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how about "partial" cerumen, again just guessing

Posted By: ks on 2007-10-19
In Reply to: cerumen impaction is it! But can there be any other word in front of it instead of fresh? - mz

Subject: how about "partial" cerumen, again just guessing

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s/l brass sediment impaction?? pt. has sinus problems - mz
- septal impaction - TamB
- sentence please? - MT50
  - saw the patient, and the impression was s/l brass sediment impaction?( - mz
    - wild guess - "fresh cerumen" impaction? - ks
      - cerumen in his NOSE? don't think so. Try again chickie. nm - nm
        true they can but not cerumen IN the nose. - nm
        not familiar with ENT problems? - ks
        This is totally bogus. There is no connection between ....sm - oldtimer
        my thoughts exactly. No wax in the nose. Not now, not ever. Maybe sm - nm
        let''s back up and calm down a bit . . . - ks
        Thanks for the help:) Sorry I could not be more specific I only had pt. hist. of sinus problems. - mz
        kudos! - MT50
        thanks for the support . . don't think there's any room for sarcasm in the comments, but there - ks
        I know tooth impactions can cause sinus problems. nm - oldtimer
      - cerumen impaction is it! But can there be any other word in front of it instead of fresh? - mz
        how about "partial" cerumen, again just guessing - ks
        dense? - MT50
        no don't think so, I really hear a "Br, more like Braus instead of brass" - mz
        cerumen in sinuses - TamB

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cerumen
Subject: cerumen

The cerumen was removed from his ear s/l aboriously with great difficulty.

cerumen (ear wax) nm.
Subject: cerumen (ear wax) nm.

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Cerumen (ear wax) nm
Subject: Cerumen (ear wax) nm

cerumen ??
Subject: cerumen ??

cerumen curette?
Subject: cerumen curette?

cerumen in sinuses
Subject: cerumen in sinuses

think something is wrong - if you are talking cerumen impaction, the doc is not looking in his nose; could be "gross cerumen impaction" if looking in ears, but not sinuses -

Impacted with cerumen
Subject: Impacted with cerumen

S/L accreditus with cerumen.

earwax is cerumen
Subject: earwax is cerumen

nm

cerumen, eosinophils, eosinophilia- have to look again
Subject: cerumen, eosinophils, eosinophilia- have to look again

x

cerumen in his NOSE? don't think so. Try again chickie. nm
Subject: cerumen in his NOSE? don't think so. Try again chickie. nm

.

true they can but not cerumen IN the nose.
Subject: true they can but not cerumen IN the nose.

,

thinking it over - can you hear cerumen in your s/l?
Subject: thinking it over - can you hear cerumen in your s/l?

"absence" to remove cerumen
Subject: "absence" to remove cerumen

Sounds like...I used cerumen with both a curette and "absence"

Speaking of ears clogged with cerumen, are there
Subject: Speaking of ears clogged with cerumen, are there

any ENT MTs who know if there is another product, other than Debrox, or Cerumenix (which was by RX only, but discontinued) to remove chronic earwax, other than going to the ENT to have them irrigated and removed with a curette?

I can't seem to find any drug on the market; prescription or otherwise, other than those mentioned above, which were of no benefit.

Your help is greatly appreciated. Thanks.

wild guess - "fresh cerumen" impaction?
Subject: wild guess - "fresh cerumen" impaction?

cerumen impaction is it! But can there be any other word in front of it instead of fresh?
Subject: cerumen impaction is it! But can there be any other word in front of it instead of fresh?

OBJECTIVE: Left s/l "EEC" is occluded with soft cerumen.
Subject: OBJECTIVE: Left s/l "EEC" is occluded with soft cerumen.

diagnosis: Cerumen impaction.

not sure, guessing only but there is a
Subject: not sure, guessing only but there is a

just guessing
Subject: just guessing

erythema and edematous??

guessing here, but from your S/L it sm
Subject: guessing here, but from your S/L it sm

sounds a lot like mycelial, or fungus. Found this def.

mycelium, pl. mycelia

mU-sTclT-m, -^

The mass of hyphae making up a colony of fungi.

Origin

[G. mykTs, fungus, + hTlos, nail, wart, excrescence on animal or plant]

aerial mycelium

nonseptate mycelium

septate mycelium

I'm guessing that's LTA.....nm
Subject: I'm guessing that's LTA.....nm

nm

guessing a little bit here
Subject: guessing a little bit here

eczematous exfoliated right palm and interstitial folds (or possibly intertriginous folds)

guessing too,
Subject: guessing too,

but with the struts and distraction, i wonder if it is half-pin cluster....

guessing...... to see if?
Subject: guessing...... to see if?

More guessing sm
Subject: More guessing sm

How about Heart sounds normal. Extremities without cyanosis or edema.

just guessing, sm.
Subject: just guessing, sm.

Is it possibly "trabecular" instead of tristem pedicle? Also wondered if bearing (no s) is the correct term, i.e. the weightbearing load is metal on metal.

Just Guessing Here...
Subject: Just Guessing Here...

Shouldn't it be POWER versus pallor, and could it be "muscle power and tone are adequate?"

Just a guess...

Just guessing here, but
Subject: Just guessing here, but

#1 might be pyloroplasty with the possible need for "a Nissen" (fundoplication).

I googled gastric emptying study and found "T1/2" with the number of minutes following: "T1/2 of 54 minutes"

guessing K-Dur NM
Subject: guessing K-Dur NM

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just guessing SM
Subject: just guessing SM

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Guessing...
Subject: Guessing...

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guessing but what about - s/m
Subject: guessing but what about - s/m

NovaSure device

If I were guessing, I would say she was
Subject: If I were guessing, I would say she was

intubated for oxygenation

just guessing
Subject: just guessing

right upper lobe and apex?

Second guessing yourself
Subject: Second guessing yourself

is second nature in this business.
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Guessing at partial? nm
Subject: Guessing at partial? nm

x

guessing here, neurofibromatosis? SM
Subject: guessing here, neurofibromatosis? SM

Neurofibromatosis of the feet. A review and case report.
Neurofibromatosis of the feet. A review and case report. Bauder T, DiPrimio RR.
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cannula? (guessing), kj /nm
Subject: cannula? (guessing), kj /nm

im guessing Seprafilm. nm
Subject: im guessing Seprafilm. nm

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Subject: just guessing..could it be 'bundle'?nm

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Subject: guessing here - Atarax?

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Subject: hypercholesterolemia? guessing here...

See message. Guessing here but.
Subject: See message. Guessing here but.

could you be hearing something like leukocyte esterase with epithelials and hyphae per HPF? They usually say something like 8 to 10 WBCs or RBCs per HPF also.See this link below also.

Epithelial cell Courses from MediaLab, Inc.

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I don't know, I was guessing. I am clueless but would sm
Subject: I don't know, I was guessing. I am clueless but would sm

love to know what it was. Sorry I was not of more help.

maybe Precedex ? just guessing NM
Subject: maybe Precedex ? just guessing NM

Just guessing here - diagnostics?
Subject: Just guessing here - diagnostics?

? 30 mmHg (guessing) n/m
Subject: ? 30 mmHg (guessing) n/m

wild guessing SM
Subject: wild guessing SM

appropriately breathe?

participate?

Don't worry. I'm guessing you just
Subject: Don't worry. I'm guessing you just

need to work on your expansions, especially if this is a fairly easy dictator. If you aren't using expansions now..build 'em up. It takes some getting used to, but in the end it is totally worth it. You could easily double your line count with the right expansions.

really wild guessing SM
Subject: really wild guessing SM

I found Pedi-Boro Soak Pak in my ENT book, maybe doc is saying something like Boro's pack? Sorry, that is the best I can come up with :)