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Rheumatology drug help needed - please sm

Posted By: Thanks. on 2007-11-02
In Reply to:

Subject: Rheumatology drug help needed - please sm

Diagnosis is multifocal osteomyelitis. Discussed risks and benefits of Enbrel. Also discussed s/l bisfosinase (or nate) - as far as first letter, can't tell if he's saying "v", "d", "b". Thanks!


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Drug help needed
Subject: Drug help needed

The past medical history is HIV, hepatitis C, underlying asthma, and gastroesophageal reflux disease.


The drug sounds like cyclobid 1 tablet b.i.d. It is as clear as anything but can't document it anywhere. He kind of botches drug names up sometimes so wondering if this is the case here.


Thanks!


drug help needed
Subject: drug help needed

Benicar/HCT is on the dangerous abbreviations list so it should be Benicar/hydrocortisone correct?  Not hydrochlorothiazide?????  I am filling up this board tonight huh?  LOL
Drug word help needed lafinadine 180 mg
Subject: Drug word help needed lafinadine 180 mg

I don't have much to go on since it is in a list. Much of the report deals with arthritis....I'm not sure if that would be of any help or not.

I appreciate any help you can give..
Another rheumatology ? sm
Subject: Another rheumatology ? sm

In more than six months of typing for this doc, I've never heard this terminology. Now, he has two patient's one after the other with this FMF.

This patient has been seen at the NIH and noted to have one gene mutation, the V726A but to be a carrier s/l it could be either: without 2 genes or with L2 genes.

Thanks again for your help.
Rheumatology - please sm
Subject: Rheumatology - please sm

We did extensive blood work when I saw her in October, and she turns out to be anticardiolipin antibody-positive with a lupus anticoagulant and s/l nonperoxitis positive.
rheumatology help!
Subject: rheumatology help!

It sounds like he is saying "pausi-articular" inflammatory arthropathy.  I searched the internet to no avail.... any ideas?
Rheumatology s/l sm....
Subject: Rheumatology s/l sm....

Patient with knee pain. Doc is dictating what s/l appleton grind - very clear and not saying Apley grind.

About to give up and blank it but wanted to know if anyone heard of appleton grind?

Thanks!!
rheumatology help.
Subject: rheumatology help.

Patient has psoriasis as well as *eficopathy* at the elbow.


Also, there is a family history of *Walden's drome* or something like that.


Rheumatology s/l - please help!
Subject: Rheumatology s/l - please help!

Patient had an episode of stiffness, fever, rash, and was positive for what the mother thinks was s/l air-wick-osis.

I've tried every spelling I can think of with the s/l and can't find it. Thanks!

Need help with a s/l - Rheumatology
Subject: Need help with a s/l - Rheumatology

Patient's blood work is good, but she remains Sm and (s/l either) RMP or RNP or RNT or RNP positive.

Thanks!
rheumatology lab help please
Subject: rheumatology lab help please

SCL-70 is negative.  s/l "Jowen" negative.  Smith, RNP, SSA and SSB negative. 
Rheumatology/dermatology
Subject: Rheumatology/dermatology

Patient was told by one dermatologist she had morphea on inside of thigh and treated with Dovonex. This improved for a while, then returned. Saw a different dermatologist who thought it might be s/l burned out. Could be a type of gout??

Patient now is seeing rheumatologist - has lesions on back of calf - and has stiffness, pain, decreased range of motion.

Thanks for any help.
I'm typing rheumatology....
Subject: I'm typing rheumatology....

and this sentence is all I have to go by:

She was also given an intermittent course of s/l za-fax-in by her gastroenterologist.

He's very clear. There's a "z" sound at the beginning and a very clear "fax" in there. I've tried spelling zo-fax-en, zi-fax-in, etc., and even spelling with "x" at the beginning.

Thanks for your help.

Rheumatology experts - please help!
Subject: Rheumatology experts - please help!

This is a 10-year-old with a previous history of ITP, minimally positive ANA and anticardiolipin antibodies.

Sentence in question:

Most recent blood work showed a s/l dirty urine, and she had antibodies to s/l La/SSB (is this correct way to type ?) while being ANA-negative.

Does sentence make sense? Thanks.

Ophthalmology / rheumatology s/l please see msg
Subject: Ophthalmology / rheumatology s/l please see msg

Patient is 11-year-old with pauciarticular juvenile rheumatoid arthritis and uveitis - increased problems with uveitis and she is on hourly drops.

Ophthalmologist has suggested in addition to this she may need oral prednisone and/or s/l some tee-non injections or sub-tee-non injections.

Thanks for any help.

Rheumatology s/l see message
Subject: Rheumatology s/l see message

Patient with serologic abnormalities. Negative ANA and antithyroid antibodies. Her most recent s/l A1A was negative. Thank you.
Actually I dont think that's it, this is rheumatology, SM
Subject: Actually I dont think that's it, this is rheumatology, SM

did a muscle biopsy
rheumatology - rash
Subject: rheumatology - rash

Help please.  Patient with rheumatoid arthritis...s/l "no geofication of rash"....or maybe "judification of rash".  Or something similar.  Thank you so much.
Another pediatric rheumatology word below
Subject: Another pediatric rheumatology word below

The lesions do not appear to have a complete s/l on two desob connection, but appear in this general distribution.


www.rheumatology.org/educ/hir/7_multisystem_dis.ppt
Subject: www.rheumatology.org/educ/hir/7_multisystem_dis.ppt

a powerpoint presentation, but looks like it has quite useful information in it.
Rheumatology - Please see message for context.
Subject: Rheumatology - Please see message for context.

Patient is 5-year-old white male with recurrent episodes of high fever.

Impression is period fever syndrome. Giving brief trial of cimetidine to see if this will cut off his episodes, suggesting that they are in fact s/l foppa/FOPPA

Then s/l SMF gene testing was ordered. He says this part so fast that I'm not sure there could be more initials.

Thanks.
Need a good rheumatology site, anyone know of one?
Subject: Need a good rheumatology site, anyone know of one?

x
Rheumatology - normally a great dictator
Subject: Rheumatology - normally a great dictator

Patient with positive rheumatoid factor and low-titer anti-CCP antibodies, a moderate s/l cell- (or sal-) umentation rate, anticardiolipin antibodies, and joint pain.

Rheumatology - please see message for context
Subject: Rheumatology - please see message for context

Patient has a strongly positive ANA, but normal C3 and C4, with a normal CBC and sedimentation rate, but she has a weakly positive rheumatoid factor and a low-titer of s/l anti-phos-photetal serian (maybe serum) antibodies.

If any help, patient may have lupus.

Rheumatology/ortho - please see message
Subject: Rheumatology/ortho - please see message

Patient has juvenile rheumatoid arthritis.

Musculoskeletal exam revealed s/l cantalodactyly.
Rheumatology clinic labs ... psm
Subject: Rheumatology clinic labs ... psm

Patient is toddler who has had joint stiffness.

On initial blood tests, he had 4 IgG bands per line.

Does this sound correct? Thanks.

Rheumatology/pain medicine - need help with s/l
Subject: Rheumatology/pain medicine - need help with s/l

Diagnosis: Scleroderma with coronary involvement and Raynaud's phenomenon.

Plan: s/l Opthana ER 40 mg.
Stumped - rheumatology. Please see paragraph for context.
Subject: Stumped - rheumatology. Please see paragraph for context.

Patient is a little girl with an area of atrophic and hyperpigmented skin on her forehead (morphea/linear scleroderma en coup de sabra).

"In addition, there is a secondary area which is approximately 2 cm in diameter and 6 cm in length which is hyperpigmented and lateral to the s/l inituary/immisuary, with again subcutaneous atrophy, but without erythema or adherence."

Totally stumped but hate to give up --- Thanks for any help.
Rheumatology - pt has systemic lupus erythematosus... sm
Subject: Rheumatology - pt has systemic lupus erythematosus... sm

and a necrotic left neck mass. Doc thinks patient has a component of *cachooshi/kackoochy* syndrome.


Having a tough time finding this one. Thanks for any help!


Is this for rheumatology? There is anti-smooth antibody test. nm
Subject: Is this for rheumatology? There is anti-smooth antibody test. nm

x
Rheumatology/Ortho - positive scoli screen? sm
Subject: Rheumatology/Ortho - positive scoli screen? sm

Patient has spondyloarthropathy, back pain/stiffness with a positive s/l scoli screen.

I assume he means scoliosis screen but have never heard him say this and not sure if there is another meaning that s/l scoli. Thanks!
more help needed same md sm
Subject: more help needed same md sm

Given the high incidence of MRSA, he was treated with extended CARO Penicillin of Unasyn
Thanks.Had to take a well needed
Subject: Thanks.Had to take a well needed

break and now done for the night.

I do not have that book but will have to invest. I get a lot of those and very confusing on how to write them.
help needed
Subject: help needed

I got cystoproctography, but does cystoproctoscopy exists as i could not find it in  stedman also,


 


 


thank u


james


Thanks, I needed that
Subject: Thanks, I needed that

:-)
Thanks! Exactly what I needed!!
Subject: Thanks! Exactly what I needed!!


Help needed MRI -
Subject: Help needed MRI -

MRI demonstrates marked narrowing of the patellofemoral joint, with subcortical signal s/l ontuation and marginal osteophytes.
Lab help needed
Subject: Lab help needed

Wet prep revealed 0 WBCs, moderate EPIs, no clue cells, slight trace bacteria, 0 yeast, 0 s/l trich.

Is trich correct - or should it be capped? Thanks.
Lab help needed
Subject: Lab help needed

Will send out LFTs, Epstein-Barr acute panel, and s/l CMV or CMB titer - Thanks
EKG help needed
Subject: EKG help needed

EKG showed normal sinus rhythm with a rate of 67. Normal intervals. Normal axis. No ectopy. There is T-wave flattening in s/l one, and T-wave inversion in aVL.

Does one sound correct? Would it be typed as I or 1? Thank you.
thanks - you don't know how much I needed that!
Subject: thanks - you don't know how much I needed that!


Lab help needed
Subject: Lab help needed

CBC reveals white blood cells of 5.1, hemoglobin 12.5, platelets 217. There were some s/l codes on the differential, so that was sent out.

Thanks.
help needed again....
Subject: help needed again....

Most likely, she will need calcaneal osteotomy and ___(FTL/FDL) tendon transfer to restore the alignment of her right foot  ___ (gentle/trying to stay in) place of this disease to degenerative posterior tibial tendon..............does it make sense..................
Thanks! That's what I needed!
Subject: Thanks! That's what I needed!

I really appreciate your help!
could it be p.r.n. (as needed)
Subject: could it be p.r.n. (as needed)

Thanks
Help is desparately needed.
Subject: Help is desparately needed.

How do you type this?  I never did ob/gyn before.  What does miss mean, and how do I format?  Any help is appreciated.  Thank you.


 


PAST MEDICAL HISTORY


1.      Gynecologic – G3, P2, 1 miss.  She had been followed by Dr. XXXXXXXX   Her last Pap smear was approximately two years ago, as was mammogram.  Menses are on a q 28-30 day cycle, but there are periods where she will skip and have a menses q.o. month.


Derm help needed sm
Subject: Derm help needed sm

Need help with words in bold.  Thank you.


 


SKIN:  Lots of seborrheic keratoses.  He does have an elevated 9 mm papule on left side of the face, which has some vascularization and central core.  It almost looks like acanthokeratosis, but basal cell carcinoma cannot be fully ruled out.  No other suspicious lesions.  He does have some miliary rubra on the back. 


Yes, the final s is not needed..sm
Subject: Yes, the final s is not needed..sm

leiomyoma, singular; leiomyomata, pleural. Leiomyomatas is not a word.


Your opinion needed
Subject: Your opinion needed

My doctor keeps saying psoricytic arthritis. I transcribe for him a lot, but this is what he is saying.


I am thinking he means psoriatic arhtritis. What do you think?


um I don't think they needed "grammar help"...nm
Subject: um I don't think they needed "grammar help"...nm


eye surgery help needed....
Subject: eye surgery help needed....

PREOPERATIVE DIAGNOSIS: Superior and temporal visual field loss due to s/l maglacoius, matiglacious, maniglacius?.

Procedure is bilateral blepharoplasty.

TIA.