, inspection of her bilateral upper extremities, shows her s/l 'enteal' incision on the left s
Posted By: nm on 2007-10-20
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Subject: , inspection of her bilateral upper extremities, shows her s/l 'enteal' incision on the left side
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bilateral subcostal incision or left s... just a guess. nm
Subject: bilateral subcostal incision or left s... just a guess. nm
:)
I see. In this pt it's upper & lower extremities [SM]
Subject: I see. In this pt it's upper & lower extremities [SM]
muscles of the upper extremities - sm
Subject: muscles of the upper extremities - sm
include opponens pollicis, lumbricals, and interossei. Hope this helps!
Examination and inspection of the left hip reveals 90o of flexion. Full extension. sm
Subject: Examination and inspection of the left hip reveals 90o of flexion. Full extension. sm
No **flexion** contracture. Would this be flexor or flexion?
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!
S/L Hemechromis?? noted bilateral upper extremites
Subject: S/L Hemechromis?? noted bilateral upper extremites
NM
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 touchyo left upper quadrant
Subject: s/l touchyo left upper quadrant
Got it! It was "touchy over" the left upper quadrant.
Subject: Got it! It was "touchy over" the left upper quadrant.
Thanks for the suggestions!
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
s/l Perdidity ? noted in the left upper extremity
Subject: s/l Perdidity ? noted in the left upper extremity
patient has a small COLAZION of her left upper lateral lid.
Subject: patient has a small COLAZION of her left upper lateral lid.
Anyone have any help??
Type of incision below left clavicle
Subject: Type of incision below left clavicle
Procedure is dual-chamber pacemaker implantion. "Incision made below the left clavicle in a ? fashion." Sounds like park-pos.
the word is used again here: left upper s/l mo-adi of the ectopic system. sm for complete snt agai
Subject: the word is used again here: left upper s/l mo-adi of the ectopic system. sm for complete snt again.
catheter which allowed passage of the Benson wire to the left upper moadi of the ectoptic system.
fracture of the proximal left femur with segmented upper tip of the graded s/l turhunter
Subject: fracture of the proximal left femur with segmented upper tip of the graded s/l turhunter
2D echo shows the left ventricular dysfunction in the
Subject: 2D echo shows the left ventricular dysfunction in the
s/l CP, CP&P??
MRI of the left knee which shows a horizontal s/l fuge tear posterior horn medial meniscus. tia. nm
Subject: MRI of the left knee which shows a horizontal s/l fuge tear posterior horn medial meniscus. tia. nm
EKG obtained shows atrial fibrillation, left bundle branch block, occasional pace response.
Subject: EKG obtained shows atrial fibrillation, left bundle branch block, occasional pace response.
Eye exam: s/l "sub-lamp" exam shows left side has multiple small punctations in the cornea.(t
Subject: Eye exam: s/l "sub-lamp" exam shows left side has multiple small punctations in the cornea.(thanks)
Incision, they first make a small incision for the port or trocar to go in for viewing the GI system
Subject: Incision, they first make a small incision for the port or trocar to go in for viewing the GI system
nm
Is typing biapical ok or should I put bilateral apical as he does say bilateral towards the end of t
Subject: Is typing biapical ok or should I put bilateral apical as he does say bilateral towards the end of the dictation?
Yes there is V-shaped incision and an inverted T-incision, so maybe they converted from a V to T
Subject: Yes there is V-shaped incision and an inverted T-incision, so maybe they converted from a V to T
I think inspection is okay - sm
Subject: I think inspection is okay - sm
I looked up a IPPA on medical abbreviations website (see below) and it says: Inspection, Palpation, Percussion and Auscultation
I would think "inspiration" instead of inspection. nm
Subject: I would think "inspiration" instead of inspection. nm
nm
It's not inspection or inspiration
Subject: It's not inspection or inspiration
are u a newbie?
Pt with bilateral breast reconstruction. She had bilateral
Subject: Pt with bilateral breast reconstruction. She had bilateral
s/l NoWet sponges in the area of both breasts. Ideas????
bilateral conjunctivae...example...bilateral knees..nm
Subject: bilateral conjunctivae...example...bilateral knees..nm
CSF fluid: There was no s/l agrezoclaminomia by visual inspection.
Subject: CSF fluid: There was no s/l agrezoclaminomia by visual inspection.
upper limb, upper leg?
Subject: upper limb, upper leg?
Inspection of chest is okay...Physicians watch the rise and fall of
Subject: Inspection of chest is okay...Physicians watch the rise and fall of
Funny thing, I had this yesterday and left 3 blanks that QA also left blank.
Subject: Funny thing, I had this yesterday and left 3 blanks that QA also left blank.
x
pain over the left hip and a biopsy of the left s/l SA pablum showed adenocarcinom
Subject: pain over the left hip and a biopsy of the left s/l SA pablum showed adenocarcinom
n
probably means left anterior descending. Instead of saying LAD, just saying left AD.
Subject: probably means left anterior descending. Instead of saying LAD, just saying left AD.
x
Pt was injected at L4-L5 and L5-S1 *upper sacroiliac joints or AND upper sacroiliac joints" sm
Subject: Pt was injected at L4-L5 and L5-S1 *upper sacroiliac joints or AND upper sacroiliac joints" sm
bilaterally. Thanks
S/P left total knee reconstruction. On exam, has a palpable s/l clod defect on the left knee.
Subject: S/P left total knee reconstruction. On exam, has a palpable s/l clod defect on the left knee.
:-)
Extremities help
Subject: Extremities help
TGIF everyone!
Dr. states "extremiteis have clubbing, edema, and s/l ches-pa-nin." I've looked at a million websites but am coming up with nothing. Chest pain doesn't make sense--any thoughts?
extremities
Subject: extremities
Is there any information in the rest of the report that might give a clue such as chief complaint/diagnosis, etc.?
Extremities
Subject: Extremities
EXTREMITIES: Dark s/l rugor as she does have peripheral vascular disease.
Any ideas?
The dictator spells it out as rugor. Just making sure it exists.
Extremities - no CVA or CVP?
Subject: Extremities - no CVA or CVP?
Has anyone ever heard of either of these terms dictated under the "extremities" section of a physical exam? I can understand "no CVA" in a way because of the patient ever had a stroke then their extremities might be effected (although I would think this would go under the neuro section). Its the CVP that I'm not getting. I've checked my abbreviation references and I can't find anything this would refer to.
BTW, I left this blank. The QA department filled the blank with No CVA or CVP. I'm curious more than anything. Am I missing something here?
extremities
Subject: extremities
EXTREMITIES: Full range of motion.s/l*no pull incentive.*
62-year-old woman - no complaints
Thanks for your help.
Extremities
Subject: Extremities
one more extremities
Subject: one more extremities
Extremities: There was no s/l lawgren ____ syndrome present.
Thanks
Extremities
Subject: Extremities
Homan sign is negative. There is no ??_________ or calf tenderness.
it kind of sounds like gastra something. I've searched google under Homan sign and calf tenderness and i just don't have the slightest idea what this could be.
There is no s/l placidity to his extremities.
Subject: There is no s/l placidity to his extremities.
CVAT in the extremities? What would this mean?
Subject: CVAT in the extremities? What would this mean?
NM
in the extremities are there NPO? pulses?
Subject: in the extremities are there NPO? pulses?
see above, probably not related to extremities nm
Subject: see above, probably not related to extremities nm
x
pulses in extremities
He says posterior tibials 2+, politeals 1-1/2+ ???? How should this be typed?
Extremities exam:
Subject: Extremities exam:
s/l altoitialpalses are palpable.
Any idea what this term is? This is under Extremities physical exam.
Extremities: No edema. Altoitailpalses are palpable.
Extremities word help
Subject: Extremities word help
This is on a physical examination under the heading extremities.
EXTREMITIES: Extremities show [hemorisnose] bilaterally.
I am having trouble with the word in brackets. That is what it sounds like.
extremities word help
Subject: extremities word help
Heberden's nodes, named for William Heberden (1710-1801)[1], are hard or bony swellings which can develop in the distal interphalangeal joints (DIP) (the joints closest to the end of the fingers and toes). They are a sign of osteoarthritis, and are caused by formation...
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