Ecchymosis tracking into the s/l dependent areas of the foot and the proximal aspect of the toes. sm
Posted By: ds on 2006-08-03
In Reply to:
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.
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s/l supermed The foot was held in neutral ankle dorsiflexion with the toes straight and the FDCFHL
Subject: s/l supermed The foot was held in neutral ankle dorsiflexion with the toes straight and the FDCFHL
were "pinned with supermed." Thanks again for your help.
foot exam - removal of AFFENDING ingrown nail spicules from the right and left great toes
Subject: foot exam - removal of AFFENDING ingrown nail spicules from the right and left great toes
This is a new dictator for me and he says the same thing in almost every dictation. He is stressing the AFFENDING - kind of like to let you know that it's an "A" and not "O"..
anterior lateral aspect OR anteriolateral aspect?
Subject: anterior lateral aspect OR anteriolateral aspect?
She has pain on palpation to the _____ aspect of her right foot.
Patient with gangrene of foot. On exam, the entire foot is ulcerated with s/l us-i-nest debris.
Subject: Patient with gangrene of foot. On exam, the entire foot is ulcerated with s/l us-i-nest debris.
:-)
Could be tracking.nm
Subject: Could be tracking.nm
Sinus tracking. nm
Subject: Sinus tracking. nm
.
as in tracking them to tackle maybe?
Subject: as in tracking them to tackle maybe?
hammertoe s/l tracking
Subject: hammertoe s/l tracking
Name of procedure for hammertoe deformity. Hammertoe sounds like tracking or trekking. thanks
WAG here... maybe ecchymosis? NM
Subject: WAG here... maybe ecchymosis? NM
x
ecchymosis maybe?
Subject: ecchymosis maybe?
Could it be they have a black eye?
How about ecchymosis ???
Subject: How about ecchymosis ???
x
AFO-ankle foot orthosis for drop foot. nm
Subject: AFO-ankle foot orthosis for drop foot. nm
nm
tracking along the "cantor" surface ??
the patient is status post TMA. In discussing the wound healing, she says: There is a small amound of tracking along the "canta", "canter" "cantor" surface. Ideas?
All I can find is a "Cantor" tube, and that's not it. TIA
Maybe that's what he means, but I'm listening now and s/l tracking.
Subject: Maybe that's what he means, but I'm listening now and s/l tracking.
nm
infection with sinus (tracking or tracting)
Subject: infection with sinus (tracking or tracting)
x
tough one, but angioma or ecchymosis?
Subject: tough one, but angioma or ecchymosis?
just a thought.
Ecchymosis s/p Restylane injection - sm
Subject: Ecchymosis s/p Restylane injection - sm
to lips. "She can just use some s/l onycomontin to this.
Any ideas at all?
if they say *foot* - give 'em foot....nm
Subject: if they say *foot* - give 'em foot....nm
She has a prosthetic *above?* right foot for right foot drop.
Subject: She has a prosthetic *above?* right foot for right foot drop.
,,
Does this make sense: "Prograde postoperative ecchymosis" ??
Subject: Does this make sense: "Prograde postoperative ecchymosis" ??
Prograde is the word I am questioning.
Thanks!!!!
Mild "ecky" periumbilical and abdominal wall ecchymosis. sm
Mild ____ periumbilical and upper abdominal wall ecchymosis. Sounds like "ecky" or "epi". Any ideas what this might be? TIA
Other areas?
Subject: Other areas?
Would that fit the context? Impossible for me to tell without seeing the sentences before.
There is a healthy appearing biopsy site in the right breast with a small surrounding ecchymosis.
Subject: There is a healthy appearing biopsy site in the right breast with a small surrounding ecchymosis.
Is it "with a small surrounding ecchymosis" or "with small surrounding ecchymosis"?
loculated areas...
Subject: loculated areas...
I think anyway.
No, definitely dependent
Subject: No, definitely dependent
several areas of atelectasis and scarring? nm
Subject: several areas of atelectasis and scarring? nm
trace dependent
Subject: trace dependent
Yes, but without the dash. Trace means "slightly"
dependent rubor......................nm
Subject: dependent rubor......................nm
could it be length dependent
Subject: could it be length dependent
xx
Yes - non-insulin-dependent
Subject: Yes - non-insulin-dependent
nm
dependent position
Subject: dependent position
hanging down to the side
could demyelinating be in there instead of dependent?
Subject: could demyelinating be in there instead of dependent?
Yest infection "intergium" areas? TY
.
? yeast infection in intertriginous areas?
n/m
large areas of decreased attenuation
Subject: large areas of decreased attenuation
downgoing toes? nm
Subject: downgoing toes? nm
just to keep us on our toes (thumbs?)...it's BOTH! :) sm
Subject: just to keep us on our toes (thumbs?)...it's BOTH! :) sm
Opposition is the motion wherein the tip of the thumb comes into contact with the tip of any other digit on the same hand. If the thumb contacts any other portion of a digit, it is referred to as apposition. Humans are probably the only primates that can truly oppose their thumbs.
Onychomycosis of the toes.
Subject: Onychomycosis of the toes.
She states in history: He has been trying with "gin-ga-va-let" (medication) I tried to fit Gifulvin in there, but that's not it.
Also, later she states: We will try wtih S/L *fungal pincher* and then follow up in six weeks.
Any help on either of these is appreciated!
bilateral s/l qua toes? TIA.nm
Subject: bilateral s/l qua toes? TIA.nm
xx
claw toes?
Subject: claw toes?
Not to worry, keeps me on my toes!
Subject: Not to worry, keeps me on my toes!
Toes are somewhat s/l ruberous? tia NM
Subject: Toes are somewhat s/l ruberous? tia NM
x
Too many toes sign
Subject: Too many toes sign
NM
too-many-toes sign. nm
Subject: too-many-toes sign. nm
upgoing toes is probably in there somewhere
Subject: upgoing toes is probably in there somewhere
sorry, can't be much more help....
Maybe transient, dependent edema..
could that possibly be dependent rubor? --sm
Subject: could that possibly be dependent rubor? --sm
just a long shot on that one. just a thought.
yes, "trace dependent edema." nm
Subject: yes, "trace dependent edema." nm
xx
can you hear "length" dependent? nm
Subject: can you hear "length" dependent? nm
jmo it would be anterolateral aspect. nm
Subject: jmo it would be anterolateral aspect. nm
nm
intermedial aspect
Subject: intermedial aspect
Doc dictates: “the pain radiates into the *intermedial* aspect of her leg.” I don’t think that’s a word, but it’s definitely what he’s saying.
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