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Have no clue what these labs are

Posted By: Linda Herndon on 2008-08-27
In Reply to:

Subject: Have no clue what these labs are

HIV RNA PCR was 40,920 on August 14, 2008. Blood cultures showed no growth on August 14, 2008. Histoplasmosis antibody on this was negative. ?? s/l astrogilous fimagatus ?? was negative. ?? s/l astrogilous suavous ?? was negative. ?? s/l astrogilous niger ?? was negative.


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another clue =
Subject: another clue =

"recent" for admission...

Alrighty then
no clue sm
Subject: no clue sm

I have a few doc who do a witch hazel clindamycin combination but never heard witch's brew.  Sorry and good luck!
No clue
Subject: No clue

medication sounds like "Zoaxethine".   Long day!  Thank you.
No clue!
Subject: No clue!

As you know, she is a 48-year-old female who reports that approximately two years ago, while in the Dominican Republic, she began to experience severe lower abdominal bloating and pain.  She was evaluated at a clinic and was felt to have an s/l ill-ee-it and was treated symptomatically. 
A clue.
Subject: A clue.

He just dictated this line:

"The patient was hospitalized for the 10-day portion of the study."

So it must be 10/15, for 10 days in the hospital, and 15 days outpatient. So inpatient would make perfect sense, and I feel better.

Thanks.


Thanks! should have known, but no clue
Subject: Thanks! should have known, but no clue


no clue!
Subject: no clue!

lung cancer metastatic to the brain. he had an 'LVAT" procedure??
no clue

She has a sore throat and CP.  She apparently makes facial expression to the (s/l defect)??? with tears in her eyes following this.  This seems to happen frequently.  She tends to clear her throat. 


The patient apparently cannot talk and her mother is explaining how she acts.  Anyone know what the doc might be saying?  Do you need more info?    Probably not, you all are good. 


no clue...
Subject: no clue...

DIAGNOSES:
1. DIABETES MELLITUS
2. PERIPHERAL NEUROPATHY
3. s/l product CALLUS
4. ULCER FORMATION

Also after s/l product callus the s/l ulcer formation might go after cullus as s/l and also formation??

usually is PT, INR and PTT, but does not seem to fit here?? No clue, sorry!...nm
Subject: usually is PT, INR and PTT, but does not seem to fit here?? No clue, sorry!...nm

x
have no clue?
Subject: have no clue?

dictated as "I strongly recommend that two units of blood be taken off at the time of surgery into a s/l  sitreated bag?? and then given back to the patient over the next 6-8 hours as volume is needed"
thanks for explaining that-I had no clue...NM
Subject: thanks for explaining that-I had no clue...NM

,
biggest clue =
Subject: biggest clue =

nm
clue implanted
Subject: clue implanted

She recently had surgery on her left knee for pain, in which she had "s/l a clue" implanted.
No clue. See mssg.
Subject: No clue. See mssg.

Patient has prostate cancer in remission and stage IV mantle cell lymphoma.
s/l morganalamogondy....I don't have a clue
Subject: s/l morganalamogondy....I don't have a clue

the dictator says what sounds like the pt's urine culture was found to have 25-50,000 colonies of morgan-al-a-mo-gondy.....
sorry, have never heard this, no clue...nm
Subject: sorry, have never heard this, no clue...nm

nm
huh? diastolic CHF? no clue....nm
Subject: huh? diastolic CHF? no clue....nm


several blanks, no clue
Subject: several blanks, no clue

..severe stenosis of a large circumflex marginal which was stented by (s/l 2 stent, sty-fer) which are (drac-oluded) stent
Thanks for your help. I have no clue as to what this is. Sent in with a blank. NM
Subject: Thanks for your help. I have no clue as to what this is. Sent in with a blank. NM

ss
No clue what these 2 words could be...
Subject: No clue what these 2 words could be...

DIAGNOSIS: S/L BRIALLY WOUND STATUS POST S/L WOLFULL, LEFT FOREFOOT.

Any ideas??? TIA.


Can anyone give me a clue . .

. . . as to what this might be?  ESL dictation and I can't seem to make out what he's saying.  I THINK I have an idea, but I wanted to run it by some of you ladies (and gentlemen) to see if your ideas are similar.


Sounds like he's saying the following:


Patient doesn't have much cough. Orsh-a-lavasta have a little bit of blood coming out.  (This is on a patient with a trach.)


Any ideas?


I haveno clue...
Subject: I haveno clue...

I listened again and that is the exact wording. Thank you for your help.
Not even a clue, sorry, please let us know if you find it...nm
Subject: Not even a clue, sorry, please let us know if you find it...nm

x
Hey, the only reason I had a clue on that one is that - sm
Subject: Hey, the only reason I had a clue on that one is that - sm

...there are Kastenbauers in my family tree. :-) So, your s/l rang a bell.
s/l 'calcilicemas' `no clue!
Subject: s/l 'calcilicemas' `no clue!

There are multiple small mobile 'calcilicemas' in the gallbladder.


Any suggestions?


Give us a clue--where you at in the body and what are they doing?
.
No clue cells. No *trickers*
Subject: No clue cells. No *trickers*


Thanks-I bookmarked this site. I need to have a clue of what I'm looking for, though. nm
Subject: Thanks-I bookmarked this site. I need to have a clue of what I'm looking for, though. nm

/
tnx! any clue on the neurological part?
Subject: tnx! any clue on the neurological part?

Thanks I'm going to listen to it now.


Still in need of help with the neurological


Just gross and nonfocal


She says this in a nanosecond   Thanks again.


well, you gave such a good clue
Subject: well, you gave such a good clue

sometimes we over-think things, huh?  i really love this board to get other's opinions and help -- be lost without it....
you gave a really good clue
Subject: you gave a really good clue

i hate those the most --- the names of all of those bacteria.  then, the docs ramble them off like nothin... makes me crazier.... have a good night!!
simadastain or artreitide? no clue what he is reffering to.
Subject: simadastain or artreitide? no clue what he is reffering to.

I asked about Pepcid and Protonix, as well as starting a Simadastatin  or Artreitide.  He had asked me to check with his cardiologist. 


Micro-K (K=potassium, usually dosed in mEq...a clue here) nm
Subject: Micro-K (K=potassium, usually dosed in mEq...a clue here) nm


Dang! I was hoping for a clue. nada. Sorry. sm
Subject: Dang! I was hoping for a clue. nada. Sorry. sm

When you find out what it is, would you please let us know? This has driven me crazy all day!

Thanks.


Derf forceps? No clue about dano...
Subject: Derf forceps? No clue about dano...


no clue - wild guess - but maybe wrong....nm
Subject: no clue - wild guess - but maybe wrong....nm


Does her name give you a clue to her ethnicity? Maybe saying she's a native of some
Subject: Does her name give you a clue to her ethnicity? Maybe saying she's a native of some

s
any info prior to P.E. that might give a clue?
Subject: any info prior to P.E. that might give a clue?

Is there a chief complaint or admission dx?
Is patient being fitted for something that might give a clue as to
Subject: Is patient being fitted for something that might give a clue as to

s
How about a full sentence to give us a clue??? nm
Subject: How about a full sentence to give us a clue??? nm

s
QA filled in: 6 route. No clue what that means though.
Subject: QA filled in: 6 route. No clue what that means though.

x
Sorry. I have no clue. Found Olsen but no light
Subject: Sorry. I have no clue. Found Olsen but no light

just forceps, clamp and needle holder.
Nope. Nary a clue. No idea
Subject: Nope. Nary a clue. No idea

what type of wound.  Had my supervisor listen and she couldn't get it.  QA failed to get it.  Doctor probably making up his own words......again!
yet another..... the pt is status post THBSS. I have no clue. Cant find anywhere. !!!
Subject: yet another..... the pt is status post THBSS. I have no clue. Cant find anywhere. !!!


No clue from the tx to the hand? Would think "in basement" (of house)?? nm
Subject: No clue from the tx to the hand? Would think "in basement" (of house)?? nm

s
No dx? No chief complaint? No planned tx? Give us a clue here! nm
Subject: No dx? No chief complaint? No planned tx? Give us a clue here! nm

s
Any clue from other results? Fatigue at less than 1 minute is very unusual. nm
Subject: Any clue from other results? Fatigue at less than 1 minute is very unusual. nm

s
I have docs who almost never pronounce any medications well enough to give me a clue. :-)
Subject: I have docs who almost never pronounce any medications well enough to give me a clue. :-)


labs
Subject: labs

BMP could also be BNP. If the patient has any indication of congestive heart failure, I'd go with BNP. Perhaps T3 and T4? ANCA. Anti-GBM, rather than N? Cryoglobulins. , hepatitis B and C. Don't know urine REM, but urine protein electrophoresis is correct.
Labs
Subject: Labs

Hemogram notable for a white blood cell count of 14. He does have a left shift with a (S/L bandemia) of 27%.   Any suggestions?