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Mucosal or sputum thickening?

Posted By: Spice on 2006-02-16
In Reply to: double thickening? - MT Newbie

Subject: Mucosal or sputum thickening?

nm




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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? 


Can you hear mucosal?
Subject: Can you hear mucosal?

x
o be a mucosal fibroma or *vericivovulgaris* lesion??? Thanks. nm
Subject: o be a mucosal fibroma or *vericivovulgaris* lesion??? Thanks. nm

nm
maybe thickening
Subject: maybe thickening


double thickening?
Subject: double thickening?

This is a female patient who presents for cough, nasal congestion, body aches, and a minimal _____ thickening history going on for about 1 week.  She is having some sinus and chest congestion. 


s/l double?


periosteal thickening ?
Subject: periosteal thickening ?


capsular thickening? nm
Subject: capsular thickening? nm


s/l Bi Athical pleural thickening??
Subject: s/l Bi Athical pleural thickening??


Scattered pleural thickening?.....nm
Subject: Scattered pleural thickening?.....nm

nm
intravalvular pulmonal septal thickening? Thanks. nm
Subject: intravalvular pulmonal septal thickening? Thanks. nm


Interalveolar and pulmonary septal thickening? nm
Subject: Interalveolar and pulmonary septal thickening? nm


smooth bursal surface thickening?
Subject: smooth bursal surface thickening?

Possibly...
maybe "no atrial wall thickening" ? nm
Subject: maybe "no atrial wall thickening" ? nm


Thickening along the right "pavitzwer" fold in perianal area??
Subject: Thickening along the right "pavitzwer" fold in perianal area??

Really guessing on the sounds like here.  Big time mumbler.   The patient has a scrotal perianal mass.  The perianal area shows some slight thickening in the "pavitzwer" fold.


Any clues?


thickening or "whiskering" of the normal perinephric septa
Subject: thickening or "whiskering" of the normal perinephric septa

dd
pleural thickening is noted along the minor s/l "fissure" on the right???
Subject: pleural thickening is noted along the minor s/l "fissure" on the right???


Thanks, but it s/l smooth (pear-ass-ol) thickening; he is talking about a leg injury. nm
Subject: Thanks, but it s/l smooth (pear-ass-ol) thickening; he is talking about a leg injury. nm


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


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


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


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