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s/l lytic(?) lesions, plse sm

Posted By: dubdub on 2006-03-06
In Reply to:

Subject: s/l lytic(?) lesions, plse sm

Patient has had a colonoscopy with a malignant polyp being found. Patient had a CT scan of her abdomen that showed multiple s/l lytic lesions throughout her bones everywhere.
Thx for any help!


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maybe something like prevalent lytic lesions of leukemia? nm
Subject: maybe something like prevalent lytic lesions of leukemia? nm


Lytic
Subject: Lytic

Lytic lesion is correct.
probably something lytic
Subject: probably something lytic

sorry can't help more
lytic changes maybe???? nm
Subject: lytic changes maybe???? nm

.
lytic??
Subject: lytic??

x
say-a-lytic process
Subject: say-a-lytic process

Probably cellulitic process --

lysis or lytic and plus
Subject: lysis or lytic and plus

do you hear the "s" sound or a "ic" sound on the first one?

lysis (ly·sis) (li´sis) [Gr. “dissolution; a loosing, setting free, releasing”] 1. destruction, as of cells by a specific lysin. 2. decomposition, as of a chemical compound by a specific agent. Cf. degradation. 3. mobilization of an organ by division of restraining adhesions. 4. gradual abatement of the symptoms of a disease; cf. crisis (def. 1).

Pulses are measured 1+, 2+, 3+ and 4+ (or minus)
doc slang for lytic?
Subject: doc slang for lytic?

n/m
I agree with lytic changes.
Subject: I agree with lytic changes.

.
Lytic changes goes along with the diagnosis
Subject: Lytic changes goes along with the diagnosis

of multiple myeloma.
lytic or blastic
Subject: lytic or blastic

Our orthos say that all the time on x-rays - no lytic or blastic chagnes or no lytic or blastic lesions.
mixed lytic
Subject: mixed lytic


Thanks for your help. plse see msg
Subject: Thanks for your help. plse see msg

I'm pretty much clueless with regular clinic work. I basically went from school to typing ortho, so there's a lot of things I learned in school that I've never applied, and this is one of them.

At any rate, I learned it was mmHg, but with the doc dictating just mm, it threw me a little bit and I was wondering if I should type it as mm or mmHg, or does it matter...

Sorry I was so vague in my question. I typed it out fast, as the phone was ringing.

Thanks for your reply. :)
Need help with s/l - plse see msg
Subject: Need help with s/l - plse see msg

Patient delivered prematurely and her infant was in the s/l inky - I assume she's giving a short term for incubator but don't know if there's a common abbv. I appreciate any help - thanks!
"say-a-lytic" process ??
Subject: "say-a-lytic" process ??

The patient has a nonhealing ulcer of the foot.  Dictates what sounds like "No evidence of active "say-a-lytic" process.


I feel like this is on the tip of my tongue, but can't get it.


Help!  Thanks!


I would think it is lytic then, but if unsure flag it
Subject: I would think it is lytic then, but if unsure flag it

It seems your patient either had a replacement or fracture earlier (is there arthritis in the hx?) I often hear lytic lesions or lytic lines in the areas you mention on patients with arthritis/oseoarthritis. Lysis is the process of destruction of something (in this case, bone), which seems to have been ruled out by these x-rays.
Could hear lytic when I listened again. Thanks you all!!!
Subject: Could hear lytic when I listened again. Thanks you all!!!


med s/l ortazipine??? plse sm
Subject: med s/l ortazipine??? plse sm

Patient suffers from depression, hypercholesterolemia, gastroesophageal reflux disease. Is on a med that sounds like ortazipine, ertazipine or something like that. Any ideas? TIA
tele?? plse see msg....
Subject: tele?? plse see msg....

Doc dictates: she had an arrhythmia that led to problems with her blood pressure, which led to problems with her mental status, which led to pulmonary problems, which led to being intubated and she was in the ICU for about a week, four of those days intubated. She was then in tele for another week after that.
Would it be telemetry? This is in a letter and I would rather use the whole form of the word. TIA
s/l umphyilias, plse sm...
Subject: s/l umphyilias, plse sm...

In his umbilicus he has a pit at the base of it with multiple hair follicles within this and some s/l umphylias
(um phy lie as). Any ideas, anybody?!
s/l simulation, plse see msg...
Subject: s/l simulation, plse see msg...

Patient is about to begin radiation treatment and has already undergone simulation. Is simulation correct? TIA
Need help with s/l plse see message
Subject: Need help with s/l plse see message

Patient has ear pain. Has had myringotomy tubes placed in the past.

The right TM was a little dull, with loss of landmarks and either a fluid s/l wave or some fluid related to the eardrum. There was no evidence of a myringotomy tube in the ear canal.

Fluid level? Does that work in this regard? Thanks.
lytic temporal bone lesion? nm
Subject: lytic temporal bone lesion? nm


If breaking up clots or emboli, it would be lytic. nm
Subject: If breaking up clots or emboli, it would be lytic. nm

g
HER2 FISH, plse see msg.
Doc says HER2 FISH is positive. Is this the correct way to type this, should it be FSH instead of FISH? I would always hear HER2/neu, now he threw me a curve! Thx
a tough one having to do with radioisotope...plse sm.
Subject: a tough one having to do with radioisotope...plse sm.

The patient is a candidate for a sentinel node biopsy based on the intermediate thickness melanoma. Despite the negative lymphscintogram, it is certainly reasonable on the day of surgery for her melanoma excision to inject ? radioisotope at the primary site and with the handheld gamma counter, we may still be fortunate enough to identify a sentinel node that we can biopsy.

He kind of mumbles the type of radioisotope to be injected and if anyone has any ideas, I can see if they match up to what he is "trying" to say! Thanks so much.
s/l curl defect? Plse see msg..
Subject: s/l curl defect? Plse see msg..

It appears the patient's wrap is intact but that the hiatal repair has come undone so the wrap has slipped up into her chest. Essentially there are only two things you can do about this; one is to do nothing and live with it and the other is operate, repair the curl defect and put the stomach back in the abdomen where it belongs.

Is curl defect correct? TIA
s/l chain slacks??? plse sm
Subject: s/l chain slacks??? plse sm

Under PSH doc lists what sounds like chain slacks on left chest. That is all he says. Any ideas? TIA
There is a lytic area on the lateral s/l *shamfur* of the femur. TIA nm
Subject: There is a lytic area on the lateral s/l *shamfur* of the femur. TIA nm


fringey encapped deformity?? plse sm
Pt. had ultrasound that showed s/l fringey encapped deformity of the gallbladder. Does this make sense to anyone?? TIA
re port catheter placement, plse sm
Subject: re port catheter placement, plse sm

The patient had port catheter placement. It was not an easy access surgery and it was placed via a left internal jugular approach and even the initial film showed it curling at the
s/l juxta??? juctious??? subclavian vein with the tip either in the superior vena cava or in an azygous branch.

Can't quite make out what he is saying there. Anyone have an idea? TIA.
nets or nests of DCIS, plse see msg...
Subject: nets or nests of DCIS, plse see msg...

Patient had some DCIS in her specimen that went to the edges and the additional medial margin also had a couple s/l nets (nests???) of DCIS in it. Anyone heard this before? TIA
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
s/l bolus dysphagia and funda gland...plse sm
Subject: s/l bolus dysphagia and funda gland...plse sm

s/l funda gland polyps seen on upper endoscopy
Pt. has free regurgitation and solid s/l bolus dysphagia
Thx for any help!
Kniest syndrom. Anyone familiar with symptoms? Plse sm for s/l
Subject: Kniest syndrom. Anyone familiar with symptoms? Plse sm for s/l

Patient is 24-year-old female with a history of Kniest syndrome which includes s/l kin-gin-al osteoarthritis, conductive hearing loss, and myopia.

Thanks!
Plse see message. Not familar with radiation terms. Does this look correct?
Subject: Plse see message. Not familar with radiation terms. Does this look correct?

She received a total dose of 45 Gy to the primary tumor area, regional lymphatics at 180 rads per fraction x25 fractions.  Then she received cone down 1800 Gy to the primary tumor.  The total dose was 63 Gy. 
Plse see message. Stuck on one word (bold italic). Don't think its fissure.Driving me crazy.
Subject: Plse see message. Stuck on one word (bold italic). Don't think its fissure.Driving me crazy. Tks


PET SCAN 03/08/08:  Reveals intense hypermetabolism corresponding to the mass in the left mid lung field posteriorly, abutting in the left major fizure predominantly in the superior segment of the left lower lobe.  This same type of metabolism corresponding to the right middle lobe pulmonary nodule previously noted activity in the lower neck anteriorly (06/28/06) has since resolved. 


Yes, but they sometimes have lesions from it.
Subject: Yes, but they sometimes have lesions from it.


Cam lesions sm
Subject: Cam lesions sm

Hip Arthroscopy for Femoral Acetabular Impingement, Labral Tears ...
Hip joint arthroscopy is performed for femoral acetabular impingement, ... Cam lesions on the femoral head lead to shear forces of the nonspherical portion ...
www.bryankellymd.com

has to do with throat lesions. nm
Subject: has to do with throat lesions. nm


Cavitary lesions
Subject: Cavitary lesions

Thank you so much for clearing this up for me!!!! You are the best!
qestions about lesions....
Subject: qestions about lesions....

In the medial thigh there is a large protuberant mass 5 cm in diameter and 4 cm s/l PROUD of the skin, it is nontender.  Thank you
OB..No lesions or s/l fi-a-bility is seen.. thanks
Subject: OB..No lesions or s/l fi-a-bility is seen.. thanks


rash or lesions
Subject: rash or lesions

rash or lesions?
possibly lesions?
Subject: possibly lesions?

nm
There are warty lesions... could it be
Subject: There are warty lesions... could it be

diffuse slightly warty or widely warty?
s/l her-plan-jet-ick lesions
Subject: s/l her-plan-jet-ick lesions

s/l her-plan-jet-ick lesions in the mouth and throat


this is a 17 month old with excessive drooling and fever.


circinate lesions
Subject: circinate lesions


lesions are "cholest"
Subject: lesions are "cholest"

sounds like "cholest or colest"
Lesions are colest on her ankles.
Any ideas?

TY
neurocutaneous lesions probably. nm
Subject: neurocutaneous lesions probably. nm

.
OB... cervix is s/l perisome and without lesions.. thank you
Subject: OB... cervix is s/l perisome and without lesions.. thank you