Figured out the musculoskeletal one... still looking for the other...
Posted By: New MT on 2006-08-08
In Reply to: Physical examination... sm - New MT
Subject: Figured out the musculoskeletal one... still looking for the other...
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musculoskeletal
Subject: musculoskeletal
Thanks for your advise, but...
Yes, that is what I would put, but dictators are very specific and do not want their verbiage changed, but cannot find a correct spelling of this anywhere!
Musculoskeletal help
Subject: Musculoskeletal help
I am doing a musculoskeletal exam. I cannot figure out what he is saying and cannot find a list of common tests done. Does anyone have a clue?
s/l Trendellenburg's test, (s/l bactruse) test, (s/l ulise) test, (s/lserial halls) test (s/l spurring) and straight leg raising negative.
Thanks in advance.
MUSCULOSKELETAL heading?
Subject: MUSCULOSKELETAL heading?
Newbie here. I'm typing an H&P and under instruction to supply appropriate headings & subheadings if they are not dictated, esp. in an H&P.
Under the Physical Examination, the Dr. dictated most headings, but under ABDOMEN, she continued with what I think is more of a musculoskeletal exam:
ABDOMEN: His abdomen is rotund, nontender, nondistended, and soft. He has no costovertebral angle (CVA) tenderness to percussion. He has no thoracic tenderness to palpation. His pain begins at approximately L2 down to his sacrum, with pain greater down his right gluteus versus his left, but does have pain. He has slow movement and grimaces with any movement. He is able to stand. Decreased range of motion secondary to pain. Straight-leg reflex painful in both legs. Reflexes are diminished bilaterally.
Here is my question: I cannot find a precedent for adding the MUSCULOSKELETAL subheading. Yet beginning from "His pain" and following is not really under an ABDOMEN exam, is it? At the very least, I feel I should start a new paragraph, but then my format is messed up b/c everything else has a subheading!
Needless to say, it stresses me out a bit. Any advice is definitely appreciated!
Musculoskeletal/Neurologic
Subject: Musculoskeletal/Neurologic
You need to head it the way I did in the subject above...
Musculoskeletal Exam
Subject: Musculoskeletal Exam
Does this make sense to anyone? Active range of motion of the left knee is approximately 0 to 100?
Musculoskeletal Exam
Subject: Musculoskeletal Exam
There are no [s/l dermaternal?] changes noted in upper and lower extremities.
Musculoskeletal exam
Subject: Musculoskeletal exam
Sensation is intact for the s/l fil-a-mon test.
It is Amrix, a musculoskeletal relaxant- nm
Subject: It is Amrix, a musculoskeletal relaxant- nm
xx
Roxitan is correct....musculoskeletal and
Subject: Roxitan is correct....musculoskeletal and
xx
I'd say positive for musculoskeletal back pain.
Subject: I'd say positive for musculoskeletal back pain.
s/l Fabray is positive on musculoskeletal exam.....(nm) TIA!
Subject: s/l Fabray is positive on musculoskeletal exam.....(nm) TIA!
x
Musculoskeletal exam: The patient has good s/l RAM.
Subject: Musculoskeletal exam: The patient has good s/l RAM.
She says this twice. Clearly not sounding like range of motion. Thanks for any help!
Figured it out.
Sorry, I hate it when I make it more difficult than it really is. I was thinking he was saying something more scientific, but he was actually just saying: As is his sister and parents.
figured it out DUH
Subject: figured it out DUH
figured it out, its parentheses. DUH
figured it out...
Subject: figured it out...
he is saying 'this is not increasing'. Duh! Thanks everyone.
Thanks all but I just figured it out...sm
Subject: Thanks all but I just figured it out...sm
It is Ticlid. She was pronouncing the "i" as a "y". Just went to snatch a cup of coffee and it came to me, lol. Have a good 4th.
I figured it out. It is EPS. Thanks.
Subject: I figured it out. It is EPS. Thanks.
Thanks I figured it out.
Subject: Thanks I figured it out.
Figured it out!
Subject: Figured it out!
She was saying "hyper - h-y-p-e-r- kalemia.
I just figured that out. Thank you:)
Subject: I just figured that out. Thank you:)
xx
figured it out!
Subject: figured it out!
multiple endocrine neoplasia (MEN)
Yahoooo!
Ahh I figured it out..
Subject: Ahh I figured it out..
polyarticular JRA
I figured it out... DUH!
Subject: I figured it out... DUH!
It's tall kneeling! Jeez....I guess I'm too tired to be typing...every time I looked up about tall mewing I just got information about cats!
Thanks to both of you, I figured they were both used
Subject: Thanks to both of you, I figured they were both used
Thanks
Tx everybody figured it out
Subject: Tx everybody figured it out
figured it out. Thanks anyway. nm
Subject: figured it out. Thanks anyway. nm
....
Figured it out. nm
Subject: Figured it out. nm
I figured it all out.
Subject: I figured it all out.
Okay, i figured this whole sentence out. 
I figured it out sm
Subject: I figured it out sm
HFN - high flow nebulizer
I think I figured it out sm
Subject: I think I figured it out sm
"watch ticks" !!!!
Thanks, I should have figured that out. nm
Subject: Thanks, I should have figured that out. nm
nm
Figured it out
Subject: Figured it out
Figured it out - IPV
Subject: Figured it out - IPV
Figured it out.
Subject: Figured it out.
Thanks. I figured it had to be something like that
Subject: Thanks. I figured it had to be something like that
Of course, she always says AVSS afebrile, which makes it kind of redundant, but why should that surprise me?
I figured it out - Ery-Tab 333 nm
Subject: I figured it out - Ery-Tab 333 nm
That's it. Should have figured that out when sm
Subject: That's it. Should have figured that out when sm
he went on to say the patient thought she had "patchitis" (pouchitis).
Thank you!!
figured it out
Subject: figured it out
I think I figured it out. Thanks.
Subject: I think I figured it out. Thanks.
Persantine. I just found referance to a Persantine stress test. That would explain the cardiologist being involved.
Figured it out. Thanks
Subject: Figured it out. Thanks
Sub-Tenon injection
Yes! Thank you! :-) would have never figured this one out
Subject: Yes! Thank you! :-) would have never figured this one out
Thanks, I would never had figured that one out.
Subject: Thanks, I would never had figured that one out.
Figured it out, she is saying MOM.
Subject: Figured it out, she is saying MOM.
I think I figured it out.
Subject: I think I figured it out.
He says:
1. Thrombocytopenia.
2. Hepatic cirrhosis. For both (I think that's what he says) we will await her visits with blah blah blah.
Thank you for the suggestion though, it made me think. She has visits for both the thrombocytopenia and the hepatic cirrhosis. So I'm pretty sure he's saying both. It threw me off since he numbered them. ESLs get me everytime! Thank you again@
i've figured it out myself :-)
Subject: i've figured it out myself :-)
NEVERMIND:) Figured it out!
Subject: NEVERMIND:) Figured it out!
perionychia
It was Joubert's. Thanks so much! I would have never figured that out!
Subject: It was Joubert's. Thanks so much! I would have never figured that out!
NM, I figured it out! C. difficile...
Subject: NM, I figured it out! C. difficile...
... Ugh, think I need a break. 
Okay, I figured it out...I must have gone off your second post..nm
Subject: Okay, I figured it out...I must have gone off your second post..nm
nm
Yes TBI, I finally figured out.....
Subject: Yes TBI, I finally figured out.....
that she was probably meaning thiotepa/TBI/Cytoxan
But sounded more like a V than a B and she clearly said "thiaPENTA". Grrrr. Wish they would learn how to pronounce this stuff.
Hey, thanks for your help!!!! Have a great day!
never mind, figured it out
Subject: never mind, figured it out
He was starting to say B-12 and then stopped himself and said pernicious anemia. Had me stumped for awhile!
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