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The patient developed shock liver, s/l icture, and coagulopathy. Help??

Posted By: MSmt on 2009-04-21
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Subject: The patient developed shock liver, s/l icture, and coagulopathy. Help??




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shock liver picture?
Subject: shock liver picture?


Does patient have coagulopathy? or any more info? sm
Subject: Does patient have coagulopathy? or any more info? sm

Could be AquaMEPHYTON if needing vitamin K for coag, is given subcutaneous.
The patient then s/l transfused with orthopedic s/l carotid coagulopathy???
Subject: The patient then s/l transfused with orthopedic s/l carotid coagulopathy???

The patient then s/l transfused with orthopedic s/l carotid coagulopathy???


 


i tried hearing with really slow speed still hearing the word orthopedic and he is stuttering with carotid....


Cardiology - Unexplained shock s/l choresepsis superimposed on cardiogenic shock. TIA
Subject: Cardiology - Unexplained shock s/l choresepsis superimposed on cardiogenic shock. TIA

nm
The patient developed *pseudoligiduosis* and received antituberculosis medication....
Subject: The patient developed *pseudoligiduosis* and received antituberculosis medication....

He is not saying pseudotuberculosis. Anyone have an idea?
patient with plegia in the legs developed *psydoabrominemic* dissociation?? Thanks. nm
Subject: patient with plegia in the legs developed *psydoabrominemic* dissociation?? Thanks. nm

nm


type of coagulopathy
Subject: type of coagulopathy

Severe s/l conceptious coagulopathy sepsis. 
is there such a thing as S/L Plavix? coagulopathy
Subject: is there such a thing as S/L Plavix? coagulopathy


There is also streptococcal toxic shock? sm
Subject: There is also streptococcal toxic shock? sm


Group A streptococcal meningitis and toxic shock syndrome caused ...




Group A streptococcal meningitis and toxic shock syndrome caused by a protein M type 3 strain producing exotoxin C. Guibert M, Livartowski J, Brivet F, ...
www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve& db=PubMed&list_uids=9177970&dopt=Abstract - Similar pages


The Pediatric Infectious Disease Journal - Fulltext: Volume 20(1 ...




Fatal group A streptococcal meningitis and toxic shock-like syndrome: case report. Clin Infect Dis 1994; 18: 91-3. [Medline Link] [Context Link] ...
www.pidj.com/pt/re/pidj/fulltext.00006454-200101000-00028. htm;jsessionid=Dq3unG5E2Gm3ctKRqbi1AfxEROiemj1V... - 22k - Cached - Similar pages

Streptococcus pyogenes meningitis Mathur Purva , Arora NK, Kapil ...




Fatal Group A streptococcal meningitis and toxic shock like syndrome: Case report. Clin Infect Dis 1994; 18 (1) : 91-93. Back to cited text no. 10 ...
www.ijppediatricsindia.org/article.asp?issn=0019-5456; year=2004;volume=71;issue=5;spage=423;epage=426;aul... - 41k - Cached - Similar pages

NEJM -- Invasive Group A Streptococcal Infections in Ontario, Canada


toxic shock syndrome or
Subject: toxic shock syndrome or

toxidrome syndrome maybe?
A well-developed, well-nourished man. BUT....
Subject: A well-developed, well-nourished man. BUT....

The man was well developed and well nourished.
Maybe it's "unexplained shock or sepsis superimposed ..." nm
Subject: Maybe it's "unexplained shock or sepsis superimposed ..." nm

x
Unexplained shock or sepsis superimposed on...
Subject: Unexplained shock or sepsis superimposed on...


electroconvulsive therapy, or electric shock
Subject: electroconvulsive therapy, or electric shock

is used for severe depression and a couple other things.  Sounds barbaric but it is making a resurgence and found to be effective. 


extracorporeal shock wave lithotripsy
Subject: extracorporeal shock wave lithotripsy

Never heard it as electric shock wave litho in over 15 years of transcription. Only ESWL - extracorporeal shock wave lithotripsy.
He has not been on any antibiotics since the surgery, but he has developed, unfortunately, diarrhea
Subject: He has not been on any antibiotics since the surgery, but he has developed, unfortunately, diarrhea

He has not been on any antibiotics since the surgery, but he has developed, unfortunately, diarrhea which occurs usually with eating four to five times a day. 
developed surgical wound s/l daysins?
Subject: developed surgical wound s/l daysins?

developed surgical wound s/l daysins?, so wound packing was started for the pat with s/l vacuum?
Maybe ESWL (extracorporeal shock wave treatment) or corticosteroids. nm
Subject: Maybe ESWL (extracorporeal shock wave treatment) or corticosteroids. nm

s
inject his bursa and give him some 'compound and shock strips'
Subject: inject his bursa and give him some 'compound and shock strips'

Here is the question for those who don't care to open such a vague post.
Hi agree, there seems to be a Dr. Howard An who developed a technique of this kind.
Subject: Hi agree, there seems to be a Dr. Howard An who developed a technique of this kind.


floridly in this case means fully developed. sm
Subject: floridly in this case means fully developed. sm

It can also mean reddish color.
Pt has strep throat and has developed fever blisters. sm
Subject: Pt has strep throat and has developed fever blisters. sm

Has been applying s/l tarmex and Vaseline. Thanks!
he subsequently developed s/l rapher-ver-sus-host disease. sm for complete infor. sm
Subject: he subsequently developed s/l rapher-ver-sus-host disease. sm for complete infor. sm

Mr. K is a 52-year-old gentleman who is status post alogenic-matched sibling transplant for a chronic myelogenous leukemia in March of 2000.  He subsequently developed mild chronic rapher-ver-sus-host disease.


developed a *violasis* papular rash over the thighs, buttocks and arms. Thanks. nm
Subject: developed a *violasis* papular rash over the thighs, buttocks and arms. Thanks. nm

nm
pt. developed progressive renal insuff & underwent s/l pro-sid-ious? which involved dye infusion
Subject: pt. developed progressive renal insuff & underwent s/l pro-sid-ious? which involved dye infusion


So, is Yale correct? Perhaps the score was developed at Yale University?? nm
Subject: So, is Yale correct? Perhaps the score was developed at Yale University?? nm

.
Liver
Subject: Liver

The liver is four finger lengths or finger breaks below the right costal margin. I can't quite make out what he's saying. Thank you.


Liver
Subject: Liver

"Louee's-man" in lateral segment of left liver lobe?
Liver
Subject: Liver

nm
liver MRI
Subject: liver MRI

An MRI with s/o eovisc contrast?
Liver, maybe...
Subject: Liver, maybe...


liver
Subject: liver

The liver is slightly [s/l slender] but not greatly enlarged.


Does the slender part make sense? That is what it sounds like they are saying.


long liver
Subject: long liver

I posted this on the main board and it disappeared so I'm trying again.  Word help is not what I'm looking for though.  I'm trying to find information on having a long liver....not an enlarged liver, but a long liver which I have been told can be a normal variant.  In searching google for abnormal, long, length, etc., I am not coming up with anything pertaining to a long liver.  I know it sounds weird.  It is not a common thing to have but some people do and I would like more information.  TIA.
...studding on liver...pls sm
Subject: ...studding on liver...pls sm

Patient has colon cancer, an advanced cancer both locally and had studding on his liver. Is studding correct? Have never heard that! TIA
liver oil and that CoQ 10? Just a guess. nm
Subject: liver oil and that CoQ 10? Just a guess. nm


Liver resection OP help
Subject: Liver resection OP help

Okay I've had this several times but 9 a.m. was a long time ago and for the life of me it will not surface to the necessary area of the brain!


Doing segment 7 liver resection with (S/L habeeb or abeeb) ____ assisted RFA.


also


 We then used the (s/l ocuser / cusor / coose )__________ instrument to transect the liver parenchyma more deeply down to the surface of the middle hepatic vein.


s/l hypokevmasis in the liver..sm
Subject: s/l hypokevmasis in the liver..sm

Abdominal ultrasound revealed, with the impression of, liver measured 16.5-cm, slight increased echo texture throughout the liver consistent with fatty infiltration.  Within the left liver lobe there was a s/l "hypokevmasis"...


 


Thanks for all help. 


liver failure
Subject: liver failure

tense ascites and caput medusae
Liver edge???
Subject: Liver edge???

Another wild guess.
s/l liver parentula
Subject: s/l liver parentula

We have recommended that she continue sensible weight loss, avoid hepatotoxic medications, unnecessary medications, herbal remedies or vitamins, and we will obtain an ultrasound to evaluate liver s/l parentula.

TIA!!!
liver parenchyma?
Subject: liver parenchyma?

nm
liver parenchyma
Subject: liver parenchyma

It's liver parenchyma .... wow does she say it wrong!

Thanks to all.
s/l seeded her liver
Subject: s/l seeded her liver

I see little reason to re-colonoscope her at this point, as she almost certainly had a site of diverticulitis which s/l seeded her liver.

TIA!!
May be liver retractor?
Subject: May be liver retractor?

Nathanson Hook Liver Retractors. Found on Google. I also have a liver retractor in my Surgical Word Book.
liver transplant ... sm
Subject: liver transplant ... sm

Seen improvement since s/l CALINURIME discontinued. 


Current immunosuppresant is CellCept and s/l CHIRONOMUS.


 thank you!!


 


Liver donor
Subject: Liver donor

Patient donated part of his liver to mother b/c she had what sounds like epi tep sy.


Definitely not epilepsy.  Any clues? 


hepar=liver nm
Subject: hepar=liver nm


lobe of the liver?
Subject: lobe of the liver?


LSR? liver/speen ratio (nm)
Subject: LSR? liver/speen ratio (nm)

x
Question on liver failure. sm
Subject: Question on liver failure. sm

Patient comes back to see me today following her admission for significant hyperglycemia, dehydration, as well as transinic hepatic failure.


Another sentence is same report:  Patient comes back to see me today following her chemoembolization. Is still having some transinic hepatic dysfunction with elevated bilirubin.


There is a liver flap they may note on
Subject: There is a liver flap they may note on

neuro exam. I believe liver disease causes encephalitis and their hands flap in a characteristic way - liver flap. Try googling neurologic exam, liver flap.