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extrahepatic or biliary? bile duct? nm

Posted By: Txczech on 2008-10-28
In Reply to: Radiology help - me

Subject: extrahepatic or biliary? bile duct? nm




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


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

too late?
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
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
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.


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?)


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


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