Rheumatology - please see message for context
Posted By: thank you. on 2007-11-13
In Reply to:
Subject: Rheumatology - please see message for context
Patient has a strongly positive ANA, but normal C3 and C4, with a normal CBC and sedimentation rate, but she has a weakly positive rheumatoid factor and a low-titer of s/l anti-phos-photetal serian (maybe serum) antibodies.
If any help, patient may have lupus.
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Rheumatology - Please see message for context.
Subject: Rheumatology - Please see message for context.
Patient is 5-year-old white male with recurrent episodes of high fever.
Impression is period fever syndrome. Giving brief trial of cimetidine to see if this will cut off his episodes, suggesting that they are in fact s/l foppa/FOPPA
Then s/l SMF gene testing was ordered. He says this part so fast that I'm not sure there could be more initials.
Thanks.
Stumped - rheumatology. Please see paragraph for context.
Subject: Stumped - rheumatology. Please see paragraph for context.
Patient is a little girl with an area of atrophic and hyperpigmented skin on her forehead (morphea/linear scleroderma en coup de sabra).
"In addition, there is a secondary area which is approximately 2 cm in diameter and 6 cm in length which is hyperpigmented and lateral to the s/l inituary/immisuary, with again subcutaneous atrophy, but without erythema or adherence."
Totally stumped but hate to give up --- Thanks for any help.
Rheumatology s/l see message
Subject: Rheumatology s/l see message
Patient with serologic abnormalities. Negative ANA and antithyroid antibodies. Her most recent s/l A1A was negative. Thank you.
Rheumatology/ortho - please see message
Subject: Rheumatology/ortho - please see message
Patient has juvenile rheumatoid arthritis.
Musculoskeletal exam revealed s/l cantalodactyly.
see message for context:
Subject: see message for context:
This patient is a xx year old female with a past medical history of hypertension, status post gastric-bypass surgery in (DATE) who presents for preoperative clearance. She is undergoing surgery by Dr. XXX on (DATE) for thighplasty and panniculectomy Apparently, she is feeling well and has no complaints. Specifically, she denies any chest pain, shortness of breath, dyspnea on exertion, PND, or orthopnea. She denies any bleeding or clotting disorders. She has no difficulty with anesthesia.
Need help with a s/l. Please see message for context - thanks!
Subject: Need help with a s/l. Please see message for context - thanks!
Pt diagnosed with bacterial skin infection, took Bactrim DS and it started to clear. One bump had purulent discharge, and the nurse is concerned that it is MRSA, or that he is a carrier.
He was s/l not solved/or absolved for MRSA at the clinic. Thanks.
Need help with ortho - please see message for context.
Subject: Need help with ortho - please see message for context.
Patient in for treatment of a skin lesion over the extensor tendon of the right hallux. Continues to have problems with the lesion over the s/l bowstrung tendon.
Many thanks for your help.
Swollen gland please see message for context
Subject: Swollen gland please see message for context
On exam, in the left groin, he does have two open areas that appear to be the s/l exto-gesta glands in his skin.
Medication help needed. Please see message for context
Subject: Medication help needed. Please see message for context
Pt had infected burn on his leg. He has been using s/l neo-peer-sin ointment prescribed at his last visit.
without any context, maybe concha bullosa? next time give context. thanks!
Subject: without any context, maybe concha bullosa? next time give context. thanks!
Another rheumatology ? sm
Subject: Another rheumatology ? sm
In more than six months of typing for this doc, I've never heard this terminology. Now, he has two patient's one after the other with this FMF.
This patient has been seen at the NIH and noted to have one gene mutation, the V726A but to be a carrier s/l it could be either: without 2 genes or with L2 genes.
Thanks again for your help.
Rheumatology - please sm
Subject: Rheumatology - please sm
We did extensive blood work when I saw her in October, and she turns out to be anticardiolipin antibody-positive with a lupus anticoagulant and s/l nonperoxitis positive.
rheumatology help!
Subject: rheumatology help!
It sounds like he is saying "pausi-articular" inflammatory arthropathy. I searched the internet to no avail.... any ideas?
Rheumatology s/l sm....
Subject: Rheumatology s/l sm....
Patient with knee pain. Doc is dictating what s/l appleton grind - very clear and not saying Apley grind.
About to give up and blank it but wanted to know if anyone heard of appleton grind?
Thanks!!
rheumatology help.
Subject: rheumatology help.
Patient has psoriasis as well as *eficopathy* at the elbow.
Also, there is a family history of *Walden's drome* or something like that.
Rheumatology s/l - please help!
Subject: Rheumatology s/l - please help!
Patient had an episode of stiffness, fever, rash, and was positive for what the mother thinks was s/l air-wick-osis.
I've tried every spelling I can think of with the s/l and can't find it. Thanks!
Need help with a s/l - Rheumatology
Subject: Need help with a s/l - Rheumatology
Patient's blood work is good, but she remains Sm and (s/l either) RMP or RNP or RNT or RNP positive.
Thanks!
rheumatology lab help please
Subject: rheumatology lab help please
SCL-70 is negative. s/l "Jowen" negative. Smith, RNP, SSA and SSB negative.
Rheumatology/dermatology
Subject: Rheumatology/dermatology
Patient was told by one dermatologist she had morphea on inside of thigh and treated with Dovonex. This improved for a while, then returned. Saw a different dermatologist who thought it might be s/l burned out. Could be a type of gout??
Patient now is seeing rheumatologist - has lesions on back of calf - and has stiffness, pain, decreased range of motion.
Thanks for any help.
I'm typing rheumatology....
Subject: I'm typing rheumatology....
and this sentence is all I have to go by:
She was also given an intermittent course of s/l za-fax-in by her gastroenterologist.
He's very clear. There's a "z" sound at the beginning and a very clear "fax" in there. I've tried spelling zo-fax-en, zi-fax-in, etc., and even spelling with "x" at the beginning.
Thanks for your help.
Rheumatology experts - please help!
Subject: Rheumatology experts - please help!
This is a 10-year-old with a previous history of ITP, minimally positive ANA and anticardiolipin antibodies.
Sentence in question:
Most recent blood work showed a s/l dirty urine, and she had antibodies to s/l La/SSB (is this correct way to type ?) while being ANA-negative.
Does sentence make sense? Thanks.
Ophthalmology / rheumatology s/l please see msg
Subject: Ophthalmology / rheumatology s/l please see msg
Patient is 11-year-old with pauciarticular juvenile rheumatoid arthritis and uveitis - increased problems with uveitis and she is on hourly drops.
Ophthalmologist has suggested in addition to this she may need oral prednisone and/or s/l some tee-non injections or sub-tee-non injections.
Thanks for any help.
Actually I dont think that's it, this is rheumatology, SM
Subject: Actually I dont think that's it, this is rheumatology, SM
did a muscle biopsy
rheumatology - rash
Subject: rheumatology - rash
Help please. Patient with rheumatoid arthritis...s/l "no geofication of rash"....or maybe "judification of rash". Or something similar. Thank you so much.
Another pediatric rheumatology word below
Subject: Another pediatric rheumatology word below
The lesions do not appear to have a complete s/l on two desob connection, but appear in this general distribution.
www.rheumatology.org/educ/hir/7_multisystem_dis.ppt
Subject: www.rheumatology.org/educ/hir/7_multisystem_dis.ppt
a powerpoint presentation, but looks like it has quite useful information in it.
Need a good rheumatology site, anyone know of one?
Subject: Need a good rheumatology site, anyone know of one?
x
Rheumatology drug help needed - please sm
Subject: Rheumatology drug help needed - please sm
Diagnosis is multifocal osteomyelitis. Discussed risks and benefits of Enbrel. Also discussed s/l bisfosinase (or nate) - as far as first letter, can't tell if he's saying "v", "d", "b". Thanks!
Rheumatology - normally a great dictator
Subject: Rheumatology - normally a great dictator
Patient with positive rheumatoid factor and low-titer anti-CCP antibodies, a moderate s/l cell- (or sal-) umentation rate, anticardiolipin antibodies, and joint pain.
Rheumatology clinic labs ... psm
Subject: Rheumatology clinic labs ... psm
Patient is toddler who has had joint stiffness.
On initial blood tests, he had 4 IgG bands per line.
Does this sound correct? Thanks.
Rheumatology/pain medicine - need help with s/l
Subject: Rheumatology/pain medicine - need help with s/l
Diagnosis: Scleroderma with coronary involvement and Raynaud's phenomenon.
Plan: s/l Opthana ER 40 mg.
Rheumatology - pt has systemic lupus erythematosus... sm
Subject: Rheumatology - pt has systemic lupus erythematosus... sm
and a necrotic left neck mass. Doc thinks patient has a component of *cachooshi/kackoochy* syndrome.
Having a tough time finding this one. Thanks for any help!
Context, context, context. There is a lott
Subject: Context, context, context. There is a lott
of help out here but what is this?
Is this for rheumatology? There is anti-smooth antibody test. nm
Subject: Is this for rheumatology? There is anti-smooth antibody test. nm
x
Rheumatology/Ortho - positive scoli screen? sm
Subject: Rheumatology/Ortho - positive scoli screen? sm
Patient has spondyloarthropathy, back pain/stiffness with a positive s/l scoli screen.
I assume he means scoliosis screen but have never heard him say this and not sure if there is another meaning that s/l scoli. Thanks!
Somehow my message went down to the white count message below, please see that message. (nm)
Subject: Somehow my message went down to the white count message below, please see that message. (nm)
x
forgot my message. Please see message
Subject: forgot my message. Please see message
anterior mediastinum
Anterior mediastinum, the narrow region between the pericardium and the sternum containing the thymus or its remnants, some lymph nodes and vessels and branches of the internal thoracic artery.
oops got it I think. no message/see message NM
Subject: oops got it I think. no message/see message NM
Maybe this? What context is it used?
PPP syndrome could refer to MEN (multiple endocrine neoplasia), which "typically involves the pituitary, parathyroid, and pancreas glands (recall it as the PPP syndrome)."
http://www.utmem.edu/endocrinology/Endocrine%20pathophysioloy/Chap%2014.htm
I also saw pustulosis palmoplantaris syndrome and pretty picture protectiveness syndrome.
A little context would help. SM
Subject: A little context would help. SM
What kind of surgery is it? Where is the incision being made?
Can you please supply this information. Thanks
we need context!! please
Subject: we need context!! please
x
More context please? nm
Subject: More context please? nm
nm
More context would help us help you. What is the sm
Subject: More context would help us help you. What is the sm
sentence before, the sentence with the s/l, and the sentence after? Thanks.
How about some context? nm
Subject: How about some context? nm
x
Say WHAT??!!!?? Need context. nm
Subject: Say WHAT??!!!?? Need context. nm
nm
any context to go with your s/l? nm
Subject: any context to go with your s/l? nm
x
How about some context? nm
Subject: How about some context? nm
x
context please?
Subject: context please?
more context before this? nm
Subject: more context before this? nm
Context!?! nm
Subject: Context!?! nm
x
What's the context?
Subject: What's the context?
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