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"good capillary refill and *brisk distal pulses*?? over both lower extremities" (my 2 cents) n

Posted By: flybye on 2007-02-12
In Reply to: Physical Examination - Stacy

Subject: "good capillary refill and *brisk distal pulses*?? over both lower extremities" (my 2 cents) nm




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capillary refill
Subject: capillary refill


sorry, should be capillary refill
Subject: sorry, should be capillary refill


capillary refill less than two seconds
Subject: capillary refill less than two seconds


Your sentence regarding capillary refill is correct...sm
Subject: Your sentence regarding capillary refill is correct...sm

I usually type tib/fib. Hope this helps.
in the extremities are there NPO? pulses?
Subject: in the extremities are there NPO? pulses?


pulses in extremities
He says posterior tibials 2+,  politeals 1-1/2+ ????  How should this be typed?
probably distal pulses
Subject: probably distal pulses


lower extremities
Subject: lower extremities

Could dictator be saying "gastrocs" for inner gastrocnemius muscles? Let us know, if you find out -- this is a doozy! Rosie

I see. In this pt it's upper & lower extremities [SM]
Subject: I see. In this pt it's upper & lower extremities [SM]


Lower extremities ? - could be pedal OR it
Subject: Lower extremities ? - could be pedal OR it

could just be plain ol' palpable.
lower extremities - might be "peroneal nerve" /nm
Subject: lower extremities - might be "peroneal nerve" /nm

.
Compression stockings over both lower extremities?
Subject: Compression stockings over both lower extremities?

Another stab in the dark...this one's drivin' me nuts for some reason! 
s/l Lateral Lig views of the lower extremities
Subject: s/l Lateral Lig views of the lower extremities

Bilateral Lower Extremities (Test)


Lateral Lig views of the lower extremities


S/L areas of "ka-poor upper/lower extremities?sm
Subject: S/L areas of "ka-poor upper/lower extremities?sm

Or S/L areas that appear upper and lower extremities and some mottling of lower extremities with some cyanosis of digits.


ideas!  Thank you!


Here is a good all around PE link. Click on lower extremities exam. sm
Subject: Here is a good all around PE link. Click on lower extremities exam. sm

http://meded.ucsd.edu/clinicalmed/extremities.htm
sorry...messed that up....s/l contact "art" assist level for the lower extremities? nm
Subject: sorry...messed that up....s/l contact "art" assist level for the lower extremities? nm

x
Pt has hemosiderin staining of both lower extremities with severe s/l lipodermosclerosis on left.
Subject: Pt has hemosiderin staining of both lower extremities with severe s/l lipodermosclerosis on left.

x
*Par due orange* of the lower extremities secondary to congestive heart failure. - sm
Subject: *Par due orange* of the lower extremities secondary to congestive heart failure. - sm

he spells and says it is three separate words???? Thanks. 
Decreased pinpric sensation to the bilateral lower extremities but areas of s/l passhiveness -sm-
Subject: Decreased pinpric sensation to the bilateral lower extremities but areas of s/l passhiveness -sm-

with increased sensation.  Would passiveness fit here?  Help is appreciated.  Thanks!
Range of motion of his lower extremities was full in range accompanied by mild ____ sign
Subject: Range of motion of his lower extremities was full in range accompanied by mild ____ sign

.


carotid s/l "upsets: are brisk
Subject: carotid s/l "upsets: are brisk

In Objective section of note, Under Heart - dictates carotid s/l "upsets" are brisk.  Any help out there???


undetectable pulses? equivocal pulses? nm
Subject: undetectable pulses? equivocal pulses? nm


The MRI did show a very small amount of fluid edema along the distal radius and distal ulnar *fices*
Subject: The MRI did show a very small amount of fluid edema along the distal radius and distal ulnar *fices*

nm
distal translation across the epiphysis of distal fragment
Subject: distal translation across the epiphysis of distal fragment


"good advice"
Subject: "good advice"

Thanks guys ! :)
This is what separates the "Good" MTs
Subject: This is what separates the "Good" MTs

Your attitude will take you to the top of this field. If you are not afraid to do your own research and find your own answers, you will learn so much!

As a QA person, I can tell the difference in an MT's work who really cares and really tries hard to do their own work. The ones who seek the easy way out only hurt themselves. When you research and hunt and hunt and hunt for the right term, you better believe when you find it you will never forget it again. However, the ones who don't do their own work, don't seem to have the information planted in their memories and repeat the same mistakes over and over.

Your speed will go up and up and up because you will have the fund of knowledge in your head, while others will be sitting here on this board waiting for someone to answer their post.

Keep up the great work. You are going to be a wonderful MT. I wish we could clone you!
my 2 cents.....sm
Subject: my 2 cents.....sm

A hyphen may be used after non- but is generally used when the base word begins with a capital letter. Generally, though, as long as the base word does not have special meaning; the word is understood if non is not used before the base word, then no hypen. Since the base word "dominant" is understood without the "non", then no hypen is necessary.....hope this makes sense.
My 2 cents
Subject: My 2 cents

I'm a current MT student about to graduate, and it is my understanding that currently both forms are correct..hmmmmm.
Ha ha... With "good research", you will find that they are both commonly used. (sm)
Subject: Ha ha... With "good research", you will find that they are both commonly used. (sm)

Google on "degenerative disc disease" and "degenerative disk disease". I use "disc" when transcribing for my ortho clinic because, when I got the account and asked for samples, each and every sample on each and every report used "disc". No matter what your research tells you, you will do what the client says, especially when it doesn't really matter. And this does not really matter.
This is not being "good," this is basic vocabulary knowledge. nm
Subject: This is not being "good," this is basic vocabulary knowledge. nm

x
10 cents per 65-char line
Subject: 10 cents per 65-char line

Hello all!  I will soon be signing a new contract with the company I have been with for three years plus.  I like them very much.  I read on some of the other boards and saw all the negative reports about so much, but I can't say that I have that with my company.  For the most part, I have as much work as I want.  I can have any one of 50 doctors out of  a university's surgical department.  It covers areas from head to toe.  No foreign guys.  The worst I have to put up with is sometimes fast speakers.  I have no problem getting off whenever I need to, just say I'm not available for these days.  I try to treat that with respect.  The pay is 10 cents per 65-character line.  No extra pay for stat work but there is not much stat work.  Any feedback?
my 2 cents and prob. way too late, but
Subject: my 2 cents and prob. way too late, but

It's prob a doc back-forming hemangioma into a word - hemangiated; assuming he might mean that it has vascularized and or taken on the appearance/characteristics of a hemangioma. I would have flagged it though; let your QA deal with doc's made-up words.
my 2 cents... "get an anti-CCP" nm
Subject: my 2 cents... "get an anti-CCP" nm


The lower convex curve in the lumbar spine was to the right, and the lower convex thoracic region to
Subject: The lower convex curve in the lumbar spine was to the right, and the lower convex thoracic region to the left

Is how I would do it.
bladder reflection - my 2 cents worth
Subject: bladder reflection - my 2 cents worth

In Dorland's "reflection" means a bending or turning back.  I have typed the expression often and am not truly sure how to explain it, but something like where the bladder is bent or folded onto the abdominal wall - as a location.   Below is an excert from Google.  What comes up in the notes I have is the following expression:


The anterior leaflet of the broad ligament on both sides was then incised along the bladder reflection to the midline from both sides and the bladder was gently dissected


The reflection of bladder on to the anterior abdominal wall is identified and the peritoneum divided at this position


refill
Subject: refill

Is it refill or re-fill?
Refill - nm
Subject: Refill - nm

n
refill?
Subject: refill?


fetal heart sound normal, s/l "good axils, no D cells" ?
Subject: fetal heart sound normal, s/l "good axils, no D cells" ?


I agree, refill. nm
Subject: I agree, refill. nm

.
Here for refill for s/l ex-em-a tane?
Subject: Here for refill for s/l ex-em-a tane?

xx
capillary
Subject: capillary

What type of surgery is your first question on?  The second question is probably capillary perfusion
Hope they are not paying her more than 2 cents a line, which is about what her skill level is worth!
Subject: Hope they are not paying her more than 2 cents a line, which is about what her skill level is worth!!

She is so obviously lacking the fundamentals...
capillary flow?
Subject: capillary flow?


Cap refill is correct. I usually spell out tib-fib, tibia and fibula.
Subject: Cap refill is correct. I usually spell out tib-fib, tibia and fibula.


Something with capillary as the root word? nm
Subject: Something with capillary as the root word? nm


Got it. "pulmonary capillary wedge" Don't even ask how I got the other :)
Subject: Got it. "pulmonary capillary wedge" Don't even ask how I got the other :)


CP capillary pressure? Try and do as little cardiac as humanly possible.
Subject: CP capillary pressure? Try and do as little cardiac as humanly possible.


Duh on me!! May be saying abundant capillary growth, capillaries etc? nm
Subject: Duh on me!! May be saying abundant capillary growth, capillaries etc? nm


maybe budding capillaries? new capillary growth? See what I found. sm
Subject: maybe budding capillaries? new capillary growth? See what I found. sm


Pressure Ulcers, Part Management Strategies





and protects the wound from insults. Neovasculariza-. tion, also known as granulation, is the formation of. new capillaries, which explains its beefy red ...
www.blackwell-synergy.com/doi/abs/10.1111/j.1745-7599.1992.tb00819.x - Similar pages


Sure, they probably did blood pressure in both arms and it was equal and there was good capillary re
Subject: Sure, they probably did blood pressure in both arms and it was equal and there was good capillary refill upon release of the cuff.