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Melena or Melenotic - loss of GI blood causing black, tarry stools?

Posted By: Lucy on 2008-07-24
In Reply to: s/l menic donor - Ima Stuck

Subject: Melena or Melenotic - loss of GI blood causing black, tarry stools?

Blood loss causes anemia which would cause one to be on iron supplement.


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melena, hematochezia, weight loss
Subject: melena, hematochezia, weight loss


insensible ?? blood loss
Subject: insensible ?? blood loss

EBL: 50-100 mL plus s/l insensuable losses in the uterus. Does insensible loss make sense? Sound quality is very poor.
How do you type estimated blood loss, with cc or mL?
Subject: How do you type estimated blood loss, with cc or mL?

Thanks...
Black?, as in the Strub-Black Mental Status Exam
Subject: Black?, as in the Strub-Black Mental Status Exam

This URL states the Strub-Black exam adds to 10 points but is based on questions about proverbs, and, of course, black doesn't sound like "blust."

URL: http://www.emory.edu/AAPL/newsletter/N271_proverbs.pdf

The html site of the above url is: http://72.14.209.104/search?q=cache:HXrwAcJRu_8J:www.emory.edu/AAPL/newsletter/N271_proverbs.pdf+black+mental+status+exam&hl=en&gl=us&ct=clnk&cd=13

kj
melenotic
Subject: melenotic

It's spelled melanotic.
Is melenotic a word?? Or should it
Subject: Is melenotic a word?? Or should it

be changed to melenic?  The doctor clearly says melenotic, but they have been known to make up words. 
melena
Subject: melena


melena, hematochezia ...nm
Subject: melena, hematochezia ...nm

s
Early satiety or melena or jaundice
Subject: Early satiety or melena or jaundice


s/l patient denies history of *metachezia* or melena??? nm
Subject: s/l patient denies history of *metachezia* or melena??? nm

nm
Help ! On GI exam: Sounds like no ulicitidy, or melena or jaundice?
Subject: Help ! On GI exam: Sounds like no ulicitidy, or melena or jaundice?


about stools (sorry)
Subject: about stools (sorry)

Yep, it's a report on stools and the doc says no blood, s/l "pus mix," or melena (he says meh-LEEN-ah, but I think it's melena).  Does "pus mix" make sense?? As in pus *mixed* in?


 


could be occult stools
Subject: could be occult stools

meaning blood in the stools.
s/l *skiblous* stools... TIA nm
Subject: s/l *skiblous* stools... TIA nm

x
yes, melanotic stools nm
Subject: yes, melanotic stools nm

xxx
No melena, hematochezia, heartburn, “or rerlash gorba sensation’ or dysphagia.
Subject: No melena, hematochezia, heartburn, “or rerlash gorba sensation’ or dysphagia.

If someone gets this...you get a gold star! 
in a colonoscopy, s/l illoculate stools--by ESL doc-nm
Subject: in a colonoscopy, s/l illoculate stools--by ESL doc-nm


Could you be hearing psyllium for stools etc? nm
Subject: Could you be hearing psyllium for stools etc? nm


biliary colic stools????
Subject: biliary colic stools????

Has anyone heard of biliary colic stools and if so what is it? 
I might very well be biliary colic stools. sm
Subject: I might very well be biliary colic stools. sm

Is this a nephrology or urology patient? Or even a GI patient?

When you have gallbladder problems, liver problems, etc., the stools are usually a different color. They can be clay colored, black, tarry, yellow, green like baby stools, etc. So biliary colic stools could be right.
I think it is tenting as if something is causing it to bulge out like a tent.
Subject: I think it is tenting as if something is causing it to bulge out like a tent.

I don't believe they can the the color or tint on an MRI.
Could be "pleurisy" causing a pleural effusion - nm
Subject: Could be "pleurisy" causing a pleural effusion - nm


possibly indolent, meaning causing little
Subject: possibly indolent, meaning causing little

pain and slow to develop.


black??? - NM
Subject: black??? - NM


For many years she has had loose, mucus-like stools. nm
Subject: For many years she has had loose, mucus-like stools. nm

x
Patient has s/l blig-a-ma-sy causing a pleural effusion.
Subject: Patient has s/l blig-a-ma-sy causing a pleural effusion.

Thanks so much!!!
LEUKO- White, Colorless, EMIA- Blood or referring to the presence of a substance in the blood
Subject: LEUKO- White, Colorless, EMIA- Blood or referring to the presence of a substance in the blood


Chlorthalidone is used for treating high blood pressure alone or in combination with other blood pre
Subject: Chlorthalidone is used for treating high blood pressure alone or in combination with other blood pressure medicines. It may be used along with other medicines for the treatment of fluid retention and swelling associated with congestive heart failure, cirrhosis of the liver and other causes.


Code Black
Subject: Code Black

What does "code black"  mean? 
There are colors - he could be saying black. - sm
Subject: There are colors - he could be saying black. - sm

x
Do they have to stop the scoping because of these stools or do they get past them to the cecum? nm
Subject: Do they have to stop the scoping because of these stools or do they get past them to the cecum? nm

s
Alpof, Elpof, Alpuf disease causing ESRD?
Subject: Alpof, Elpof, Alpuf disease causing ESRD?

Anyone ever heard of this?  Thanks a lot!
blood transfusion: 3 units s/l spectra blood cells
Subject: blood transfusion: 3 units s/l spectra blood cells


GYN? - white-black lesion? sm
Subject: GYN? - white-black lesion? sm

Dictation: She had extensive squamous metaplasia with a "white-black" (maybe white plaque) lesion noted on cervix.


Thanks for any help.


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could it be Black Cohosh, it's an herb
Subject: could it be Black Cohosh, it's an herb

and maybe doc is spelling it wrong?
try googling black salve.
Subject: try googling black salve.

NM
s/l modified black-no-fer grade II
Subject: s/l modified black-no-fer grade II

...infiltrating ductal carcinoma, modified _____ grade II, ER-positive...
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Subject: Black nuclear grade


Black endoscope possibly - nm
Subject: Black endoscope possibly - nm


black endoscope possibly - nm
Subject: black endoscope possibly - nm


have another question----stools were sent for s/l ribgiacola?, rotavirus, Gram stain, etc
Subject: have another question----stools were sent for s/l ribgiacola?, rotavirus, Gram stain, etc


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Subject: Plural or singular? "switch off Celexa because of torsade de pointes that (was/were) causing falls"


Pt had a chainsaw injury to the leg causing a laceration and s/l cortal defect to the bone. TIA
Subject: Pt had a chainsaw injury to the leg causing a laceration and s/l cortal defect to the bone. TIA


Intussuscepted mucus, long=standing build-up causing sinus infection???,,,nm
Subject: Intussuscepted mucus, long=standing build-up causing sinus infection???,,,nm

nm
heme, means blood or the red part of blood. nm
Subject: heme, means blood or the red part of blood. nm

s
Correction: Not all of the Strub-Black exam is proverbs. kj /nm
Subject: Correction: Not all of the Strub-Black exam is proverbs. kj /nm


Agree with possibly HPI: This or maybe even Black for the "tic" sound....???? nm
Subject: Agree with possibly HPI: This or maybe even Black for the "tic" sound....???? nm

s
large mediastinal mass causing severe compression of s/l corina ?? and mainstem bronchi
Subject: large mediastinal mass causing severe compression of s/l corina ?? and mainstem bronchi


black cohosh (lowercase). Drake Pharm book. nm
Subject: black cohosh (lowercase). Drake Pharm book. nm

x
blood pressures vs blood pressure's
Subject: blood pressures vs blood pressure's

blood pressures vs blood pressure's
VAC or V.A.C. (vacuum assisted closure) white and black foam. see link. Hope this helps.
Subject: VAC or V.A.C. (vacuum assisted closure) white and black foam. see link. Hope this helps.

http://www.kci1.com/88.asp