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Thank you, had to add that to my book under small bowel!

Posted By: Thanks NM on 2008-02-13
In Reply to: intussusception nm - Hoku

Subject: Thank you, had to add that to my book under small bowel!

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small bowel ???
Subject: small bowel ???

Could anyone help me with this.  Not sure what he is saying. 


The small bowel s/l murals or better and appears normal throughout.


Any help would be greatly appreciated!


Jan


 


 


Small bowel ???
Subject: Small bowel ???

Yes, that would be helpful. Here is most of the paragraph:
A small bowel series was performed alternating AP and PA studies at 15-minute intervals for 2 hours. The small bowel {s/l murals or better} and appears normal throughout. There is no unsual dilatation, segmentation, or mass lesion.

small bowel series
Subject: small bowel series

Is there such a thing as "small bowel murals"?  thanks
Small bowel s/l interception
Subject: Small bowel s/l interception

x
maybe small bowel murals ARE
Subject: maybe small bowel murals ARE

better? has the patient had an endo exam before, or is this a followup x-ray? there are mural stratifications.
Please help - small bowel obstruction
Subject: Please help - small bowel obstruction

This entire one is kicking my butt, anyone have a clue what words could be filled in here?


HISTORY:  Abdominal pain.


FINDINGS:  (Gassy) (sounds like istiltation) is noted of the small bowel.  Degenerative changes noted within the (sounds like rockel) lumbar spine and (sounds like isolate destruction) is noted of the left tip. 





 


small-bowel when to hypen
Subject: small-bowel when to hypen

I have been having trouble with hyphens lately. I usually have typed small-bowel disease. Now I get small bowel Crohn's disease and think that there should be no hyphen because it precedes an adjative and not a noun. Is this correct? Thanks all.
Could be small bowel if you are in the intestines/colon.
Subject: Could be small bowel if you are in the intestines/colon.


I meant small bowel murals are better.
Subject: I meant small bowel murals are better.


Small bowel is the anatomic term. It is
Subject: Small bowel is the anatomic term. It is

not small (like little) bowel obstruction but "small bowel" obstruction as opposed to "large bowel" obstruction.

Well he had a laparotomy with adhesiolysis, and enterotomy with small-bowel decompression...
Subject: Well he had a laparotomy with adhesiolysis, and enterotomy with small-bowel decompression...

His postoperative course was complicated by prolonged postoperative ileus. He has Small bowel obstruction secondary to adhesions.
Hypokalemia.
Anemia.
Hypertension.
Ankylosing spondylitis.
Left tibial plateau fracture.

"Gaseous" dilatation is noted in the small bowel.. does this sound correct?
Subject: "Gaseous" dilatation is noted in the small bowel.. does this sound correct?


status post subtotal gastrectomy and [s/l comp anastomosis] to the small bowel..
Subject: status post subtotal gastrectomy and [s/l comp anastomosis] to the small bowel..


Long shot here... "outpouching or uniform dilatation along a short segment of small bowel." nm
nm
Thanks! Saw it in Equip book, but not cardiac book.
Subject: Thanks! Saw it in Equip book, but not cardiac book.

Go figure.

:o}
Stedman's Medical Equipment terms book or the Ortho terms book would help. nm
Subject: Stedman's Medical Equipment terms book or the Ortho terms book would help. nm

x
Compound modifiers (small to moderate amount vs. small-to-moderate amount...sm
Subject: Compound modifiers (small to moderate amount vs. small-to-moderate amount...sm

I'm stumped and probably should really know this, but can anyone tell me why small to moderate amount is not hyphenated? Why it does not meet the criteria for a compound modifier?
Bowel
Subject: Bowel

This is a CT result.  Is it mild 'stranding' around loops of small bowel?


Thanks!


Bowel Rest
Subject: Bowel Rest

I need to know what the protocal is for bowel rest. Does anyone have a clue? Thanks
Bowel loops? nm
Subject: Bowel loops? nm


bowel rest?
Subject: bowel rest?

Dictation states "Patient was started on an IV antibiotic with Flagyl and Zosyn and placed on bowel rest with IV fluids."   Sounds something like bowarest - is there a medication similar to this?  Not sure if bowel rest make sense?  Thanks! 
What is bowel obstruction??
Subject: What is bowel obstruction??

..
Have NEVER seen "small bowel"
Subject: Have NEVER seen "small bowel"

x
bowel rest, maybe?
Subject: bowel rest, maybe?


Bowel s/l "apne"
Subject: Bowel s/l "apne"

Pt is using Percocet, which may be causing bowel s/l "apne", but cannot find anything like that.  Can anyone help?


bowel atony?
Subject: bowel atony?


bowel apne
Subject: bowel apne

That's it!!!  Thank you soooo much...
foreign bowel movements
Subject: foreign bowel movements

The pt is moving his bowels twice a day s/l foreign bowel movements.


He had constipation on Detrol. Now he is off it.


Tinjum bowel habits?
Subject: Tinjum bowel habits?

I can't figure out what this doctor is saying. He is decribing the patients bowel habits. It sounds like he is saying "Tinjum" bowel habits. Any suggestions?


Slash8789


could it be "changing" bowel habits???
Subject: could it be "changing" bowel habits???

nm
could it be "changing" bowel habits???
Subject: could it be "changing" bowel habits???

Thank you so much! After seeing your reply I went back to hear the dictation and I was trying to hear "changing" and instead I heard "change in" bowel habits. Again, Thank you!
bowel sounds with scaling...
Subject: bowel sounds with scaling...

Normal active bowel sounds with scaling over anterior abdominal wall.  Is scaling correct?
normoactive bowel sounds. nm
Subject: normoactive bowel sounds. nm

s
s/l metal schmertz bowel ?...sm
Subject: s/l metal schmertz bowel ?...sm

I think she may have a splenic flexure syndrome.  We are going to continue with observation.  It may have been an element of s/l "metal schmertz bowel".   Flate plate showed a large amount of gas.


TIA


 


 


"mittelschmerz" but not related to bowel. sm
Subject: "mittelschmerz" but not related to bowel. sm

You might be missing a word or have heard an extra one? mittelschmerz is related to ovulation.
Would bowel make sense there?
Subject: Would bowel make sense there?


irritable bowel syndrome, sorry... nm
Subject: irritable bowel syndrome, sorry... nm

nm
you are correct...bowel rest
Subject: you are correct...bowel rest

/
S/L Davidson get grasper (for bowel)?
Subject: S/L Davidson get grasper (for bowel)?

Thanks!  Happy New Year!  ');>
maybe "visualized bowel loops" ? nm
Subject: maybe "visualized bowel loops" ? nm


Diplopia of large bowel?
Subject: Diplopia of large bowel?

Report for laparoscopy. There were filmy adhesions from the posterior cul-de-sac to diplopia of large bowel and one adhesion from diplopia to the right ovary.

I have never heard of this before and cannot find another meaning for diplopia other than double vision. She repeats this 4 or 5 more times. HELP!!
adequacy of her overall bowel prep???
Subject: adequacy of her overall bowel prep???

adequacy of overall bowel prep????
adequacy of her overall bowel prep>
Subject: adequacy of her overall bowel prep>

adequacy of her overall bowel prep???
adequacy of her overall bowel prep??
Subject: adequacy of her overall bowel prep??

adequacy of her overall bowel prep??
Nickel's bowel prep?
Subject: Nickel's bowel prep?

He says it very clearly but I cannot find it online or in any of my books.  Anyone every hear of Nickel's bowel prep?  Thanks.


pain and bloody (bowel) movements
Subject: pain and bloody (bowel) movements

usually go under "complaints", and not generally under the physical exam. On the other hand, "tenderness" could go under PE.
Contrast agent? Bowel prep?
Subject: Contrast agent? Bowel prep?

Can't find "UltraLite" online pertaining to contrast agent, but the context of the word is making me think along those lines. Possibly a bowel prep?
s/l laysharf clamp during bowel resection
Subject: s/l laysharf clamp during bowel resection

he places a laysharf? clamp on bowel just prior to resecting. Could it be LigaSure?
Air contrast upper GI w/sm bowel follow thru SM
Subject: Air contrast upper GI w/sm bowel follow thru SM

He says: Stomach and duodenum appear normal.  Small bowel appears normal.  s/l "Spinal meningismus" and terminal ileum appear normal. 


I may kill this guy before the night is over.  <sigh> 


*hafciamine* 0.0375 for irritable bowel
Subject: *hafciamine* 0.0375 for irritable bowel


2. Bowel sounds were active throughout the ABDOMEN.
Subject: 2. Bowel sounds were active throughout the ABDOMEN.

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