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brown heme-negative stool?

Posted By: nm on 2007-10-03
In Reply to: Need help on rectal report in H&P - Ag

Subject: brown heme-negative stool?




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Here for heme-positive stool? nm
Subject: Here for heme-positive stool? nm

s
heme positve stool...hyphenate or not? TIA nm
Subject: heme positve stool...hyphenate or not? TIA nm

nm
Blondes have brown eyebrows, so prob a shade of brown. NM
Subject: Blondes have brown eyebrows, so prob a shade of brown. NM


don't think it's barium negative stool
Subject: don't think it's barium negative stool

maybe try DRE (short for digital rectal exam) reveals heme negative stool.  Also will sometimes say DRE by me heme negative stool. 
acolic stool? acholic stool?
Subject: acolic stool? acholic stool?

Infant with jaundice.  Doctor states he does not have s/l acolic stool? 
Brown's sign
Subject: Brown's sign


Left ear exam:  Although she does have a lot of myringosclerosis on the drum, there is 1 area that does show, sort of what appears to be, a pulsatile mass behind the drum. It is difficult to see whether a  s/l "Brown" sign was positive or not.  


 


 


 


Brown-Adson
Subject: Brown-Adson


There is a Brown's sign according to Stedman's ENT book and I saw it on Google relating to tym
Subject: There is a Brown's sign according to Stedman's ENT book and I saw it on Google relating to tympanographic documentation


Dictating signature. John Brown, s/l "MADCPCE", Primary Therapist. nm
Subject: Dictating signature. John Brown, s/l "MADCPCE", Primary Therapist. nm


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.

:-)
HEME
Subject: HEME

Review of the peripheral blood smear revealed s/l somonice on poikocytosis with lymphocytes and acanthocytes in some teardrop forms.


Can anyone decipher this dictation for me.


Thanks


 


HEME
Subject: HEME

Could this be "dominance of poikilocytes"? Poikilocytes = abnormally-shaped erythrocytes but the lymhpocytes and acanthocytes may also present a tear-drop shape. What are the differential diangoses?
definitely heme
Subject: definitely heme

I do a lot of pain clinic reports.
HEME HELP
Subject: HEME HELP

Patient has severe anemia.  She is a Jevoah witness refuses transfusions


To try do a hemolytic work up and work up for  s/l myoclinic_____opathy?


 


Thanks


Heme help
Subject: Heme help

Patient is male with history of rectal cancer who on routine screening had (S/L) hemeposi stool. Is the doctor possibly saying heme positive stool?  


heme positive
Subject: heme positive

The hospital I have worked at for 15 years says no.  So we don't hyphenate heme positive. Don't know what the BOS says though, we don't really use it.


heme malignancy
Subject: heme malignancy


I believe I have heard this before and it is heme.
Subject: I believe I have heard this before and it is heme.


Heme-positive
Subject: Heme-positive

x
heme positive. Might need to be capitalized though?
Subject: heme positive. Might need to be capitalized though?

.
I have always typed heme-positive
Subject: I have always typed heme-positive

Get QA'd on it and has never been marked wrong. Checked a couple of other web sites they have a hyphen and also onelook does. Possible both ways are correct.
Could be, heme just refers to blood. NM
Subject: Could be, heme just refers to blood. NM

x
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
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


CBC, ?? MSP ??, and stool
Subject: CBC, ?? MSP ??, and stool

Any idea what MSP could stand for here? This is on an ortho patient with Alzheimers, anemia, and diarrhea. She recently had a total shoulder. Doc is ordering CBC, what sounds like "MSP," and stool.


It's pretty clearly spoken.


Thanks for any ideas.


stool
Subject: stool

Most probably barium-negative stool.
maybe stool cards?
Subject: maybe stool cards?


scybalous stool - nm
Subject: scybalous stool - nm

.
Please help with stool testing
Subject: Please help with stool testing

I am not familiar with what ACT is, but I am fairly certain this is what he says, but I cannot document it either.  Would appreciate any help with this.


We are going to get stool cultures for ova and parasites, and all of the usual s/l ACT suspects, including C. difficile overgrowth. 


TIA!


Stool Softener
Subject: Stool Softener

Anyone ever hear of a stool softener that sounds like "serophyllin?" Thanks in advance.
Here are a few stool pathogens. sm
Subject: Here are a few stool pathogens. sm












  • Default Test Order for Ambiguous Orders
  • Enterohemorrhagic E. coli (EHEC) Shiga Toxin, EIA
  • Stool Culture, Campylobacter sp Only
  • Stool Culture, Vibrio Only
  • Stool Culture, Yersinia Only
  • Synonyms

    AFB positive stool?
    Subject: AFB positive stool?

    nm
    stool guiacs (nm)
    Subject: stool guiacs (nm)


    melanotic stool?
    Subject: melanotic stool?

    Can stool be melanotic or is this always melenic?


    Thanks for your help!


    sl stool percidip
    Subject: sl stool percidip

    Elderly patient with diarrhea, nausea and vomitting.  (She probably has what my daugter and now I have.  Lol.)


    Thanks.


    stool for C. diff
    Subject: stool for C. diff


    got it...stool purgation
    Subject: got it...stool purgation


    Does 3-4 LITERS of stool output
    Subject: Does 3-4 LITERS of stool output

    a day (diarrhea) seem extreme to anyone else? My doc just said that about this pt, and I'm picturing a 2L soda bottle and thinking WOW that's a lot of poop. I'm wondering how realistic that is.
    Okay, now SL afobiddy positive stool.
    Subject: Okay, now SL afobiddy positive stool.

    (nm)
    If pertains to stool, melenic nm
    Subject: If pertains to stool, melenic nm

    nm
    Referring to stool, melenic NM
    Subject: Referring to stool, melenic NM

    xxxx
    s/l formed to liquid stool?
    Subject: s/l formed to liquid stool?

    Having _____ from her colostomy.
    Stool for OMPN??? culture
    Subject: Stool for OMPN??? culture

    I'm having a hard time with this whole sentence:


    "Pending is C. difficile toxid (I'm guessing this is toxin) and Mo virus, stool for ompn culture."  Any help will be so appreciated! 


      


     


    Surfak is a med????? stool softener?
    Subject: Surfak is a med????? stool softener?


    stool viral studies?
    Subject: stool viral studies?


    Stool for O&P? Here is a list of studiesfrom labcorp.com. sm
    Subject: Stool for O&P? Here is a list of studiesfrom labcorp.com. sm

    Stool Culture
  • 2: Occult Blood, Stool
  • 3: Ova and Parasite Examination
  • 4: Stool Culture, Campylobacter sp Only
  • 5: Occult Blood, Fecal, Immunoassay
  • 6: Stool Culture, Yersinia Only
  • 7: Stool Culture, Vibrio Only
  • 8: White Blood Cells (WBC), Stool
  • 9: pH, Stool
  • 10: Giardia lamblia, Direct Detection EIA
  • 11: Helicobacter pylori Stool Antigen
  • 12: Acid-Fast (Mycobacteria) Broth-Based Culture and Smear
  • 13: Acid-Fast (Mycobacteria) Broth-Based Culture and Smear and Susceptibility
  • 14: Fungus (Mycology) Culture
  • 15: Fecal Fat, Quantitative
  • 16: Enterohemorrhagic E. coli (EHEC) Shiga Toxin, EIA
  • 17: Giardia lamblia, EIA and Ova and Parasite Examination
  • 18: Cyclospora Smear, Stool
  • 19: Osmolality, Fecal
  • 20: BAT-26, Microsatellite Instability (MSI) for Hereditary Nonpolyposis Colorectal Cancer (HNPCC)



  • ova and parasites -correct. (stool sample?)
    Subject: ova and parasites -correct. (stool sample?)