Guest guest Posted June 11, 2001 Report Share Posted June 11, 2001 Doc dictates: Seventy-year-old XXX returns today. Another problem now. Dysuria, frequency. But the issue primarily related to a rash on her left buttock and on her left vulva and inner thigh. She has no fever or chills. The issue with dysuria, urgency is that she dribbles, and it just feels lousy. My concern also is recent elevated liver enzymes? Her serum protein differential was within normal limits. Albumin is a little low. Nothing was high. There is no s/l " m-spike " . AST was 109. ALT was 106. Is " m-spike " correct? Meaning? TIA! Karla Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 11, 2001 Report Share Posted June 11, 2001 Karla, If you have the Lil Red Notebook, write this down. I was able to find it, but only because I had some idea where to look. It would be M spike, but is found in Dorland's under M component (after looking for M or monoclonal under IgG). The definition in Dorland's is too long for me to write out, but I believe the ending is what you are looking for. M components are characteristic of plasma cell dyscrasias. Also, I believe that I would make all the rest starting with serum protein differential into one sentence, as all of that is talking about her liver function tests, unless the doctor dictates all of those periods, in which case give him what he wants. Just my opinion, Margaret >>> 06/11/01 04:51PM >>> Doc dictates: Seventy-year-old XXX returns today. Another problem now. Dysuria, frequency. But the issue primarily related to a rash on her left buttock and on her left vulva and inner thigh. She has no fever or chills. The issue with dysuria, urgency is that she dribbles, and it just feels lousy. My concern also is recent elevated liver enzymes? Her serum protein differential was within normal limits. Albumin is a little low. Nothing was high. There is no s/l " m-spike " . AST was 109. ALT was 106. Is " m-spike " correct? Meaning? TIA! Karla TO REMOVE YOURSELF FROM THIS MAILING LIST send a blank email to nmtc-unsubscribe PLEASE VISIT THE NMTC WEB SITE - http://go.to/nmtc Quote Link to comment Share on other sites More sharing options...
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