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It does not sound like biliary/bile duct!

Posted By: me on 2008-10-28
In Reply to: extrahepatic or biliary? bile duct? nm - Txczech

Subject: It does not sound like biliary/bile duct!




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extrahepatic or biliary? bile duct? nm
Subject: extrahepatic or biliary? bile duct? nm


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?
Got it, "some bile duct" . . thanks!
Subject: Got it, "some bile duct" . . thanks!


I wonder if it's common bile duct stone? nm
Subject: I wonder if it's common bile duct stone? nm

nm
mild s/l muritzes of the common bile duct. TIA!!!
Subject: mild s/l muritzes of the common bile duct. TIA!!!


probably stands for common bile duct exploration--CBDE.
Subject: probably stands for common bile duct exploration--CBDE.

x
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
There is pneumobilia which is gas in the biliary tree (maybe doc is adding an extra sound?)
Subject: There is pneumobilia which is gas in the biliary tree (maybe doc is adding an extra sound?)


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.
biliary?
Subject: biliary?


bile acid sequestrant
Subject: bile acid sequestrant


Figured it out -- bile acid
Subject: Figured it out -- bile acid


possibly purulent bile? nm
Subject: possibly purulent bile? nm


Maybe biliary disease.
Subject: Maybe biliary disease.


Stensen duct
Subject: Stensen duct

According to Dorland's dictionary and it is in the mouth.
sac of the cystic duct ??
Subject: sac of the cystic duct ??

Does the cystic duct have a sac????/ It sounds like sac....but here it is in context...


 


The gallbladder was elevated with the sac of the cystic duct free initially. It was a relatively long structure.


Is peri-renal bile correct?
Subject: Is peri-renal bile correct?


Dictation sounds like:  Upon entering the bile duct, peri-renal bile was drained.


i found it.... biliary dilatation
Subject: i found it.... biliary dilatation


biliary saturation is correct. nm
Subject: biliary saturation is correct. nm


The doc is not saying biliary ductal ablation, is he?
Subject: The doc is not saying biliary ductal ablation, is he?


biliary colic stools????
Subject: biliary colic stools????

Has anyone heard of biliary colic stools and if so what is it? 
are you sure it is not biliary colic and stones?
Subject: are you sure it is not biliary colic and stones?

n.m
I might very well be biliary colic stools. sm
Subject: I might very well be biliary colic stools. sm

Is this a nephrology or urology patient? Or even a GI patient?

When you have gallbladder problems, liver problems, etc., the stools are usually a different color. They can be clay colored, black, tarry, yellow, green like baby stools, etc. So biliary colic stools could be right.
maybe common duct exploration? nm
Subject: maybe common duct exploration? nm

x
partially occluded s/l eep duct
Subject: partially occluded s/l eep duct

I need help with this part on a not so great recording.  The doctor says "At the bronchus intermedius is a partially occluded [s/l eep] duct and [s/l polyp or polished] white pale tissue which [bled (I think)] easily."  Can anyone shed any light?  Thanks.


maybe inflamed meibomian duct?
Subject: maybe inflamed meibomian duct?


sounds like sialic duct
Subject: sounds like sialic duct

TIA!!
Stenson's duct gland?
Subject: Stenson's duct gland?

Anyone know this? I can't confirm this as being right..."Stenson's duct gland?" It's in the mouth...


Thanks!


 


could it be "...the neck and cystic duct..." ??
Subject: could it be "...the neck and cystic duct..." ??


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


Cotton-Leung biliary stent
Subject: Cotton-Leung biliary stent

/s
listen for "primary biliary cirrhosis "
Subject: listen for "primary biliary cirrhosis "


Hepatic biliary scan with s/l cc air stimulation
Subject: Hepatic biliary scan with s/l cc air stimulation

I am typing a sonogram of the abdomen report.  Dr. says the patient has acalculous cholecystitis.  Clinical information with a hepatic biliary scan with (s/l) cc air stimulation scan?? should be considered.  Any ideas? 


hepatic? biliary? Does it seem like it pertains to current
Subject: hepatic? biliary? Does it seem like it pertains to current

s
Intra- or extrahepatic biliary dilatation
Subject: Intra- or extrahepatic biliary dilatation

too late?
Lacrimal duct balloon inflated to 8 s/l bar? nm
Subject: Lacrimal duct balloon inflated to 8 s/l bar? nm


My guess...get rid of the A and "No biliary ductal dilatation"...nm
Subject: My guess...get rid of the A and "No biliary ductal dilatation"...nm

nm
ejection fraction ______ (titer? hi duct?)
Subject: ejection fraction ______ (titer? hi duct?)

CLueless here.... The patient had right upper quadrant pain and the ultrasound did not show gallbladder disease.  Says we may need to do an ejection fraction _____.  titer? hi duct?  Can't make out any better than that.  Ideas?


Hmmm. Can you hear alveolar duct? Maybe polypoid for the second s/l? nm
Subject: Hmmm. Can you hear alveolar duct? Maybe polypoid for the second s/l? nm

x
Hepatic duct was dilated with a s/l Chahyndra dilator.
Subject: Hepatic duct was dilated with a s/l Chahyndra dilator.


recurrent bilateral effusions and it was *kylus** and they thought it was due to thoracic duct injur
Subject: recurrent bilateral effusions and it was *kylus** and they thought it was due to thoracic duct injur


Patient with diarrhea. Labs: s/l ESR 3 but sound is a bit distorted. Does that sound low for ESR?
Subject: Patient with diarrhea. Labs: s/l ESR 3 but sound is a bit distorted. Does that sound low for ESR?


no, I definitely hear a p sound at the start and an f sound at the end
Subject: no, I definitely hear a p sound at the start and an f sound at the end

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
I am a dork! Definitely a "V" sound not "B" sound. nm
Subject: I am a dork! Definitely a "V" sound not "B" sound. nm


No, she said there was a for sure "K" sound. Hespan does not have a "K" sound. nm
Subject: No, she said there was a for sure "K" sound. Hespan does not have a "K" sound. nm

.
It's when it has a short vowel sound rather than a long vowel sound.
Subject: It's when it has a short vowel sound rather than a long vowel sound.

x
Thanks but he says something with a di sound
diar, dial...
Help with sound
Subject: Help with sound

This will not fix all of your sound problems but if you plug your headseat directly into your computer rather than you speakers, you will get better sound quality.


Just because a doctor is a doctor doesn't me he got good grades in med school.  It just means he passed!