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perhaps "pericolic abscess," though there are probable other possibilities nm

Posted By: ChuckM on 2006-06-01
In Reply to: peri-o-colap-sis - sm please

Subject: perhaps "pericolic abscess," though there are probable other possibilities nm




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Well...both are more than probable.
Subject: Well...both are more than probable.

1. Fecal discharge from the vaginal vault is possible with fistulas.
2. Denies incontinence to flatus (uncontrolled passing of gas) and/or bowel movements.


What is the probable dx etc? nm
Subject: What is the probable dx etc? nm


not saying probable ischemia?
Subject: not saying probable ischemia?


too many possibilities for AVD to be sure.
Subject: too many possibilities for AVD to be sure.

When in doubt, leave it out.  could be aortic valve disease, arteriovenous disease, among others.  I would leave it blank.  
possibilities
Subject: possibilities

Could also be prothrombin time....
Possibilities...
Subject: Possibilities...

furosemide possibly, and the other one could be CellCept.
possibilities, sm
Subject: possibilities, sm

Some causes for hematemesis:


  • Peptic ulcer disease is the most common etiology of upper GI bleeding
    –Increased risk with NSAID, steroid, or alcohol use; smoking, stress (e.g., ICU and trauma patients), or infections (Helicobacter pylori, CMV, herpes simplex virus)
  • Nasopharyngeal or oropharyngeal sources of bleeding
  • Esophageal etiologies
    –Esophageal varices (common in alcoholics and cirrhotic patients)
    –Erosive esophagitis: Infectious (e.g., Candida, HSV, CMV), corrosive ingestion, or pill-induced
    –Esophageal or gastric carcinoma
    –Esophageal or gastric polyps
  • Gastric etiologies
    –Gastric ulcer
    –Gastritis
    –Arteriovenous malformations: Osler-Weber-Rendu syndrome (cutaneous telangectasias, recurrent nosebleeds), idiopathic angiomas, radiation-induced telangectasias, blue rubber bleb nevus syndrome
    –Mallory-Weiss tear secondary to repetitive vomiting
    –Dieulafoy's lesion: Erosion of the mucosa overlying an artery in the stomach causes necrosis of the arterial wall and resultant hemorrhage
    –Gastric varices: Secondary to splenic vein thrombosis
    –Benign or malignant tumors
  • Duodenal etiologies
    –Duodenal ulcer
    –Erosion of a pancreatic tumor into the duodenum
    –Aortoenteric fistula: Must be suspected in any patient with a known aortic graft (e.g., prior AAA repair or occlusive aortic disease)
  • Systemic etiologies
    –Coagulopathies (e.g., hemophilia)
    –Thrombocytopenia
    –Anticoagulation therapy (e.g., warfarin)
    –Hereditary hemorrhagic telangiectasia
    –Leukemia
    –Connective tissue disease

  • possibilities, sm
    Subject: possibilities, sm

    Some causes for hematemesis:


  • Peptic ulcer disease is the most common etiology of upper GI bleeding
    –Increased risk with NSAID, steroid, or alcohol use; smoking, stress (e.g., ICU and trauma patients), or infections (Helicobacter pylori, CMV, herpes simplex virus)
  • Nasopharyngeal or oropharyngeal sources of bleeding
  • Esophageal etiologies
    –Esophageal varices (common in alcoholics and cirrhotic patients)
    –Erosive esophagitis: Infectious (e.g., Candida, HSV, CMV), corrosive ingestion, or pill-induced
    –Esophageal or gastric carcinoma
    –Esophageal or gastric polyps
  • Gastric etiologies
    –Gastric ulcer
    –Gastritis
    –Arteriovenous malformations: Osler-Weber-Rendu syndrome (cutaneous telangectasias, recurrent nosebleeds), idiopathic angiomas, radiation-induced telangectasias, blue rubber bleb nevus syndrome
    –Mallory-Weiss tear secondary to repetitive vomiting
    –Dieulafoy's lesion: Erosion of the mucosa overlying an artery in the stomach causes necrosis of the arterial wall and resultant hemorrhage
    –Gastric varices: Secondary to splenic vein thrombosis
    –Benign or malignant tumors
  • Duodenal etiologies
    –Duodenal ulcer
    –Erosion of a pancreatic tumor into the duodenum
    –Aortoenteric fistula: Must be suspected in any patient with a known aortic graft (e.g., prior AAA repair or occlusive aortic disease)
  • Systemic etiologies
    –Coagulopathies (e.g., hemophilia)
    –Thrombocytopenia
    –Anticoagulation therapy (e.g., warfarin)
    –Hereditary hemorrhagic telangiectasia
    –Leukemia
    –Connective tissue disease

  • I see two possibilities.
    Subject: I see two possibilities.

    One possibility is that he is saying extended length of flight


    Another possibility is that he is saying extended legs of flight.  That is a word that is used to describe a portion of a journey, like the last leg of the trip, etc.  So he could mean an extended portion of a journey during which she will be flying.


     


    CT contrast - Probable is bubble
    Subject: CT contrast - Probable is bubble

    I type bubble contrast quite often in CT reports.
    Probable nonmedical word
    Subject: Probable nonmedical word

    She is talking about a man with allergies, and states this twice...


    The interesting thing about it is the patient has (sounds like "a century") of a lot of animals and pets, dogs, cats, and birds, close to his bedroom.


     


    Then later she states, "allergic rhino-sinus has something to do with his pet "century." I cannot figure this out! Thanks for looking!


    PROBABLE GANGLION CYST,
    Subject: PROBABLE GANGLION CYST,

    plantar right foot.  It is on the plantar area of the foot.
    first syllable probable the word all...nm
    Subject: first syllable probable the word all...nm

    x
    WAG here but acute gastroenteritis with probable IBS? nm
    Subject: WAG here but acute gastroenteritis with probable IBS? nm


    here is a list of possibilities
    Subject: here is a list of possibilities

    http://www.rxlist.com/cgi/rxlist.cgi?drug=*cet
    couple of possibilities (sm)
    Subject: couple of possibilities (sm)

    If you're sure you're hearing "radio" that could be a "short-speak" way of saying radiograph.

    Another possibility is RDI (respiratory disturbance index).
    possibilities for 1st term (sm)
    Subject: possibilities for 1st term (sm)

    It's probably simply 'vertebral' or possibly 'vertebral height' - can't think of anything else that would work here and sound like "mediumphyge"
    With this many possibilities, a blank is
    Subject: With this many possibilities, a blank is

    x
    planemetry??seems probable. telemetry seems improbable. SM
    Subject: planemetry??seems probable. telemetry seems improbable. SM

    From the word parts, I imagine that planemetry is measuring the size of the heart and its chambers by taking "still" echos in various planes, then moving the screen markers to define the maximal up-down dimensions and the maximal left-right dimensions.
    Ask your QA for this probable client-specific information. nm
    Subject: Ask your QA for this probable client-specific information. nm

    x
    Probable a stretch ... meningeal tumors?
    Subject: Probable a stretch ... meningeal tumors?


    There are a couple of possibilities. Context?
    Subject: There are a couple of possibilities. Context?


    too many possibilities, maybe get more info further in report??...sm
    Subject: too many possibilities, maybe get more info further in report??...sm

    If you could find out what some of the symptoms are, maybe we could be more helpful.  Sorry! 
    I'll add Bactrim to the list of possibilities.. nm
    Subject: I'll add Bactrim to the list of possibilities.. nm


    Found a few possibilities but they would all be vague and would be too much of a guess. Sorry.
    Subject: Found a few possibilities but they would all be vague and would be too much of a guess. Sorry.


    Up for a challenge? S/L **Probable LB** aneurysm with chronic anticoagulant therapy
    Subject: Up for a challenge? S/L **Probable LB** aneurysm with chronic anticoagulant therapy

    I am just not familiar with this dictator, and he talks SO fast!   Anyone heard of anything that sounds like **Probable LB** aneurysm?  Probable may not even be the correct word...  It just sounds like what he is saying. Or it is and I have never heard of an 'LB' aneurysm. 


    Any ideas? 


    Abscess was I&D'd
    Subject: Abscess was I&D'd

    x
    Could he be saying something about an arm abscess?
    Subject: Could he be saying something about an arm abscess?

    nm
    may be abscess? (nm)
    Subject: may be abscess? (nm)


    Do you have a disease or diagnosis we can go by as there are thousands of infusion possibilities
    Subject: Do you have a disease or diagnosis we can go by as there are thousands of infusion possibilities


    duodenal abscess
    duodenum - part of the small intestine.  Duodenal abscess - an abscess in the duodenum, part of the small intestine.
    Could it be "possible abscess" (nm)
    Subject: Could it be "possible abscess" (nm)

    .
    breast abscess
    Subject: breast abscess

    oops - rest of info s/l "zithler atkins syndrome" i can find Zuska Atkins disease, could doc be mistaken
    ??? overlying the abscess
    Subject: ??? overlying the abscess

    ...a left Bartholin abscess which was not yet fluctuant.  The patient was placed on Augmentin and sitz baths.  Today the abscess is approximately 3 x 4 centimeters.  It is quite tense and incredibly tender.  The _ metros or vetros__  overlying the abscess was infiltrated with a mixture of 0.5% Marcaine with epinephrine and 1% lidocaine with epinephrine.
    perineal abscess
    Subject: perineal abscess

    does perineal abscess  could be related to pain in the ear ???
    ? pineal abscess
    Subject: ? pineal abscess


    s/l wicks and abscess
    Subject: s/l wicks and abscess

    The patient has s/l wicks and abscess that were drained from his left lateral thigh.
    sinus abscess?
    Subject: sinus abscess?


    s/l ? duodenal abscess? where in body?
    nm
    recurrent breast abscess
    Subject: recurrent breast abscess


    s/l C-ton in place for perirectal abscess
    Subject: s/l C-ton in place for perirectal abscess

    the patient had perirectal abscess incision and drainage...s/l c-ton in place upon discharge.


    status post s/l r & d for an abscess?
    Subject: status post s/l r & d for an abscess?

    I assume it is drainage, but not sure?
    _____granics for cleaning abscess nm
    Subject: _____granics for cleaning abscess nm


    Left wrist sprain with probable TFCC degenerative tear and s/l bore bursitis?
    Subject: Left wrist sprain with probable TFCC degenerative tear and s/l bore bursitis?

    could be volar, does that make sense????
    Various possibilities were kept for altered mental status, like _______?, metabolic encephalopathy,
    Subject: Various possibilities were kept for altered mental status, like _______?, metabolic encephalopathy,


    I'm not sure about the "component," but separation may be suppuration (abscess)?
    Subject: I'm not sure about the "component," but separation may be suppuration (abscess)?


    s/l rye-zun (rison) .. another word for boil or abscess. thx
    Subject: s/l rye-zun (rison) .. another word for boil or abscess. thx

    xx
    A pinnal abscess would be of the pinna, the large
    Subject: A pinnal abscess would be of the pinna, the large

    s
    incision and drainage for abscess on buttocks and thigh
    Subject: incision and drainage for abscess on buttocks and thigh

    .
    Patient underwent s/l PPH with drainage of rectal abscess. TIA
    Subject: Patient underwent s/l PPH with drainage of rectal abscess. TIA

    x
    Patient was admitted for right flank abscess and placed on (s/l) fortestopa
    Subject: Patient was admitted for right flank abscess and placed on (s/l) fortestopa