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advanced inotrope-dependent end-stage heart failure ? nm

Posted By: Txczech on 2007-12-07
In Reply to: s/l 'morinon' dependent end stage heart failure - sm

Subject: advanced inotrope-dependent end-stage heart failure ? nm




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s/l 'morinon' dependent end stage heart failure
Subject: s/l 'morinon' dependent end stage heart failure

Patient is here for f/up of his 'norinon' dependent end stage heart failure.

Also lists this medication as a dose of 0.5 mcg/kg per minute. What is it?
catecholamine-dependent end-stage heart failure? nm
Subject: catecholamine-dependent end-stage heart failure? nm


Could be PhosLo, used for end-stage renal failure.
Subject: Could be PhosLo, used for end-stage renal failure.


heart failure
Subject: heart failure


concerning congestive heart failure
Subject: concerning congestive heart failure

The patient was being operated on for a gastric bypass.  She developed congestive heart failure.  The doctor says he "swan-ed" her and "A-lined" her.  I'm not familiar with either of these terms.  How do type these terms?
got it now - he is saying 'some' heart failure! DUH on me
Subject: got it now - he is saying 'some' heart failure! DUH on me


known congestive heart failure
Subject: known congestive heart failure


heart failure by echo and he has had *DMP* which have been negative
Subject: heart failure by echo and he has had *DMP* which have been negative


May be quinapril for congestive heart failure?
Subject: May be quinapril for congestive heart failure?


CHAD = congestive heart failure, sm
Subject: CHAD = congestive heart failure, sm

hypertension, age, diabetes
Milrinone is used for treating congestive heart failure
Subject: Milrinone is used for treating congestive heart failure


s/l Chronic (diastolic congestive heart failure)
Subject: s/l Chronic (diastolic congestive heart failure)

Does this make sense? The word in question is the first word of the diagnosis of Chronic diastolic congestive heart failure. It also sounds like he could be possibly saying Clinic.
All I can think of/document would be "flow rate" heart failure.....sm
Subject: All I can think of/document would be "flow rate" heart failure.....sm

if you think about it, when a patient is severely hypotensive, obviously the flow rate of the blood and return to the heart would be very slow, because of low pressure, and subsequently caused by low pressure; if you listen and it sounds like this, it physiologically would make sense, although I have not come across the exact phrase yet, they always throw new ones at ya!! Hope this is of some help! 
decompensated right heart failure with s/l corpor-menol-lay"
Subject: decompensated right heart failure with s/l corpor-menol-lay"


s/l epical drip - patient has renal failure and had heart transplant. (nm)
Subject: s/l epical drip - patient has renal failure and had heart transplant. (nm)

x
Pt on 60 mg of "Bumax" per day for urosepsis, fatigue, congestive heart failure, & circulatory
Subject: Pt on 60 mg of "Bumax" per day for urosepsis, fatigue, congestive heart failure, & circulatory prob.


*Par due orange* of the lower extremities secondary to congestive heart failure. - sm
Subject: *Par due orange* of the lower extremities secondary to congestive heart failure. - sm

he spells and says it is three separate words???? Thanks. 
Nesiritide (Natrecor®) is a medication used to treat acutely decompensated congestive heart failure
Subject: Nesiritide (Natrecor®) is a medication used to treat acutely decompensated congestive heart failure with dyspnea at rest or with minimal exertion


if dictator is ESL, probably *advanced*
Subject: if dictator is ESL, probably *advanced*


stage 2 fibrosis (from hep C) or stage II?
Subject: stage 2 fibrosis (from hep C) or stage II?

I can not find a reference to roman or arabic.   Thanks for the help!
Do you capitalize Stage IV or is it stage IV. not sure.
Subject: Do you capitalize Stage IV or is it stage IV. not sure.

nm
stage I or stage 1 rectocele. TIA nm
Subject: stage I or stage 1 rectocele. TIA nm

x
test given for pregnancy in advanced maternal age
Subject: test given for pregnancy in advanced maternal age

Testing for Down's and also something that sounds like "ann-u-ploity"
re: test given for pregnancy in advanced maternal age
Subject: re: test given for pregnancy in advanced maternal age

Aneuploidy
Definition(s)
The occurrence of one or more extra or missing chromosomes leading to an unbalanced chromosome complement, or, any chromosome number that is not an exact multiple of the haploid number
Yes, Advanced Registered Nurse Practitioner
Subject: Yes, Advanced Registered Nurse Practitioner


I used Google, advanced search, exact phrase,
Subject: I used Google, advanced search, exact phrase,

and typed in Howard An.
Advanced nurse practitioner-- board certified.
Subject: Advanced nurse practitioner-- board certified.

Just found out.

Abby
Colonoscopy. The scope was advanced to the cecum while looking at s/l the pole of Newman.
Subject: Colonoscopy. The scope was advanced to the cecum while looking at s/l the pole of Newman.

Don't laugh, I know it sounds stupid, but the only thing they always look at is the IC valve or appendiceal lumen, but it sounds just like that, the pole of Newman.



atrophy and advanced small vessel ischemic change?
Subject: atrophy and advanced small vessel ischemic change?


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.
The stereotaxis catheter was advanced to the ____ sheath and placed in the left atrium.
Subject: The stereotaxis catheter was advanced to the ____ sheath and placed in the left atrium.

TIA
No, definitely dependent
Subject: No, definitely dependent


trace dependent
Subject: trace dependent

Yes, but without the dash. Trace means "slightly"
dependent rubor......................nm
Subject: dependent rubor......................nm


could it be length dependent
Subject: could it be length dependent

xx
Yes - non-insulin-dependent
Subject: Yes - non-insulin-dependent

nm
dependent position
Subject: dependent position

hanging down to the side
could demyelinating be in there instead of dependent?
Subject: could demyelinating be in there instead of dependent?


Maybe transient, dependent edema..

could that possibly be dependent rubor? --sm
Subject: could that possibly be dependent rubor? --sm

just a long shot on that one. just a thought.
yes, "trace dependent edema." nm
Subject: yes, "trace dependent edema." nm

xx
can you hear "length" dependent? nm
Subject: can you hear "length" dependent? nm


insulin dependent diabetes mellitus? nm
Subject: insulin dependent diabetes mellitus? nm

s
non-insulin-dependent diabetes mellitus
Subject: non-insulin-dependent diabetes mellitus

nm
hemoglobin is lees than 9 or is becoming trans _____________ dependent. Thanks. nm
Subject: hemoglobin is lees than 9 or is becoming trans _____________ dependent. Thanks. nm

nm
Motor nerve study with "lace" dependent pattern. see message plz :)
Subject: Motor nerve study with "lace" dependent pattern. see message plz :)

 


Motor nerve conduction studies were notable for decreased amplitude in both upper and lower extremities in a lace dependent pattern.


Ecchymosis tracking into the s/l dependent areas of the foot and the proximal aspect of the toes. sm
Subject: Ecchymosis tracking into the s/l dependent areas of the foot and the proximal aspect of the toes. sm

Patient fell and twisted his ankle.  He has bruising that has tracked down into the distal foot. 
Renal failure...sm
Subject: Renal failure...sm

He subsequently developed a number of problems including pneumonia with ongoing respiratory failure. He developed worsening renal function and eventually progressed to renal failure, allouric.


This patient had multisystem failure and eventually died.


cellutory failure?
Subject: cellutory failure?

The patient is hospitalized for myasthenia gravis, he was intubated for progressive **cell-u-tory** failure. I cannot verify this. Can anyone help please? Thank you
liver failure
Subject: liver failure

tense ascites and caput medusae
Pt has renal failure...nm
Subject: Pt has renal failure...nm

x