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shock liver picture?

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

Subject: shock liver picture?




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


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

nm
picture. she has no clinical picture to suggest
Subject: picture. she has no clinical picture to suggest

any evidence of ongoing diverticulitis.

in other words, she has no complaints, signs, or symptoms that would suggest that disease process.
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?
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.
Love that picture!
Subject: Love that picture!


Took the picture with my BlackBerry sm
Subject: Took the picture with my BlackBerry sm

on my birthday in June having dinner at the Mauna Lani in Waikoloa.  Can you believe it?? 
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.
Can you just picture this in 1 way or another? LOL...good laff for the day! nm
Subject: Can you just picture this in 1 way or another? LOL...good laff for the day! nm

b
I usually look around the internet for a picture of the bottle sm
Subject: I usually look around the internet for a picture of the bottle sm

If I can SEE the bottle and see how it is written on the actual bottle, then I take that as "gospel."  In this case I looked around and had no luck finding a picture of the bottle but did find some pictures of the SennaLax pills.  It is my thought that the "S" at the end may indicate syrup.  Is this person a child?? 
send the picture of Steri-Strips to QA....nm
nm
Here's another picture link with the Scotty dog outlined...sm
Subject: Here's another picture link with the Scotty dog outlined...sm

...and lots of other films as well.

http://sprojects.mmip.mcgill.ca/radiology/unit5set.htm


That's okay - got a belly laugh from picture in my mind!
Subject: That's okay - got a belly laugh from picture in my mind!


takotsubo (look at very first reference online gives picture
Subject: takotsubo (look at very first reference online gives picture

It looks like someone tied a strong around part of the heart
Was trying to post a picture to show his size...
Subject: Was trying to post a picture to show his size...

... and I screwed up. My bad. It's been a long day.

(And the question that started this thread is still sitting in QA. Stay tuned.)
Steri-Strip is the brand name (see link with picture)

http://www.medco-school.com/Supply/Product.asp?Leaf_Id=23014M#


 



oops - picture didn't show - see again inside..sm
Subject: oops - picture didn't show - see again inside..sm

http://www.alibaba.com/manufacturer/13033006/Buy_Apple_Trocars_Cannulas.html
Hayseed - is that avatar a real picture or just someone random?
Subject: Hayseed - is that avatar a real picture or just someone random?


Grazi, Olive...Now I can get the picture of paintbrushes curing cancer outta my mind :-)
Subject: Grazi, Olive...Now I can get the picture of paintbrushes curing cancer outta my mind :-)

:-)
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.
he had liver function tests in your....
Subject: he had liver function tests in your....

office which continued to show a mild elevation of his GGPT and CPK.


Is the GGPT correct?  Thank you


LKS is liver, kidneys, spleen, not sure about BJE. nm
Subject: LKS is liver, kidneys, spleen, not sure about BJE. nm

xxx