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keratinizing squamous cells of unknown significance?

Posted By: RockinMT on 2008-12-16
In Reply to: KSCU? - mschweikl

Subject: keratinizing squamous cells of unknown significance?




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that should be Atypical Squamous Cells, etc. (nm)
Subject: that should be Atypical Squamous Cells, etc. (nm)


keratinizing? nm
Subject: keratinizing? nm

s
800 T-cells (T-helper), normal average 500-1500 cells
Subject: 800 T-cells (T-helper), normal average 500-1500 cells

/
positive sickle cells and s/l pardip? cells in the smear
Subject: positive sickle cells and s/l pardip? cells in the smear


LAB DATA: Sed rate 27, s/l aspirit 62,300 white cells, 100 red cells . . . . HELP?
Subject: LAB DATA: Sed rate 27, s/l aspirit 62,300 white cells, 100 red cells . . . . HELP?


Unknown word
Subject: Unknown word

Dr. is saying that the patient faxed some information to the office about this.  The patient has multiple sclerosis, so that may be a related factor, but I am not sure.


The word she says sounds like:  tie sar bee


A-cells/accelerations vs D-cells/decelerations
Subject: A-cells/accelerations vs D-cells/decelerations


unknown s/l "debattle" status.
Subject: unknown s/l "debattle" status.

a
Medication s/l Arastrazol unknown use
Subject: Medication s/l Arastrazol unknown use

Thanks.
UA shows "a field tact" with white blood cells and red blood cells. What's he saying here?
Subject: UA shows "a field tact" with white blood cells and red blood cells. What's he saying here?


It's a squamous-cell CA. sm
Subject: It's a squamous-cell CA. sm

I don't hear an L sound - widely would have been my best guess, but it really doesn't sound like it. His inflection makes it sound like a two-part adjective, like topsy-turvy. He says "Vulva: Diffuse whitey-warty lesion on the left side...." I can't verify anything like that. I don't usually have to blank or flag this guy's reports - this might be the first!
Yes, it probably is squamous epithelial
Subject: Yes, it probably is squamous epithelial

nm
WAG but squamous cell cancers? nm
Subject: WAG but squamous cell cancers? nm


U R right....it is squamous cell cancers
Subject: U R right....it is squamous cell cancers

I just can't figure out the little "des or just" or something right before it.  But I am going to leave that one out and let him fill in.  Thanks.
Some squamous cell CAs have keratin pearls. May be what they mean. nm
Subject: Some squamous cell CAs have keratin pearls. May be what they mean. nm


T3NX squamous cell carcinoma
Subject: T3NX squamous cell carcinoma

How shold the T3NX be typed?  T3-NX, T3NX, T3 Nx?  I see it all different ways and not sure which is correct. 
inflammatory regenerative squamous atypia
Subject: inflammatory regenerative squamous atypia


There is also LGSIL meaning Low-Grade Squamous Intraepithelial Lesion
Subject: There is also LGSIL meaning Low-Grade Squamous Intraepithelial Lesion


patient received a single dose of radioactive iodine. The dose in S/L milliequaries? is unknown?
Subject: patient received a single dose of radioactive iodine. The dose in S/L milliequaries? is unknown?

NM
Squamous atypia treated with electric __cation and curettage. Any ideas? nm
Subject: Squamous atypia treated with electric __cation and curettage. Any ideas? nm

..
Pt with a history of squamous cell cancer of s/l end stage T3, N0, M0, status post ..sm
Subject: Pt with a history of squamous cell cancer of s/l end stage T3, N0, M0, status post ..sm

chemoradiation treatment.  Sounds like he is saying end stage or ana stage.  Help is appreciated.  Thanks!
He has had problems with accumulation of squamous, "cholestea", debris in the mastoid cavity.
Subject: He has had problems with accumulation of squamous, "cholestea", debris in the mastoid cavity.

Is this right???
How about T-cells?
Subject: How about T-cells?

??

LE cells ?? -- nm
Subject: LE cells ?? -- nm

x
I would put 8-10 red cells. nm
Subject: I would put 8-10 red cells. nm

.
T-cells
Subject: T-cells

"T-cells showed a WBC of 7,400, T-4 of 162, T-8 of 2,572."  Is it correct to hyphenate between T and 4 or T and 8?


Cells per ml? (nm)
Subject: Cells per ml? (nm)

--
s/l A cells
Subject: s/l A cells


External monitor revealed 120 beats per minute with good variability with some s/l A cells.


Atypical cells
Subject: Atypical cells

"Atypical cells" are usually suspicious for carcinoma.
or Proliferative cells
Subject: or Proliferative cells

would make sense too.
palliative cells
Subject: palliative cells

Wasn't sure which board to put this on.  I have 20-some years exp in onc, can usually Google to find new terms/meds etc, rarely have to leave blanks.  One particular dictator (not a doc, a PA-C who is not only a mushmouth but also mispronounces everything) today stated that the pathology showed something-cells suspicious for carcinoma.  It really sounded like he was saying "palliative" cells, but of course that doesn't make sense.  I tried to make it into "palisading" cells but no, it definitely ended with "ive" not "ing" so I sent it to QA.  I went back in the report later in the day and sure enough, QA had filled it in with "palliative" cells suspicious for carcinoma.  What would you do?  Please correct me if I'm wrong, but this doesn't make sense at all to me.  Even though it did sound like "palliative" cells, I really think he meant something else but was mispronouncing it.  Any input?
s/l Pac red blood cells.
Subject: s/l Pac red blood cells.

Postoperative bleeding requiring 2 units *pack* red blood cells for acute blood loss anemia.


 


Thanks!


or even PSA 1.4, cells benign...nm
Subject: or even PSA 1.4, cells benign...nm

nm
epithelial cells i believe.
Subject: epithelial cells i believe.


may be packed cells. nm
Subject: may be packed cells. nm

x
s/l agranazi air cells?
Subject: s/l agranazi air cells?

ENT surgeon says" I then used the image guidance to identify an "agranazi/nagranazi air cell".....
epithelial cells
Subject: epithelial cells

nm
amorphous cells
Subject: amorphous cells

amorphous cells
urotherion cells?
Subject: urotherion cells?

Not sure if this is right.  Sentence is "Urine cytology showed atypical urotherion cells." 
hyaline cells? (SM)
Subject: hyaline cells? (SM)

xx
No clue cells. No *trickers*
Subject: No clue cells. No *trickers*


*pecked* red blood cells
Subject: *pecked* red blood cells

Hi, doctor is Indian and I am having trouble with one word he's said three times and I cannot get it. "units of (s/l) pecked red blood cells." It sounds like pecked everytime I hear it! Please help!
ager nasi air cells. nm
Subject: ager nasi air cells. nm

x
packed red blood cells
Subject: packed red blood cells


Nitrites and white cells?
Subject: Nitrites and white cells?

Lol, I'm too tired too.
Could it be - Prostate 1.4. Cells benign. ??
Subject: Could it be - Prostate 1.4. Cells benign. ??


Probably short for epithelial cells
Subject: Probably short for epithelial cells


agger nasi cells
Subject: agger nasi cells


epis as in epithelial cells
Subject: epis as in epithelial cells

x
packed red blood cells?
Subject: packed red blood cells?


Another one--this isn't fair. "hilan cells"?
Subject: Another one--this isn't fair. "hilan cells"?

Patient with abdominal pain.  Urinalysis with bacteria results and then he says "8-12 hilan cells".  Yet again, this is something I can't find anywhere in relation to Gastroenterology or even any urinalysis results.  Sounds like "Hilan, or "Highland" cells.