*Par due orange* of the lower extremities secondary to congestive heart failure. - sm
Posted By: anon on 2009-03-06
In Reply to:
Subject: *Par due orange* of the lower extremities secondary to congestive heart failure. - sm
he spells and says it is three separate words???? Thanks.
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concerning congestive heart failure
Subject: concerning congestive heart failure
The patient was being operated on for a gastric bypass. She developed congestive heart failure. The doctor says he "swan-ed" her and "A-lined" her. I'm not familiar with either of these terms. How do type these terms?
known congestive heart failure
Subject: known congestive heart failure
May be quinapril for congestive heart failure?
Subject: May be quinapril for congestive heart failure?
CHAD = congestive heart failure, sm
Subject: CHAD = congestive heart failure, sm
hypertension, age, diabetes
Milrinone is used for treating congestive heart failure
Subject: Milrinone is used for treating congestive heart failure
s/l Chronic (diastolic congestive heart failure)
Subject: s/l Chronic (diastolic congestive heart failure)
Does this make sense? The word in question is the first word of the diagnosis of Chronic diastolic congestive heart failure. It also sounds like he could be possibly saying Clinic.
Pt on 60 mg of "Bumax" per day for urosepsis, fatigue, congestive heart failure, & circulatory
Subject: Pt on 60 mg of "Bumax" per day for urosepsis, fatigue, congestive heart failure, & circulatory prob.
Nesiritide (Natrecor®) is a medication used to treat acutely decompensated congestive heart failure
Subject: Nesiritide (Natrecor®) is a medication used to treat acutely decompensated congestive heart failure with dyspnea at rest or with minimal exertion
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
heart failure
Subject: heart failure
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
got it now - he is saying 'some' heart failure! DUH on me
Subject: got it now - he is saying 'some' heart failure! DUH on me
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
heart failure by echo and he has had *DMP* which have been negative
Subject: heart failure by echo and he has had *DMP* which have been negative
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!
s/l 'morinon' dependent end stage heart failure
Subject: s/l 'morinon' dependent end stage heart failure
Patient is here for f/up of his 'norinon' dependent end stage heart failure.
Also lists this medication as a dose of 0.5 mcg/kg per minute. What is it?
catecholamine-dependent end-stage heart failure? nm
Subject: catecholamine-dependent end-stage heart failure? nm
All I can think of/document would be "flow rate" heart failure.....sm
Subject: All I can think of/document would be "flow rate" heart failure.....sm
if you think about it, when a patient is severely hypotensive, obviously the flow rate of the blood and return to the heart would be very slow, because of low pressure, and subsequently caused by low pressure; if you listen and it sounds like this, it physiologically would make sense, although I have not come across the exact phrase yet, they always throw new ones at ya!! Hope this is of some help! 
decompensated right heart failure with s/l corpor-menol-lay"
Subject: decompensated right heart failure with s/l corpor-menol-lay"
"good capillary refill and *brisk distal pulses*?? over both lower extremities" (my 2 cents) n
Subject: "good capillary refill and *brisk distal pulses*?? over both lower extremities" (my 2 cents) nm
advanced inotrope-dependent end-stage heart failure ? nm
Subject: advanced inotrope-dependent end-stage heart failure ? nm
s/l epical drip - patient has renal failure and had heart transplant. (nm)
Subject: s/l epical drip - patient has renal failure and had heart transplant. (nm)
x
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
.
pea de orange
Subject: pea de orange
orange peel look.
s/l nephrosis orange
Subject: s/l nephrosis orange
Pt is having difficulty swallowing, may have s/l nephrosis orange, and may need a GI evaluation.
peau de orange - nm
Subject: peau de orange - nm
peau de orange
Subject: peau de orange
orange peel look.
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.
breast exam normal no _____ ORANGE?
Subject: breast exam normal no _____ ORANGE?
PE report - Breast exam normal. No (undetectable word) or S/L orange.
Any help out there???
peau d'orange (skin of orange--texture)
Subject: peau d'orange (skin of orange--texture)
x
sl escleritis secondary to RA - nm - TIA
Subject: sl escleritis secondary to RA - nm - TIA
++++
secondary to the sub q heprin?
Subject: secondary to the sub q heprin?
x
transaminitis secondary to ?N.A.L.D.? SM
Subject: transaminitis secondary to ?N.A.L.D.? SM
The patient swallowed a fentanyl patch. This is the discharge summary and in it, the ESL doctor says, "Transaminitis, most probably secondary to N A L D vs Lortab intoxication." She never says these letters again and all I can document is neonatal adrenoleukodystropy. Since she's almost 60, I don't think that would fit. 
vertigo secondary to BPPH? sm
Subject: vertigo secondary to BPPH? sm
This is in diagnosis. Not BPH, BPPH. Thanks.
severe? situational? secondary? nm
Subject: severe? situational? secondary? nm
SVT secondary to COPD exacerbation. It is a
Subject: SVT secondary to COPD exacerbation. It is a
s/l narrow complex?
secondary to the subcutaneous Heparinn?
Subject: secondary to the subcutaneous Heparinn?
Long shot - secondary??
Subject: Long shot - secondary??
It was "mucositis secondary to the radiation therapy"
Subject: It was "mucositis secondary to the radiation therapy"
My sister, who is also an MT (with more experience than me), got it in one listen! Too bad I couldn't get a hold of her earlier. I'm afraid my s/l wasn't much help. Thanks to those who put out some ideas though!
Recurrent ***losis secondary to MRSA.
Subject: Recurrent ***losis secondary to MRSA.
The patient takes tetracycline to treat these areas on her buttocks. TIA!!!
rule out s/l end of thalamus? secondary to the candidemia
Subject: rule out s/l end of thalamus? secondary to the candidemia
esophageal *pharases* secondary to alcoholis. nm Thanks
Subject: esophageal *pharases* secondary to alcoholis. nm Thanks
nm
Could it be "evidence of secondary infection?"nm
Subject: Could it be "evidence of secondary infection?"nm
Figured it out. She's saying no scale or secondary infection.
Subject: Figured it out. She's saying no scale or secondary infection.
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