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No evidence of cramping abdominal pain that would suggest a s/l hydraged obstruction. Help??

Posted By: MSmt on 2009-04-16
In Reply to:

Subject: No evidence of cramping abdominal pain that would suggest a s/l hydraged obstruction. Help??




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On fluoroscein staining there was no evidence of s/l streaming to suggest puncture.
Subject: On fluoroscein staining there was no evidence of s/l streaming to suggest puncture.

I know I should know this, but it has been a long day to say the least.  Thanks!!!!
I would put MRA Abdominal Aorta: No evidence for renal artery stenosis. sm
Subject: I would put MRA Abdominal Aorta: No evidence for renal artery stenosis. sm

And it is definitely not part of the ECG report.
Abdominal pain
Subject: Abdominal pain

.....female who complains of "s/l unpling" epigastric pain. Anyone has an idea?
abdominal pain or
Subject: abdominal pain or

dysarthria
Patient has abdominal pain
Subject: Patient has abdominal pain

The patient underwent a nuclear hepatobiliary scan and this revealed a gallbladder ejection fraction of 41.6%, severe pain during CHOLECYSTIC KININ??? adminstration.


Any clues.  I know I have heard this, just can't grasp it this morning.  Thanks


LLQ abdominal pain with a negative *s/l see* sm
Subject: LLQ abdominal pain with a negative *s/l see* sm

left lower quadrant abdominal pain, with a negative****s/l see*** but treated as possibly occult diverticulitis


 


Thanks for any help!


abdominal pain and diarrhea ? SM
Subject: abdominal pain and diarrhea ? SM

it is for sure
Cryptococcal meningitis to the poster who thought it was streptococcal.
Agree with abdominal pain - sm
Subject: Agree with abdominal pain - sm

Guessing for 2nd one - dysuria or dyspnea ?
patient is given med for abdominal pain s/l DICLOSAMINE?
Subject: patient is given med for abdominal pain s/l DICLOSAMINE?


abdominal pain-yes! (DUH!) pretty sure it's not diarrhea. Thanks!
Subject: abdominal pain-yes! (DUH!) pretty sure it's not diarrhea. Thanks!


medication for abdominal pain s/l "Mycra"
Subject: medication for abdominal pain s/l "Mycra"


Labs - patient with abdominal pain. When seen earlier in the week - sm
Subject: Labs - patient with abdominal pain. When seen earlier in the week - sm

We obtained s/l acetive toxin and stool culture, which is still pending.
H. pylori test or s/l "antiglia" antibodies, I would do those for the abdominal pain and migra
Subject: H. pylori test or s/l "antiglia" antibodies, I would do those for the abdominal pain and migraine nm


Help -- Patient denies double vision, abdominal pain or ???distortia??
Subject: Help -- Patient denies double vision, abdominal pain or ???distortia??


Mittelschmerz is characterised by lower abdominal and pelvic pain that occurs roughly midway through
Subject: Mittelschmerz is characterised by lower abdominal and pelvic pain that occurs roughly midway through a woman's menstrual cycle


Mittelschmerz is characterized by lower abdominal and pelvic pain that occurs roughly midway through
Subject: Mittelschmerz is characterized by lower abdominal and pelvic pain that occurs roughly midway through a woman's menstrual cycle.


First, it is UPJ obstruction = ureteropelvic junction obstruction. nm
Subject: First, it is UPJ obstruction = ureteropelvic junction obstruction. nm

.
You are welcome...........suggest...sm
Subject: You are welcome...........suggest...sm

What I do is I put the little feet up on the keyboard - underneath the keyboard on the underside of keyboard are 2 little feet - to have the keyboard now on a little slant (a regular microsoft keyboard) and I try to remind myself to not strike the spacebar as hard as I used to with my right thumb (am right-hand dominant). 


Hope you feel better soon in those hands (my hands feel like the hands of a REAL old person inside them from pounding on some keyboard for pretty much my entire life, piano first for 14 years, then a typewriter, then 5 years I worked in kitchens pounding it out on butcher blocks with knives, then back to MT work commencing in 1980 - so yeah, my hands, while they look young, feel inside like the hands of someone in their 80s!!). 


well then suggest the BOS *S*....NM
Subject: well then suggest the BOS *S*....NM


They suggest q. 4 (space)h. (nm)
Subject: They suggest q. 4 (space)h. (nm)

x
was just going to suggest D5W shot as well
Subject: was just going to suggest D5W shot as well


I would suggest maybe *sensations*? just a thought. nm
Subject: I would suggest maybe *sensations*? just a thought. nm

nm
Yes, it shows. Suggest helping yourself out sm
Subject: Yes, it shows. Suggest helping yourself out sm

by investing in some MT reference materials. It's much easier (and much, much faster) to look things up that way, and learn as you are researching. Also suggest your getting someone to mentor you 1 on 1. This job is tough enough!!

Are you the same Rebecca who was a surgical tech for 8 years?


I hear ya, there! For starters, may I suggest sm
Subject: I hear ya, there! For starters, may I suggest sm

your first investing in the big Dorland's medical dictionary with definitions (or Stedman's big one--though I've always preferred the Dorland's). That will hold you for quite a while. As a matter of fact, when I started out, that was pretty much the only reference book we had.

Also, a good drug book would help you immensely--suggest Drake & Drake. Since we have the Internet, you can use that, but the book is more helpful.

After you get going, you'll be able to see what specialties you transcribe the most and then can get the word books specific to that specialty. Like I said, though, the big illustrated dictionary will carry you through for a long time.

If you do ops, I highly recommend Stedman's Med/Surg Equipment Words. This is great when looking up instruments, etc. For example, if you needed to look up a certain catheter, you would have 21 pages of alphabetized catheters listed from which to select. Beats jumping around the Internet, chancing the spellings.

The Stedman's Path/Lab book would be another good investment down the road. Those terms are sometimes very difficult to locate and there are lots of helpful tables in the back of the book.

Little by little you can build up your reference library.

BTW, when you get your reference books, you can look up terms by going to the noun. Earlier you had questioned Mallory-Weiss tear. You would find that in the list under "tear."

Good luck to you in your career!

or we suggest taking a basic medical.....sm
Subject: or we suggest taking a basic medical.....sm

The most basic medical terminology course (my first course 27 years ago) teaches all about the *o* use as a connecting letter for words in medical terminology.  If you haven't even learned that yet, how is it exactly that you are an MT?  *very curious*


 



This is very close so I'll suggest it with a marker.
Subject: This is very close so I'll suggest it with a marker.


Good idea. May be suggest to the Administrator. NM
Subject: Good idea. May be suggest to the Administrator. NM


Could it be gout? Anything in lab to suggest excessive uric acid?
Subject: Could it be gout? Anything in lab to suggest excessive uric acid?


If a child or juvenile, would suggest growth to be correct
Subject: If a child or juvenile, would suggest growth to be correct

There are articles about the growth of visual fields.
She does not have an extensive history of travel to suggest “ham et ic” infection. sm
Subject: She does not have an extensive history of travel to suggest “ham et ic” infection. sm

presents for evaluation of chronic cough with peripheral eosinophilia and abnormal CT of the chest, per report (thickening of the bronchial wall).  The constellation of findings is suspicious for chronic eosinophilic pneumonia or allergic bronchopulmonary aspergillosis.  However, the patient does not have a prior history of asthma and per report, the chest x-ray or chest CT did not show any pulmonary infiltrates.  She does not have an extensive history of travel to suggest “ham et ic” infection.  However, she traveled through Brazil many years ago.  The IgE levels are elevated but not the point to suggest allergic bronchopulmonary aspergillosis. 


 


Was going to suggest same for both, but with addition of the word "thin" before nonpurulent.
Subject: Was going to suggest same for both, but with addition of the word "thin" before nonpurulent.


sentence... His ECG does suggest multis criteria for the LVH in the left axis. thank you
Subject: sentence... His ECG does suggest multis criteria for the LVH in the left axis. thank you


a scan for UPJ obstruction?
Subject: a scan for UPJ obstruction?

Pt. had been worked up in the past with several s/l ''Matrilasix'' scans?? Thanks for any help!
its under lab data, and the pt does have a possible obstruction
Subject: its under lab data, and the pt does have a possible obstruction


Maybe ileus (obstruction)
Subject: Maybe ileus (obstruction)


intestinal obstruction?
Subject: intestinal obstruction?

x
obstruction series?
Subject: obstruction series?


How to expand UBJ obstruction
Subject: How to expand UBJ obstruction

Hi!  Need to type UBJ obstruction in an op note. Can't find anywhere in acronyms.  Anyone know?  Thanks in advance.
What is bowel obstruction??
Subject: What is bowel obstruction??

..
s/l/ "adheen" obstruction nm
Subject: s/l/ "adheen" obstruction nm


possibly occult sciatic pain ( pain hidden/concealed/not manifest) ? nm
Subject: possibly occult sciatic pain ( pain hidden/concealed/not manifest) ? nm


LVOT dynamic obstruction
Subject: LVOT dynamic obstruction

with the Valsalva noted with peak velocity increasing at baseline.  Is LVOT correct?
would they say Subtotal? obstruction of a large
Subject: would they say Subtotal? obstruction of a large

hypokinesis and an ejection fraction of about 40%?
maybe gastric outlet obstruction? nm
Subject: maybe gastric outlet obstruction? nm


Please help - small bowel obstruction
Subject: Please help - small bowel obstruction

This entire one is kicking my butt, anyone have a clue what words could be filled in here?


HISTORY:  Abdominal pain.


FINDINGS:  (Gassy) (sounds like istiltation) is noted of the small bowel.  Degenerative changes noted within the (sounds like rockel) lumbar spine and (sounds like isolate destruction) is noted of the left tip. 





 


if it's in the spine, it could be "discogenic" pain versus "facet"-related pain
Subject: if it's in the spine, it could be "discogenic" pain versus "facet"-related pain


No evidence of a DVT?
Subject: No evidence of a DVT?


bladder outlet obstruction symptoms
Subject: bladder outlet obstruction symptoms

Bladder lesion and gross hematuria with normal ____________________ and regrowth of prostatic tissue with bladder outlet obstruction symptoms.   s/l epitrax or upper tracks 


 


Thank you


intestinal obstruction. See info and links.
Subject: intestinal obstruction. See info and links.

Blackwell Synergy: Transplant Infect Dis, Vol 7, Issue 2, pp. 75 ...
Upper endoscopy revealed a partial obstruction of the duodenum related to ...
The duration of treatment for disseminated MAC infection in HIV-positive ...
www.blackwell-synergy.com/ doi/abs/10.1111/j.1399-3062.2005.00090.x - Similar pages

eMedicine - Atypical Mycobacterial Infection : Article by Arry ...
In immunocompromised patients, the intestinal tract is the primary route for MAC
infection, followed by the respiratory tract as a secondary portal of entry ...
www.emedicine.com/ped/topic3034.htm - 154k - Cached - Similar pages

Radiographic Assessment of HIV-Related Diseases
Patients with disseminated MAC infection associated with HIV disease often ...
barium studies may reveal irregularly thickened gastric or intestinal folds. ...
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Sounds like it could be ileus; an obstruction of the intestine.
Subject: Sounds like it could be ileus; an obstruction of the intestine.


"Hydronephritis, Obstruction of drainage of urine anywhere in UT..."
Subject: "Hydronephritis, Obstruction of drainage of urine anywhere in UT..."

http://faculty.washington.edu/alexbert/MEDEX/Fall/FinalsPath--GUtable.doc -