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Pt w/ epistaxis. s/l topical cocaine was used to control the bleeding.

Posted By: Just Looking on 2009-03-24
In Reply to:

Subject: Pt w/ epistaxis. s/l topical cocaine was used to control the bleeding.

:-)


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using s/l algumbin??? to control the bleeding...please help.Thanks
Subject: using s/l algumbin??? to control the bleeding...please help.Thanks


I think it is just control of tumor necrosis factor and (kakectins) from virologic control.
Subject: I think it is just control of tumor necrosis factor and (kakectins) from virologic control.


Epistaxis
Subject: Epistaxis

The doctor is referring to placing what sounds like a "Silverlar" pack, I cannot verify....anyone?
cocaine or Cetacaine? nm
Subject: cocaine or Cetacaine? nm

s
cocaine-soaked pledgets?

possibly?


never mind-crack cocaine use-duh
Subject: never mind-crack cocaine use-duh


Patient with history of cocaine use -
Subject: Patient with history of cocaine use -

A "bowl" a day?? TIA!
Epistaxis, nose bleeds??? NM
Subject: Epistaxis, nose bleeds??? NM

nm
erythema, epistaxis, petechiae or yeast.
Subject: erythema, epistaxis, petechiae or yeast.


s/l Cold?? induced cocaine abuse?
Subject: s/l Cold?? induced cocaine abuse?


Crack cocaine via pipe or bowl...see link
Subject: Crack cocaine via pipe or bowl...see link

http://www.crackreality.com/crack.htm


"Crack is Whack!"  --Whitney Houston   


I have the same thing again, s/l epistaxis, sternitis, or hearing loss.
Subject: I have the same thing again, s/l epistaxis, sternitis, or hearing loss.


stigmata of bleeding or stigmata of active bleeding, maybe?
Subject: stigmata of bleeding or stigmata of active bleeding, maybe?


Really? It was an op note referring to severe epistaxis. Neuro patties...who'da thunk it? Thank
Subject: Really? It was an op note referring to severe epistaxis. Neuro patties...who'da thunk it? Thanks!


No fever, chills, loss of vision, tinnitus, ???photoria??, epistaxis or dysphasia.
Subject: No fever, chills, loss of vision, tinnitus, ???photoria??, epistaxis or dysphasia.


Is sternitis a true word? Doc states"denies epistaxis or s/l sternitis." TIA.
Subject: Is sternitis a true word? Doc states"denies epistaxis or s/l sternitis." TIA.


Could it be *bleeding* ? nm
Subject: Could it be *bleeding* ? nm

x
bleeding?
Subject: bleeding?


Not bleeding. She's definitely saying BD or BV or B something.
Subject: Not bleeding. She's definitely saying BD or BV or B something.


topical
Subject: topical

pontocaine/phenylephrine spray?
Bleeding diathesis sm
Subject: Bleeding diathesis sm

bleeding diathesis - General Practice Notebook
A bleeding diathesis is a condition in which there is an unusual susceptibility
or predisposition to bleeding. Bleeding diatheses are classified with ...
www.gpnotebook.co.uk/cache/-1013317631.htm - 4k - Cached - Similar pages


no ulcer bleeding?
Subject: no ulcer bleeding?


rongeur does not fit here. S/L may be no other bleeding nm
Subject: rongeur does not fit here. S/L may be no other bleeding nm

x
Ob..she has been bleeding now for a month....
Subject: Ob..she has been bleeding now for a month....

post spontaneous AB.  She says this is as heavy as her period.  I believe at this point she probably has retained s/l blooduxsm?? Will do a D&C.
Bleeding was abated???? nm
Subject: Bleeding was abated???? nm

s
Bleeding scan help (sm)
Subject: Bleeding scan help (sm)

.... showed some activity below the bladder level, but no discrete s/l "poital" flow or active bleeding. 


Was this bleeding during surgery?
Subject: Was this bleeding during surgery?


s/l topical aph ro nite
Subject: s/l topical aph ro nite

sentence: Topical 'afro nite' had been applied to the nose.
Topical anesthetic...sm
Subject: Topical anesthetic...sm

S/l she is saying topical (let gel).  This is used on a 2-year-old for a laceration of the lip to help with superficial numbing. 


 


Thanks.


May be saying topical agent
Subject: May be saying topical agent


yep, topical steroid
Subject: yep, topical steroid


Topical medication please sm
Subject: Topical medication please sm

Diagnosis is tinea versicolor. Dispensed s/l ___selsum lotion 2.5% to use weekly in the shower. Leave on 15 to 20 minutes and then wash off.
? topical Cetacaine - nm
Subject: ? topical Cetacaine - nm


There is no hx of bleeding s/l dia thysis or thrombophilia.
Subject: There is no hx of bleeding s/l dia thysis or thrombophilia.


Can only think of friable, but probably not if bleeding isn't mentioned. nm
Subject: Can only think of friable, but probably not if bleeding isn't mentioned. nm

s
Gingivitis. Bleeding gums.
Subject: Gingivitis. Bleeding gums.


could it be minimal amount of bleeding?
Subject: could it be minimal amount of bleeding?


If they have a bleeding vessel along the path somewhere, then
Subject: If they have a bleeding vessel along the path somewhere, then

s
? dysfunctional uterine bleeding
Subject: ? dysfunctional uterine bleeding


s/l a let was applied and the bleeding stopped...Thanks..
Subject: s/l a let was applied and the bleeding stopped...Thanks..

also in UA, it sounds like he is saying high land cast  TIA
fluocinonide (topical cream)? nm
Subject: fluocinonide (topical cream)? nm


could it be retinoid topical cream...nm
Subject: could it be retinoid topical cream...nm


topical medication applied to
Subject: topical medication applied to

The base of the pyoderma has good granulation tissue on it; however, it is still quite a large ulcerated area.  He is still continuing to apply nutrafera to this area. 
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Subject: ? thimerosal, topical antibiotic


Topical medication s/l help needed. sm
Subject: Topical medication s/l help needed. sm

MetroGel 0.75% one application s/l pv or pd or pb at bedtime x5 nights. Thanks for any help.
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Subject: diflonac topical gel for pain? nm. tks.

xx
I found trimethazine - not sure if its topical
Subject: I found trimethazine - not sure if its topical

or what but I got a few hits on Google.
go with it - fluticasone (Flonase) topical
Subject: go with it - fluticasone (Flonase) topical

used for itching.
Olux, maybe. Topical corticosteroid.
Subject: Olux, maybe. Topical corticosteroid.


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Subject: Vaginitis--s/l nifferin 0.1 topical gel

applied to affected area once daily. --Spanish ESL


Niffein?


parenteral - meaning given IM, IV, topical, etc., but not p.o.
Subject: parenteral - meaning given IM, IV, topical, etc., but not p.o.

x