Decreased pinpric sensation to the bilateral lower extremities but areas of s/l passhiveness -sm-
Posted By: mh on 2007-08-04
In Reply to:
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!
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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!
large areas of decreased attenuation
Subject: large areas of decreased attenuation
Neurological: Moving all 4 extremities and s/l withdrawing to sensation.
decreased breath sounds at the bilateral s/l faces? nm
Subject: decreased breath sounds at the bilateral s/l faces? nm
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
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.
, inspection of her bilateral upper extremities, shows her s/l 'enteal' incision on the left s
Subject: , inspection of her bilateral upper extremities, shows her s/l 'enteal' incision on the left side
"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
Just guessing here... mild bilateral lower limb?
Subject: Just guessing here... mild bilateral lower limb?
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
.
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?
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
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.
Other areas?
Subject: Other areas?
Would that fit the context? Impossible for me to tell without seeing the sentences before.
loculated areas...
Subject: loculated areas...
I think anyway.
several areas of atelectasis and scarring? nm
Subject: several areas of atelectasis and scarring? nm
Yest infection "intergium" areas? TY
.
? yeast infection in intertriginous areas?
n/m
tape does tear some fragile skin areas....nm
Subject: tape does tear some fragile skin areas....nm
Rhinoplasty. Local anesthetic was administered to the areas....sm
Subject: Rhinoplasty. Local anesthetic was administered to the areas....sm
10 minutes of time was allowed to elapse before beginning the procedure. The area of the s/l bray cee a was removed with bacitracin. Can't figure this out!
Since malar is of the upper cheek areas, I'd agree
Subject: Since malar is of the upper cheek areas, I'd agree
n
Wild guess here: S1, S2 and aortic valve areas
Subject: Wild guess here: S1, S2 and aortic valve areas
He does have erythema to the malar areas and the forehead with some S/L tengle-ectavas, although sm
Subject: He does have erythema to the malar areas and the forehead with some S/L tengle-ectavas, although sm
no acne is noted......TIA. 
Google 'forearm grafts + reconstructive surgery' and it does come up often for different areas
Subject: Google 'forearm grafts + reconstructive surgery' and it does come up often for different areas of
s
fer crying out loud - the areas were marked with Vio skin marker.
Subject: fer crying out loud - the areas were marked with Vio skin marker.
Poke me with a fork, I'm DONE!!
s/l forci for infection to get in..His feet are very dry, calloused, with multiple areas which would
Subject: s/l forci for infection to get in..His feet are very dry, calloused, with multiple areas which would
His feet are very dry, calloused, with multiple areas which would serve as excellent forci for infection to get in. TIA..
Sensation ?
Subject: Sensation ?
? sensation
Subject: ? sensation
? sensation
Subject: ? sensation
Ecchymosis tracking into the s/l dependent areas of the foot and the proximal aspect of the toes. sm
Subject: Ecchymosis tracking into the s/l dependent areas of the foot and the proximal aspect of the toes. sm
Patient fell and twisted his ankle. He has bruising that has tracked down into the distal foot.
no, it s/l decreased
Subject: no, it s/l decreased
I have listened over and over. I know the term nuclear sclerotic, but he s/l he is saying decreased. Thanks for the help.
Duh by me - decreased rom!! thanks
Subject: Duh by me - decreased rom!! thanks
decreased? sm
Subject: decreased? sm
it's close to your s/l (IF you say it while yawning) and it fits with paresthesias... ?? =)
I also think it would be decreased, and
Subject: I also think it would be decreased, and
it sounds like the patient has meralgia paresthetica.
I was confused by the subject line because I thought the patient was having the problem while yawning, LOL.
pin prick sensation.
Subject: pin prick sensation.
We also checked 2 point and 1 point pin sensation discrimination and this was intact. (I am questioning discrimination have not heard it this way before I may be hearing discrimination incorrectly, any tips?)
Usually a *fluttering* sensation. (nm)
Subject: Usually a *fluttering* sensation. (nm)
x
discomfortable sensation?
Subject: discomfortable sensation?
xx
gross sensation? sm
Subject: gross sensation? sm
PDF]
File Format: PDF/Adobe Acrobat - View as HTMLNext, test gross sensation of Cranial Nerve V. Tell the patient to close their .... locations bilaterally to test for temperature sensation. Light touch ...
gas/gaseous sensation?
Subject: gas/gaseous sensation?
.
ahh-voo-cartic sensation??sm
Subject: ahh-voo-cartic sensation??sm
s/l "ah-voo-cartic" sensation is intact bilateral lower extremities, retrograde sensation for sharp, dull, vibratory and proprioception."
decreased curves
Subject: decreased curves
The guy could be more organized but that's not your fault. That is fine the way it is.
Strength is 5/5 throughout. Sensation is intact.
Subject: Strength is 5/5 throughout. Sensation is intact.
is how I would do it.
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