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Could be that the rhinorrhea is green and not sputum from the cough, I would flag, just me...

Posted By: MT50 on 2007-12-05
In Reply to: what would you do here? - sassee

Subject: Could be that the rhinorrhea is green and not sputum from the cough, I would flag, just me...



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The patient has some green rhinorrhea and a cough.
Subject: The patient has some green rhinorrhea and a cough.

cough productive of clear, "foamish" sputum, but no discolored sputum. sm
Subject: cough productive of clear, "foamish" sputum, but no discolored sputum. sm

Should i type foamish or change to foamy? 

cough pulsion vs. cough pulsation?
Subject: cough pulsion vs. cough pulsation?

Which is correct ~ Cough pulsion or cough pulsation?
rhinorrhea?
Subject: rhinorrhea?

x
Thank you! It is rhinorrhea.
Subject: Thank you! It is rhinorrhea.

Having a slow morning.
s/l green WBC
Subject: s/l green WBC

A 30-minute teaching session explained the possible side effects of chemotherapy including temporary reduction of bone marrow cell in s/l green WBC, RBC, and platelet, alopecia, nausea, vomiting, allergic reactions and myalgia
probably rhinorrhagia and rhinorrhea
Subject: probably rhinorrhagia and rhinorrhea

.
got it . . . mucopurulent rhinorrhea
Subject: got it . . . mucopurulent rhinorrhea

Rhinorrhea but no frying??
Subject: Rhinorrhea but no frying??

there is rhinorrhea but no frying?  Maybe flagging or flying.  Please help!!
green towel
Subject: green towel

It could be a green surgical towel, as in green color.  They come in blue, green, etc.

s/l green egstitoses
Subject: s/l green egstitoses

DIAGNOSES: s/l green egstitoses.
Also has arthritis in the knee. I believe the s/l green egstitoses has something to do with the foot because they talk about plantar medial hallux.
I am sure about the green part
Subject: I am sure about the green part

The green part is plain but then it sounds like ou in ouch like Bound but without the d like Green Boun block. Thanks anyway, though!
Runny nose or rhinorrhea
Subject: Runny nose or rhinorrhea

I don't think the person's nose is actually "running."
Probably means the patient has rhinorrhea
Subject: Probably means the patient has rhinorrhea

after meals.
Might be hearing IC Green dye or just IC dye for indocyanine
Subject: Might be hearing IC Green dye or just IC dye for indocyanine

s
I found this: "Indocyanine green" (sm)
Subject: I found this: "Indocyanine green" (sm)

Therapeutic Category



  • Diagnostic Agent

Use

Determining hepatic function, cardiac output and liver blood flow and for ophthalmic angiography

Usual Dosage

Dilute dose in sterile water for injection or 0.9% NaCl to final volume of 1 mL if necessary doses may be repeated periodically; total dose should not exceed 2 mg/kg
  Infants: 1.25 mg
  Children: 2.5 mg
  Adults: 5 mg

Dosage Forms

Injection: 25 mg

green bone block?
Subject: green bone block?

This is an eye procedure and sounds like he is saying Green Bowen or green bough or green down block?
Coryza or rhinorrhea? Can "see" tubes? nm
Subject: Coryza or rhinorrhea? Can "see" tubes? nm

s
Water around the rear (watery rhinorrhea).
Subject: Water around the rear (watery rhinorrhea).

This is pretty funny but green lizard is
Subject: This is pretty funny but green lizard is

a GI cocktail. Thought I would look and did not really think I would find this.

Vera Pyle's - Current Medical Terminology book has

green lizard - GI cocktail.

So that is probably it.
green frog. Crazy huh?
indocyanine green angiography or angiograph? Used a lot. sm for ref.
Subject: indocyanine green angiography or angiograph? Used a lot. sm for ref.

indocyanine green angiography



a test for studying choroidal vasculature by which indocyanine green dye, which absorbs infrared light at 805 nm and emits at 835 nm, is injected intravenously and photographed as it flows through the retinal and choroidal vessels.
Doc says *green loop LEEP biopsy*.
Subject: Doc says *green loop LEEP biopsy*.

Not sure if she means green (filter) LEEP biopsy or what.  Any ideas appreciated!!
some s/l muco perio rhinorrhea is noted bilaterally.
Subject: some s/l muco perio rhinorrhea is noted bilaterally.

He is doing a nasal exam. 
Sure! That nice yellow-green color. Can show up
Subject: Sure! That nice yellow-green color. Can show up

s
Maybe CNS sputum or of sputum? nm
Subject: Maybe CNS sputum or of sputum? nm

s
sputum for ...
Subject: sputum for ...

pneumocystis and "Gerovasi" ?? 
sputum for
Subject: sputum for

s/l E-CO-ECKY ??

s/l VI colonization in the sputum
Subject: s/l VI colonization in the sputum

Any ideas for VI? 
could it be endo-sputum??
Subject: could it be endo-sputum??

sputum culture
Subject: sputum culture

s/l emshilani in sputum. TIA nm
Subject: s/l emshilani in sputum. TIA nm

"Guany sputum"
Subject: "Guany sputum"

s/l "guany" sputum.  Is guany right?


Thanks in advance!

sputum bact. culture
Subject: sputum bact. culture

Mucosal or sputum thickening?
Subject: Mucosal or sputum thickening?

nm

Most likely hemoptysis -- blood in sputum. sm
Subject: Most likely hemoptysis -- blood in sputum. sm

Here is a good review of systems link:


 


http://medinfo.ufl.edu/year1/epc97/handouts/ros.html

all it says is AFB and endo-sputum (?) were negative x3
Subject: all it says is AFB and endo-sputum (?) were negative x3

did you mean for C&S? sputum for culture and sensitivity?
Subject: did you mean for C&S? sputum for culture and sensitivity?

C&S sputum? culture and sensitivity?
Subject: C&S sputum? culture and sensitivity?

Remember this one? It was induced sputum.
Subject: Remember this one? It was induced sputum.

Complete laboratories? Sputum specimen? What comes before this? nm
Subject: Complete laboratories? Sputum specimen? What comes before this? nm

s
Sputum culture shows S/L cominceal
Subject: Sputum culture shows S/L cominceal

s
Sputum sample: s/l H-Priori, s/l Staphoria
Subject: Sputum sample: s/l H-Priori, s/l Staphoria

The patient had a sputum sample obtained, which was found to be positive for s/l H-Priori and s/l Staphoria.


Help?  Is staphoria equal to staph aureus? Thanks!!!

verbatim or not, I'd give 'em pus-like sputum
Subject: verbatim or not, I'd give 'em pus-like sputum

x
I would have changed it to purulent sputum. (nmsg)
Subject: I would have changed it to purulent sputum. (nmsg)

xx
Could be stuttering on just "a sputum" with the "for cytology or CNS"
Subject: Could be stuttering on just "a sputum" with the "for cytology or CNS"

s
Sputum shows a few s/l polymorphil leukocytes sm
Subject: Sputum shows a few s/l polymorphil leukocytes sm

cannot reference polymorphil anywhere.  TIA

Sputum culture did show s/l lite-no-morris trophor as well. Any help, please?
Subject: Sputum culture did show s/l lite-no-morris trophor as well. Any help, please?

x
they do acid-fast smears on sputum, etc. Here is link from labcorp.com.
Subject: they do acid-fast smears on sputum, etc. Here is link from labcorp.com.





































Acid-Fast (Mycobacteria) Broth-Based Culture and Smear and Susceptibility
    
Number
182675
CPT
87015; 87116; 87206
Related Information

  • Acid-Fast (Mycobacteria) Antibiotic Susceptibilities
  • Default Test Order for Ambiguous Orders
  • Organism Identification, Mycobacteria
    • Synonyms
    Blood Mycobacteria Culture ; Culture, Acid-Fast (Sputum, Tissue, Urine, and Gastric Contents) ; Culture, Blood, Mycobacteria ; Mycobacteria Culture (Sputum, Tissue, Urine, and Gastric Contents)
    Test Includes
    Mycobacteria culture (AFB) and smear when appropriate; smears are not performed on blood or when there is less than 2 mL of cerebrospinal fluid. Susceptibility testing [test 088161] is performed at an additional charge when Mycobacterium spp is recovered. Culture and identification (additional charges/CPT code[s] may apply). CPT coding for microbiology and virology procedures often cannot be determined before the culture is performed. Requests with only a written order and no test number indicated will be processed according to Default Test Order for Ambiguous Orders .
    Specimen
    First morning sputum (not saliva) (three separate specimens from three separate days are recommended), fasting gastric aspirate, induced sputum, whole blood, tissue, biopsy, bronchial aspirate, urine, skin, cerebrospinal fluid, bone marrow, body fluid, stool. Swabs of exudate from skin sources are acceptable, otherwise, swab specimens should not be submitted. Collect aspirate using sterile, nonbacteriostatic saline or other noninhibitory medium. Do not send syringe. It will be rejected.
    Sputum cultures have come back negative for fungus "asp a sill ae". nm
    Subject: Sputum cultures have come back negative for fungus "asp a sill ae". nm

    cough
    Subject: cough

    Atrovent
    Cause of cough please sm
    Subject: Cause of cough please sm

    Persistent cough. Not caused by lisinopril. Will investigate other causes such as s/l atexa or allergy.
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