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Liver, maybe...

Posted By: Patty on 2009-05-06
In Reply to: S/L Hepbar? still remains 7cm below the right costal margin. - marie

Subject: Liver, maybe...




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Liver
Subject: Liver

The liver is four finger lengths or finger breaks below the right costal margin. I can't quite make out what he's saying. Thank you.


Liver
Subject: Liver

"Louee's-man" in lateral segment of left liver lobe?
Liver
Subject: Liver

nm
liver MRI
Subject: liver MRI

An MRI with s/o eovisc contrast?
liver
Subject: liver

The liver is slightly [s/l slender] but not greatly enlarged.


Does the slender part make sense? That is what it sounds like they are saying.


long liver
Subject: long liver

I posted this on the main board and it disappeared so I'm trying again.  Word help is not what I'm looking for though.  I'm trying to find information on having a long liver....not an enlarged liver, but a long liver which I have been told can be a normal variant.  In searching google for abnormal, long, length, etc., I am not coming up with anything pertaining to a long liver.  I know it sounds weird.  It is not a common thing to have but some people do and I would like more information.  TIA.
...studding on liver...pls sm
Subject: ...studding on liver...pls sm

Patient has colon cancer, an advanced cancer both locally and had studding on his liver. Is studding correct? Have never heard that! TIA
liver oil and that CoQ 10? Just a guess. nm
Subject: liver oil and that CoQ 10? Just a guess. nm


Liver resection OP help
Subject: Liver resection OP help

Okay I've had this several times but 9 a.m. was a long time ago and for the life of me it will not surface to the necessary area of the brain!


Doing segment 7 liver resection with (S/L habeeb or abeeb) ____ assisted RFA.


also


 We then used the (s/l ocuser / cusor / coose )__________ instrument to transect the liver parenchyma more deeply down to the surface of the middle hepatic vein.


s/l hypokevmasis in the liver..sm
Subject: s/l hypokevmasis in the liver..sm

Abdominal ultrasound revealed, with the impression of, liver measured 16.5-cm, slight increased echo texture throughout the liver consistent with fatty infiltration.  Within the left liver lobe there was a s/l "hypokevmasis"...


 


Thanks for all help. 


liver failure
Subject: liver failure

tense ascites and caput medusae
Liver edge???
Subject: Liver edge???

Another wild guess.
s/l liver parentula
Subject: s/l liver parentula

We have recommended that she continue sensible weight loss, avoid hepatotoxic medications, unnecessary medications, herbal remedies or vitamins, and we will obtain an ultrasound to evaluate liver s/l parentula.

TIA!!!
liver parenchyma?
Subject: liver parenchyma?

nm
liver parenchyma
Subject: liver parenchyma

It's liver parenchyma .... wow does she say it wrong!

Thanks to all.
s/l seeded her liver
Subject: s/l seeded her liver

I see little reason to re-colonoscope her at this point, as she almost certainly had a site of diverticulitis which s/l seeded her liver.

TIA!!
May be liver retractor?
Subject: May be liver retractor?

Nathanson Hook Liver Retractors. Found on Google. I also have a liver retractor in my Surgical Word Book.
liver transplant ... sm
Subject: liver transplant ... sm

Seen improvement since s/l CALINURIME discontinued. 


Current immunosuppresant is CellCept and s/l CHIRONOMUS.


 thank you!!


 


Liver donor
Subject: Liver donor

Patient donated part of his liver to mother b/c she had what sounds like epi tep sy.


Definitely not epilepsy.  Any clues? 


hepar=liver nm
Subject: hepar=liver nm


lobe of the liver?
Subject: lobe of the liver?


LSR? liver/speen ratio (nm)
Subject: LSR? liver/speen ratio (nm)

x
Question on liver failure. sm
Subject: Question on liver failure. sm

Patient comes back to see me today following her admission for significant hyperglycemia, dehydration, as well as transinic hepatic failure.


Another sentence is same report:  Patient comes back to see me today following her chemoembolization. Is still having some transinic hepatic dysfunction with elevated bilirubin.


There is a liver flap they may note on
Subject: There is a liver flap they may note on

neuro exam. I believe liver disease causes encephalitis and their hands flap in a characteristic way - liver flap. Try googling neurologic exam, liver flap.
he had liver function tests in your....
Subject: he had liver function tests in your....

office which continued to show a mild elevation of his GGPT and CPK.


Is the GGPT correct?  Thank you


LKS is liver, kidneys, spleen, not sure about BJE. nm
Subject: LKS is liver, kidneys, spleen, not sure about BJE. nm

xxx
Cholestatic Liver Disease or cholestatic liver disease?
Subject: Cholestatic Liver Disease or cholestatic liver disease?


Maybe saying abdominal/liver exam? nm
Subject: Maybe saying abdominal/liver exam? nm


Nathan's liver retractor?
Subject: Nathan's liver retractor?

I'm doing a Nissen fundoplication and it s/l the doctor is saying he used a Nathan's liver retractor?  Thanks in advance! 
Liver demonstrates pneumatobilia?
Subject: Liver demonstrates pneumatobilia?

That's what it sounds like.  Air in the liver?


Help!


 


ESL lab work help! liver cancer, his INR is 1.4 and sm
Subject: ESL lab work help! liver cancer, his INR is 1.4 and sm

sounds like HPD?? anybody want to offer a guess as to what lab test he might be referring to, the result he dictates is 48 seconds.  THANK YOU!!  
Liver cancer study
Subject: Liver cancer study

negative for estrogen, progesterone,CDX2,CA19-9, CA-125 and s/l KELRAYTENIN, raising the possibility of pancreatic biliary tree or upper GI tract per the pathology review.
Maybe elevated liver enzyme(s)? nm
Subject: Maybe elevated liver enzyme(s)? nm

s
past surgery - liver SNA? S&A? -nm
Subject: past surgery - liver SNA? S&A? -nm


Thats end stage liver, not renal, sorry.
Subject: Thats end stage liver, not renal, sorry.


nonalcoholic liver disease ?
Subject: nonalcoholic liver disease ?


please help - s/l bilaud the spleen or liver?
Subject: please help - s/l bilaud the spleen or liver?

nm
shock liver picture?
Subject: shock liver picture?


Oh, maybe LKS? Liver, kidney, spleen?
Subject: Oh, maybe LKS? Liver, kidney, spleen?

nm
GGT ) liver enzyme? See link for more.
Subject: GGT ) liver enzyme? See link for more.

http://www.labtestsonline.org/understanding/analytes/ggt/sample.html


Some type of liver fibrosis?
Subject: Some type of liver fibrosis?

Of course, the first dictator I get today has to be *thee* worst one in the clinic... at least with my experience. I'm training and I do not want to have another blank against me.

The patient has abnormal liver enzymes, hiatal hernia, mild reactive *something* with the GE junction with focal erosions, and mild antral gastritis with a few erosions and something else I couldn't hear.

WORD I NEED HELP WITH: Sounds like "dumb-it-fans dumb fibrosis." LOL Anyone have ANY idea what he is talking about? Thanks much!
liver, spleen, kidneys, bladder nm
Subject: liver, spleen, kidneys, bladder nm


female has acute liver failure. Thanks. NM
Subject: female has acute liver failure. Thanks. NM

x
There is a Menghini liver biopsy needle. nm
Subject: There is a Menghini liver biopsy needle. nm

s
Probably "LFTs" - liver function tests. .nm
Subject: Probably "LFTs" - liver function tests. .nm

.
Habib technique of liver resection
Subject: Habib technique of liver resection

nm
What's the procedure? Liver bx is often a Jamshidi needle. nm
Subject: What's the procedure? Liver bx is often a Jamshidi needle. nm

s
LKS is liver, kidneys, spleen. Still thinking about BJE.
Subject: LKS is liver, kidneys, spleen. Still thinking about BJE.

x
liver failure s/l asidies and capamenducies. sm
Subject: liver failure s/l asidies and capamenducies. sm

Patient in end-stage liver failure.  On examination he had massive tense asidies capemendusies.  He also had 2-3+ bipedal pitting edema....
bilinogen? re: liver function tests more
Subject: bilinogen? re: liver function tests more

s/l U bilinogen and C bilinogen. There are some hits on google, but I want to make sure I type them accurately. Thanks!
liver functions are within normal limites OR
Subject: liver functions are within normal limites OR

they say liver function tests are within normal limits OR LFTs are within normal limits.