Extremity exam
Posted By: Jill on 2008-05-14
In Reply to:
Subject: Extremity exam
The finger is swollen with a small opening on the s/l fulmer aspect of the ring finger at the DIP joint area. He is not saying volar or palmar aspect. It sounds like "fulmer." I'm stumped. Any help is appreciated.
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Please look at my extremity exam ...
Subject: Please look at my extremity exam ...
This is what I am hearing. Does this make sense/look correct? This MD likes to make every word short and sweet.... but I get so confused where to put it all. Thank you.
EXTREMITIES: There is edema of the right ankle at the site of fracture times two. Trace to 1+ on the left, significantly diminished pulses equal 0-1 DP and PT lower extremities bilaterally. Normal upper.
Extremity exam:
Subject: Extremity exam:
Dr is saying Extremities: No cyanosis, clubbing or edema. S/L" SETs" or SVTs are in fact in place.
Thank you
Extremity exam:
Subject: Extremity exam:
In the extremities exam: There is a notable s/L leglang discrepency and a positive external rotation.
thanks
Extremity Exam
Subject: Extremity Exam
Extremity exam
Subject: Extremity exam
She has 1-2+ edema bilaterally in the ankle and s/l kalai region. TIA.
No don't think so . . in the extremity exam, he says . . .
Subject: No don't think so . . in the extremity exam, he says . . .
The right lower extremity has this marked amoutn of heat and "resider endeposation" in the anterior aspect of the right leg.
Again, any help please . . . .
Lower extremity exam sm
Subject: Lower extremity exam sm
Patient has bilateral feet ulcers, poor or nonexistent pulses. Dr. says her skin is thin and atrophic with s/l "zarosis planoy". I can find "xerosis" which does not seem to apply here. Any ideas would be appreciated. TIA.
Extremity exam after stroke (sm)
Subject: Extremity exam after stroke (sm)
Diagnosis of acute right middle cerebral artery ischemic cerebral infarction and acute right internal carotid artery and right middle cerebral artery occlusion.
In exam, he says:
He has flaccid left hemiplegia of the left upper and lower extremities that does ______ (rep/rub) on the left on plantar response.
In view of the ___________ (rep/rub cuff/calf) it was felt that the patient would benefit from full anticoagulation for a short term.
Any help on this would be appreciated. Thanks.
asteriscus? Extremity exam
Subject: asteriscus? Extremity exam
Physical exam of extremity
Subject: Physical exam of extremity
Both lower extremities are <___>(rap-nees-rap).????
lower extremity exam
Subject: lower extremity exam
No s/l kalar in the extremities bilaterally.
Extremity exam after surgery - see inside
Subject: Extremity exam after surgery - see inside
Patient post surgery Hys & BSO. Medical consult.
Doc dictates -- Compression stockines and ____ in place.
The blank sounds like pneumovac. Can anyone help me verify or give any suggestions.
Thank you!
Exam of hand and upper extremity - please sm
Subject: Exam of hand and upper extremity - please sm
Regarding her hands and upper extremities, there is notable thenar atrophy at the right hand with APB weakness. s/l Apponing strength was good bilaterally. She does have a positive CMC grind test.
Moses' sign - looking for DVT in lower extremity exam. NM
Subject: Moses' sign - looking for DVT in lower extremity exam. NM
:
Extremity exam: "No astericks". No tremor noted. nm
Subject: Extremity exam: "No astericks". No tremor noted. nm
s/l pseudo acitosis in upper extremity (neuro exam)
Subject: s/l pseudo acitosis in upper extremity (neuro exam)
Thx
CT Lower extremity
Subject: CT Lower extremity
Degenerative joint disease of the right [hellocele] sesamoid articulation is noted. Thanks for the help.
Modeling of extremity? NM
Subject: Modeling of extremity? NM
xx
mottling of extremity..nm
Subject: mottling of extremity..nm
lower extremity venous studies
Subject: lower extremity venous studies
?MOFFET? for the left lower extremity sm
Subject: ?MOFFET? for the left lower extremity sm
Dr. is stating for a woman with MS that he gave her a prescription for home physical therapy as well as a S/L moffit or mophet" and she is not to ambulate without it. I cannot find anything in any of my resources. Could really use some help. thanks
350 mmHg is correct for a lower extremity. nm
Subject: 350 mmHg is correct for a lower extremity. nm
.
lower extremity neuro under back?
Subject: lower extremity neuro under back?
can "Lower extremity normal neuro" go under BACK:
if he was previously talking about pain in the thoracolumbar region?
Pt with MS, s/; "Tatense" is decreased over the right upper extremity.
Subject: Pt with MS, s/; "Tatense" is decreased over the right upper extremity.
This is on Neurologic exam: Dorsiflexor 2/5 and the remainder at 4/5. DTRs are 3+ throughout, except for 2+ at the ankles. Tatense is decreased over the right upper extremity but intact throughout on the remaining three extremities.
lower extremity vesicular or vascular insufficiency?
Subject: lower extremity vesicular or vascular insufficiency?
not sure which he is saying
On NSAIDs for left lower extremity DVT prophylaxis?
Subject: On NSAIDs for left lower extremity DVT prophylaxis?
s/l Perdidity ? noted in the left upper extremity
Subject: s/l Perdidity ? noted in the left upper extremity
duh - never mind. He's saying "in the right lower extremity" Argh!
Subject: duh - never mind. He's saying "in the right lower extremity" Argh!
on ______ (s/l NSCD?) to the left lower extremity for DVT prophylaxis
Subject: on ______ (s/l NSCD?) to the left lower extremity for DVT prophylaxis
Not sure if he's referring to some kind of stocking, but her discharge medications include aspirin, enteric-coated.
Thanks.
?break in dictation for MT instruction? i see "add this to review of systems above the extremity
Subject: ?break in dictation for MT instruction? i see "add this to review of systems above the extremity section" in your s/l ?? nm ??
The left lower extremity is negative "raw growth." Am I hearing this right????
Subject: The left lower extremity is negative "raw growth." Am I hearing this right????
Throat exam is normal, as were the rest of her neck, face, and skull exam.
Subject: Throat exam is normal, as were the rest of her neck, face, and skull exam.
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)
Physical exam on eye exam, s/l Cardinal Welk's space?? noted.NM
Subject: Physical exam on eye exam, s/l Cardinal Welk's space?? noted.NM
PE on consult lower extremity edema with multiple varicose veins. NO CORDAL LACK OBSTRUCTION
Subject: PE on consult lower extremity edema with multiple varicose veins. NO CORDAL LACK OBSTRUCTION
This is a new dictator to me - has a accent. S/L CORDAL LACK OBSTRUCTION. Any help??
What kind of doc is doing the exam? And where in the exam is this test mentioned? nm
Subject: What kind of doc is doing the exam? And where in the exam is this test mentioned? nm
s
Question about eye exam...when everting lids on eye exam (sm)
Subject: Question about eye exam...when everting lids on eye exam (sm)
It is EVERT, not AVERT, right? I have always typed it with an E but I have a PA who keeps insisting it is A. I always thought Avert applied to gaze, as if to look away. Just want to make sure everting the eyelid is the right term. TIA.
Which is correct? self-breast exam or breast self-exam (nm)
Subject: Which is correct? self-breast exam or breast self-exam (nm)
xx
s/l lob's exam
Subject: s/l lob's exam
There is an abbreviation, LOB, which stands for "loss of balance"
not sure this is what you're looking for. Either way, I do believe what the dictator would have said was "loss" of protective sensation..., not "lots" Hope this helps!
Ear exam - see msg
Subject: Ear exam - see msg
Ears reveal normal s/l "tina" and normal external auditory canals. Thanks for the help in advance!
eye exam
Subject: eye exam
small sl-PAFs were noted near the interior chamber haptic positions temporally in the left eye.
eye exam
Subject: eye exam
Think that might be "anterior" chamber instead of interior chamber.
eye exam
Subject: eye exam
cup-to-disc ratio was 0.5 with sl-temporal slipping OU
eye exam
Subject: eye exam
temporal sloping
GYN exam
Subject: GYN exam
Have you ever heard the phrase--the uterus to be midplane and anteflexed? I've heard of anteflexed, but not midplane
thanks
eye exam
Subject: eye exam
foreign body in eye.
this lesion did stain with fluorescein; however, it was noted to be sl-sidal negative.
he also says the lesion is at the 7 o'clock sl-clock R position.
Eye exam
Subject: Eye exam
There is contraction across the entire field of vision in both eyes. Impression is _____ ischemia with field defect, stable.
S/L sanis
Eye exam
Subject: Eye exam
Eyes: Refractory s/l Air FOGs glasses
Thanks.
Eye exam
Subject: Eye exam
Yes! Thanks you two. First time I've used this. Appreciate the help.
eye exam
Subject: eye exam
It was, "refractive error for which he uses glasses". Sounded so clear after you gave me the 'refractive error' part. The doctor's British accent was charming but confusing too.
gen exam
Subject: gen exam
 New doctor.
Under PE. General: She is alert sind.
Please help with the "sind " part. I know it is short for something.
Neurological: s/l just gross and nonfocal.
Maybe nerves gross and nonfocal? Aahhhh!
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