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Can sometimes get a clue from DX, infection +WBCs, stones/trauma + RBCs, etc. nm

Posted By: Sometimes... on 2006-01-04
In Reply to: UA shows 虻 rbc's and 58 rbc's" Is there any way - to know which is wbc's or rbc's

Subject: Can sometimes get a clue from DX, infection +WBCs, stones/trauma + RBCs, etc. nm

s


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Wet-prep shows negative whiff, 10-20 WBCs, negative clue, few s/l "LB's". Is LB's right?
Subject: Wet-prep shows negative whiff, 10-20 WBCs, negative clue, few s/l "LB's". Is LB's right? nm


is it barro trauma or barrel trauma...thanks alot
Subject: is it barro trauma or barrel trauma...thanks alot


wet prep. With many WBCs?
Subject: wet prep. With many WBCs?


Might be 4-7 WBCs if you're not clearly hearing 427. nm
Subject: Might be 4-7 WBCs if you're not clearly hearing 427. nm

s
The one for the CBC might be WBCs (if not already stated), and P&P for electrolytes could be CMP
Subject: The one for the CBC might be WBCs (if not already stated), and P&P for electrolytes could be CMP


I always use RBCs.
Subject: I always use RBCs.


RBCs
Subject: RBCs

RBCs because the RBCs don't belong to anything so an apostrophe isn't used.
I have always seen RBCs per HPF. nm
Subject: I have always seen RBCs per HPF. nm


may be "nidus of" infection (i.e. source/focus of infection) .nm
Subject: may be "nidus of" infection (i.e. source/focus of infection) .nm


Yes, all looks fine, don't forget the s on RBCs.
Subject: Yes, all looks fine, don't forget the s on RBCs.


They also say technetium-tagged RBCs. NM
Subject: They also say technetium-tagged RBCs. NM


Type of infection s/l merse infection?
Subject: Type of infection s/l merse infection?

I'm stumped.  New doctor for me and I have never heard anything like this.  Sounds like merse infection?  Any ideas?
Jerovecki infection or Gerovecki infection...see more
Subject: Jerovecki infection or Gerovecki infection...see more

The prophylactic antibiotic that I probably would give her would be something to avoid Pneumocystis corinii "Gerovecki infection" or "Jerovecki infection."
re: 5 and 8 red blood cells (or RBCs) per high power field.
Subject: re: 5 and 8 red blood cells (or RBCs) per high power field.

It is high powered field
Howell-Jolly bodies, seen on micro of RBCs, blue-black on Wright stain......fit???? NM
Subject: Howell-Jolly bodies, seen on micro of RBCs, blue-black on Wright stain......fit???? NM

nm
stones, i.e.....
Subject: stones, i.e.....

uroliths, urolithiasis (stones)....usually are ruled out during ultrasound...possibly?
trauma
Subject: trauma

Is this patient on a vent?


trauma
Subject: trauma

penetrative trauma?
trauma
Subject: trauma

penetrative trauma?
CXR: Trauma pt. SM
Subject: CXR: Trauma pt. SM

The patient has widening of the mediastinum.  The doctor says:  Given the history of trauma, I cannot exclude mediastinal s/l ZAPOLOGY or APOLOGY.  Cannot correlate.  Help? 
Maybe appendicoliths, stones in it.
Subject: Maybe appendicoliths, stones in it.

s
I would go with passage of stones
Subject: I would go with passage of stones

and tenderness, right side of spine.
She has kidney stones
Subject: She has kidney stones

started on chlortalidone, potassium citrate and s/l fiola


 


 


May be dacryoliths (stones)
Subject: May be dacryoliths (stones)


first one is 4D CT but I still don't know about the kidney stones NM
Subject: first one is 4D CT but I still don't know about the kidney stones NM


gallbladder stones??
Subject: gallbladder stones??

"There are s/l capcid/capsid/capsized? stones layering in the gallbladder."  Any ideas anyone?


 


track trauma
Subject: track trauma

I am not sure if he stumbles or if he actually says track trauma.  The entire line is ...No track trauma.


The patient has hamstring pain from injuring himself playing a baseball.


s/l no ventative trauma
Subject: s/l no ventative trauma

HEENT: No s/l 'ventative' trauma.
ER Trauma MVA. Does anyone know what alcohol KZP is? sm
Subject: ER Trauma MVA. Does anyone know what alcohol KZP is? sm

Second diagnosis is: ALCOHOL ABUSE. The patient will be resuscitated overnight and started on alcohol s/l "KZP" in the a.m.
head trauma
Subject: head trauma

The patient had head trauma and a few months later was found to have a s/l flabomorphit adenoma.


This is an Asian dictator who is very difficult to understand.  Any help would be appreciated.


trauma to the head?
Subject: trauma to the head?


stones are commonly basketed
Subject: stones are commonly basketed

There is one side of a page in Stedman Equipment word book dedicated to different types of baskets, about half for stones,

Now, if it is an ESWL procedure, the stone could have been "zapped" or "pulsed" by laser, so relisten and compare to the type of procedure being done.
Type of kidney stones
Subject: Type of kidney stones

The doctor is saying the patient has calcium oxalate or calcium s/l paraphosphate stones.  TIA.


have a presence of kidney stones?
Subject: have a presence of kidney stones?


are you sure it is not biliary colic and stones?
Subject: are you sure it is not biliary colic and stones?

n.m
Kidney stones and vertigo...
Subject: Kidney stones and vertigo...

Pertaining to kidney stones and vertigo.  S/L she is saying "cath sift-erization"


could it be calcifications or calcified stones?
Subject: could it be calcifications or calcified stones?


Trauma patient with hemopneumoperitoneum.
Subject: Trauma patient with hemopneumoperitoneum.


A s/l VAS was performed that was negative initially of the heart as well as of the abdomen. 


 


Thank you! 


If the patient has kidney stones, then it is lithotripsy.
Subject: If the patient has kidney stones, then it is lithotripsy.


found Whitman on trauma site
Subject: found Whitman on trauma site


FAST scan in trauma patients
Subject: FAST scan in trauma patients

Focused Assessment with Sonography for Trauma (FAST) is a limited ultrasound examination directed solely at identifying the presence of free intraperitoneal or pericardial fluid. In the context of traumatic injury, free fluid is usually due to haemorrhage and contributes to the assessment of the circulation.


herniations possibly - not sure about 30 though unless a major trauma
Subject: herniations possibly - not sure about 30 though unless a major trauma


If there were no stones in gallbladder, it would be acalculous cholecystitis, not acalculus.
x
pt. with uric acid stones, dr says he takes s/l theralith
Subject: pt. with uric acid stones, dr says he takes s/l theralith


Concretions is correct. My uro doc called them prostate stones. sm
Subject: Concretions is correct. My uro doc called them prostate stones. sm

Prostatic concretions are calcified aggregates of the prostate gland which has "tree ring" like appearance; found especially in older men.


She had a cholangiogram that showed some distal stones by the s/l am-peel-a.
Subject: She had a cholangiogram that showed some distal stones by the s/l am-peel-a.

:-)
Abbrev or nickname of trauma facility-s/l "true".
Subject: Abbrev or nickname of trauma facility-s/l "true".

x
Found it - Trauma and Life Support Center
Subject: Found it - Trauma and Life Support Center

It's a unit at the facility the patient was transferred from.
He has noticed bigger stones passing through the s/l ostoma than the usual. nm
Subject: He has noticed bigger stones passing through the s/l ostoma than the usual. nm


IMaybe Ilizarov procedure? It's bone lengthening done after trauma, etc. nm
Subject: IMaybe Ilizarov procedure? It's bone lengthening done after trauma, etc. nm

s
in assessment says Esoteric ??? failure, blunt chest trauma
Subject: in assessment says Esoteric ??? failure, blunt chest trauma