possibly purulent bile? nm
Posted By: Mushroom on 2009-02-07
In Reply to: Is peri-renal bile correct? - Berly
Subject: possibly purulent bile? nm
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Peritoneal bile, or intraperitoneal bile? (NM)
Subject: Peritoneal bile, or intraperitoneal bile? (NM)
NM
P? Bile
Subject: P? Bile
No, that is not correct in the dictionary searches I have done. I did find where maybe it would be peritoneal bile, but from the bile duct, I am still not sure.
try purulent
Subject: try purulent
x
may also be purulent...nm
Subject: may also be purulent...nm
x
purulent?
Subject: purulent?
purulent NM
Subject: purulent NM
nm
maybe purulent?
Subject: maybe purulent?
I prefer purulent. (sm)
Subject: I prefer purulent. (sm)
Surely that's the word the dictator was thinking of. ;oD
How about purulent exudate? - nm
Subject: How about purulent exudate? - nm
just a guess....maybe purulent?
Subject: just a guess....maybe purulent?
x
bile acid sequestrant
Subject: bile acid sequestrant
Figured it out -- bile acid
Subject: Figured it out -- bile acid
Got it, "some bile duct" . . thanks!
Subject: Got it, "some bile duct" . . thanks!
purulent? chronic allergic?
Subject: purulent? chronic allergic?
purulent allergic rhinitis?
Subject: purulent allergic rhinitis?
x
I wonder if it's common bile duct stone? nm
Subject: I wonder if it's common bile duct stone? nm
nm
extrahepatic or biliary? bile duct? nm
Subject: extrahepatic or biliary? bile duct? nm
It does not sound like biliary/bile duct!
Subject: It does not sound like biliary/bile duct!
Is peri-renal bile correct?
Subject: Is peri-renal bile correct?
Dictation sounds like: Upon entering the bile duct, peri-renal bile was drained.
Yes, purulent is how we were told to type it at one of my jobs
Subject: Yes, purulent is how we were told to type it at one of my jobs
xx
I just could not hear purulent, suppurative, etc. I flagged it. Thx! nm
Subject: I just could not hear purulent, suppurative, etc. I flagged it. Thx! nm
..
I would have changed it to purulent sputum. (nmsg)
Subject: I would have changed it to purulent sputum. (nmsg)
xx
stab in the dark, purulent mastoiditis??...nm
Subject: stab in the dark, purulent mastoiditis??...nm
x
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
With the addition of Zetia or a s/l bile a sed binding agent. TIA
Subject: With the addition of Zetia or a s/l bile a sed binding agent. TIA
mild s/l muritzes of the common bile duct. TIA!!!
Subject: mild s/l muritzes of the common bile duct. TIA!!!
Yes, purulent exudate. But can't figure out the "fibber" part. Thanks!
Subject: Yes, purulent exudate. But can't figure out the "fibber" part. Thanks!
probably stands for common bile duct exploration--CBDE.
Subject: probably stands for common bile duct exploration--CBDE.
x
Is the common bile duct and intrahepatic biliary tree--sm
Subject: Is the common bile duct and intrahepatic biliary tree--sm
two separate structures. Should they be listed under two headings?
right...probably the infection that spread to the middle ear is bacterial, with purulent discharge,
Subject: right...probably the infection that spread to the middle ear is bacterial, with purulent discharge, hence, odoriferous
is that the clinical picture presented in the patient's case? Did the PE include such ear discharge and the Assessment include Otitis media?
Biliary T-tube, drainage of bile/debris after ERCP or other cholangio procedure Nm
Subject: Biliary T-tube, drainage of bile/debris after ERCP or other cholangio procedure Nm
nm
bile acid? fibric acid? Here is a link.
Subject: bile acid? fibric acid? Here is a link.
http://www.webmd.com/cholesterol-management/guide/cholesterol-lowering-medication
Nares: Mucoid drainage? Purulent drainage?
Subject: Nares: Mucoid drainage? Purulent drainage?
.
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?
Possibly
Subject: Possibly
Pisces Z Quad Lead.... Oh wait looks like there is a Specify Lead
3998 Specify™ Lead
Contains two, four-electrode vertical arrays spaced 2 mm apart. Electrodes are 2 mm x 3 mm and are spaced vertically, 6 mm apart. 
could that possibly be--sm
Subject: could that possibly be--sm
round towel drape...as in a sterile field? just a thought.
possibly
Subject: possibly
TM?
Could it possibly be
Subject: Could it possibly be
"a liquid MVI q.d."???
or aliquots of something???
Or does it sound more like a test they are going to do?
Could it possibly be
Subject: Could it possibly be
acetaminophen.... Just curious b/c you said it was an ESL doc and sometimes they squish stuff together. Just a thought. Good luck!
POSSIBLY
Subject: POSSIBLY
END-DIASTOLIC AND END-SYSTOLIC DIMENSION.
possibly STS
Subject: possibly STS
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