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Patient with sjogren's syndrome on pilocarpine and later s/l *evosec*?? nm Thanks

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

Subject: Patient with sjogren's syndrome on pilocarpine and later s/l *evosec*?? nm Thanks

nm


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Sjögren syndrome? SM
Subject: Sjögren syndrome? SM

Since this is ENT I bet it is Sjogren.


 


Sjögren syndrome



keratoconjunctivitis sicca, dryness of mucous membranes, telangiectasias or purpuric spots on the face, and bilateral parotid enlargement; seen in menopausal women and often associated with rheumatoid arthritis, Raynaud phenomenon, and dental caries; there are changes in the lacrimal and salivary glands resembling those of Mikulicz disease. Syn: Gougerot-Sjögren disease, Sjögren disease, sicca syndrome.


Origin


[H.S.C. Sjögren]


could it be Sjogren's syndrome? nm
Subject: could it be Sjogren's syndrome? nm

nm
?Sjogren syndrome. nm
Subject: ?Sjogren syndrome. nm


any rheumatologic history, as in Sjogren's syndrome ?
Subject: any rheumatologic history, as in Sjogren's syndrome ?


pilocarpine eye drops
Subject: pilocarpine eye drops

I think that's it.  He must have just mispoken on the Cipro part.  Thanks!!!


It is HELLP syndrome-- is the patient
Subject: It is HELLP syndrome-- is the patient

pregnant also???
pilocarpine eye drops - not sure about the Cipro part though
Subject: pilocarpine eye drops - not sure about the Cipro part though


patient with failed back syndrome and s/l Shareet disk ?? Tried SH, CH, can't find. thx.
Subject: patient with failed back syndrome and s/l Shareet disk ?? Tried SH, CH, can't find. thx.

xx
Patient with failed back syndrome having an s/l Octek spinal cord stimulator.
Subject: Patient with failed back syndrome having an s/l Octek spinal cord stimulator.

I can't document anywhere. It is one of those days!!!!
Sjogren
Subject: Sjogren

Sjogren is a chronic systemic autoimmune disorder that sometimes involves connective tissue. Symptoms often seen are dry eyes, dry mouth and fatigue. Lymphs "attack" moisture-producing glands. It affects organ systems as well along joints, muscles and skin. while I suppose a Sjogren FLARE could resolve, this is otherwise clearly a chronic disorder. Look for your clues in the ROS and PMI.

Otherwise, frozen shoulder syndrome often resolves with anti-inflammatories, muscle relaxants, heat, ice and physical therapy.

Hope this helps.
Sjogren
Subject: Sjogren


Looks like saying Sjogren's versus etc. sm
Subject: Looks like saying Sjogren's versus etc. sm

What is the next phrase?  Hx of Sjogren's versus  ------?

 

The Sjögren's Syndrome Foundation
Information about the foundation and its membership as well as explanation of
this disease, links and news and events.
www.sjogrens.org/ - 23k - Cached - Similar pages

MedlinePlus: Sjogren's Syndrome
Related Issues; Sjogren's Syndrome and Lupus (Lupus Foundation of America).
Clinical Trials; ClinicalTrials.gov: Sjogren's Syndrome (National Institutes of ...
www.nlm.nih.gov/medlineplus/sjogrenssyndrome.html - 28k - Cached - Similar pages

Sjogren's syndrome (autoimmune disease) - causes, symptoms and ...
Learn about Sjogren's syndrome, an autoimmune disease with symptoms of dry eyes,
dry mouth and rheumatoid arthritis.
www.medicinenet.com/sjogrens_syndrome/article.htm - 48k - Cached - Similar pages


Could it be Sjogren's disease? nm
Subject: Could it be Sjogren's disease? nm

s
Sjogren (wow twice in one day - go figure)
Subject: Sjogren (wow twice in one day - go figure)


No. I am familiar with Sjogren's. That's not it but thanks.
Subject: No. I am familiar with Sjogren's. That's not it but thanks.


There is Depakene, but that's not for Sjogren's
Subject: There is Depakene, but that's not for Sjogren's


Could it be as simple as hepatorenal syndrome or hypo/hyperventilation syndrome? Does neuro give a
Subject: Could it be as simple as hepatorenal syndrome or hypo/hyperventilation syndrome? Does neuro give a

s
possibly Ayerza syndrome? Search to see if it fits. How is your syndrome being treated? nm
Subject: possibly Ayerza syndrome? Search to see if it fits. How is your syndrome being treated? nm

s
Patellofemoral syndrome versus Patella-femoral syndrome? (sm)
Subject: Patellofemoral syndrome versus Patella-femoral syndrome? (sm)

Are there any ortho MTs who can give documentation regarding the above, in so far as, what distinguishes one from the other?  Thanks in advance.


s/l either "Lilly Geilech" syndrome or "Rolling Geilich syndrome"
Subject: s/l either "Lilly Geilech" syndrome or "Rolling Geilich syndrome"

It's in the secondary diagnosis, and an ESL doc. Any suggestions?
Could it just be trisomy syndrome or Cri-du-chat syndrome? So many to choose from. nm
Subject: Could it just be trisomy syndrome or Cri-du-chat syndrome? So many to choose from. nm

s
maybe saying something like FB syndrome or failed back surgery syndrome ?
Subject: maybe saying something like FB syndrome or failed back surgery syndrome ?


? s/l bichette syndrome, pachette syndrome, has anyone heard of that?
Subject: ? s/l bichette syndrome, pachette syndrome, has anyone heard of that?


dysmetabolic syndrome versus metabolic syndrome
Subject: dysmetabolic syndrome versus metabolic syndrome

Is dysmetabolic syndrome and metabolic syndrome used interchangeably?  In this dictation the doctor refers to it in the past medical history as metabolic syndrome and then in the assesment/plan as dysmetabolic syndrome. 
There is TTT syndrome and BBB syndrome but need for more info to know if either will fit
nm
Can outlet syndrome or thoracic outlet syndrome be found in there? nm
Subject: Can outlet syndrome or thoracic outlet syndrome be found in there? nm

s
doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???
Subject: doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???? NM


Patient is here for an s/l eflex injection. Patient previously had Orthovisc.
Subject: Patient is here for an s/l eflex injection. Patient previously had Orthovisc.

nm
OB patient - s/l The patient has a 'null' sign.
Subject: OB patient - s/l The patient has a 'null' sign.


A1c; patient is to follow up in 2 weeks; patient has a followup in 2 weeks.
Subject: A1c; patient is to follow up in 2 weeks; patient has a followup in 2 weeks.

nm
syndrome
Subject: syndrome

Gilbert's syndrome
syndrome sm
Subject: syndrome sm

long shot, but perhaps


Ehlers-Danlos syndrome


 


syndrome
Subject: syndrome

maybe tic douloureaux, a facial twitching syndrome
Help with ??? syndrome
Subject: Help with ??? syndrome

Gambriae ????  syndrome.  gam brae


 


Thanks so much.


syndrome
Subject: syndrome

Patient with arterial occlusive disease is getting ??? syndrome, sounds like thrillery syndrome...anyone know?
? syndrome
Subject: ? syndrome

doc doing consult says what s/l seca, sica, sacka syndrome (dry mouth and dry eyes). Doesn't sound at all like Sjogren's which is all I can find for dry mouth and dry eyes syndrome.
name of syndrome
Subject: name of syndrome

An 8 yo child who has s/l kree du shot syndrome.

I've tried multiple spellings for this and come up with zilch. TIA
s/l ŕ-1/2" syndrome.
Subject: s/l ŕ-1/2" syndrome.

Sentence "Preoperative diagnosis is skew deviation with "1-1/2" syndrome?  Any thoughts?  TIA


 


There is a cat-cry syndrome when doing this.....
Subject: There is a cat-cry syndrome when doing this.....

x
Syndrome
Subject: Syndrome

Maybe hyperkinetic heart syndrome? You can develop those symptoms.
triple p syndrome
Sounds like Dr. is dictating "triple p syndrome. Anyone heard of this?
May-Thurner syndrome
Subject: May-Thurner syndrome

Thank you very much.
Gelbarratts syndrome
Subject: Gelbarratts syndrome


Kilbarrett's syndrome, jelbarrett's syndrome


I have requested that she get her blood drawn again, pre- and after a meal, if she has Gelbarratts, her bilirubin should normalize.


The pt has elevated bilirubin


Maybe Behcet syndrome. nm
Subject: Maybe Behcet syndrome. nm

x
shoulder syndrome
Subject: shoulder syndrome

As in frozen shoulder syndrome AKA impingement syndrome involving rotator cuff muscle groups associated with repetitive motion injuries from a variety of sports...sometimes arising from rheumatoid arthritis.
3-chromosome syndrome
Subject: 3-chromosome syndrome

The pt has microcephaly, blindness, deafness and mental retardation as a result of "3-chromosome or re-chromosome" syndrome.  I thought she was referring to chromosome #3 until she said syndrome. 


Perplexed in Ohio  


 


Maybe Asperger's syndrome? nm
Subject: Maybe Asperger's syndrome? nm

s
It is Asperger syndrome.
Subject: It is Asperger syndrome.


Name of breathing syndrome
Subject: Name of breathing syndrome

He has a history of HV, as well as _____ and mom was concerned regarding his complexion being pale and weak.


 


Blank s/l shawbears (It sounds french)  I really have no clue!?!


syndrome and I give them that.....nm
Subject: syndrome and I give them that.....nm

.
sl-chobairre syndrome
Subject: sl-chobairre syndrome

pt with ab pain, had cholecysectomy in past. Has sl-chobairre or chelbairre syndrome.