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Just clostridium difficile....unless doc specifically says colitis. nm

Posted By: Smiley on 2006-01-04
In Reply to: Dx: 1. Diarrhea, rule out C-diff. Should I type, sm - Jelly bean

Subject: Just clostridium difficile....unless doc specifically says colitis. nm




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It is C. difficile (Clostridium difficile), so lots of gastro! :-)
Subject: It is C. difficile (Clostridium difficile), so lots of gastro! :-)

nm
C-difficile -- short for Clostridium difficile (nm)
Subject: C-difficile -- short for Clostridium difficile (nm)

/
Clostridium difficile sm
Subject: Clostridium difficile sm

Continue Flagyl for three more days and repeat Clostridium difficile toxin (stutters here) SA, ESSA? after 48 hours of the last dose. TIA
Clostridium difficile?
Subject: Clostridium difficile?


Clostridium difficile a.k.a. C. difficile
Subject: Clostridium difficile a.k.a. C. difficile


C. difficile (Clostridium difficile)...nm
Subject: C. difficile (Clostridium difficile)...nm

nm
is it Clostridium difficile toxin assay.
Subject: is it Clostridium difficile toxin assay.

a
? C. difficile colitis maybe - nm
Subject: ? C. difficile colitis maybe - nm


Clostridium
Subject: Clostridium


yes, cap Clostridium. nm
Subject: yes, cap Clostridium. nm


Just a guess, but there is Clostridium
Subject: Just a guess, but there is Clostridium

intestinale, maybe he is staying Clos, or C. intestinale???
C. difficile maybe? nm
Subject: C. difficile maybe? nm

x
It does not say specifically, but sm..
Subject: It does not say specifically, but sm..

his pmhx is sig for diabetes, cardiac disease and hypertension.


 


Here is the list of meds the pt is on...Aciphex, Zantac, Domperidone which is a Canadian medication for treating the gastrointestinal tract, and also desifaremine.


C, difficile ?
Subject: C, difficile ?

x
C difficile
Subject: C difficile


no, it's C. difficile - no hyphen.
Subject: no, it's C. difficile - no hyphen.

x
NM, I figured it out! C. difficile...
Subject: NM, I figured it out! C. difficile...

... Ugh, think I need a break. 
never mind "C. difficile" -got it!
Subject: never mind "C. difficile" -got it!


Probably repeating, C. difficile
Subject: Probably repeating, C. difficile


This is probably specifically related to the
Subject: This is probably specifically related to the

x
not unless your clients specifically ask for such.
Subject: not unless your clients specifically ask for such.

x
Really? Even if the doc specifically says "ccs"
Subject: Really? Even if the doc specifically says "ccs"


you cannot assume 5-6 unless the doctor specifically
Subject: you cannot assume 5-6 unless the doctor specifically

5 to 6-mm nodule is the "most" correct. We all "know" the MD meant both values are mm but unless each value is specified, you cannot make that assumption.
he specifically said mri results went to the patient
Subject: he specifically said mri results went to the patient

weird, I know
C. difficile (period not comma, sorry)
Subject: C. difficile (period not comma, sorry)

x
I don't type enough labs to say specifically, but
Subject: I don't type enough labs to say specifically, but

Stedman's ABREV has URED - unable to read (lab result). Could that be what he's saying? Hope someone can verify one way or another, as I'm sure I'll have it eventually.
That's good, but no, he specifically says cadent at the end... : )
Subject: That's good, but no, he specifically says cadent at the end... : )


s/l da-pan-colitis
Subject: s/l da-pan-colitis

She is a 27-year-old woman who is diagnosed with severe ulcer (da-pan) colitis.

Any thoughts? Thanks!
I agree...you did good....C. difficile is a difficult--sm
Subject: I agree...you did good....C. difficile is a difficult--sm

one to hear and figure out. you're on the road! Keep it up!


Wierd, I can specifically remember being told that:
Subject: Wierd, I can specifically remember being told that:

CVA was cerebrovascular accident

c.v.a. was costovertebral angle.

Been doing that for 25 years. Maybe it was just my original employer hospital's preference. Interesting, isn't it, that you can do something for years and years and never know it was not correct. I won't forget now, that is for sure. hehe
Unless specifically told to expand, leave as GI.
Subject: Unless specifically told to expand, leave as GI.

x
I have always expanded to C. difficile, hate slang. nm
Subject: I have always expanded to C. difficile, hate slang. nm

.
I agree with Lexiscan except that the doc specifically spells it. What do you think?
Subject: I agree with Lexiscan except that the doc specifically spells it. What do you think?


are you sure its for colitis - Lo-Ovral BCP
Subject: are you sure its for colitis - Lo-Ovral BCP

d
s/l cedephoseal ? colitis
Subject: s/l cedephoseal ? colitis

Any ideas??


TIA,


 


may be ulcerative colitis. nm
Subject: may be ulcerative colitis. nm


Med for ulcerative colitis
Subject: Med for ulcerative colitis

They have found some thickening and improvement in the stool number with **s/l equestrian*** 1-3 times daily. 


 


thanks in advance


ridogrel ? (for colitis)
Subject: ridogrel ? (for colitis)

nm
granulomatous colitis I think
Subject: granulomatous colitis I think


colitis (see below for what type)
Subject: colitis (see below for what type)

amebic colitis see under dysentery.
antibiotic-associated colitis see under enterocolitis.
collagenous colitis a type of colitis of unknown etiology characterized by deposits of collagenous material beneath the epithelium of the colon, with crampy abdominal pain and watery diarrhea.
granulomatous colitis transmural colitis with the formation of noncaseating granulomas.
ischemic colitis acute vascular insufficiency of the colon, affecting the portion supplied by the inferior mesenteric artery; symptoms include pain at the left iliac fossa, bloody diarrhea, low-grade fever, and abdominal distention and tenderness.
mucous colitis former name for irritable bowel syndrome.
regional colitis , segmental colitis transmural or granulomatous inflammatory disease of the colon; regional enteritis involving the colon. It may be associated with ulceration, strictures, or fistulas.
transmural colitis inflammation of the full thickness of the bowel, rather than just mucosa and submucosa, usually with formation of noncaseating granulomas. It may be confined to the colon (segmentally or diffusely) or be associated with regional enteritis in the small intestine. Clinically, it may resemble ulcerative colitis, but with deeper ulcerations, stricture formation, and fistulas, particularly in the perineum.
ulcerative colitis chronic ulceration in the colon, chiefly of the mucosa and submucosa, manifested by cramping abdominal pain, rectal bleeding, and loose discharges of blood, pus, and mucus with scanty fecal particles.


It was collagenous colitis, ty ty ty!
Subject: It was collagenous colitis, ty ty ty!


s/l starcoral colitis
Subject: s/l starcoral colitis

The patient had a CT scan that also showed a very distended rectum and a question was raised as to whether the patient could have s/l starcoral colitis
Med for colitis s/l fluorista nm
Subject: Med for colitis s/l fluorista nm

.
Pseudomembranous colitis
Subject: Pseudomembranous colitis


pseudomembranous colitis
Subject: pseudomembranous colitis

nm
Found that, which would be my guess but he specifically spells WeTson. nm,
Subject: Found that, which would be my guess but he specifically spells WeTson. nm,


Nevermind, I am going to flag it as he specifically states "inhaler," thanks anyway.
Subject: Nevermind, I am going to flag it as he specifically states "inhaler," thanks anyway.


Does doc state this is specifically for the hypertension or does the patient have other problems thi
Subject: Does doc state this is specifically for the hypertension or does the patient have other problems this can be for?


Sounds good, but I specifically hear "fish." Thanks you two for trying! nm
Subject: Sounds good, but I specifically hear "fish." Thanks you two for trying! nm

nm
Tomby plate? He specifically says T as in Tom.. I have heard of Combi, any ideas?
Subject: Tomby plate? He specifically says T as in Tom.. I have heard of Combi, any ideas?

This is for fixation of trimalleolar ankle fracture.  Any ideas?


? mesalamine (Asacol) -- pt. with colitis. (nm)
Subject: ? mesalamine (Asacol) -- pt. with colitis. (nm)