I just cannot seem to find this. I was wondering if anyone could help me with this one:

The patient had been seen multiple times in the outpatient clinic with a diagnosis of s/l*type 4 or type 0* hyperlipidemia and a history of acute pancreatitis with two episodes in January and February.

1. s/l*Type 4 or type 0* hyperlipidemia with elevated triglycerides and cholesterol.

2. Acute pancreatitis with probable ascites. Rule out pseudocyst or supra-imposed candidiasis. The fullness of the cul-de-sac may be secondary to ascites, s/l???????? of gynecologic problem.

(On this one the accent is terrible and I cannot really even tell what it sounds like. Something like lockidet, rockidet??
I don;t know. I am totally lost on this one.)

Any help on this one will be greatly appreciated. Thank you....Linda L.

Linda,
If you do a search for hyperlipidemia types iv using http://www.google.com/ you will find some sites that have the different types of hyperlipidemia listed. Type 0 is not included in any of the information. Here is one of the sites: http://www.mdadvice.com/library/symp/illness284.html

I'm not sure what the second one would be. I noticed in your profile that you are an at-home MT student. Would it be possible to ask your instructor for some help?

Thank you very much for your help!!!
I will check out the sites that you told me about. Thanks a million. I am gradually learning about different sites and resources that will help, but I still have so much to learn, so I greatly appreciate any and all help and information that I can get.
THANK YOU !!! THANK YOU!!! THANK YOU!!!

The fullness of the cul-de-sac may be secondary to ascities,____________ of gynecologic problem. Did anyone get this? I am new to this site and it seems to be extremely helpful so far.

ascities, rather than a gynecologic problem.