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What is bowel obstruction??

Posted By: gemini on 2008-11-27
In Reply to: large bowel BUBBLE obstruction...anyone heard of that? n/m - typingonturkeyday

Subject: What is bowel obstruction??

..


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Please help - small bowel obstruction
Subject: Please help - small bowel obstruction

This entire one is kicking my butt, anyone have a clue what words could be filled in here?


HISTORY:  Abdominal pain.


FINDINGS:  (Gassy) (sounds like istiltation) is noted of the small bowel.  Degenerative changes noted within the (sounds like rockel) lumbar spine and (sounds like isolate destruction) is noted of the left tip. 





 


large bowel BUBBLE obstruction...anyone heard of that? n/m
Subject: large bowel BUBBLE obstruction...anyone heard of that? n/m

x
I'll take the first one....ileus versus distal bowel obstruction..nm
Subject: I'll take the first one....ileus versus distal bowel obstruction..nm

s
re: bowel obstruction: dilated loops are s/l AIR-E-POSED? anterior to the liver
Subject: re: bowel obstruction: dilated loops are s/l AIR-E-POSED? anterior to the liver


First, it is UPJ obstruction = ureteropelvic junction obstruction. nm
Subject: First, it is UPJ obstruction = ureteropelvic junction obstruction. nm

.
a scan for UPJ obstruction?
Subject: a scan for UPJ obstruction?

Pt. had been worked up in the past with several s/l ''Matrilasix'' scans?? Thanks for any help!
its under lab data, and the pt does have a possible obstruction
Subject: its under lab data, and the pt does have a possible obstruction


Maybe ileus (obstruction)
Subject: Maybe ileus (obstruction)


intestinal obstruction?
Subject: intestinal obstruction?

x
obstruction series?
Subject: obstruction series?


How to expand UBJ obstruction
Subject: How to expand UBJ obstruction

Hi!  Need to type UBJ obstruction in an op note. Can't find anywhere in acronyms.  Anyone know?  Thanks in advance.
s/l/ "adheen" obstruction nm
Subject: s/l/ "adheen" obstruction nm


LVOT dynamic obstruction
Subject: LVOT dynamic obstruction

with the Valsalva noted with peak velocity increasing at baseline.  Is LVOT correct?
would they say Subtotal? obstruction of a large
Subject: would they say Subtotal? obstruction of a large

hypokinesis and an ejection fraction of about 40%?
maybe gastric outlet obstruction? nm
Subject: maybe gastric outlet obstruction? nm


bladder outlet obstruction symptoms
Subject: bladder outlet obstruction symptoms

Bladder lesion and gross hematuria with normal ____________________ and regrowth of prostatic tissue with bladder outlet obstruction symptoms.   s/l epitrax or upper tracks 


 


Thank you


intestinal obstruction. See info and links.
Subject: intestinal obstruction. See info and links.

Blackwell Synergy: Transplant Infect Dis, Vol 7, Issue 2, pp. 75 ...
Upper endoscopy revealed a partial obstruction of the duodenum related to ...
The duration of treatment for disseminated MAC infection in HIV-positive ...
www.blackwell-synergy.com/ doi/abs/10.1111/j.1399-3062.2005.00090.x - Similar pages

eMedicine - Atypical Mycobacterial Infection : Article by Arry ...
In immunocompromised patients, the intestinal tract is the primary route for MAC
infection, followed by the respiratory tract as a secondary portal of entry ...
www.emedicine.com/ped/topic3034.htm - 154k - Cached - Similar pages

Radiographic Assessment of HIV-Related Diseases
Patients with disseminated MAC infection associated with HIV disease often ...
barium studies may reveal irregularly thickened gastric or intestinal folds. ...
hivinsite.ucsf.edu/ InSite?page=kb-04&doc=kb-04-01-16 - 101k - Jan 4, 2006 - Cached - Similar pages


Sounds like it could be ileus; an obstruction of the intestine.
Subject: Sounds like it could be ileus; an obstruction of the intestine.


"Hydronephritis, Obstruction of drainage of urine anywhere in UT..."
Subject: "Hydronephritis, Obstruction of drainage of urine anywhere in UT..."

http://faculty.washington.edu/alexbert/MEDEX/Fall/FinalsPath--GUtable.doc -
Patient has recurrent gastric outlet obstruction and ...
Subject: Patient has recurrent gastric outlet obstruction and ...

megagastrium.  Cannot find this anywhere!  Did he make it up?  TIA!!
PT presents for _____ endoscopy for bladder outlet obstruction
Subject: PT presents for _____ endoscopy for bladder outlet obstruction


Type of endoscopy for bladder outlet obstruction...s/l Step...nm
Subject: Type of endoscopy for bladder outlet obstruction...s/l Step...nm


anterior mediastinal teratoma with airway and esophageal obstruction
Subject: anterior mediastinal teratoma with airway and esophageal obstruction


stridor is a high-pitched respiration. Sign of obstruction. nm
Subject: stridor is a high-pitched respiration. Sign of obstruction. nm


Does it sound like possibly outflow obstruction and hypokinesis is usually in an area describing the
Subject: Does it sound like possibly outflow obstruction and hypokinesis is usually in an area describing the movement, i.e.

apical hypokinesis
left ventricular hypokinesis
segmental
etc.

No evidence of cramping abdominal pain that would suggest a s/l hydraged obstruction. Help??
Subject: No evidence of cramping abdominal pain that would suggest a s/l hydraged obstruction. Help??


PE on consult lower extremity edema with multiple varicose veins. NO CORDAL LACK OBSTRUCTION
Subject: PE on consult lower extremity edema with multiple varicose veins. NO CORDAL LACK OBSTRUCTION

This is a new dictator to me - has a accent.  S/L CORDAL LACK OBSTRUCTION.  Any help?? 


Bowel
Subject: Bowel

This is a CT result.  Is it mild 'stranding' around loops of small bowel?


Thanks!


Bowel Rest
Subject: Bowel Rest

I need to know what the protocal is for bowel rest. Does anyone have a clue? Thanks
Bowel loops? nm
Subject: Bowel loops? nm


small bowel ???
Subject: small bowel ???

Could anyone help me with this.  Not sure what he is saying. 


The small bowel s/l murals or better and appears normal throughout.


Any help would be greatly appreciated!


Jan


 


 


Small bowel ???
Subject: Small bowel ???

Yes, that would be helpful. Here is most of the paragraph:
A small bowel series was performed alternating AP and PA studies at 15-minute intervals for 2 hours. The small bowel {s/l murals or better} and appears normal throughout. There is no unsual dilatation, segmentation, or mass lesion.

bowel rest?
Subject: bowel rest?

Dictation states "Patient was started on an IV antibiotic with Flagyl and Zosyn and placed on bowel rest with IV fluids."   Sounds something like bowarest - is there a medication similar to this?  Not sure if bowel rest make sense?  Thanks! 
Have NEVER seen "small bowel"
Subject: Have NEVER seen "small bowel"

x
bowel rest, maybe?
Subject: bowel rest, maybe?


Bowel s/l "apne"
Subject: Bowel s/l "apne"

Pt is using Percocet, which may be causing bowel s/l "apne", but cannot find anything like that.  Can anyone help?


bowel atony?
Subject: bowel atony?


bowel apne
Subject: bowel apne

That's it!!!  Thank you soooo much...
foreign bowel movements
Subject: foreign bowel movements

The pt is moving his bowels twice a day s/l foreign bowel movements.


He had constipation on Detrol. Now he is off it.


Tinjum bowel habits?
Subject: Tinjum bowel habits?

I can't figure out what this doctor is saying. He is decribing the patients bowel habits. It sounds like he is saying "Tinjum" bowel habits. Any suggestions?


Slash8789


could it be "changing" bowel habits???
Subject: could it be "changing" bowel habits???

nm
could it be "changing" bowel habits???
Subject: could it be "changing" bowel habits???

Thank you so much! After seeing your reply I went back to hear the dictation and I was trying to hear "changing" and instead I heard "change in" bowel habits. Again, Thank you!
bowel sounds with scaling...
Subject: bowel sounds with scaling...

Normal active bowel sounds with scaling over anterior abdominal wall.  Is scaling correct?
normoactive bowel sounds. nm
Subject: normoactive bowel sounds. nm

s
s/l metal schmertz bowel ?...sm
Subject: s/l metal schmertz bowel ?...sm

I think she may have a splenic flexure syndrome.  We are going to continue with observation.  It may have been an element of s/l "metal schmertz bowel".   Flate plate showed a large amount of gas.


TIA


 


 


"mittelschmerz" but not related to bowel. sm
Subject: "mittelschmerz" but not related to bowel. sm

You might be missing a word or have heard an extra one? mittelschmerz is related to ovulation.
small bowel series
Subject: small bowel series

Is there such a thing as "small bowel murals"?  thanks
Small bowel s/l interception
Subject: Small bowel s/l interception

x
Thank you, had to add that to my book under small bowel!
Subject: Thank you, had to add that to my book under small bowel!

x
Would bowel make sense there?
Subject: Would bowel make sense there?


maybe small bowel murals ARE
Subject: maybe small bowel murals ARE

better? has the patient had an endo exam before, or is this a followup x-ray? there are mural stratifications.