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A troponin of 0.2 is still elevated with normal being

Posted By: 0.04...so should leave a blank NM on 2006-03-23
In Reply to: sounds like a normal "CS troponin" value to me... nm - flybye

Subject: A troponin of 0.2 is still elevated with normal being

x


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elevated troponin
Subject: elevated troponin

The elderly patient had elevated troponin and mental status change.  S/L dictator is saying patient was treated for possible "enstemmie" ???  (He said this twice during discharge summary and both times sounded like "enstemmie"??  Thanks for any help.


 


sounds like a normal "CS troponin" value to me... nm
Subject: sounds like a normal "CS troponin" value to me... nm


Normal 10-66 but could be elevated in CKD.nm
Subject: Normal 10-66 but could be elevated in CKD.nm

nm
Nope, maybe just elevated as in higher than normal? nm
Subject: Nope, maybe just elevated as in higher than normal? nm

s
MedlinePlus shows normal values less than 75, so your value is elevated,
Subject: MedlinePlus shows normal values less than 75, so your value is elevated,

s
elevated s/l c-ract? protein of 1.8 and a slight elevated glucose at 108.
Subject: elevated s/l c-ract? protein of 1.8 and a slight elevated glucose at 108.

This one Dr. can be very difficult to understand. Please help! :)
Elevated ?GDT?...later says elevated SGOT and SGPT. What is GDT??
Subject: Elevated ?GDT?...later says elevated SGOT and SGPT. What is GDT??


no dont think so, the two line prior are LFTS normal and Chem-7 was normal
Subject: no dont think so, the two line prior are LFTS normal and Chem-7 was normal


I believe CS troponin is troponin T, not I, so 0.2 is okay sm
Subject: I believe CS troponin is troponin T, not I, so 0.2 is okay sm

Troponin T 0 - 0.2 ng/ml (onset: 3-4 hrs, peak: 10-24 hrs, return to normal: 10-14 days)
troponin
Subject: troponin

Troponin nondetectable. They always say what sounds like "nondetectable". I have searched for the word "nondetectable" and I cannot reference it in any English or medical dictionary. I believe it should be "undetectable", however, my QA person marked that incorrect and said it should be "nondetectable".  Any opinions.


troponin
Subject: troponin

No - this account is not strictly verbatim.
troponin value
Subject: troponin value

Discharge troponin s/l 1.361, would this be correct?  It was 9.45 at admission.
troponin nm
Subject: troponin nm


troponin
Subject: troponin

So were you right, did the doctor misspeak?  was it "normal, and troponin was normal."
troponin
Subject: troponin


I would use saline since it's the solution he's changing from half-normal to normal, not the
Subject: I would use saline since it's the solution he's changing from half-normal to normal, not the

s
serum troponin
Subject: serum troponin

It should be serum troponin
Could be referring to troponin I being 713..nm
Subject: Could be referring to troponin I being 713..nm

nm
FYI: trOponin not trIponin. NM
Subject: FYI: trOponin not trIponin. NM


MB is fine. The last is troponin, which elevates after an MI. nm
Subject: MB is fine. The last is troponin, which elevates after an MI. nm

s
In lab list, s/l "BDL lead" 42, troponin....Thanks
Subject: In lab list, s/l "BDL lead" 42, troponin....Thanks


troponin doesn't need to be capped. Put period after cr=1.5. K=potassium. NM
Subject: troponin doesn't need to be capped. Put period after cr=1.5. K=potassium. NM


WBC 9.5, hematocrit 33.7, hemoglobin 10.8. BUN and creatinine 42 and 2.6. Troponin was negative.
Subject: WBC 9.5, hematocrit 33.7, hemoglobin 10.8. BUN and creatinine 42 and 2.6. Troponin was negative.


normal Pap smear in there anywhere? Normal Pap in 2006?nm
Subject: normal Pap smear in there anywhere? Normal Pap in 2006?nm


normal motility? normal motilities? nm
Subject: normal motility? normal motilities? nm


You are probably hearing normal BUS or normal BUSV. sm
Subject: You are probably hearing normal BUS or normal BUSV. sm

BUS                                       Bartholins/Urethra/Skene’s


 


BUSV                                     Bartholins/Urethra/Skene’s/vagina.


 


Here is abbrev link for you.       


 


http://www.healthsystem.virginia.edu/internet/obgyn-clerkship/UVA/Abbreviations.cfm                         


In LD says UA normal and then what sounds like C-MENT T is normal (maybe CMT)? nm
Subject: In LD says UA normal and then what sounds like C-MENT T is normal (maybe CMT)? nm


may be normal values or normal range? nm
Subject: may be normal values or normal range? nm

nm
elevated s/l elk fas
Subject: elevated s/l elk fas

...elevated LDH, elevated s/l elk fas, elevated LFTs...


Any input would be appreciated.


with an elevated BUN (sm)
Subject: with an elevated BUN (sm)

I'm wondering if he's saying prerenal azotemia and not leukemia. Is that possible?
Elevated LFT
Subject: Elevated LFT

I am struggling with identifying some lab tests that are mentioned in a report- the end of the report states, "

 repeat liver function tests, consider TSH, ANA, serum plasma and PTA.  I know I do not have the last two right- but it sounds like serubo plasman and PTA?  Any ideas? 


listened again - why would it be elevated?
Subject: listened again - why would it be elevated?


Re: Elevated bili and low HDL ? ..sm
Subject: Re: Elevated bili and low HDL ? ..sm

He has a history of (s/l Jilldira)______ disease, which is the elevated bilirubin and slightly low HDL.  


 


 


says pt has elevated PSA on s/l Plueroscar?
Subject: says pt has elevated PSA on s/l Plueroscar?


NSTEMI for non-ST elevated MI. nm
Subject: NSTEMI for non-ST elevated MI. nm

nm
They also say the tourniquet was elevated
Subject: They also say the tourniquet was elevated


Ptx has elevated BUN and creatinine.....
Subject: Ptx has elevated BUN and creatinine.....

xx
Pt with elevated BUN and creatinine.....
Subject: Pt with elevated BUN and creatinine.....

nm
Pt with elevated BUN and creatinine....
Subject: Pt with elevated BUN and creatinine....

nm
Elevated bilirubin disease?
Subject: Elevated bilirubin disease?

I cannot find this disease since I am not sure what the first few letters clearly are, maybe a French name, again not sure.  The patient has an elevated bilirubin, abdominal pain and vomiting.  The doc suspects this disease rather than an obstruction.  The disease s/l Jobear's or Joulbar's or Yolbear's. 
elevated bilirubin disease
Subject: elevated bilirubin disease

I think you're looking for Gilbert syndrome. A French pronunciation would sound like what you're hearing. It's an error in bilirubin metabolism.
elevated white count
Subject: elevated white count

Can anyone help me? My report is on a person diagnosed with bacterial endocarditis, with progressive respiratory failure, pneumomediastinum and 103F temperature. an x-ray showed air under the high diaphragm. the white count was elevated to 18,200 from which 50% were (s/l) run. Am I hearing correct? Also, an EGD showed several  s/l "oon takes" in the stomach.  If you can help me I would appreciate it. Thanks


Perhaps increased or elevated cholesterol?
Subject: Perhaps increased or elevated cholesterol?

nm
Maybe elevated liver enzyme(s)? nm
Subject: Maybe elevated liver enzyme(s)? nm

s
s/l RIPE therapy for elevated LFT, possible TB
Subject: s/l RIPE therapy for elevated LFT, possible TB

x
Yes, it can be elevated. I'm with the response poster
Subject: Yes, it can be elevated. I'm with the response poster

aa
Elevated white count
Subject: Elevated white count

I'm working on a Discharge Summary and the Dr. says "The white count was elevated to 18,200 from which 50% were s/l "run".  That doesn't make sense to me what could this word be?
S/L rusperacase...given for elevated uric acid in
Subject: S/L rusperacase...given for elevated uric acid in

NM


non-STEMI..Non-ST Elevated Myocardial Infarction
Subject: non-STEMI..Non-ST Elevated Myocardial Infarction


...heart-related findings? Usually elevated after
Subject: ...heart-related findings? Usually elevated after

s
The next sentence was "We then elevated the mucosa." nm
Subject: The next sentence was "We then elevated the mucosa." nm

.