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. There are no abnormalities of the paraspinal musculature or the aorta, efuravenacarva or the -sm

Posted By: Wilson on 2007-10-26
In Reply to:

Subject: . There are no abnormalities of the paraspinal musculature or the aorta, efuravenacarva or the -sm

kidney.  Thanks. 




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chest film showed calcific aorta with dilated s/l aschetic thoracic aorta
Subject: chest film showed calcific aorta with dilated s/l aschetic thoracic aorta


Could doc being saying "and as well as" paraspinal...? sm :)
I took out my huge A&P book(from a prenursing course), and could not find muscles with a similar sound. The muscles I found near the thoracic vertebrae were trapezius, levator scapulae, supraspinatus and infraspinatus.
Sounds like it might be L4 paraspinal muscles. Have
Subject: Sounds like it might be L4 paraspinal muscles. Have

heard that phrase on trigger point injections, etc.  Hope that helps...


maybe "the" levator scapular musculature?
Subject: maybe "the" levator scapular musculature?

c
posterior cuff musculature in the (terry’s) area
Subject: posterior cuff musculature in the (terry’s) area

Rotator cuff tear. . .


The tear appears to extend into the infraspinatus as well.  I did assess some posterior cuff musculature in the terry’s area.  His anterior cuff looks fine with the subscapularis intact and the biceps centered in the groove.


Ever heard of this? Thanks.


basic human anatomy (thumb has "opponens" musculature) sm
Subject: basic human anatomy (thumb has "opponens" musculature) sm

Opposition is the movement whereby the palmar aspect of the thumb touches the palmar aspect of another finger of the same hand. (When the contact is not by their palmar aspects, the movement is merely apposition.) The converse of opposition is reposition. These movements occur at all the joints of the thumb, although opposition takes place mainly at the carpometacarpal joint.(source--Dartmouth.edu)
http://www.dartmouth.edu/~humananatomy/part_2/chapter_11.html
on ekg s/l repole abnormalities.
Subject: on ekg s/l repole abnormalities.


could be repolarization abnormalities
Subject: could be repolarization abnormalities


Repolarization abnormalities
Subject: Repolarization abnormalities


How about 'no abnormalities'...nm
Subject: How about 'no abnormalities'...nm

s
agree with abnormalities
Subject: agree with abnormalities

x
wall motion abnormalities
Subject: wall motion abnormalities

!
QRS prolonged repolarization abnormalities
Subject: QRS prolonged repolarization abnormalities


Aorta
Subject: Aorta

Doc dictated C-spine MRI findings and then L-spine MRI findings.  Just before he finished, he said, put in the body of the report "there is no aneurysm of the aorta."  On which MRI would the heart be seen?
aorta
Subject: aorta

thanks
oops - should read "saying abnormalities" NM
Subject: oops - should read "saying abnormalities" NM

x
listen for wall motion abnormalities? nm
Subject: listen for wall motion abnormalities? nm

x
ELG** placed in the abdominal aorta
Subject: ELG** placed in the abdominal aorta


tortuosity of the aorta?
Subject: tortuosity of the aorta?

nm
external ear canals were free from s/l toe-fear? and other abnormalities
Subject: external ear canals were free from s/l toe-fear? and other abnormalities


She has a history of recurrent silarities and lymphedema. Definitely not abnormalities. please sm
Subject: She has a history of recurrent silarities and lymphedema. Definitely not abnormalities. please sm

Doc is from Puerto Rico and has a heavy accent.

aorta "bi-fem" or "bifem"??
Subject: aorta "bi-fem" or "bifem"??

This is a verbatim account, but for the life of me, I cannot find how this should be written.  Anyone know if it is bi-fem or "bifem" or maybe neither of those??


Thanks!!


abdominal aorta on L-spine MRI
Subject: abdominal aorta on L-spine MRI

The abdominal aorta is an artery that extends from the diaphragm to the abdomen and down along the lumbar vertebrae.
probably should be ascending thoracic aorta....nm
Subject: probably should be ascending thoracic aorta....nm

xx
says aorta demonstrates grade 2 s/l Muroplaques?
Subject: says aorta demonstrates grade 2 s/l Muroplaques?

in the descending thoracic aorta
Chest x-ray showed some "torchical" ICD of the aorta.
Subject: Chest x-ray showed some "torchical" ICD of the aorta.


hypermetabolic lymphadenopathy in the periaortic and *aorta caval* regions?
Subject: hypermetabolic lymphadenopathy in the periaortic and *aorta caval* regions?


I would put MRA Abdominal Aorta: No evidence for renal artery stenosis. sm
Subject: I would put MRA Abdominal Aorta: No evidence for renal artery stenosis. sm

And it is definitely not part of the ECG report.
rule out coarctation of the aorta and/ s/l R8 bicuspid aortic valve
Subject: rule out coarctation of the aorta and/ s/l R8 bicuspid aortic valve

nt
Physical exam: Abdomen soft nontender s/l no palpable aorta? and no bruits
Subject: Physical exam: Abdomen soft nontender s/l no palpable aorta? and no bruits

I know that can not be correct...TIA
Would it be appropriate to say cervical paraspinal or cervical paraspinous? SM. TIA.
Subject: Would it be appropriate to say cervical paraspinal or cervical paraspinous? SM. TIA.

He was diffusely tender in the lumbar paraspinal or paraspinous?  and spinous process area.