a tough one having to do with radioisotope...plse sm.
Posted By: dubdub on 2005-11-17
In Reply to:
Subject: a tough one having to do with radioisotope...plse sm.
The patient is a candidate for a sentinel node biopsy based on the intermediate thickness melanoma. Despite the negative lymphscintogram, it is certainly reasonable on the day of surgery for her melanoma excision to inject ? radioisotope at the primary site and with the handheld gamma counter, we may still be fortunate enough to identify a sentinel node that we can biopsy.
He kind of mumbles the type of radioisotope to be injected and if anyone has any ideas, I can see if they match up to what he is "trying" to say! Thanks so much.
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STRESS: Images reveal decreased uptake of radioisotope in the inferior wall and BASAL septum.
Subject: STRESS: Images reveal decreased uptake of radioisotope in the inferior wall and BASAL septum.
Thanks for your help. plse see msg
Subject: Thanks for your help. plse see msg
I'm pretty much clueless with regular clinic work. I basically went from school to typing ortho, so there's a lot of things I learned in school that I've never applied, and this is one of them.
At any rate, I learned it was mmHg, but with the doc dictating just mm, it threw me a little bit and I was wondering if I should type it as mm or mmHg, or does it matter...
Sorry I was so vague in my question. I typed it out fast, as the phone was ringing.
Thanks for your reply. :)
Need help with s/l - plse see msg
Subject: Need help with s/l - plse see msg
Patient delivered prematurely and her infant was in the s/l inky - I assume she's giving a short term for incubator but don't know if there's a common abbv. I appreciate any help - thanks!
That is a tough one. I wonder if
Subject: That is a tough one. I wonder if
there could be something about axial loading in there???
Good luck :)
tough one but
Subject: tough one but
This is a quote from the Jounal of Nuclear Medicine Technology...
In the event that there is a significant splanchnic or bowel overlap with the inferior wall, various maneuvers, such as drinking water or milk or eating fatty food, can be tried to alleviate the problem before repeating delayed imaging.
So, sound like * overlap * would be correct.
I got this by googling the words - myocardial perfusion scan splanchnic
this is a tough one! sm
Subject: this is a tough one! sm
Just going to give you wild guesses and maybe it will help - could the word be
self-_____?
cell _____?
____ folate?
I'm not 100% sure but I think it is typed FOLFOX (??)
Man, that's a tough one!
Subject: Man, that's a tough one!
All I can think of is saying GCS fast with something, but then the 96 doesn't make any sense with that, but the 96 could represent glucose, but even then that's not low enough to cause coma, is it? Sorry--just thinking out loud. Let us know if you figure it out!
Good luck with that! 
A tough one
Subject: A tough one
 Osteopathy report says did deep tissue, manipulation as well as ?? s/l kindricks ?? crunch. Googled for a long time without luck.
Suggestions appreciated!
That's a tough one since s/m
Subject: That's a tough one since s/m
he probably didn't type it out. My guess is something with the patella?
Good luck.
Nah, that was a tough one. I don't think
Subject: Nah, that was a tough one. I don't think
I have ever heard that abbreviated before.
hmm I can't think of anything, that is a tough one NM
Subject: hmm I can't think of anything, that is a tough one NM
wow that is a tough one :( nm
Subject: wow that is a tough one :( nm
tough one (sm)
Subject: tough one (sm)
The only thing I can think of that comes close is that instead of spelling out those letters, he might actually be saying "coronary arteries."
If he's speaking distinctly enough, though, that you're sure he's dictating specific letters, then I'm stumped.
med s/l ortazipine??? plse sm
Subject: med s/l ortazipine??? plse sm
Patient suffers from depression, hypercholesterolemia, gastroesophageal reflux disease. Is on a med that sounds like ortazipine, ertazipine or something like that. Any ideas? TIA
tele?? plse see msg....
Subject: tele?? plse see msg....
Doc dictates: she had an arrhythmia that led to problems with her blood pressure, which led to problems with her mental status, which led to pulmonary problems, which led to being intubated and she was in the ICU for about a week, four of those days intubated. She was then in tele for another week after that.
Would it be telemetry? This is in a letter and I would rather use the whole form of the word. TIA
s/l umphyilias, plse sm...
Subject: s/l umphyilias, plse sm...
In his umbilicus he has a pit at the base of it with multiple hair follicles within this and some s/l umphylias
(um phy lie as). Any ideas, anybody?!
s/l simulation, plse see msg...
Subject: s/l simulation, plse see msg...
Patient is about to begin radiation treatment and has already undergone simulation. Is simulation correct? TIA
Need help with s/l plse see message
Subject: Need help with s/l plse see message
Patient has ear pain. Has had myringotomy tubes placed in the past.
The right TM was a little dull, with loss of landmarks and either a fluid s/l wave or some fluid related to the eardrum. There was no evidence of a myringotomy tube in the ear canal.
Fluid level? Does that work in this regard? Thanks.
are you sure the doc isn't saying "hypertension" - sometimes tough to tell nm
Subject: are you sure the doc isn't saying "hypertension" - sometimes tough to tell nm
Hmm, tough one. The only thing I can think of ..
Subject: Hmm, tough one. The only thing I can think of ..
assuming it's part of the patient's surgical history is toe surgery?? Wild guess.
that's a tough one, got any more of a sentence??..nm
Subject: that's a tough one, got any more of a sentence??..nm
x
Tough to say without hearing it, but
Subject: Tough to say without hearing it, but
Could he be saying the coude catheter was connected to irrigant. And then say something about using K-Y?
Tough to say without hearing it, but
Subject: Tough to say without hearing it, but
Could he be saying: The coude catheter was connected to irrigant. And then say something about using K-Y?
HER2 FISH, plse see msg.
Doc says HER2 FISH is positive. Is this the correct way to type this, should it be FSH instead of FISH? I would always hear HER2/neu, now he threw me a curve! Thx
s/l curl defect? Plse see msg..
Subject: s/l curl defect? Plse see msg..
It appears the patient's wrap is intact but that the hiatal repair has come undone so the wrap has slipped up into her chest. Essentially there are only two things you can do about this; one is to do nothing and live with it and the other is operate, repair the curl defect and put the stomach back in the abdomen where it belongs.
Is curl defect correct? TIA
s/l lytic(?) lesions, plse sm
Subject: s/l lytic(?) lesions, plse sm
Patient has had a colonoscopy with a malignant polyp being found. Patient had a CT scan of her abdomen that showed multiple s/l lytic lesions throughout her bones everywhere.
Thx for any help!
s/l chain slacks??? plse sm
Subject: s/l chain slacks??? plse sm
Under PSH doc lists what sounds like chain slacks on left chest. That is all he says. Any ideas? TIA
tough one, but angioma or ecchymosis?
Subject: tough one, but angioma or ecchymosis?
just a thought.
fringey encapped deformity?? plse sm
Pt. had ultrasound that showed s/l fringey encapped deformity of the gallbladder. Does this make sense to anyone?? TIA
re port catheter placement, plse sm
Subject: re port catheter placement, plse sm
The patient had port catheter placement. It was not an easy access surgery and it was placed via a left internal jugular approach and even the initial film showed it curling at the
s/l juxta??? juctious??? subclavian vein with the tip either in the superior vena cava or in an azygous branch.
Can't quite make out what he is saying there. Anyone have an idea? TIA.
nets or nests of DCIS, plse see msg...
Subject: nets or nests of DCIS, plse see msg...
Patient had some DCIS in her specimen that went to the edges and the additional medial margin also had a couple s/l nets (nests???) of DCIS in it. Anyone heard this before? TIA
You're welcome, Christa. Gyn is tough when you start out. nm
Subject: You're welcome, Christa. Gyn is tough when you start out. nm
x
True, but there are some terms that are tough to find. sm
Subject: True, but there are some terms that are tough to find. sm
This one is a good example of a term difficult to Google. However, it can very easily and quickly be found in Stedman's. I recommend books first, Google as a last resort.
You may want to help out at the MT Chat board where only hints are given.
Don't forget what it was like when you started out. You probably weren't at home working alone, were more than likely paid hourly and were able to research ad nauseum.
"Do unto others..."
glad I could help - those weird pronunciations are tough sometimes! NM
Subject: glad I could help - those weird pronunciations are tough sometimes! NM
Thanks-a-lot! It was hard to figure out from his tough accent!!
Subject: Thanks-a-lot! It was hard to figure out from his tough accent!!
bile reflux versus reflex...sm plse
Subject: bile reflux versus reflex...sm plse
I always thought it was bile reflux pertaining to the gallbladder but he clearly says bile reflex. Which is correct? TIA
s/l bolus dysphagia and funda gland...plse sm
Subject: s/l bolus dysphagia and funda gland...plse sm
s/l funda gland polyps seen on upper endoscopy
Pt. has free regurgitation and solid s/l bolus dysphagia
Thx for any help!
Kniest syndrom. Anyone familiar with symptoms? Plse sm for s/l
Subject: Kniest syndrom. Anyone familiar with symptoms? Plse sm for s/l
Patient is 24-year-old female with a history of Kniest syndrome which includes s/l kin-gin-al osteoarthritis, conductive hearing loss, and myopia.
Thanks!
a tough one--drugs that use "grains" and fractions thereof
Subject: a tough one--drugs that use "grains" and fractions thereof
That's right, go ahead and run off when you see my boring hard question!!
Okay, I've have to say that I never really got the "grain" concept in terms of drug usage and was too lazy to ask my instructors back in the day, and now my lack of knowledge has come back to haunt me. The doc says this patient is taking "three-fourths of a grain of phenobarbital." How do I transcribe this? Anyone?
Plse see message. Not familar with radiation terms. Does this look correct?
Subject: Plse see message. Not familar with radiation terms. Does this look correct?
She received a total dose of 45 Gy to the primary tumor area, regional lymphatics at 180 rads per fraction x25 fractions. Then she received cone down 1800 Gy to the primary tumor. The total dose was 63 Gy.
Possibly they're post BAK interbody fusion system or procedure? This one's tough! nm
Subject: Possibly they're post BAK interbody fusion system or procedure? This one's tough! nm
s
Plse see message. Stuck on one word (bold italic). Don't think its fissure.Driving me crazy.
Subject: Plse see message. Stuck on one word (bold italic). Don't think its fissure.Driving me crazy. Tks
PET SCAN 03/08/08: Reveals intense hypermetabolism corresponding to the mass in the left mid lung field posteriorly, abutting in the left major fizure predominantly in the superior segment of the left lower lobe. This same type of metabolism corresponding to the right middle lobe pulmonary nodule previously noted activity in the lower neck anteriorly (06/28/06) has since resolved.
iodide drops, also radioactive iodide? correct? plse sm
Subject: iodide drops, also radioactive iodide? correct? plse sm
This is for hyperthyroidism and hyperparathyroidism...sounds like he is saying iodide??? Anyone know which is correct? TIA!
and one dimension...in one dimension...plse sm..
Subject: and one dimension...in one dimension...plse sm..
Using ultrasound guidance, a 2 cm diameter in one dimension cystic lesion was identified.
Is this correct or could/should it be "and one dimension?"
Thx....
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