| gastric insufficiency?  merely guessing herePosted By: not sure....no message on 2007-09-04In Reply to: s/l exshirt insufficiency SM - sassee
 
 Subject: gastric insufficiency?  merely guessing here
 
 
   
 
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 I'm guessing here - could be - gastric ulcers, gastric erosions, hemorrhages.
 Subject: I'm guessing here - could be - gastric ulcers, gastric erosions, hemorrhages.
 
 
 depends on context:  acute-on-chronic renal insufficiency or renal insufficiency, acute on chronic.
 Subject: depends on context:  acute-on-chronic renal insufficiency or renal insufficiency, acute on chronic.
 
 x
 renal insufficiency
 Subject: renal insufficiency
 
 
 We will check her electrolytes to make sure she did __________ any renal insufficiency.                                               S/l did not fillup  renal insufficiency?  nm
 Subject: renal insufficiency?  nm
 
 x
 aortic insufficiency
 Subject: aortic insufficiency
 
 
 1+ aortic insufficiency 
 I need help understanding the 1 plus. Any clues? This was on the pt's echocardiogram co-renal insufficiency?
 Subject: co-renal insufficiency?
 
 She has mild co-renal insufficiency.
 s/l exshirt insufficiency SM
 Subject: s/l exshirt insufficiency SM
 
 
 The pt. states that she does have some s/l exshirt insufficiency with some early satiety and bloating with meals.   
 Patient has pancreatic cancer.   2/6 or II/VI tricuspid insufficiency??
 Subject: 2/6 or II/VI tricuspid insufficiency??
 
 
 sacral ala insufficiency
 Subject: sacral ala insufficiency
 
 
 She has chronic renal insufficiency and will be followed by...
 Subject: She has chronic renal insufficiency and will be followed by...
 
 a s/l deme nephrologist.  thank you
 Can you hear hamstring insufficiency ?
 Subject: Can you hear hamstring insufficiency ?
 
 
 Which is correct - 2/6 or II/VI tricuspid insufficiency??
 Not sure how to write this??  Thanks!
 Nevermind; adrenal insufficiency
 Subject: Nevermind; adrenal insufficiency
 
 
 Maybe "mild chronic renal insufficiency"  nm
 Subject: Maybe "mild chronic renal insufficiency"  nm
 
 x
 MR (mitral regurgitation) and AI (aortic insufficiency)?
 Subject: MR (mitral regurgitation) and AI (aortic insufficiency)?
 
 
 Help, sounds like sacral alum insufficiency?? nm
 Subject: Help, sounds like sacral alum insufficiency?? nm
 
 ..
 Dr. could be referring to co-existing renal insufficiency; meaning,
 Subject: Dr. could be referring to co-existing renal insufficiency; meaning,
 
 accompanied by other diagnosis/diagnoses.
 lower extremity vesicular or vascular insufficiency?
 Subject: lower extremity vesicular or vascular insufficiency?
 
 not sure which he is saying
 She has no s/l scoteria or stouteria, so I do not think she has chronic pancreatic insufficiency
 Subject: She has no s/l scoteria or stouteria, so I do not think she has chronic pancreatic insufficiency
 
 
 Ever heard of Pegasus injections for liver insufficiency?  TIA
 Subject: Ever heard of Pegasus injections for liver insufficiency?  TIA
 
 
 venous insufficiency of the left leg probably from (post**s/l aldidic) syndrome
 Subject: venous insufficiency of the left leg probably from (post**s/l aldidic) syndrome
 
 
 Gastric dye?
 Subject: Gastric dye?
 
 
 gastric atony nm
 Subject: gastric atony nm
 
 
 or even gastric paresis? nm
 Subject: or even gastric paresis? nm
 
 s
 could it be that he is saying gastric polyposia?
 Subject: could it be that he is saying gastric polyposia?
 
 
   perhaps it is "on gastric"
 Subject: perhaps it is "on gastric"
 
 xx
 GI help s/l Gastric acne
 Subject: GI help s/l Gastric acne
 
 
 Anyone heard of this?  Thanks for your help gastric lumen?
 Subject: gastric lumen?
 
 n/m
 s/l gastric parathesis
 Subject: s/l gastric parathesis
 
 s/l gastric perithis or gastric partheis?
 shallow gastric ulcer
 Subject: shallow gastric ulcer
 
 
 i just would like to ask about shallow gastric ulcer?? pls.. is there such thing? thank you Rou-en-Y = gastric bypass surgery....
 Subject: Rou-en-Y = gastric bypass surgery....
 
 
 There is also the LAP-BAND (adjustable gastric band) which is the other gastric bypass surgery but the one with the least risks versus the Roux-en-Y. 
   
 
 is pt having gastric bypass surgery or had it?
 Subject: is pt having gastric bypass surgery or had it?
 
 
   I work for gastric bypass mds and it's always
 Subject: I work for gastric bypass mds and it's always
 
 
   Gastric pillar procedure? please sm
 Subject: Gastric pillar procedure? please sm
 
 
 I know there is a pillar procedure for snoring so it does not seem to fit.  This is a patient with esophageal cancer that had this procedure that sounds like gastric bullet procedure. Thanks in advance. 
   maybe borborygmi??? - gastric sounds (nm)
 Subject: maybe borborygmi??? - gastric sounds (nm)
 
 x
 maybe gastric outlet obstruction? nm
 Subject: maybe gastric outlet obstruction? nm
 
 
 s/l cystic gastric ulcers? Help!
 Subject: s/l cystic gastric ulcers? Help!
 
 
 *nm* Also used for  bedwetting and gastric problems.
 Subject: Also used for  bedwetting and gastric problems.
 
 
 Gastric Band type sm
 Subject: Gastric Band type sm
 
 
 PROCEDURE PERFORMED:  Laparoscopic adjustable gastric band with a AP standard S/L INTERMITTENT, ENDOMED or INTUMET band.  But I cannot find any of these listed in my references or on the internet HELP PLEASE!!!! lol 
   gastric emptying study
 Subject: gastric emptying study
 
 nm
 shallow gastric ulcer - correct
 Subject: shallow gastric ulcer - correct
 
 
 thanks for the confirmation about "shallow gastric ulcer!"
 Subject: thanks for the confirmation about "shallow gastric ulcer!"
 
 thanks a lot
 Does this make sense?  Gastric bypass, sm
 Subject: Does this make sense?  Gastric bypass, sm
 
 I cannot confirm this "type" of trocar.  It does not s/l "Veirs"-type trocar to me.
 
 An incision was made above and to the left of the umbilicus, through which a #5/12 Visiport US Surgical trocar was inserted under direct vision into the peritoneal cavity.  This was followed by placing another #5/12 trocar in the left upper quadrant.  Another #5/12 trocar was placed in the epigastric region to the right of the midline.  Another #5/12 trocar _____**s/l "varices"-type trocar was placed between the supraumbilical and the left upper quadrant trocar site.  The abdomen was insufflated, and all the trocar sites were placed under direct vision.
 
 
 s/l gastric grafin enema for partial SBO ...
 Subject: s/l gastric grafin enema for partial SBO ...
 
 TIA!
 Solu-Medrol for gastric ailments?
 Subject: Solu-Medrol for gastric ailments?
 
 
 a stapler used in a laparoscopic gastric bypass
 Subject: a stapler used in a laparoscopic gastric bypass
 
 I'm doing an op note dictated by an ESL and he's referring to a stapler that he's using to create the anastomosis in a laparoscopic gastric bypass.  It sounds something like Acolumn, Ecolint or Acumint stapler.  I'm so stumped and would welcome any hints on how to figure out what the heck he's saying!
 Gastric varices or ulcers? Need a better s/l for that "singers" one. nm
 Subject: Gastric varices or ulcers? Need a better s/l for that "singers" one. nm
 
 s
 s/l naso faco gastric adenoscopy (ESL)
 Subject: s/l naso faco gastric adenoscopy (ESL)
 
 She was seen by gastroenterology who performed a s/l nasofacogastric adenoscopy which revealed shallow ulcers of the terminal ileum.
 gastric band by Inamed Corp. nm.
 Subject: gastric band by Inamed Corp. nm.
 
 x
 Patient has recurrent gastric outlet obstruction and ...
 Subject: Patient has recurrent gastric outlet obstruction and ...
 
 megagastrium.  Cannot find this anywhere!  Did he make it up?  TIA!!
 Gastric banding in patient with hiatal hernia. sm
 Subject: Gastric banding in patient with hiatal hernia. sm
 
 The left lobe of the liver was retracted upward. There was an anterior s/l dipple or dimple consistent with a hiatal hernia.
 
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