| Hepatic biliary scan with s/l cc air stimulationPosted By: Susie on 2007-07-17In Reply to:
 
 Subject: Hepatic biliary scan with s/l cc air stimulation
 
 
 I am typing a sonogram of the abdomen report.  Dr. says the patient has acalculous cholecystitis.  Clinical information with a hepatic biliary scan with (s/l) cc air stimulation scan?? should be considered.  Any ideas?   
 
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 hepatic? biliary? Does it seem like it pertains to current
 Subject: hepatic? biliary? Does it seem like it pertains to current
 
 s
 Could it be hepatobiliary scan and CCK stimulation?
 Subject: Could it be hepatobiliary scan and CCK stimulation?
 
 nm
 sensory stimulation and s/l fifth-ear stimulation produced no reaction from the pt. nm
 Subject: sensory stimulation and s/l fifth-ear stimulation produced no reaction from the pt. nm
 
 d
 Also reviewed were bone scan, white cell scan and s/l solfar coag scan.  Thanks
 Subject: Also reviewed were bone scan, white cell scan and s/l solfar coag scan.  Thanks
 
 
 CT SCAN  cannt figure out part of scan Pls see message
 
 Reveals abnormal hypermetabolism in the lymph nodes in the neck, more right than left including ?factitious learning of the thyroid?, in the anterior mediastinum as well large expansile right rib lesion.  Bone scan reveals uptake in the right lateral 7th and 8th ribs.   s/l Isoelectrical stimulation
 Subject: s/l Isoelectrical stimulation
 
 Sounds like isoelectrical stimulation -- does that ring any bells?
 maybe isometrical stimulation?
 Subject: maybe isometrical stimulation?
 
 
 hypocalvanic stimulation??
 Subject: hypocalvanic stimulation??
 
 Is there such a thing as hypoclvanic stimulation?
 
 I also prescribed a physical therapy regimen.  This included Hydrocollator heat, transcutaneous nerve stimulation, ultrasound, and s/l hypocalvanic stimulation.
 Ontero stimulation?
 Subject: Ontero stimulation?
 
 Under neurologic, He is mildly lethargic, but easily aroused to s/l ontero stimulation.  TIA!
 biliary?
 Subject: biliary?
 
 
 ...or liver-spleen scan or radionuclide scan. nm
 ,
 Spinal cord stimulation help
 Subject: Spinal cord stimulation help
 
 It sounds like she is saying insertion of "specify lead" and extension, but I can't find specify lead anywhere.  Is this right?
 neostigmine? Used for bladder stimulation. nm
 Subject: neostigmine? Used for bladder stimulation. nm
 
 s
 Think you want E-stim for electrical stimulation. nm
 Subject: Think you want E-stim for electrical stimulation. nm
 
 s
 hot or cold pack stimulation?
 Subject: hot or cold pack stimulation?
 
 
 Maybe biliary disease.
 Subject: Maybe biliary disease.
 
 
 ACTH (Cortrosyn) stimulation test  NM
 Subject: ACTH (Cortrosyn) stimulation test  NM
 
 
 NIPS - noninvasive programming stimulation
 Subject: NIPS - noninvasive programming stimulation
 
 
 I think you're looking for "e-stim" (electrical stimulation) nm
 Subject: I think you're looking for "e-stim" (electrical stimulation) nm
 
 
 i found it.... biliary dilatation
 Subject: i found it.... biliary dilatation
 
 
 biliary saturation is correct. nm
 Subject: biliary saturation is correct. nm
 
 
 The doc is not saying biliary ductal ablation, is he?
 Subject: The doc is not saying biliary ductal ablation, is he?
 
 
 biliary colic stools????
 Subject: biliary colic stools????
 
 Has anyone heard of biliary colic stools and if so what is it?
 are you sure it is not biliary colic and stones?
 Subject: are you sure it is not biliary colic and stones?
 
 n.m
 I might very well be biliary colic stools. sm
 Subject: I might very well be biliary colic stools. sm
 
 Is this a nephrology or urology patient? Or even a GI patient?
 
 When you have gallbladder problems, liver problems, etc., the stools are usually a different color. They can be clay colored, black, tarry, yellow, green like baby stools, etc. So biliary colic stools could be right.
 Could it be Matrix spinal cord stimulation system (nm)
 Subject: Could it be Matrix spinal cord stimulation system (nm)
 
 x
 If you google sacral nerve stimulation, bellows and
 Subject: If you google sacral nerve stimulation, bellows and
 
 toe, you will find out what he was talking about.
   got it... i think...hepatic thank u
 Subject: got it... i think...hepatic thank u
 
 
 hepatic ?  nm
 Subject: hepatic ?  nm
 
 x
 Cotton-Leung biliary stent
 Subject: Cotton-Leung biliary stent
 
 /s
 listen for "primary biliary cirrhosis "
 Subject: listen for "primary biliary cirrhosis "
 
 
 extrahepatic or biliary? bile duct? nm
 Subject: extrahepatic or biliary? bile duct? nm
 
 
 It does not sound like biliary/bile duct!
 Subject: It does not sound like biliary/bile duct!
 
 
 Intra- or extrahepatic biliary dilatation
 Subject: Intra- or extrahepatic biliary dilatation
 
 too late?
 liver scan s/l betascab scan
 his last s/l betascab scan showe that his liver lesion has decreased in size.
 Ever hear of dumb sole response on plantar stimulation?  sm
 Subject: Ever hear of dumb sole response on plantar stimulation?  sm
 
 The patient is brain dead. I can't document anywhere. TIA!
 hepatic, s/l insubatic..
 Subject: hepatic, s/l insubatic..
 
 sounds like hepatic "insubatic" defect.... in an infant with chronic jaundice seen on isotope hepatobiliary scan.   Thanks!!
 hepatic porphyria
 Subject: hepatic porphyria
 
 An abnormal increase in pigments made in the liver - hope this is what you need
 hepatic encephalopathy
 Subject: hepatic encephalopathy
 
 
  Thanks for your help! hepatic encephalopathy
 Subject: hepatic encephalopathy
 
 Xifaxan.
 How about exocrine or hepatic? nm
 Subject: How about exocrine or hepatic? nm
 
 x
 Could it be hepatic infection?
 Subject: Could it be hepatic infection?
 
 
 hepatic ligament
 Subject: hepatic ligament
 
 distal
 My guess...get rid of the A and "No biliary ductal dilatation"...nm
 Subject: My guess...get rid of the A and "No biliary ductal dilatation"...nm
 
 nm
 Is the common bile duct and intrahepatic biliary tree--sm
 Subject: Is the common bile duct and intrahepatic biliary tree--sm
 
 two separate structures.  Should they be listed under two headings?
 There is pneumobilia which is gas in the biliary tree (maybe doc is adding an extra sound?)
 Subject: There is pneumobilia which is gas in the biliary tree (maybe doc is adding an extra sound?)
 
 
 immunomodulator with hepatic metastases
 Subject: immunomodulator with hepatic metastases
 
 
 I cannot come up with the name of this med.   
 "discuss possible chemotherapeutic agents versus immunomodulators such as ___ zirapamid__.  " 
 The patient has hepatic metastases. Figured it out - hepatic steatosis
 Subject: Figured it out - hepatic steatosis
 
 
 hepatic inter falopathy - help
 Subject: hepatic inter falopathy - help
 
 admitted for increased confusion secondary to (sounds like) hepatic inter falopathy?????
 can you hear hepatic encephalopathy ??? (nm)
 Subject: can you hear hepatic encephalopathy ??? (nm)
 
 
   Epilepsy can be caused by hepatic
 Subject: Epilepsy can be caused by hepatic
 
 encephalopathy and other liver conditions.  Google "hepatic epilepsy"
 
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