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Patient had excellent spread of the dye with no blocks of flow I could identify. No s/l tu-bas-lo SM

Posted By: Looking on 2008-02-27
In Reply to:

Subject: Patient had excellent spread of the dye with no blocks of flow I could identify. No s/l tu-bas-lo SM

flow and no s/l subarachnoid flow noted.  Patient is having a caudal epidural performed.


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I usually get no intravascular or intrathecal flow/spread. nm
Subject: I usually get no intravascular or intrathecal flow/spread. nm

nm
After re-establishing flow, there was excellent s/l thrill in the antecubital facet .... TIA
Subject: After re-establishing flow, there was excellent s/l thrill in the antecubital facet .... TIA


Using 4 blocks in a row to make a train, 4-blocks on top of each other to create a structure, etc.
Subject: Using 4 blocks in a row to make a train, 4-blocks on top of each other to create a structure, etc.


Patient with ulcer on leg. S/l zero flow dressing was applied. No msg
Subject: Patient with ulcer on leg. S/l zero flow dressing was applied. No msg


Sorry, I just can't identify what he is saying. nm
Subject: Sorry, I just can't identify what he is saying. nm

x
how about high flow or low flow oxygen?
Subject: how about high flow or low flow oxygen?

nm
doing L5/S epidural steroid injection says s/l serium??? floroscopy was used to identify the L5/S1
Subject: doing L5/S epidural steroid injection says s/l serium??? floroscopy was used to identify the L5/S1

interspace
s/l Bio Os blocks?
Subject: s/l Bio Os blocks?

doing oral maxillofacial surgery report/mandibular fixation - sounds like Bio Os blocks?
nerve blocks
Subject: nerve blocks

nerve block for lower extremity pain - s/l colonial  nerve block failed to relieve his pain  Thank you so much.
he could not identify the cell type lesion, although this suggests s/l men-ga-lary thyroid cancer.
Subject: he could not identify the cell type lesion, although this suggests s/l men-ga-lary thyroid cancer.

nm
It's facet nerve blocks - nm
Subject: It's facet nerve blocks - nm

nm
could it be global spread pattern???
Subject: could it be global spread pattern???

does he have cancer of the mouth, tongue or anything like that???  strep throat??
edema in the leg is probably the spread of s/l aristy
Subject: edema in the leg is probably the spread of s/l aristy


treatment for RSD: s/l Stelacaine Blocks
Subject: treatment for RSD: s/l Stelacaine Blocks


Yes, disease/sepsis being spread and deposited like seeds
Subject: Yes, disease/sepsis being spread and deposited like seeds

s
I've heard of finger-spread technique
Subject: I've heard of finger-spread technique


right...probably the infection that spread to the middle ear is bacterial, with purulent discharge,
Subject: right...probably the infection that spread to the middle ear is bacterial, with purulent discharge, hence, odoriferous

is that the clinical picture presented in the patient's case? Did the PE include such ear discharge and the Assessment include Otitis media?
I found a Bromage scale used for nerve/motor blocks. Maybe that's it.
Subject: I found a Bromage scale used for nerve/motor blocks. Maybe that's it.

Description of the Bromage score

























Grade


Criteria


Degree of block


I


Free movement of legs and feet


Nil (0%)


II


Just able to flex knees with free movement of feet


Partial (33%)


III


Unable to flex knees, but with free movement of feet


Almost complete (66%)


IV


Unable to move legs or feet


Complete (100%)













 


Excellent
Subject: Excellent

Thanks for your help!
excellent - thanks!
Subject: excellent - thanks!


Excellent :) That's it. Thanx!
Subject: Excellent :) That's it. Thanx!


Thank you. Excellent link! nm
Subject: Thank you. Excellent link! nm


EXCELLENT answer! Thanks SO much! - sm
Subject: EXCELLENT answer! Thanks SO much! - sm

I'll go with dB, then.  It makes more sense to me than "disk diameter".  Fortunately, I'm still working on the report, so now I can send it without blanks. 


Thanks again for all your help! 



Thank you!! Excellent link. nm
Subject: Thank you!! Excellent link. nm


Excellent description. Thank you. nm
Subject: Excellent description. Thank you. nm

.
Another excellent link for almost everything.sm
Subject: Another excellent link for almost everything.sm

Do you know about Family Practice Notebook?


http://www.fpnotebook.com/


 


http://www.fpnotebook.com/ENT/Exam/index.htm


Thank you - excellent explanation of it.
Subject: Thank you - excellent explanation of it.

I have the Stedman book but couldn't find it. It also didn't help the doc didn't pronounce it anything like labelled red cells - I found it on numerous searches.

Thank you so much for your explanation.
Thanks for excellent suggestions, sm
Subject: Thanks for excellent suggestions, sm

I'm sure she is saying some version of "mentating" or "orientation" but I will have to send blank, as it is so not clear exactly what it is.


Excellent idea. Thank you my dear.
Subject: Excellent idea. Thank you my dear.


Excellent detective work!!!
Subject: Excellent detective work!!!

x
ahhhhh! excellent, flybye!!!
Subject: ahhhhh! excellent, flybye!!!

!!
Excellent post. Couldn't have said it better myself! nm
Subject: Excellent post. Couldn't have said it better myself! nm

x
Thanks for all the excellent replies--very appreciated!
Subject: Thanks for all the excellent replies--very appreciated!


Sorry. Forget ref. Here is an excellent lab link. sm
Subject: Sorry. Forget ref. Here is an excellent lab link. sm

http://www.labtestsonline.org/understanding/analytes/chem_panel/glance.html
Excellent reasoning - thank you very much for thinking for me. nm :)
Subject: Excellent reasoning - thank you very much for thinking for me. nm :)


I have heard the term excellent dating
Subject: I have heard the term excellent dating


milk thistle used for supplement? Here is an excellent site for this stuff. sm
Subject: milk thistle used for supplement? Here is an excellent site for this stuff. sm

Here is one link. Swanson's is another link but can't access it at this time. Sorry.


 


http://www.herbalmanac.com/menus/Alpha.html


She would be an excellent candidate for an epidural and would recommend a s/l call approach SM
Subject: She would be an excellent candidate for an epidural and would recommend a s/l call approach SM

since she does have bilateral discogenic-type low back pain, multilevel.
all I can think of is flow velocity ratio or blood flow velocity ratio
Subject: all I can think of is flow velocity ratio or blood flow velocity ratio


flow by? I know
Subject: flow by? I know


could be flow?
Subject: could be flow?

I thought at first that it may be "FLOW LAND study", but I still couldnt find anything close to that.
It's TIMI II flow
Subject: It's TIMI II flow

http://www.medscape.com/viewarticle/443486
s/l flow seal
Subject: s/l flow seal


Color flow? n/m
Subject: Color flow? n/m

n/m


Could it be flow murmur?
Subject: Could it be flow murmur?


peak flow?
Subject: peak flow?


flow by?? Same as below post
Subject: flow by?? Same as below post

My fingers were a little too fast on the button. 


The patient is afebrile, respiratory rate around 80, pulse is 140, saturation on room air is 93, it comes up with FLOW BY? of O2 98%.


Low flow oxygen
Subject: Low flow oxygen


Yes, actually is IS high-flow! Thanks :)
Subject: Yes, actually is IS high-flow! Thanks :)


per flow sheet
Subject: per flow sheet


TIMI flow
Subject: TIMI flow

TIMI-2 per steadman's
Thrombin Inhibition in Myocardial Infarction