some lab data for stroke victim

• some lab data for stroke victim - sm
  • That's not a word. Most doctors can't spell corrently. - pc

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Unsure if this sounds correct or not.  She is speaking fast and not sure if I am missing it.

She has a history of cerebellar infarct, (s/l might have been the embolic) and she has been on a combination of Coumadin and Plavix

TIA 

I'm doing a discharge summary by an ESL, and he's going through all the lab data results.  He says urine culture done on xx/xx/xx, showed s/l protease monoblez more than 100,00 _____/mL.  

Meanwhile, back to Google I go to try and figure this out!

Doc says..also brings with her numerous labs including labs showing borderline....s/l DATA... levels. 

She kind of stumbles over this and I could not find anything on DATA or data levels so I was going to flag it.  She then goes on to say....She tried oral...s/l DATA without success. 

It is pretty clear the second time but I cannot find anything on this.  Is this correct and would it be all CAPS?

Thanks.

The patient was out of the __________ time window as this was greater than 3 to 5 hours.  The patient was transferred by ambulance and was admitted for a possible stroke workup.

s/l TVA.  Would make sense if CVA, I guess, but really sounds like a "T" -- is there such a thing?

Thanks.

s/l: SMAC

Laboratory studies on admission revealed the unremarkable SMAC except for elevated LDH of 278

s/l: nucleorie

10% of the patient cells contain the _____ and had morphologic features of blast cells

Has anyone ever heard of "anti Luis A and B".  S/L anti, but could be aptise, eptide or similar.

"Blood type A positive, antibody screen positive with "anti Luis" A and B".  As a side note she is in having a cesarean section and has enterococcus clocae and a UTI (not sure if that helps).  Thanks.

I am doing an echo and the doc is speeding through the M-mode data.  It sounds like he is saying "septal posterior wall thickness is 7 mm."   Is this correct or is it "septal and posterior wall thickness"?  I find it several different ways on Google and not sure what is correct. 

Also, if anyone knows a good echo site, please feel free to share!

Thanks!

*Mendrel* panel includes a calcium of 10.1, magnesium 1.5, phosphorus 3.5.

s/l is "mendrel" or "mendro" - this is an ESL resident.

Thanks for any help.

Discontinued his ??max in the hospital.  He has never had an episode of TIA or stroke in the past. 

I can only hear the max and just wondering if anyone could help with a medication for stroke or TIA that ends in max. Thanks!!

Patient’s urinalysis showed 20 to 25 red cells, for ____ field white cells, many bacteria, many nitrite positive, leukocyte esterase positive and in large amounts.

White count was 19.7 and hemoglobin 11.9. Probably some of that, with regard to her hemoglobin, secondary to ____ concentration.

The first one sounds like hifar and the second sounds like hemo.  Thanks!  I am so tired I can't think straight any more.

"The clearest evidence for risks and benefits of adjuvant androgen deprivation after node positive disease is the _____ data, which seems clearly to have a survival benefit for both prostate cancer specific survival, as well as overall survival after over ten years of followup."

It sounds like "messing" data...???? Any ideas?

Thanks!

Doc is dictating patient is not a candidate for s/l altaplace or TPA therapy. 

Altaplace?

Diagnosis of acute right middle cerebral artery ischemic cerebral infarction and acute right internal carotid artery and right middle cerebral artery occlusion.

In exam, he says:

He has flaccid left hemiplegia of the left upper and lower extremities that does ______ (rep/rub) on the left on plantar response.

In view of the ___________ (rep/rub cuff/calf) it was felt that the patient would benefit from full anticoagulation for a short term.

Any help on this would be appreciated.  Thanks.