash-a-dee paraplegia.nm

xx
slurring low sodium?
Subject: slurring low sodium?

x
doc is slurring s/l fastigal nystagmus.
Subject: doc is slurring s/l fastigal nystagmus.


Taking into account any possible slurring...
Subject: Taking into account any possible slurring...

or stumbling over the word....could it possibly be "oblique" ?  (pronounced by the doc as "o-bleek" instead of "o-blike")


That's the only alternative knee view I can think of other than a sunrise view, but sunrise couldn't be mistaken for your sound-alike description at all. 


Hope that helps


Thanks. I can hear the "on" now. He is slurring this together. NM
Subject: Thanks. I can hear the "on" now. He is slurring this together. NM

ss
Maybe slurring thoracic junction
Subject: Maybe slurring thoracic junction


Any chance they are slurring flex/extend?
Subject: Any chance they are slurring flex/extend?

However, according to a google search, if this is an g-tube then it should Not be flex/extend
Hope this helps
Found about 200 refs to upslurring and slurring. sm
Subject: Found about 200 refs to upslurring and slurring. sm

on EKG.


 


Google "EKG" and then go down to the SEARCH WITHIN RESULTS and put QRS slurring. Lots of info.


Might be slurring some kind of study, but nothing's ringing
Subject: Might be slurring some kind of study, but nothing's ringing

s
slurring/missing first half of word- sm
Subject: slurring/missing first half of word- sm

thoracic 1 distribution
(I'm not TAKING a test - the word is a kind of test!) ;) - no mssg
Subject: (I'm not TAKING a test - the word is a kind of test!) ;) - no mssg


Could they be slurring cerebral artery stenosis or some other stenosis? nm
Subject: Could they be slurring cerebral artery stenosis or some other stenosis? nm

s