possibly *bony mottling* which can be found in osteonecrosis (nm)
Posted By: me on 2008-05-26
In Reply to: osteonecrosis- pt had "a bone scan significant for area of intense focal [s/l bony labeling]"? - not sure...
Subject: possibly *bony mottling* which can be found in osteonecrosis (nm)
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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.
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
:
I think it is Ficat classification of femoral head osteonecrosis.
Subject: I think it is Ficat classification of femoral head osteonecrosis.
xxxxx
focal bony activity or focal bony uptake?
Subject: focal bony activity or focal bony uptake?
dd
mottling
What is the sentence you are referring to with the word in it? I have only heard doctors refer to mottling or mottled as a sort of discoloration of a person's skin due to poor circulation or other problems. I need you to give me the sentence or paragraph and I will try to help.
Mottling
You just answered my question. If mottling refers to the skin, then it is remodeling. The sentence was referring to bones. Thank you for your help, I really appreciate it.
mottling - nm
Subject: mottling - nm
mottling of extremity..nm
Subject: mottling of extremity..nm
Mottling, not modeling.
Subject: Mottling, not modeling.
xx
ortho help.....scar mottling exercises? nm
Subject: ortho help.....scar mottling exercises? nm
f
Bipartite possibly? Found that related to tibial sesamoids...nm
Subject: Bipartite possibly? Found that related to tibial sesamoids...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.
meds for bony metastasis
Subject: meds for bony metastasis
Bony metastasis treatment:
s/l dometa 4 mg IV piggyback every 4 weeks
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
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
;
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
serum gastin level was found to be s/l subtine? and it was found to be very high
Subject: serum gastin level was found to be s/l subtine? and it was found to be very high
In Stedmans I found gap detection. I googled that with interior gap and I actually found something.
Subject: In Stedmans I found gap detection. I googled that with interior gap and I actually found something.
Uporanary since the house is good. That really has me stumped.
Thanks so much for helping.
Corvert -- I found it. (better post that i found it before NM tears me a new one for asking)
Subject: Corvert -- I found it. (better post that i found it before NM tears me a new one for asking)
xx
Grammar challened. Is it ....she, herself, found... or is it ...she herself found… without the
Subject: Grammar challened. Is it ....she, herself, found... or is it ...she herself found… without the
commas? Thanks.
I know there is a light reflex....not sure about bony light reflex though...nm..
Subject: I know there is a light reflex....not sure about bony light reflex though...nm..
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possibly,...
b-natriuretic peptides? I have been steered wrong on numerous occasions by others -- keep trying to verify everything!!
Could this possibly be. . . . .
Subject: Could this possibly be. . . . .
an ESL or a mumbler and it might be morphine?
As an aside, for a laugh, I used to work for a neurologist who apparently had a patient pull a Rx paper off the top of his Rx pad when he wasn't looking. The doc got a call a few hours later from a pharmacy trying to verify the Rx for "mo feen".
Possibly....
Subject: Possibly....
He's a mumbler, so who knows!! I might have to leave a blank, as now I can't tell if it is Y or "wide".
Thanks!!
possibly
Subject: possibly
aztreonam, an antibiotic
Possibly
Subject: Possibly
Could be Absorbine (an antifungal, topical application). Does that fit in?
possibly
Subject: possibly
That might be it. There are Banda socks.
Thanks.
Quite possibly ...
Subject: Quite possibly ...
I looked up Tisseal and it is a hemostatic so I put it in there along with a blank so QA can check it. I had not heard of it before. THX
Possibly
Subject: Possibly
Dilaudid HP which contains hydromorphone... 
possibly . . .
Subject: possibly . . .
Could that possibly be MSB
Subject: Could that possibly be MSB
It is hard to differentiate sometimes between certain letters. It is obviously a test of some sort, so maybe CBC, mid-small bowel stool for C-diff, gram stain, culture and sensitivity, ova and parasite? just a thought. trying to help out.
possibly CNS?
Subject: possibly CNS?
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