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sounds like a normal "CS troponin" value to me... nm

Posted By: flybye on 2006-03-23
In Reply to: s/l CF petonim was less than 0.2....sm - Jenn

Subject: sounds like a normal "CS troponin" value to me... nm




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A troponin of 0.2 is still elevated with normal being
Subject: A troponin of 0.2 is still elevated with normal being

x
In LD says UA normal and then what sounds like C-MENT T is normal (maybe CMT)? nm
Subject: In LD says UA normal and then what sounds like C-MENT T is normal (maybe CMT)? nm


5/5 sounds like normal motor strength...but sm
Subject: 5/5 sounds like normal motor strength...but sm

...i have no idea about your s/l... "overall motor strength"? there's also an OMA score (or OMAS)=Olerud & Molander Ankle Score but 5/5 power doesn't match that...?? =(
Sounds like "chiller" venous veins appear normal. sm
Subject: Sounds like "chiller" venous veins appear normal. sm

The patient is moribund. She is unable to speak at the current time and does not respond to sternal rub. "Chiller" venous veins appear normal. Site of the PEG tube is normal without any evidence of exudates.

She is 92 years old and comfort-care only. Here is some past history:

Past medical history is significant for progressive dysphagia leading to frequent bouts of aspiration secondary to a prior cerebrovascular accident in 1997, recent admission for probable aspiration bronchitis/pneumonia, history of hypertension, history of thyroid replacement therapy, history of possible dehydration. She has a prior history of cataract, prior history of gallbladder surgery, recent PEG placement in 11/2005, status post TAH-BSO at age 40 and eyelid surgery in January 2002, history of chest pain admission in February 1996, history of cerebrovascular accident of the right internal capsule in June 1997, and history of TIA in August 2003.
Heart sounds were normal intensity 1 and 2. *No S3 or S3 heard.* sm
Subject: Heart sounds were normal intensity 1 and 2. *No S3 or S3 heard.* sm

Could one of these S3s be F3? or something with a similar s/l? I can't document F3 though. New doc, but clearly states above.


Thanks for any help.


Heart sounds were normal in intensity, S1 and S2. No S3 or S4 heard.
Subject: Heart sounds were normal in intensity, S1 and S2. No S3 or S4 heard.


Heart sounds "when to heard" normal
Subject: Heart sounds "when to heard" normal

S/l Pulses are regular; heart sounds "when to" heard normal.  No murmurs, "droops" or gallops.  "droops is said very unclearly. 
sounds like "car po mace a peen" level was normal.
Subject: sounds like "car po mace a peen" level was normal.


PE normal breath sounds in s/l in excursion, in discursion...I know it's something easy, thanks
Subject: PE normal breath sounds in s/l in excursion, in discursion...I know it's something easy, thanks


no dont think so, the two line prior are LFTS normal and Chem-7 was normal
Subject: no dont think so, the two line prior are LFTS normal and Chem-7 was normal


I believe CS troponin is troponin T, not I, so 0.2 is okay sm
Subject: I believe CS troponin is troponin T, not I, so 0.2 is okay sm

Troponin T 0 - 0.2 ng/ml (onset: 3-4 hrs, peak: 10-24 hrs, return to normal: 10-14 days)
troponin
Subject: troponin

Troponin nondetectable. They always say what sounds like "nondetectable". I have searched for the word "nondetectable" and I cannot reference it in any English or medical dictionary. I believe it should be "undetectable", however, my QA person marked that incorrect and said it should be "nondetectable".  Any opinions.


troponin
Subject: troponin

No - this account is not strictly verbatim.
troponin value
Subject: troponin value

Discharge troponin s/l 1.361, would this be correct?  It was 9.45 at admission.
troponin nm
Subject: troponin nm


troponin
Subject: troponin

So were you right, did the doctor misspeak?  was it "normal, and troponin was normal."
troponin
Subject: troponin


I would use saline since it's the solution he's changing from half-normal to normal, not the
Subject: I would use saline since it's the solution he's changing from half-normal to normal, not the

s
elevated troponin
Subject: elevated troponin

The elderly patient had elevated troponin and mental status change.  S/L dictator is saying patient was treated for possible "enstemmie" ???  (He said this twice during discharge summary and both times sounded like "enstemmie"??  Thanks for any help.


 


serum troponin
Subject: serum troponin

It should be serum troponin
Could be referring to troponin I being 713..nm
Subject: Could be referring to troponin I being 713..nm

nm
FYI: trOponin not trIponin. NM
Subject: FYI: trOponin not trIponin. NM


MB is fine. The last is troponin, which elevates after an MI. nm
Subject: MB is fine. The last is troponin, which elevates after an MI. nm

s
In lab list, s/l "BDL lead" 42, troponin....Thanks
Subject: In lab list, s/l "BDL lead" 42, troponin....Thanks


troponin doesn't need to be capped. Put period after cr=1.5. K=potassium. NM
Subject: troponin doesn't need to be capped. Put period after cr=1.5. K=potassium. NM


WBC 9.5, hematocrit 33.7, hemoglobin 10.8. BUN and creatinine 42 and 2.6. Troponin was negative.
Subject: WBC 9.5, hematocrit 33.7, hemoglobin 10.8. BUN and creatinine 42 and 2.6. Troponin was negative.


normal Pap smear in there anywhere? Normal Pap in 2006?nm
Subject: normal Pap smear in there anywhere? Normal Pap in 2006?nm


normal motility? normal motilities? nm
Subject: normal motility? normal motilities? nm


You are probably hearing normal BUS or normal BUSV. sm
Subject: You are probably hearing normal BUS or normal BUSV. sm

BUS                                       Bartholins/Urethra/Skene’s


 


BUSV                                     Bartholins/Urethra/Skene’s/vagina.


 


Here is abbrev link for you.       


 


http://www.healthsystem.virginia.edu/internet/obgyn-clerkship/UVA/Abbreviations.cfm                         


may be normal values or normal range? nm
Subject: may be normal values or normal range? nm

nm
limit of normal. sometimes hear "upper limit of normal", or "lower limit..." n/m
Subject: limit of normal. sometimes hear "upper limit of normal", or "lower limit..." n/m


Yes, a normal way they
Subject: Yes, a normal way they

Perhaps meaning borderline enlarged, but not to that point yet.
S1 and S2 normal, no S3, no S4
Subject: S1 and S2 normal, no S3, no S4

this is what they usually say - might say S3 split or S3 or S4 blowing systolic murmur
Normal?
Subject: Normal?

Best to give sentence here, but could he be saying normal rectal exam.
Could it be normal?
Subject: Could it be normal?

as in soft options of a normal diet, or even maybe 'normal or soft'
AST, ALT, GGT normal. sm
Subject: AST, ALT, GGT normal. sm

s/l alkalne isophosphatase enzymes have not been done. TIA
Normal GI -----? nm
Subject: Normal GI -----? nm


Yes, it's normal, I think :-) nm
Subject: Yes, it's normal, I think :-) nm


CVA is normal?
Subject: CVA is normal?

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ESR can be 0-30 to be normal. nm
Subject: ESR can be 0-30 to be normal. nm


Actually, a 38 would be more normal on my research. nm
Subject: Actually, a 38 would be more normal on my research. nm

s
ESL~~~S/L left t's were normal
Subject: ESL~~~S/L left t's were normal

Her electrolytes showed that she was hypokalemia with potassium of 3.3, and her sugar was 40. *** were normal~~~I just can't make it out.  S/L left t's were normal any suggestions?  thank you all!!


Could be CPK and isoenzymes were normal. nm
Subject: Could be CPK and isoenzymes were normal. nm


Neither. I take it, and all my lab work is normal.
Subject: Neither. I take it, and all my lab work is normal.

I am taking it to shrink my thyroid which is enlarged.
normal lab values
Subject: normal lab values

That's really nice that you took time to list several options for me!  Thanks!
situation normal, all ------ up
Subject: situation normal, all ------ up


lipase normal? nm
Subject: lipase normal? nm


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Subject: normal fimbria seen


CPH MB normal values: less than 3%-5%
Subject: CPH MB normal values: less than 3%-5%


Normal AST and ALT levels.........
Subject: Normal AST and ALT levels.........

From Google:

What are normal levels of AST and ALT?

The normal range of values for ALT (SGPT) is from 7 to 56 units per liter of serum.

The normal range of values for AST (SGOT) is from 5 to 40 units per liter of serum (the liquid part of the blood).




Normal 10-66 but could be elevated in CKD.nm
Subject: Normal 10-66 but could be elevated in CKD.nm

nm