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Maybe early severe acute pancreatitis ESAP

Posted By: nm on 2009-02-08
In Reply to: Patient is status-post laparoscopic cholecystectomy with subsequent **ESAP**. TIA - barbara

Subject: Maybe early severe acute pancreatitis ESAP

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or how about moderately severe encephalopathy or moderate-to-severe ? nm
Subject: or how about moderately severe encephalopathy or moderate-to-severe ? nm


ESAP
Subject: ESAP

ESAP: Early severe acute pancreatitis ?
The costophrenic angles are acute. Acute?
Subject: The costophrenic angles are acute. Acute?

Does acute make sense?  Doctor with accent.


Thanks!


Patient is status-post laparoscopic cholecystectomy with subsequent **ESAP**. TIA
Subject: Patient is status-post laparoscopic cholecystectomy with subsequent **ESAP**. TIA




Pancreatitis? nm
Subject: Pancreatitis? nm

xx
pancreatitis with s/l flegman
Subject: pancreatitis with s/l flegman

any guesses........severe alcoholism.


 


TIA


There's phlegmonous pancreatitis nm
Subject: There's phlegmonous pancreatitis nm

nm
ack i got it! gallstone pancreatitis... =) NM
Subject: ack i got it! gallstone pancreatitis... =) NM

x
pancreatitis caused by *elmosperachinase*
Subject: pancreatitis caused by *elmosperachinase*

This is a 10-year-old with ALL presenting with pancreatitis.  It was felt that the "elmosperachinase" caused the pancreatitis.


Any ideas?


s/l "avideo" pancreatitis - don't have any other info -
Subject: s/l "avideo" pancreatitis - don't have any other info -

I'm actually helping someone else with this, so I don't have details, but she was thinking "ileal" pancreatitis - that doesn't sound right to me.  Any suggestions?
Exam is consistent with pancreatitis. I seriously doubt s/l stumpitis
Subject: Exam is consistent with pancreatitis. I seriously doubt s/l stumpitis


No history of withrawal seizures, fissures or PUD or pancreatitis.
Subject: No history of withrawal seizures, fissures or PUD or pancreatitis.

I need some help......


It sounds like "No history of withdrawal seizures, fissures or PUD or pancreatitis."  For a patient with alcoholic liver disease.  The underlined is what I am not sure about. Thanks!


depends on context: acute-on-chronic renal insufficiency or renal insufficiency, acute on chronic.
Subject: depends on context: acute-on-chronic renal insufficiency or renal insufficiency, acute on chronic.

x
relatively severe, diffuse....
Subject: relatively severe, diffuse....

/
severe ileus?? nm
Subject: severe ileus?? nm

ss
severe phobia maybe? nm
Subject: severe phobia maybe? nm

nm
......'as severe as HERS'...nm
Subject: ......'as severe as HERS'...nm

nm
s/l cervical or severe?
Subject: s/l cervical or severe?

Cervical or severe spinal stenosis surgery 3 years ago.
Yes, have seen that in severe case of cholera
Subject: Yes, have seen that in severe case of cholera


severe? situational? secondary? nm
Subject: severe? situational? secondary? nm


could be, does not pronounce the xi, med list of 18, but does have severe PVD, thanks
Subject: could be, does not pronounce the xi, med list of 18, but does have severe PVD, thanks


localized severe pain? nm
Subject: localized severe pain? nm

.
agree - probably follicular dermatitis, severe
Subject: agree - probably follicular dermatitis, severe


severe splanchnic activity with s/l durolap
Subject: severe splanchnic activity with s/l durolap

thank you
Severe narrowing of the lateral recess nm
Subject: Severe narrowing of the lateral recess nm

.
as postop diagnosis says severe central
Subject: as postop diagnosis says severe central

stenosis at L3-4 and 4-5 and s/l fraying/framing?? stenosis at 3-4, 4-5, and 5-1
patient w severe metatarsal prolapse please sm
Subject: patient w severe metatarsal prolapse please sm

The conservative means of therapy in this case would be orthotic devices with a deep s/l-rale- for the lesser metatarsal heads and support of the metatarsal necks. 
Her EMG/NCV showed she has severe CTS on the right with a distal s/l mo-lank-c-see-a of 6.69.
Subject: Her EMG/NCV showed she has severe CTS on the right with a distal s/l mo-lank-c-see-a of 6.69.

:-)
Can't think this early
Subject: Can't think this early


Intrauterine pregnancy at 37 weeks', 6 days' gestation


Way too early for this.
Subject: Way too early for this.

Doc says he is switching her to Darvocet and I swear it sounds like he is saying A500 or 8500.  I can't find anything on this except for the normal N100.  Am I going crazy or what? 
sorry, sent to early..
Subject: sorry, sent to early..

What does dig level stand for? Digoxin?  Thanks
Differin cream is used for treating severe acne.
Subject: Differin cream is used for treating severe acne.


There are bruises on the extremities, but no "local eye a severe" pain???
Subject: There are bruises on the extremities, but no "local eye a severe" pain???

Anyone know what this might be? 


sorry it's early here see inside
Subject: sorry it's early here see inside

make that medial - jeez need my coffee !!!
Early rupture?
Subject: Early rupture?


thanks early riser
Subject: thanks early riser

Your not alone in the early rising. Unfortunately, I am also a late decliner. The best time to type is when kids are sleeping.
Thanks for your help
? early satiety ? (nm)
Subject: ? early satiety ? (nm)


early satiety --- yay!!!
Subject: early satiety --- yay!!!


Never mind - it's early
Subject: Never mind - it's early

Venofer!!!
early satiety
Subject: early satiety

everyone seems to get stuck on that one... google it, you'll like the meaning, and, you'll never forget it....
s/l early calsalgia
Subject: s/l early calsalgia

DIAGNOSES:
1. RIGHT SHOULDER IMPINGEMENT SYNDROME
2. POSSIBLE EARLY S/L CALASGIA

Sorry but that is all I have to give for information as it is the diagnoses. No sentence to go with it. tia.

early satiety.
Subject: early satiety.

x
They usually say early saiety all run
Subject: They usually say early saiety all run

together, means it doesn't take much to eat to feel "full"
early satiety (nm)
Subject: early satiety (nm)


You are right. Sorry. It was early when I posted that. My bad. nm
Subject: You are right. Sorry. It was early when I posted that. My bad. nm

nm
Pt with severe anemia. The patient had s/l tegrabtusol scan that was negative.
Subject: Pt with severe anemia. The patient had s/l tegrabtusol scan that was negative.

Any ideas? I've done Nuclear Medicine, but the way this guy is chewing the word I just drew a blank.
She was on a trip without problication and had severe pain in the left knee. nm
Subject: She was on a trip without problication and had severe pain in the left knee. nm

nm
had the *apoplathic* onset of a very severe thunder clap headache-Thanks. nm
Subject: had the *apoplathic* onset of a very severe thunder clap headache-Thanks. nm

nm
Pt with severe headache - will obtain s/l F E axis before sending to hospital. nm
Subject: Pt with severe headache - will obtain s/l F E axis before sending to hospital. nm


I would go with cervical because severe spinal stenosis could be in other parts of the body
Subject: I would go with cervical because severe spinal stenosis could be in other parts of the body


I agree and I apologize. It was way early--sm
Subject: I agree and I apologize. It was way early--sm

when I posted that. Sorry, but I still think it could be crepitus,,,without the "sign" part. jmo.