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

Posted By: illness at all? nm on 2007-07-21
In Reply to: Under past medical history - history of abnormal s/l petatrie functioning. I really cannot make *sm - mh

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

s


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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? 


Not sure what this s/l pertains to - maybe bodybuilding??
Subject: Not sure what this s/l pertains to - maybe bodybuilding??

Not sure what the s/l is for so thought I'd give some history:

Patient sick about five days; sore throat, chills, joint aches, low-grade fever.

Also notes that his right eye is injected, and his left eye is red in the medial aspect.

He took some s/l dee-ko-va-lova and then underwent a very strenuous weight-training workout.

pollicis pertains to the thumb - sm
Subject: pollicis pertains to the thumb - sm

hallux pertains to the great toe.  Would the word before *pollicis* be flexor or extensor, or maybe adductor or abductor???
If pertains to stool, melenic nm
Subject: If pertains to stool, melenic nm

nm
maybe *urachal* which pertains to the umbilicus
Subject: maybe *urachal* which pertains to the umbilicus

x
Plantar pertains to foot, is he saying planar?
Subject: Plantar pertains to foot, is he saying planar?

x
Might be escarpment, even though it normally pertains to a landscaping/geological feature. nm
Subject: Might be escarpment, even though it normally pertains to a landscaping/geological feature. nm

s
No that abbreviation pertains to the heart, maybe labor and delivery? Just a wild guess.
Subject: No that abbreviation pertains to the heart, maybe labor and delivery? Just a wild guess.


biliary?
Subject: biliary?


Maybe biliary disease.
Subject: Maybe biliary disease.


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.
got it... i think...hepatic thank u
Subject: got it... i think...hepatic thank u


hepatic ? nm
Subject: hepatic ? nm

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

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


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


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


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

too late?
hepatic, s/l insubatic..
Subject: hepatic, s/l insubatic..

sounds like hepatic "insubatic" defect.... in an infant with chronic jaundice seen on isotope hepatobiliary scan.   Thanks!!
hepatic porphyria
Subject: hepatic porphyria

An abnormal increase in pigments made in the liver - hope this is what you need
hepatic encephalopathy
Subject: hepatic encephalopathy

Thanks for your help! 
hepatic encephalopathy
Subject: hepatic encephalopathy

Xifaxan.
How about exocrine or hepatic? nm
Subject: How about exocrine or hepatic? nm

x
Could it be hepatic infection?
Subject: Could it be hepatic infection?


hepatic ligament
Subject: hepatic ligament

distal
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
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?
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?)


immunomodulator with hepatic metastases
Subject: immunomodulator with hepatic metastases

I cannot come up with the name of this med. 


"discuss possible chemotherapeutic agents versus immunomodulators such as ___ zirapamid__.  "


The patient has hepatic metastases.


Figured it out - hepatic steatosis
Subject: Figured it out - hepatic steatosis


hepatic inter falopathy - help
Subject: hepatic inter falopathy - help

admitted for increased confusion secondary to (sounds like) hepatic inter falopathy?????
can you hear hepatic encephalopathy ??? (nm)
Subject: can you hear hepatic encephalopathy ??? (nm)


Epilepsy can be caused by hepatic
Subject: Epilepsy can be caused by hepatic

encephalopathy and other liver conditions. Google "hepatic epilepsy"
s/l dasherol hepatic ligament
Subject: s/l dasherol hepatic ligament

Tiny nodes noted along the [s/l dasherol] hepatic ligament, likely nonspecific.  TIA
Hepatic cirrhosis bloats?
Subject: Hepatic cirrhosis bloats?

It's an ESL Dr. He says: Hepatic cirrosis for s/l bloats we will wait for both visits from Oncology/Hematology and Internal Medicine/Gastroenterlogy specialists. "Bloats" doesn't make sense, but I can't think of what it could be.
found it, hepatic enzymatic defect..nm
Subject: found it, hepatic enzymatic defect..nm

x
diffuse tracer s/l attention in the hepatic.sm
Subject: diffuse tracer s/l attention in the hepatic.sm

parenchyma.


HIDA scan results.


Does this make sense to anyone? - "diffuse tracer attention in the hepatic parenchyma"


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


s/l Heely needle for hepatic cyst drainage
Subject: s/l Heely needle for hepatic cyst drainage

Thanks!!
S/L: Amilo-tubular adenoma at hepatic flexure, right hemicolectomy.
Subject: S/L: Amilo-tubular adenoma at hepatic flexure, right hemicolectomy.

This is CT abdomen/pelvis.  The remark was in history.


HISTORY:  "Villa tubular adenoma..."


Thank you.


T current and T max?
Subject: T current and T max?

Can someone tell me the correct way to transcribe "T current and T max"?  Thanks a bunch!
She is concerned about hepatic or herpetic and thyroid side effects with the use of amiodorone. th u
Subject: She is concerned about hepatic or herpetic and thyroid side effects with the use of amiodorone. th u


he says The colonoscope is advanced in the hepatic flexure, ascending colon, and ileocecum.
Subject: he says The colonoscope is advanced in the hepatic flexure, ascending colon, and ileocecum.

Appendiceal cystocele is noted.
I was told by my QA T-current and T-max,
Subject: I was told by my QA T-current and T-max,

but someone else may have a different opinion. If the account I am doing is not verbatim then I transcribe current temperature and maximum temperature because I consider those terms to be slang. Again, others may have different opinions but I haven't had any complaints.
under current medications
Subject: under current medications

S/L:  HYDRO-CO-LOR-OX 25 mg


hydrochlorics ??