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doc says under general infant does not appear to be s/l Coxic???does he mean colicky?

Posted By: Ped help on 2007-09-18
In Reply to:

Subject: doc says under general infant does not appear to be s/l Coxic???does he mean colicky?




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Here's a general ROS in general order : sm
Subject: Here's a general ROS in general order : sm

(they go from head to toe):

Constitutional, HEENT, Respiratory, (sometimes they give lymphatics before respiratory), Gastrointestinal, Genitourinary, Musculoskeletal (sometimes they say Neuromuscular),
Neurologic,
Endocrinologic, Hematologic,
Psychiatric,
Immunologic/Allergies.

What's missing in your review?
Is this for an infant?
Subject: Is this for an infant?

Could be anterior fontanel soft and flat...gotta love those docs who abbreviate everything imaginable...


even for an infant? more
Subject: even for an infant? more

The Yale score I read about appeared to be a psychological test and this was just a baby, just a few months old.
Is this for an infant? If so, I would say
Subject: Is this for an infant? If so, I would say

startle reaction.
yep - infant exam so this must be it - boy
Subject: yep - infant exam so this must be it - boy

you are good - thank you so much!

I've been doing this a long time and never heard AFOF before!
Help with general term...sm
Subject: Help with general term...sm

She says this in the past medical history - negative for any health problems or s/l "renal or anginal disease." But that doesn't make sense as a general term to say.


Thanks!


S/L general ways
Subject: S/L general ways

Patient is ready to be admitted for outpatient surgery tomorrow for right hemicolectomy.  When awakened this morning he felt this sharp pain in his right upper quadrant, started having some nausea *** to upper fever of way over 102.  (after nausea is sounds like he says general ways to upper fever..."can that be right)?  thanks
general malaise? nm
Subject: general malaise? nm


Infant exam
Subject: Infant exam

Doc has a very British accent - dictating s/l Aplins, or Uplins, or Eplins. I've never heard anything like this, but I've never typed infant reports (but not sure if this is exclusive to that or not).

Head and neck: No craniofacial asymmetry, no torticollis, full eye movements.

Spine: No visible or palpable abnormally.

??: She moves these actively with all joints. Passively there is full movement. There are no deformities.

General anesthesia with the use of an s/l LME?
Subject: General anesthesia with the use of an s/l LME?


What is the general consensus on this....sm
Subject: What is the general consensus on this....sm

20-pack-year smoking history or ????


Thanks in advance.


ps: Tara, if your online, I've got the file you need.  I'll zip it and send......


infant delivery
Subject: infant delivery

The cord was double clamped and cut and the infant was taken to stabelette?? for evaluation.  I'm pretty sure what he is saying is not stabelette (s/l stable-let) but that is what it sounds like. 


general word help
Subject: general word help

On physical doc says slight s/l cog wheeling or something to that nature to explain upper extremities at the elbow.  Any ideas?? Cannot find word. 
GET - general endotracheal
Subject: GET - general endotracheal


Yes, that's right. It means in general.
Subject: Yes, that's right. It means in general.


Can a general anesthesia be..
Subject: Can a general anesthesia be..

given in "intravenous intubation"?  I thought intubation was only a tube in a hollow organ, like the stomach.  
General surgeon does, too. nm
Subject: General surgeon does, too. nm


type of infant formula?
Subject: type of infant formula?

Feeding regimen is ** Persobe** 24 kilocalories/ounce


I guess it has been longer than I thought. LOL Is it possible to be per Sobe? When I look up Sobe, I just get the drink you buy at the store. Thanks!


General exam would be fine. (nm)
Subject: General exam would be fine. (nm)

.
back exam for infant
Subject: back exam for infant

S/l - the back showed no toss (does not s/l loss) of hair. 
Just a general question on format
Subject: Just a general question on format

I have been using these forums for a while now and I keep seeing people using "nm" and "sm". What does this mean?

nm = no message
sm = see message

Just a guess


This is probably so off the mark, but could it be general mask?
Subject: This is probably so off the mark, but could it be general mask?


It is Kreiselman (infant warmer)
Subject: It is Kreiselman (infant warmer)

xx
general range or gommelin????
Subject: general range or gommelin????

Not able to apply my logic.


Her _____(gommelin / general range) is unchanged and she is pleased with it.


The patient has headaches and also for knee problem.  Also not dictating under physical examination.


Isolette infant warmer (nm)
Subject: Isolette infant warmer (nm)


Infant? If not here is a link of some supplements.
Subject: Infant? If not here is a link of some supplements.

http://www.healthtouch.com/bin/EContent_HT/drugShowLfts.asp?fname=usp0681.htm&title=MCT+Oil+%2C+Enteral+Nutrition+Formula%2C+Modular&cid=HT


 



  • Accupep HPF 9
  • Advera 2
  • Alitraq 9
  • Amin-Aid 2
  • Attain 10
  • Carnation Instant Breakfast 7
  • Carnation Instant Breakfast No Sugar Added 7
  • Casec 8
  • CitriSource 10
  • Citrotein 10
  • Compleat Modified 1
  • Compleat Regular 1
  • Comply 10
  • Criticare HN 9
  • Crucial 2
  • Deliver 2.0 10
  • DiabetiSource 2
  • Elementra 8
  • Ensure 10
  • Ensure with Fiber 6
  • Ensure High Protein 10
  • Ensure HN 10
  • Ensure Plus 10
  • Ensure Plus HN 10
  • Entrition Half-Strength 10
  • Entrition HN 10
  • Fiberlan 6
  • Fibersource 6
  • Fibersource HN 6
  • Glucerna 2
  • Glytrol 3
  • Great Shake 7
  • Great Shake Jr 7
  • Hepatic-Aid II 2
  • Immun-Aid 2
  • Impact 2
  • Impact with Fiber 3
  • Introlan 10
  • Introlite 10
  • Isocal 10
  • Isocal HN 10
  • Isolan 10
  • Isosource 10
  • Isosource HN 10
  • IsoSource VHN 6
  • Isotein HN 10
  • Jevity 6
  • Kindercal 6
  • Lipisorb 2
  • Magnacal 5
  • MCT Oil 8
  • Menu Magic Instant Breakfast 7
  • Menu Magic Milk Shake 7
  • Meritene 7
  • Microlipid 8
  • Moducal 8
  • Nepro 2
  • NuBasics 10
  • NuBasics with Fiber 6
  • NuBasics Plus 10
  • NuBasics VHP 10
  • Nutren 1.0 10
  • Nutren 1.5 10
  • Nutren 2.0 5
  • Nutren 1.0 with Fiber 8
  • NutriHep 2
  • Nutrilan 10
  • NutriVent 2
  • Osmolite 10
  • Osmolite HN 10
  • Pediasure 10
  • Pediasure with Fiber 6
  • Peptamen 4
  • Peptamen Junior 4
  • Peptamen VHP 4
  • Perative 2
  • Polycose 8
  • Pre-Attain 10
  • ProBalance 6
  • Profiber 6
  • ProMod 8
  • Promote 10
  • Promote with Fiber 6
  • Propac Plus 8
  • Protain XL 2
  • Pulmocare 2
  • Reabilan 9
  • Reabilan HN 9
  • Replete 10
  • Replete with Fiber 6
  • Resource 10
  • Resource Plus 10
  • Respalor 2
  • SandoSource Peptide 9
  • 206 Shake 7
  • Sumacal 8
  • Suplena 2
  • Sustacal 10
  • Sustacal Basic 10
  • Sustacal with Fiber 6
  • Sustacal Plus 10
  • Sustagen 7
  • Tasty Shake 7
  • Tolerex 9
  • TraumaCal 2
  • Traum-Aid HBC 2
  • Travasorb HN 9
  • Travasorb Renal Diet 2
  • Travasorb STD 9
  • TwoCal HN 10
  • Ultracal 6
  • Ultralan 10
  • Vital High Nitrogen 9
  • Vitaneed 1
  • Vivonex Pediatric 9
  • Vivonex Plus 9
  • Vivonex T.E.N. 9

Sechrist infant ventilator nm
Subject: Sechrist infant ventilator nm


[car/pulm] infant with pierdowski?
Subject: [car/pulm] infant with pierdowski?

5-day-old infant with episode of bradycardia.


the infant was noted to have by auscultation 4 episodes of heart rate in the 80s.  She had a peirdowski? OR POSSIBLY She had appeared ____?


Doc has a thick Spanish/Portuguese accent. I am really stumped by this and curious as to what it could be.


It's just under and Objective/General section
Subject: It's just under and Objective/General section


catheter general hear or read it as smi
Subject: catheter general hear or read it as smi

JR5 (Judkins right 5)  (JL5 Judkins left 5) etc
HEENT on infant "echidenals are normal" NM
Subject: HEENT on infant "echidenals are normal" NM

x
Could they be a GM (General Motors) employee? Can't find much else under G's and J's in Flo
Subject: Could they be a GM (General Motors) employee? Can't find much else under G's and J's in Florida. nm

s
Dr. Mumbler - infant with respiratory distress SM
Subject: Dr. Mumbler - infant with respiratory distress SM

was placed on albuterol nebulizers and a second nebulizer of s/l protalbium was added every 6 hours.  Can't find a s/l on drugs.com or rxlist.com.  Any takers/new ears? TIA
usual NB/infant dose is up to max 0.1mg/kg body wt q 6 hrs 30 min ac. SM
Subject: usual NB/infant dose is up to max 0.1mg/kg body wt q 6 hrs 30 min ac. SM

Metoclopramide for the Treatment of Gastroesophageal Reflux ...Three studies tested response to 1 dose of metoclopramide, ... Dose-response study of metoclopramide in gastroesophageal reflux in infancy. ...
pediatrics.aappublications.org/cgi/content/full/118/2/746 - Similar pages

National Women's Newborn Drug Protocol - Metoclopramide Pharmacology0.03-0.1 mg/kg/dose by slow IV infusion over 30 minutes, ... Indications. Impaired gastric emptying and gastrointestinal motility. Gastroesophageal reflux. ...
www.adhb.govt.nz/newborn/DrugProtocols/MetoclopramidePharmacology.htm - 5k - Cached - Similar pages

Gastroesophogeal Reflux (GERD) Medications in PregnancyMetoclopramide (Reglan). Manufacturer's information on mice, rats, and rabbits given doses up to 250 times the human dose, showed no evidence of fetal harm ...
www.fetal-exposure.org/REFLUX.html - 17k - Cached - Similar pages

ScienceDirect - The American Journal of Medicine : An overview of ...An overview of reflux-associated disorders in infants: apnea, laryngospasm, ... mg/kg/dose 4 times daily) followed by metoclopramide (0.1 mg/kg/dose 4 times ...
linkinghub.elsevier.com/retrieve/pii/S0002934301008233 - Similar pages

ScienceDirect - The American Journal of Medicine : Management of ...Metoclopramide, in a dose of 0.l mg/kg/dose (up to 5 mg) four times daily, also increases ... Positioning for prevention of infant gastroesophageal reflux. ...
linkinghub.elsevier.com/retrieve/pii/S0002934399003538 - Similar pages

FIRSTConsult - Gastroesophageal reflux in children - Medical Topic ...Metoclopramide, thickened feedings, and positioning for gastro-oesophageal reflux in ... Feed thickener for newborn infants with gastro-oesophageal reflux. ...
www.firstconsult.com/fc_home/public/?action=view_article&id=1016309&type=101&bref=1&PHPSE... - Similar pages

I work for a general surgeon who dictates...sm
Subject: I work for a general surgeon who dictates...sm

sestamibi scan on all his parathyroid patients...........


and google to back it up:



Sestamibi Scan for Parathyroid Disease. Sestambi parathyroid x-ray ...





Sestamibi Scan for parathyroid disease and Sestamibi x-ray for parathyroid tumors. The Sestamibi scan finds the diseased parathyroid gland.
www.parathyroid.com/sestamibi.htm - 49k - Cached - Similar pages


Parathyroid Sestamibi Scan Technical Page: How Parathyroid ...





Sestamibi Scan for parathyroid disease and hyper-parathyroid disease. The parathyroid Sestamibi scan finds the diseased parathyroid gland and can be used ...
parathyroid.com/Sestamibi-Technical.htm - 65k - Cached - Similar pages


Sestamibi scanning for Parathyroid tumors and adenomas.





Hgh quality sestamibi scan shows a single parathyroid adenoma. ... The Sestamibi scan will display the hyperactive gland which is causing ...
www.endocrineweb.com/sestamibi.html - 9k - Cached - Similar pages


Sestamibi scan - Wikipedia, the free encyclopedia





A sestamibi scan of the parathyroid gland is a nuclear medicine procedure which is performed to identify hyperparathyroidism (or parathyroid adenoma). ...
en.wikipedia.org/wiki/Sestamibi_scan - 17k - Cached - Similar pages

 


Infant s/l ?yell? or ?Yale? score of 6.
Subject: Infant s/l ?yell? or ?Yale? score of 6.

Thanks!
Is this epidural or general? They usually test the skin if
Subject: Is this epidural or general? They usually test the skin if

s
s/l ETOX rash in infant with jaundice..
Subject: s/l ETOX rash in infant with jaundice..

REALLY sounds like ETOX.   I considered detox but can't reference AND there really is no D sound at all.  Can anyone help?

 

Thanks! 

C-sec: infant suctioned with s/l a dully suction
Subject: C-sec: infant suctioned with s/l a dully suction

X
He is under general anesthesia so in no pain, not awake.. nm
Subject: He is under general anesthesia so in no pain, not awake.. nm

.
infant surgery, a s/l trans??? warming pad? nm
Subject: infant surgery, a s/l trans??? warming pad? nm

/
Infant is receiving Tylenol and s/l Sweetease...nm
Subject: Infant is receiving Tylenol and s/l Sweetease...nm

nm
"bare" stellate block or general sm
Subject: "bare" stellate block or general sm

We are going to go ahead and schedule this patient for surgery for a left carpal tunnel release and a left first dorsal compartment release under a stellate block. The patient may have a s/l "bare" block or a general depending on what her and the anesthesiologist decide.
BloodSTOP™ Hemostatic General Gauze?
Subject: BloodSTOP™ Hemostatic General Gauze?


General rule of thumb for hyphenation is - sm
Subject: General rule of thumb for hyphenation is - sm

If you can't find it as one word in the Merriam-Webster dictionary, then you should hyphenate it. 
ENT? general anesthesia with apneic oxygenation - nm
Subject: ENT? general anesthesia with apneic oxygenation - nm

x
eumorphic? features (infant exam)
Subject: eumorphic? features (infant exam)

I cannot seem to document this.  Has anybody else heard it before or know what it means? ty
bilirubin level -infant jaundice
Subject: bilirubin level -infant jaundice

This is a 4 day old infant with jaundice.  The doctor states the baby has rising "transbutating"? bilirubin levels.  I cannot catch the "trans" word- it sounds like transmutating, transfutating...  Any ideas? 
Infant with URI. Mother will be given instructions from the s/l Med-Hose system?!!!
Subject: Infant with URI. Mother will be given instructions from the s/l Med-Hose system?!!!

Anyone???!!!
it's general term to describe the statin drugs
Subject: it's general term to describe the statin drugs

nm
Probably general LMA (laryngeal mask airway) anesthesia. nm
Subject: Probably general LMA (laryngeal mask airway) anesthesia. nm

s