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WBC 9.5, hematocrit 33.7, hemoglobin 10.8. BUN and creatinine 42 and 2.6. Troponin was negative.

Posted By: MT50 on 2008-01-23
In Reply to: labs - shawna

Subject: WBC 9.5, hematocrit 33.7, hemoglobin 10.8. BUN and creatinine 42 and 2.6. Troponin was negative.




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probably hematocrit and hemoglobin...
Subject: probably hematocrit and hemoglobin...


yes. hemoglobin and hematocrit.
Subject: yes. hemoglobin and hematocrit.

...
Could he be saying H&H (hemoglobin/hematocrit)
Subject: Could he be saying H&H (hemoglobin/hematocrit)


upper levels (for hemoglobin or hematocrit) ? nm
Subject: upper levels (for hemoglobin or hematocrit) ? nm


Those are the hemoglobin and hematocrit levels but you wouldn't put those words in there unless
Subject: Those are the hemoglobin and hematocrit levels but you wouldn't put those words in there unless

s
Blood type and screen is *O positive negative.* Hemoglobin... sm
Subject: Blood type and screen is *O positive negative.* Hemoglobin... sm

Ok, I'm wondering if I'm missing something here... Should be either O+ or O-, not both as stated or am I totally in the dark here?
creatinine --urine creatinine
Subject: creatinine --urine creatinine


Wet-prep shows negative whiff, 10-20 WBCs, negative clue, few s/l "LB's". Is LB's right?
Subject: Wet-prep shows negative whiff, 10-20 WBCs, negative clue, few s/l "LB's". Is LB's right? nm


gram-negative, lactose-negative rods is correct. I found a couple of interesting websites SM
Subject: gram-negative, lactose-negative rods is correct. I found a couple of interesting websites SM

after doing a google search for gram-negative, lactose-negative rods.  Basically testing organisms to see if they ferment lactose (positive) or not (negative).


Also, just FYI, gram-negative is not capitalized.


Probably too late, I'm sure.  Better late than never, I guess. 


Ortho - negative straight leg raise and negative s/l Lasek??
Subject: Ortho - negative straight leg raise and negative s/l Lasek??


She had a negative s/l clasp thumb test and a negative Finkelstein's.
Subject: She had a negative s/l clasp thumb test and a negative Finkelstein's.

:-)
I believe CS troponin is troponin T, not I, so 0.2 is okay sm
Subject: I believe CS troponin is troponin T, not I, so 0.2 is okay sm

Troponin T 0 - 0.2 ng/ml (onset: 3-4 hrs, peak: 10-24 hrs, return to normal: 10-14 days)
troponin
Subject: troponin

Troponin nondetectable. They always say what sounds like "nondetectable". I have searched for the word "nondetectable" and I cannot reference it in any English or medical dictionary. I believe it should be "undetectable", however, my QA person marked that incorrect and said it should be "nondetectable".  Any opinions.


troponin
Subject: troponin

No - this account is not strictly verbatim.
troponin value
Subject: troponin value

Discharge troponin s/l 1.361, would this be correct?  It was 9.45 at admission.
troponin nm
Subject: troponin nm


troponin
Subject: troponin

So were you right, did the doctor misspeak?  was it "normal, and troponin was normal."
troponin
Subject: troponin


hematocrit...sm
Subject: hematocrit...sm

According to my lab book, hematocrit is not capitalized.  I know docs make up words all the time, but according to all of my books, no capitalization for hematocrit at all.  Hope that helps you.
yes, hematocrit
Subject: yes, hematocrit


Really?!?!? Uh, maybe hematocrit?
Subject: Really?!?!? Uh, maybe hematocrit?

The 2 kinda go hand in hand. Listen carefully, and you'll probably hear platelet following it.
I believe it is "crit" as in hematocrit
Subject: I believe it is "crit" as in hematocrit

Usually say that with blood work, hemoglobin and hematocrit, but I would not type crit I would type hematocrit.
elevated troponin
Subject: elevated troponin

The elderly patient had elevated troponin and mental status change.  S/L dictator is saying patient was treated for possible "enstemmie" ???  (He said this twice during discharge summary and both times sounded like "enstemmie"??  Thanks for any help.


 


pretty sure it is hematocrit-
Subject: pretty sure it is hematocrit-

best judge of whether someone has any bleeding
serum troponin
Subject: serum troponin

It should be serum troponin
Could be referring to troponin I being 713..nm
Subject: Could be referring to troponin I being 713..nm

nm
crits for hematocrit (sm)
Subject: crits for hematocrit (sm)

is this acceptable in a report, or would you type it out.  It is not a verbatim account and not in assessment/impression/diagnosis.  TIA
hematocrit capitalization
Subject: hematocrit capitalization

I swear I read somewhere that Hematocrit should be capitalized.  I know Hemoccult is capitalized, but......have I lost my mind?  Did anyone else ever run across Hematocrit being capped.  For the reason that machinery in the lab is called Hematocrit and therefore they are defaulting to capitalizing it?  If not, I am dreaming about transcription and making up rules (again hahaha)
FYI: trOponin not trIponin. NM
Subject: FYI: trOponin not trIponin. NM


McMurray's negative. Lachman's negative. nm
Subject: McMurray's negative. Lachman's negative. nm


McMurray negative. Lachman negative. No 's at end
Subject: McMurray negative. Lachman negative. No 's at end

x
A troponin of 0.2 is still elevated with normal being
Subject: A troponin of 0.2 is still elevated with normal being

x
crit is short for hematocrit. nm
Subject: crit is short for hematocrit. nm

nm
MB is fine. The last is troponin, which elevates after an MI. nm
Subject: MB is fine. The last is troponin, which elevates after an MI. nm

s
How to type hematocrit measurement
Subject: How to type hematocrit measurement

How do you type a hematocrit measurement when they say


Hematocrit 37.8 volumes percent.


THX in advance!


an hematocrit with that value is low....kinda sorta
Subject: an hematocrit with that value is low....kinda sorta

Hemoglobin and hematocrit are like 14 and 42.....hematocrit is supposed to be about 3 times the hemoglobin.......so I presume dictator is speaking about the hematocrit....and so if the hematocrit is 36 then the hemoglobin is 11-12........and these are slightly low...


hence, anemia.......


sounds like a normal "CS troponin" value to me... nm
Subject: sounds like a normal "CS troponin" value to me... nm


In lab list, s/l "BDL lead" 42, troponin....Thanks
Subject: In lab list, s/l "BDL lead" 42, troponin....Thanks


troponin doesn't need to be capped. Put period after cr=1.5. K=potassium. NM
Subject: troponin doesn't need to be capped. Put period after cr=1.5. K=potassium. NM


Patient has a negative wrist extension sign on the right and a negative s/l 3rd finger sign on the R
Subject: Patient has a negative wrist extension sign on the right and a negative s/l 3rd finger sign on the R


it's definitely BUN and creatinine....
Subject: it's definitely BUN and creatinine....


BUN and creatinine. nm
Subject: BUN and creatinine. nm

nm
Probably BUN and creatinine - nm
Subject: Probably BUN and creatinine - nm


creatinine of 1.6 and a s/l B1 of 26?
Subject: creatinine of 1.6 and a s/l B1 of 26?

thanks
creatinine
Subject: creatinine

It s/l dict is saying BUN and creatinine 18 and "33.9".  The patient has ESRD and is on dialysis, but would his creat be 33.9 or maybe jsut 3.9?


WBC 9.5, BUN and creatinine...nm
Subject: WBC 9.5, BUN and creatinine...nm

x
BUN 76 and creatinine 10.4.
Subject: BUN 76 and creatinine 10.4.

x
BUN 76 and creatinine 10.4 normally.
Subject: BUN 76 and creatinine 10.4 normally.

x
Is it Hemoglobin A1c, or hemoglobin A1c?
Subject: Is it Hemoglobin A1c, or hemoglobin A1c?


Hemoglobin
Subject: Hemoglobin

I am sorry it is hemoglobin A1c
hemoglobin
Subject: hemoglobin

Do you have a lab book?