Extremity exam after surgery - see inside
Posted By: QUICK HELP on 2006-10-11
In Reply to:
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!
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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
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.
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.
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
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Subject: s/l pseudo acitosis in upper extremity (neuro exam)
Thx
Vascular Surgery help... See inside
Subject: Vascular Surgery help... See inside
Doc says:
He is now approximately seven months status post placement of a ____ (s/l Zenith cuff) for an infrarenal aortic aneurysm. This was done in an ____ (s/l endo-edge or endo-etch) technique.
orthopedic surgery -- see inside
Subject: orthopedic surgery -- see inside
on x-ray it appears that one of the s/l "hoffert" screws is protruding out the posteromedial aspect ....(Can't find anything googling or otherwise).
ophthalmology surgery question..please see inside.
Subject: ophthalmology surgery question..please see inside.
Lateral canthotomies were performed and the inferior truse(?) of the lateral canthal tendons were severed.
I think this is the type of incision used in Head and Neck Surgery. see inside
Subject: I think this is the type of incision used in Head and Neck Surgery. see inside
Schobinger 1957-(fig 3a and 3b) Higher horizontal incision allows easier access to oral cavity and
various modifications for posterior vertical limb.
Shorter superior flap allows midline lip splitting extension with less likelihood of loss of tip (Becker 1984, fig 3c)
Also found:
Surgical treatment of many tumors of the head and neck require extended approaches. Many cervicotomies have been described in the treatment of head and neck and cervical tumors; careful thought must be made by a surgeon when surgical treatment is planned for an extended tumor.Our purpose is to show the versatility of the modified Schobinger incision.
On exam for breast reduction surgery,
Subject: On exam for breast reduction surgery,
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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
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Subject: 350 mmHg is correct for a lower extremity. nm
.
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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.
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lower extremity vesicular or vascular insufficiency?
Subject: lower extremity vesicular or vascular insufficiency?
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Subject: On NSAIDs for left lower extremity DVT prophylaxis?
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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.
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Subject: Eye exam: s/l "sub-lamp" exam shows left side has multiple small punctations in the cornea.(thanks)
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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.
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Subject: takedown surgery vs take down surgery--which is correct? nm
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Subject: Eye-orbit-surgery or I orbit surgery for a fracture
Nothing else to add, it was in the past surgical history thanks all.
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Subject: Which is correct? self-breast exam or breast self-exam (nm)
xx
Inside
as part of the neurological exam, you have sensory testing and withdrawing to pain or (some kind of) stimuli would be correct. Not sure about the phraseology in your report, maybe 'withdrawal sensation' ??
See Inside
Subject: See Inside
I would type it as "1-year-5-month-old girl"
See inside (sm)
Subject: See inside (sm)
That is probably mosaicism or punctation.
Changes Associated with High Grade SIL
- Blood Vessel changes (Coarse punctation or mosaicism)
- Abnormal blood vessels
- Erosions
- Dense Acetowhite staining of epithelium
Please see inside.
Subject: Please see inside.
On his hearing test, the patient could not hear frequencies at 1000-2000-4000 with his right ear at 40 decibels. He could not hear 1000 with his left ear at 40 decibels. However, during the whisper test, he was able to hear three items in each ear from at least 7 feet away.
I have no idea how to type the 1000 2000 4000. This is on a physical exam. Thanks for any help!!
see inside
Subject: see inside
s/l 'tramcentel' metered dose inhaler 4 puffs b.i.d.
see inside
Subject: see inside
that would be 8-French Judkins, left-4 coronary catheter.
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