too many possibilities, maybe get more info further in report??...sm
Posted By: typinlikemad on 2008-12-16
In Reply to: she/l Brutus Syndrome SM for context - Michelle Anderson
Subject: too many possibilities, maybe get more info further in report??...sm
If you could find out what some of the symptoms are, maybe we could be more helpful. Sorry!
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what is this report about please? Need info
Subject: what is this report about please? Need info
x
That happens a lot - if one report has incorrect info,
Subject: That happens a lot - if one report has incorrect info,
the docs who refer to that report when dictating their own might repeat the same mistakes - it snowballs.
Thanks on the info. Never heard of SOAP report. Always learn something new. nm
Subject: Thanks on the info. Never heard of SOAP report. Always learn something new. nm
ss
what part of the body does the report reference. More info. is helpful, as
Subject: what part of the body does the report reference. More info. is helpful, as
x
too many possibilities for AVD to be sure.
Subject: too many possibilities for AVD to be sure.
When in doubt, leave it out. could be aortic valve disease, arteriovenous disease, among others. I would leave it blank.
possibilities
Subject: possibilities
Could also be prothrombin time....
Possibilities...
Subject: Possibilities...
furosemide possibly, and the other one could be CellCept.
possibilities, sm
Subject: possibilities, sm
Some causes for hematemesis:
Peptic ulcer disease is the most common etiology of upper GI bleeding
–Increased risk with NSAID, steroid, or alcohol use; smoking, stress (e.g., ICU and trauma patients), or infections (Helicobacter pylori, CMV, herpes simplex virus)
Nasopharyngeal or oropharyngeal sources of bleeding
Esophageal etiologies
–Esophageal varices (common in alcoholics and cirrhotic patients)
–Erosive esophagitis: Infectious (e.g., Candida, HSV, CMV), corrosive ingestion, or pill-induced
–Esophageal or gastric carcinoma
–Esophageal or gastric polyps
Gastric etiologies
–Gastric ulcer
–Gastritis
–Arteriovenous malformations: Osler-Weber-Rendu syndrome (cutaneous telangectasias, recurrent nosebleeds), idiopathic angiomas, radiation-induced telangectasias, blue rubber bleb nevus syndrome
–Mallory-Weiss tear secondary to repetitive vomiting
–Dieulafoy's lesion: Erosion of the mucosa overlying an artery in the stomach causes necrosis of the arterial wall and resultant hemorrhage
–Gastric varices: Secondary to splenic vein thrombosis
–Benign or malignant tumors
Duodenal etiologies
–Duodenal ulcer
–Erosion of a pancreatic tumor into the duodenum
–Aortoenteric fistula: Must be suspected in any patient with a known aortic graft (e.g., prior AAA repair or occlusive aortic disease)
Systemic etiologies
–Coagulopathies (e.g., hemophilia)
–Thrombocytopenia
–Anticoagulation therapy (e.g., warfarin)
–Hereditary hemorrhagic telangiectasia
–Leukemia
–Connective tissue disease
possibilities, sm
Subject: possibilities, sm
Some causes for hematemesis:
Peptic ulcer disease is the most common etiology of upper GI bleeding
–Increased risk with NSAID, steroid, or alcohol use; smoking, stress (e.g., ICU and trauma patients), or infections (Helicobacter pylori, CMV, herpes simplex virus)
Nasopharyngeal or oropharyngeal sources of bleeding
Esophageal etiologies
–Esophageal varices (common in alcoholics and cirrhotic patients)
–Erosive esophagitis: Infectious (e.g., Candida, HSV, CMV), corrosive ingestion, or pill-induced
–Esophageal or gastric carcinoma
–Esophageal or gastric polyps
Gastric etiologies
–Gastric ulcer
–Gastritis
–Arteriovenous malformations: Osler-Weber-Rendu syndrome (cutaneous telangectasias, recurrent nosebleeds), idiopathic angiomas, radiation-induced telangectasias, blue rubber bleb nevus syndrome
–Mallory-Weiss tear secondary to repetitive vomiting
–Dieulafoy's lesion: Erosion of the mucosa overlying an artery in the stomach causes necrosis of the arterial wall and resultant hemorrhage
–Gastric varices: Secondary to splenic vein thrombosis
–Benign or malignant tumors
Duodenal etiologies
–Duodenal ulcer
–Erosion of a pancreatic tumor into the duodenum
–Aortoenteric fistula: Must be suspected in any patient with a known aortic graft (e.g., prior AAA repair or occlusive aortic disease)
Systemic etiologies
–Coagulopathies (e.g., hemophilia)
–Thrombocytopenia
–Anticoagulation therapy (e.g., warfarin)
–Hereditary hemorrhagic telangiectasia
–Leukemia
–Connective tissue disease
I see two possibilities.
Subject: I see two possibilities.
One possibility is that he is saying extended length of flight
Another possibility is that he is saying extended legs of flight. That is a word that is used to describe a portion of a journey, like the last leg of the trip, etc. So he could mean an extended portion of a journey during which she will be flying.
here is a list of possibilities
Subject: here is a list of possibilities
http://www.rxlist.com/cgi/rxlist.cgi?drug=*cet
couple of possibilities (sm)
Subject: couple of possibilities (sm)
If you're sure you're hearing "radio" that could be a "short-speak" way of saying radiograph.
Another possibility is RDI (respiratory disturbance index).
possibilities for 1st term (sm)
Subject: possibilities for 1st term (sm)
It's probably simply 'vertebral' or possibly 'vertebral height' - can't think of anything else that would work here and sound like "mediumphyge"
With this many possibilities, a blank is
Subject: With this many possibilities, a blank is
x
There are a couple of possibilities. Context?
Subject: There are a couple of possibilities. Context?
perhaps "pericolic abscess," though there are probable other possibilities nm
Subject: perhaps "pericolic abscess," though there are probable other possibilities nm
I'll add Bactrim to the list of possibilities.. nm
Subject: I'll add Bactrim to the list of possibilities.. nm
Found a few possibilities but they would all be vague and would be too much of a guess. Sorry.
Subject: Found a few possibilities but they would all be vague and would be too much of a guess. Sorry.
Do you have a disease or diagnosis we can go by as there are thousands of infusion possibilities
Subject: Do you have a disease or diagnosis we can go by as there are thousands of infusion possibilities
Various possibilities were kept for altered mental status, like _______?, metabolic encephalopathy,
Subject: Various possibilities were kept for altered mental status, like _______?, metabolic encephalopathy,
Here is a site with a list of possibilities... hope it helps. http://www.plastic-surgery.net/dangers
Subject: Here is a site with a list of possibilities... hope it helps. http://www.plastic-surgery.net/dangers-breast-implants.html
EKG report
Subject: EKG report
"No weeshnoblomotion abnormalities are identified." What is that word?
thanks everyone. One more report and then I am going to bed.
Subject: thanks everyone. One more report and then I am going to bed.
nothing more to add about the report unless
Subject: nothing more to add about the report unless
the patient had an implanted pacemaker which is not eluded to here. Just a note, adenosine is not capitalized except to start a sentence.
Maybe you will hear something back.
d~
Sorry, same report...
Subject: Sorry, same report...
"CPK and _______ were negative" s/l intraconals??
Still on the pulmonologist's report...
EEG report
Subject: EEG report
Anyone ever heard of an EEG performed on a Nikon Codon machine? Thanks.
just sent the report on.........nm
Subject: just sent the report on.........nm
x
op report sm
Subject: op report sm
What kind of surgery is it? If he used "lap" laparotomy pads may be the second one. They usually say sponge, needle and instrument counts. Will keep thinking on this one. Type of surgery would help.
You don't say where in the report -- sm
Subject: You don't say where in the report -- sm
this is given, or any other context, so I have to wonder if this isn't a problem list perhaps giving more than one diagnosis/problem here (as in (1) portosystemic shunt and (2) nephrolithiasis)...
Just a thought
ENT report - sm
Subject: ENT report - sm
Does include sinus surgeries, Caldwel-Luc surgery. Is also on Flonase. Patient is actually here regarding Grave's disease. I'm wondering if this is Relpax D, but I'm not able to verify that as a drug. Any suggestions?
ENT OP report help, please...
Subject: ENT OP report help, please...
Vocal cord lesion biopsy -
Peripheral -s/l orb or oral- sinuses were intubated to their apices and were normal.
Specimen was sent -s/l informal- and for pathology.
TIA!
OP report
Subject: OP report
OP report, lumbar spine
Next, fluoroscopy was used to place new screws at the L2-3 segment. Starting points were identified at the confluence of the midpoint of the transverse process, the **manloid** process, and the pars interarticularis
He really mumbles through this part, so I am just not sure, but I have not heard this term used before. Thanks!
op report help please sm...
Subject: op report help please sm...
FINDINGS: Epidurogram revealed normal (s/l-cephaloquadet-) contrast flow outlining the right L5 nerve root sleeve in the epidural space with good flow achieved medial to the right L5 pedicle. The patient did experience some concordant L5 symptoms on the right side during the injection. Vital signs remained stable throughout.
OP Report
Subject: OP Report
Hi all! I am doing an OP for a lumbar spine surgeon, but this is just for an I&D. He says the area was probed with "sucker tips" and was found to be subfascial. I am not too comfortable with what I am finding online for this. Has anyone heard this before? Thanks!
OP report help, please
Subject: OP report help, please
Patient was premedicated with intravenous s/l Benadryl.
Would that be right?
report does not say .. but says she is on BC
Subject: report does not say .. but says she is on BC
help with op report
Subject: help with op report
I never do op notes! The sentence reads:
The S/L RAFFAY between the anterior and middle deltoids was then opened. TIA!
Doing EMG report sm
Subject: Doing EMG report sm
The patient has focal severe slowing primarily in sensory fibers in the right upper extremity, on multiple restimulation unable to elicit a response to both s/l "Palmar 8" studies.
I can't find this anywhere. Anybody have any ideas? Thanks!
I wish I could see the report, but
Subject: I wish I could see the report, but
could she be saying communication, as in an opening has formed between 2 sinuses or something?
It is so frustrating to be given only a tidbit of a report instead of being able to puzzle it out from what is going on with the patient.
Thanks, but as I'm into the report it
Subject: Thanks, but as I'm into the report it
sounds like this is some weird wording for microscopic blood.
I've done thousands of endoscopy reports and GI consults, but I can't think why he'd say "affobiddy positive stool" instead of something about occult blood or microscopic blood.
ER report. Sm please
Subject: ER report. Sm please
The patient has a 4 mm calcification on the pelvis on the right which may represent a s/l flevolith, thus a right ureteral calculus could not be entirely occluded.
OP report
Subject: OP report
general s/l elam anesthesia. New to OP reports! TIA
Thanks! That's how I did it in the report nm
Subject: Thanks! That's how I did it in the report nm
OP report
Subject: OP report
s/l -fecal lift- at the base of the appendix
C-sec report
Subject: C-sec report
Does this by some chance have to do with cephalodisproportion, because I looked up Jill Cohen - C-section in google, and there is somebody named Jill Cohen and it talks about labor and delivery and C-section and something this lady wrote about it. Could this be it. Check it out on google.
PT report
Subject: PT report
S/l ESTEEM for pain management?
report
Subject: report
Does any one know focal tics of sounds like aphitical movements. Thank could use the help.
TEE report - Need help
Subject: TEE report - Need help
" NO BUBBLES ___________ FROM RIGHT TO LEFT SIDE" s/l caused. He also said bubble study was done with 9 mL normal saline and "a cc" of air. Is this written 1 mL? 
per report
Subject: per report
The only diagnosis is bipolar, duh!
was my last report of the day
Subject: was my last report of the day
and he was getting to me! my least favorite account, lots of bad dictators
MRI report s/m
Subject: MRI report s/m
MRI of the brain shows what looks to be an acute infarct on DWI on the right brainstem area, which were also changes seen on the T2 weighted - s/l anuses - suggesting that this is probably an infarct, which occurred 7-10 days ago.
any ideas cuz I'm pretty sure there are no weighted "anuses" in the brain, at least not identifiable by MRI.
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