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Got it, "some bile duct" . . thanks!

Posted By: MSmt on 2009-06-05
In Reply to: what area of the body - are we talkin? nm

Subject: Got it, "some bile duct" . . thanks!




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I wonder if it's common bile duct stone? nm
Subject: I wonder if it's common bile duct stone? nm

nm
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Subject: extrahepatic or biliary? bile duct? nm


It does not sound like biliary/bile duct!
Subject: It does not sound like biliary/bile duct!


mild s/l muritzes of the common bile duct. TIA!!!
Subject: mild s/l muritzes of the common bile duct. TIA!!!


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Subject: probably stands for common bile duct exploration--CBDE.

x
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Subject: Is the common bile duct and intrahepatic biliary tree--sm

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Peritoneal bile, or intraperitoneal bile? (NM)
Subject: Peritoneal bile, or intraperitoneal bile? (NM)

NM
It was "some IP extension" lol!
Subject: It was "some IP extension" lol!

nm
"some modification" maybe - nm
Subject: "some modification" maybe - nm


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Subject: what about "some aniso- and poikilocytosis"? nm


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Subject: "some loss"? a guess but all I can think of NM

/
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Subject: maybe saying "some immunogenic virus"

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can you hear "some subtle" movement...??
Subject: can you hear "some subtle" movement...??


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Subject: P? Bile

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Subject: Nares show "some turbulence" Is this right??? related to URI

nm
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Subject: "some rales in the right lower lung field" nm

x
"some concern that patient possibly has thalassemia"
Subject: "some concern that patient possibly has thalassemia"

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thanks,
Abby :)
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Subject: Just guessing, "some problems" with short-term memory?


bile acid sequestrant
Subject: bile acid sequestrant


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Subject: Figured it out -- bile acid


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Subject: possibly purulent bile? nm


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Subject: Stensen duct

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sac of the cystic duct ??
Subject: sac of the cystic duct ??

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The gallbladder was elevated with the sac of the cystic duct free initially. It was a relatively long structure.


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Subject: Is peri-renal bile correct?


Dictation sounds like:  Upon entering the bile duct, peri-renal bile was drained.


maybe common duct exploration? nm
Subject: maybe common duct exploration? nm

x
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Subject: partially occluded s/l eep duct

I need help with this part on a not so great recording.  The doctor says "At the bronchus intermedius is a partially occluded [s/l eep] duct and [s/l polyp or polished] white pale tissue which [bled (I think)] easily."  Can anyone shed any light?  Thanks.


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Subject: maybe inflamed meibomian duct?


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Subject: sounds like sialic duct

TIA!!
Stenson's duct gland?
Subject: Stenson's duct gland?

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Thanks!


 


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Subject: could it be "...the neck and cystic duct..." ??


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Subject: bile reflux versus reflex...sm plse

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Subject: With the addition of Zetia or a s/l bile a sed binding agent. TIA


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Subject: undergo "some barton-nella titers"..pt has large unresolved neck lymphadenopathy. nm

f
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Subject: Lacrimal duct balloon inflated to 8 s/l bar? nm


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Subject: ejection fraction ______ (titer? hi duct?)

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Subject: Hmmm. Can you hear alveolar duct? Maybe polypoid for the second s/l? nm

x
Hepatic duct was dilated with a s/l Chahyndra dilator.
Subject: Hepatic duct was dilated with a s/l Chahyndra dilator.


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Subject: Biliary T-tube, drainage of bile/debris after ERCP or other cholangio procedure Nm

nm
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Subject: recurrent bilateral effusions and it was *kylus** and they thought it was due to thoracic duct injur


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Subject: bile acid? fibric acid? Here is a link.

http://www.webmd.com/cholesterol-management/guide/cholesterol-lowering-medication