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There is pneumobilia which is gas in the biliary tree (maybe doc is adding an extra sound?)

Posted By: MT50 on 2007-12-06
In Reply to: Liver demonstrates pneumatobilia? - Question

Subject: There is pneumobilia which is gas in the biliary tree (maybe doc is adding an extra sound?)




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Is the common bile duct and intrahepatic biliary tree--sm
Subject: Is the common bile duct and intrahepatic biliary tree--sm

two separate structures.  Should they be listed under two headings?
It does not sound like biliary/bile duct!
Subject: It does not sound like biliary/bile duct!


s/l Tree-mex. Pt has morning stiffness and migraines. Pt takes Imitrex and s/l Tree-mex. TIA
Subject: s/l Tree-mex. Pt has morning stiffness and migraines. Pt takes Imitrex and s/l Tree-mex. TIA


Pneumobilia? c msg
Subject: Pneumobilia? c msg

CT is done to check for air in the biliary tract secondary to biliary surgery.

S/L pli-nim-it-tree
Subject: S/L pli-nim-it-tree

The doctor is talking about an echocardiogram and said they are going to objectively outline it with S/L pli-nim-it-tree


Thanks


PSA - tree?
Subject: PSA - tree?

Sounds like, "...at which time his PSA was 7.75 with a 10.7% tree." Is this correct?


Thanks!


Drug name s/l Jen-tree-uhm?
Subject: Drug name s/l Jen-tree-uhm?

 


Jen (like Jennifer) - tree - uhm.  It's just in a list of meds, no context given.  Any ideas at all?  Thanks so much! 


just adding that...
Subject: just adding that...

obviously I'm tired when I can even spell "right" the right way and typed write.  I think it's time to punch out for the day!  Thanks again for any help!

Adding on to what I said before
Subject: Adding on to what I said before

Before she said "VFP" she listed "clobetasol and fluocinolone topically".  I thought she was moving on to the next thing, but maybe she was referring to those and saying "the (instead of V) FP's or SP's are .05%"  Anyone know what FP or SP would be, it sounds like she could be saying the prescription dose on those topical medications.  It seems to fit anyway.  Any ideas?


biliary?
Subject: biliary?


s/l Waterson's screw or tree?
Subject: s/l Waterson's screw or tree?

Operative note.
Sentence: With the heart in full arrest, 'watersons tree' was opened widely with Metzenbaum's and mitral valve inspected.
s/l pa-tree acid rosacea SM
Subject: s/l pa-tree acid rosacea SM

5-year-old with a rash on her upper chest and lower abdomen.
CT chest revealed tree and s/l bud changes s/m
Subject: CT chest revealed tree and s/l bud changes s/m

CT of the chest revealed some tree and s/l "bud" changes in the right lower lobe consistent with pneumonitis.
I found tree-in-bud changes, I think this is correct. Thanks. n/m
Subject: I found tree-in-bud changes, I think this is correct. Thanks. n/m


trying to think of what the heck tree-eyen could be LOL nm
Subject: trying to think of what the heck tree-eyen could be LOL nm


Thank you, he was throwing me by adding a "l" to the end of it. (nm)
Subject: Thank you, he was throwing me by adding a "l" to the end of it. (nm)


Maybe biliary disease.
Subject: Maybe biliary disease.


thanks, adding to my book!nm
Subject: thanks, adding to my book!nm

x
Yes. Thank you. I try to confirm before adding
Subject: Yes. Thank you. I try to confirm before adding


Adding words?
Subject: Adding words?

Sorry, don't understand what you're getting at. :-)
without adding words, you could sm
Subject: without adding words, you could sm

type it as anterior subluxation, 8 mm.
You hearing this as tree-sign, tress-ine, or
Subject: You hearing this as tree-sign, tress-ine, or

f
Cerebellar tree clipping? Please see message....TIA
Subject: Cerebellar tree clipping? Please see message....TIA

The doc is saying "Past medical history is significant for a brain aneurysm, for which she had s/l "cerebellar tree clipping."  
patient was admitted to tree?? telemetry
Subject: patient was admitted to tree?? telemetry


re: lipids adding (s/l five blade)?? TIA
Subject: re: lipids adding (s/l five blade)?? TIA


i found it.... biliary dilatation
Subject: i found it.... biliary dilatation


biliary saturation is correct. nm
Subject: biliary saturation is correct. nm


The doc is not saying biliary ductal ablation, is he?
Subject: The doc is not saying biliary ductal ablation, is he?


biliary colic stools????
Subject: biliary colic stools????

Has anyone heard of biliary colic stools and if so what is it? 
are you sure it is not biliary colic and stones?
Subject: are you sure it is not biliary colic and stones?

n.m
I might very well be biliary colic stools. sm
Subject: I might very well be biliary colic stools. sm

Is this a nephrology or urology patient? Or even a GI patient?

When you have gallbladder problems, liver problems, etc., the stools are usually a different color. They can be clay colored, black, tarry, yellow, green like baby stools, etc. So biliary colic stools could be right.
tyvm...adding to my reference! =) nm
Subject: tyvm...adding to my reference! =) nm


I solve it by adding "the" first
Subject: I solve it by adding "the" first

xx
s/l extra-ash-eal
Subject: s/l extra-ash-eal

MRI of the brain was performed on (date). It showed minimal s/l extra-ash-eal blood, high T1 signal in the posterior fossa, but an otherwise unremarkable MRI.
extra help
Subject: extra help

What is the word right after brace? I believe it starts with foll.....???
Cotton-Leung biliary stent
Subject: Cotton-Leung biliary stent

/s
Thanks for clarifying! I don't remember adding any threads here--sm
Subject: Thanks for clarifying! I don't remember adding any threads here--sm

thought I may have had a neurological event!
listen for "primary biliary cirrhosis "
Subject: listen for "primary biliary cirrhosis "


4.2 thousand is example. Your adding a 0 makes it 42,000. Big difference.
Subject: 4.2 thousand is example. Your adding a 0 makes it 42,000. Big difference.


Hepatic biliary scan with s/l cc air stimulation
Subject: Hepatic biliary scan with s/l cc air stimulation

I am typing a sonogram of the abdomen report.  Dr. says the patient has acalculous cholecystitis.  Clinical information with a hepatic biliary scan with (s/l) cc air stimulation scan?? should be considered.  Any ideas? 


hepatic? biliary? Does it seem like it pertains to current
Subject: hepatic? biliary? Does it seem like it pertains to current

s
Adding apostrophe before year contraction
Hi friends,

Can anybody let me know which one is correct and more acceptable in this context:

Status post lumpectomy, July 17th, 07.

Status post lumpectomy, July 17th, གྷ.

Thank you very much in advance.

extrahepatic or biliary? bile duct? nm
Subject: extrahepatic or biliary? bile duct? nm


Intra- or extrahepatic biliary dilatation
Subject: Intra- or extrahepatic biliary dilatation

too late?
I wouldn't go adding words that are not needed.
Subject: I wouldn't go adding words that are not needed.

x
Arginaid Extra
Subject: Arginaid Extra

Found in Pharmaceutical Book
oral liquid OTC enteral nutritional treatment for wound healing (whey protein-based)
Arginaid Extra
Subject: Arginaid Extra

oral liquid enteral nutritional treatment for wound healing. Found in Saunders Pharmaceutical Word Book.

could the ES be extra strength?
Subject: could the ES be extra strength?

.
If I were you, just to save yourself some extra--sm
Subject: If I were you, just to save yourself some extra--sm

work and time, I would try to find out if a separate spellchecker could be used with your platform. If it can, I would think it would save you a whole lot of time with a lot less hassle. JMO
no, definitely es, so I am sure extra strength?
Subject: no, definitely es, so I am sure extra strength?

he just could say that could he. LOL.
Yes, thank you. It might be an extra word
Subject: Yes, thank you. It might be an extra word