meds for bony metastasis
Posted By: jckerygma on 2007-10-16
In Reply to:
Subject: meds for bony metastasis
Bony metastasis treatment:
s/l dometa 4 mg IV piggyback every 4 weeks
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Bony spur? Bony protuberance? Bony spur formation?
Subject: Bony spur? Bony protuberance? Bony spur formation?
A cementoma is a bony tumor. Cementophytes are pieces of bony tumor. NM
Subject: A cementoma is a bony tumor. Cementophytes are pieces of bony tumor. NM
:
focal bony activity or focal bony uptake?
Subject: focal bony activity or focal bony uptake?
dd
yep - metastasis...............n/m
Subject: yep - metastasis...............n/m
.
Could it just be metastasis?
Subject: Could it just be metastasis?
As in choroidal metastasis.
RAW metastasis??
Subject: RAW metastasis??
no speciality. final diagnosis was uti. these meds were admit meds, only hist was hypertension
Subject: no speciality. final diagnosis was uti. these meds were admit meds, only hist was hypertension
I would type out metastasis
Subject: I would type out metastasis
only expand it out to metastasis if.....sm
Subject: only expand it out to metastasis if.....sm
Client profile dictates whether or not to give this dictator mets or metastasis.....his saying *met* was wrong. I would've given him *mets* unless the client profile allows expanding of words, and in that case I would've given them *metastasis*
rule out metastasis, maybe
Subject: rule out metastasis, maybe
nm
metastasis versus metastases
Subject: metastasis versus metastases
Any advice will be appreciated.
In many reports, I have heard doctors dictate "mets," which I would like to expand when necessary but sometimes am just not sure if singular or pleural expansion applies, e.g., "He has mets to the pelvis," (and then later on dictates) "He is thought to have probable liver mets." So, would each example I gave be expanded as metastasis or metastases, since there's more than one location of spread but each area of the body is dictated separately?
correct abbreviation for metastasis?
Subject: correct abbreviation for metastasis?
NP states "Mets to brain". Should this be mets, metz, or should I spell it out?
oops it is metastasis.....not metastases
Subject: oops it is metastasis.....not metastases
Lung cancer, [RAW?] metastasis
Subject: Lung cancer, [RAW?] metastasis
Any mets in his abdomen and chest (as in metastasis).
Subject: Any mets in his abdomen and chest (as in metastasis).
metastatic breast cancer (as in metastasis) nm
Subject: metastatic breast cancer (as in metastasis) nm
s/l ?thalisary or ?salisary brain metastasis
Subject: s/l ?thalisary or ?salisary brain metastasis
Says "MRI showed decrease in size of ?_____? brain metastasis with less edema." Can't find in references or google with varied spellings so maybe way off!!
Doc says liver 'mets', which I believe means metastasis, and is ok to leave as mets? nm
Subject: Doc says liver 'mets', which I believe means metastasis, and is ok to leave as mets? nm
,,
Bony nm
Subject: Bony nm
nm
bony
Subject: bony
bony kent
I found bony kent on google, but would leave a blank, refers to dental
This certainly s/l bony urination but that can't be, can it?
Subject: This certainly s/l bony urination but that can't be, can it?
The sentence is "minimal medial aspect of the acetabular joint space but otherwise no evidence for significant degenerative changes or subchondral bony (s/l urination) otherwise noted."
bony congestion?
Subject: bony congestion?
Has anyone ever heard of bony congestion? Sentence is "The heart is upper normal in size without bony (?) congestion." I cannot find "bony" congestion anywhere and wondered if there is such a thing. Thanks.
is it boney or bony?
Subject: is it boney or bony?
As in, all bony/boney prominences were well padded.
bony avulsion
Subject: bony avulsion
bony resorption
Subject: bony resorption
What is bony resporption? Is it the same thing as "bone resporption"?
bony anatomy?
Subject: bony anatomy?
could I be hearing this right, "Bony anatomy appears normal."
bony anatomy
Subject: bony anatomy
Yep, bony anatomy is correct.
Chest CT showed (s/l lines,but also s/l starts with m) __________ suspicious for osseous metastasis
Subject: Chest CT showed (s/l lines,but also s/l starts with m) __________ suspicious for osseous metastasis
x
Ear exam...good bony light
Subject: Ear exam...good bony light
The next word is what I don't understand. This is in the HEENT exam. The statement is: TM's are flat with good bony light ___. Is it - bony light reflects or maybe bony light reflex. Can anyone help with this. THX
First one may be no essential bony abnormaly (elbow)
Subject: First one may be no essential bony abnormaly (elbow)
oops - meant to say bony light reflex
Subject: oops - meant to say bony light reflex
r
possibly *bony mottling* which can be found in osteonecrosis (nm)
Subject: possibly *bony mottling* which can be found in osteonecrosis (nm)
x
bony resorption is removal of osseous tissue
Subject: bony resorption is removal of osseous tissue
diagnosis: bony extosis, bilateral tibia or tibias?
Subject: diagnosis: bony extosis, bilateral tibia or tibias?
bony structures involving the left *sacroala*? at the level of S2.
Subject: bony structures involving the left *sacroala*? at the level of S2.
Bony-impacted s/l palatally position central incisors? nm
Subject: Bony-impacted s/l palatally position central incisors? nm
.
dorsal bony exostoses at the first s/l "MRC" "MFC"M-C" joint? sm
Subject: dorsal bony exostoses at the first s/l "MRC" "MFC"M-C" joint? sm
This is podiatry. He's not saying a P or J that I can hear. Definitely hear it starting with an M or N and ending with a C. Maybe I need to get to bed, but this one is making me cranky. 
Heberden’s nodes, bony growths on the terminal. interphalangeal joints of
Subject: Heberden’s nodes, bony growths on the terminal. interphalangeal joints of
cellulitis: skin irritated but not warm. Might be s/l 'broney' changes. Not hearing bony. nm
Subject: cellulitis: skin irritated but not warm. Might be s/l 'broney' changes. Not hearing bony. nm
,,
X-ray of right shoulder = shows bony spurring noted at the AC joint with s/l "sycustoid" mater
Subject: X-ray of right shoulder = shows bony spurring noted at the AC joint with s/l "sycustoid" material
;
osteonecrosis- pt had "a bone scan significant for area of intense focal [s/l bony labeling]"?
Subject: osteonecrosis- pt had "a bone scan significant for area of intense focal [s/l bony labeling]"?
The whole sentence reads thusly:
The patient also underwent bone scan, this being significant for an area of intense [s/l focal bony labeling] involving the lateral epicondyle of the right femur in an individual without history of trauma, and given his history of aseptic necrosis of the femoral head, it was felt that this might be reflective of osteonecrosis including "osteochondritis desiccans."
Thanks in advance for any help.
There is evidence of previous caput costae, left thorax with good bony healings
Subject: There is evidence of previous caput costae, left thorax with good bony healings
history of colorectal history with metastasis to the liver and lymph nodes
Subject: history of colorectal history with metastasis to the liver and lymph nodes
Two meds I need help with
Subject: Two meds I need help with
These meds s/l fatazadime and metroinozol....any suggestions?
meds
Subject: meds
1. Spiriva ?
2. Don't know - sorry.
meds
Subject: meds
If the patient has COPD and Spiriva fits, maybe the second medication is Xopenex?? Just a guess.
meds help please sm...
Subject: meds help please sm...
(s/l-Kaylor-) and (s/l-Theosol-)
Here is the PMHX and other meds tp is on..
Past Medical History: Hypertension, rheumatic fever age 12, osteoarthritis of the knees, temporal arteritis.
Medications: Lexapro, Topamax, Nexium, metoprolol, Caylor, Fiasol, prednisone 5 mg for temporal arteritis, Neurontin 300 mg for controlling her periauricular pain after the biopsy, Xanax 0.25, baclofen 10 mg for her neck, OxyContin over the past year and a half 20 mg for her knees.
meds help please sm..
Subject: meds help please sm..
s/l-Elnoran drug for "bladder."
MEDS
Subject: MEDS
FULFURI
Meds help
Subject: Meds help
s/l 'griburide' - Thanks for the assistance. = )
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