H&P, GU sytem, Patient denies any kps tenderness
Posted By: Terry McCartney on 2008-12-02
In Reply to:
Subject: H&P, GU sytem, Patient denies any kps tenderness
ESL doctor dictating the genetourinary system exam on a female. Patient denies any (GPS, KPS??) tenderness. Thank you for your help in advance.! Bad day. Computer hard drive went. Working on old machine. Yikes.
Complete Discussion Below:  marks the location of current message within thread
The messages you are viewing
are archived/old.
To view latest messages and participate in discussions, select
the boards given in left menu
Other related messages found in our database
patient denies s/l accumplates, see message
Subject: patient denies s/l accumplates, see message
The patient denies any fevers, chills, night sweats, weight loss, hemoptysis, pleuritic chest pain, nausea, synovitis, arthralgia, skin rash, s/l accumplates, headaches or sinus pain.
This is throwing me for a loop!
s/l patient denies history of *metachezia* or melena??? nm
Subject: s/l patient denies history of *metachezia* or melena??? nm
nm
The doc dictates under ROS, GU: The patient denies issues with polyuria POLYPHASIA, or polydipsia..
Subject: The doc dictates under ROS, GU: The patient denies issues with polyuria POLYPHASIA, or polydipsia..
is this correct? POLYPHASIA???? Isn't POLYPHAGIA having to do with eating/swallowing? I can't find anything in google relating to urination or GU system.....
 Thanks in advance!!
Patient had lap cholecystectomy. Denies "diet-ation" at current time. ??
Subject: Patient had lap cholecystectomy. Denies "diet-ation" at current time. ??
No other details, sounds like "diet -ation" ?
Any ideas?
patient pregnant with concomitant hemoglobinopathy denies *tagophasia nor does she have a history-sm
Subject: patient pregnant with concomitant hemoglobinopathy denies *tagophasia nor does she have a history-sm
of bleeding??? Thanks.
Help -- Patient denies double vision, abdominal pain or ???distortia??
Subject: Help -- Patient denies double vision, abdominal pain or ???distortia??
There are no palpable cords or calf tenderness, despite the patient’s complaint of diffuse body ache
Subject: There are no palpable cords or calf tenderness, despite the patient’s complaint of diffuse body ache
or calf tenderness? cords or tenderness? nm
Subject: or calf tenderness? cords or tenderness? nm
s
I know CVA tenderness is what is used, .my question was when was it changed from c.v.a. tenderness?
Subject: I know CVA tenderness is what is used, .my question was when was it changed from c.v.a. tenderness?
I learned from from a QA's report. How are we to know there are changes on things that were done one way for so long and now done another? geesh
the she finds tenderness is C-spine tenderness
Subject: the she finds tenderness is C-spine tenderness
otherwise, the way you've typed the paragraph with the headings looks correct.
Do you type; c.v.a. tenderness or CVA tenderness?
Subject: Do you type; c.v.a. tenderness or CVA tenderness?
I am getting two different opinions on this one and was wondering what is actually correct....Thanks in Advance!
"CV angle tenderness" or "CVA tenderness" as A=angle nm
Subject: "CV angle tenderness" or "CVA tenderness" as A=angle nm
He denies any IV or s/l *deo* drug use. Thanks! sm
Subject: He denies any IV or s/l *deo* drug use. Thanks! sm
Denies vertigo?
Subject: Denies vertigo?
I think "denies" would be the middle word I'm missing, but I'm still clueless about the last term. I don't even know how to describe it. Thanks for your help, though.
Maybe saying denies any PND which is postnasal drainage.
Subject: Maybe saying denies any PND which is postnasal drainage.
Help....doc says "He denies any headaches...
Subject: Help....doc says "He denies any headaches...
change in vision, genital "s/l troma"..(not trauma) and does not have morning erections.
we did not do an s/l ep-ler test as she denies any daytime somnolence. nm
Subject: we did not do an s/l ep-ler test as she denies any daytime somnolence. nm
ENT doctor...ep-ler or upward test? what am I supposed to hear. Thanks.
s/l GENITOURINARY: Denies >_______urinary habits
Subject: s/l GENITOURINARY: Denies >_______urinary habits
GENITOURINARY: Denies s/l temulin urinary habits
hmmm, sorry, if she is denying, not sure...denies problems 'with' might fit...
Subject: hmmm, sorry, if she is denying, not sure...denies problems 'with' might fit...
perhaps it is not connected to the lap cholecystectomy?
anyone else?
pt with GI issues. Denies S/L melan matakesia weightloss
Subject: pt with GI issues. Denies S/L melan matakesia weightloss
Hematologic: She denies s/l hemalin or easy bruising. thank u
Subject: Hematologic: She denies s/l hemalin or easy bruising. thank u
Denies lateral s/l eye flaps to touch or pinprick
Subject: Denies lateral s/l eye flaps to touch or pinprick
Under neurological....
Denies lateral s/l eye flaps to touch or pinprick
social history - denies smoking, alcohol or girls. sm
Subject: social history - denies smoking, alcohol or girls. sm
I can't think of anything else he might be saying, it really sounds like girls. Do you think this is correct? I just think it sounds weird.
BTW the only medical history I have for this patient is Ewing sarcoma...
He denies any nausea, vomiting, fever, chills and no recent s/l interim.
Subject: He denies any nausea, vomiting, fever, chills and no recent s/l interim.
n/t
CVA tenderness
Subject: CVA tenderness
He probably meant CVA (costovertebral angle) tenderness when he said "renal." You could insert an "or" and type it as "renal or rebound, or guarding."
CVA tenderness
Subject: CVA tenderness
I must be having a brain fart. My doc is dictating a physical exam for his discharge summary and states, "She had no CVA tenderness."
My question is would this go under the heading of MUSCULOSKELETAL?? If not that, then which one???
Thanks in advance for your help. 
CVA tenderness
Subject: CVA tenderness
costovertebral angle tenderness
CVA Tenderness
Subject: CVA Tenderness
The hospital that I do IC work for requires that we put it under the abdomen heading.
CVA tenderness nm
Subject: CVA tenderness nm
AC tenderness
Subject: AC tenderness
abdominal compression (AC) tenderness?
no CVA tenderness.....
Subject: no CVA tenderness.....
tenderness
Subject: tenderness
nm
No CVA tenderness? nm
Subject: No CVA tenderness? nm
CVA tenderness
No significant tenderness of the left (s/l CVA) ____ region. Vague tenderness over the left flank area. Is this correct and/or cva or CVA? Thanks.
AP tenderness
Subject: AP tenderness
What does the doctor mean when he says there is no AP tenderness. The doctor is referring to her ankle. tia.
No tenderness or dullness in the LUQ? sm
Subject: No tenderness or dullness in the LUQ? sm
Sorry. Not exactly your S/L. Here is a link with terms regarding abdominal exam and others.
http://mtdesk.com/lstphysl.shtml
maybe saying "point tenderness"?
Subject: maybe saying "point tenderness"?
nm
There is tenderness above the calf....
Subject: There is tenderness above the calf....
and is s/l easing collapse of the remainder of the varicosities bilaterally.
or easily collapsed
CVA tenderness or CVAT
Subject: CVA tenderness or CVAT
s/l over the wall tenderness
Subject: s/l over the wall tenderness
Doc says she has some ecchymosis around her eye. She has some minor lateral ... over the wall .... tenderness and some tenderness at the zygoma but there is no palpable stepoff and no significant swelling.
Any suggestions. Thanks.
diffuse tenderness - nm
Subject: diffuse tenderness - nm
nm
tenderness? (guess) nm
Subject: tenderness? (guess) nm
xx
No adnexal *str. . .* tenderness
Subject: No adnexal *str. . .* tenderness
This is in an H&P where the patient presents with frequent headaches and frequent urination.
...or suprapubic tenderness??? nm
Subject: ...or suprapubic tenderness??? nm
s
meant tenderness
Subject: meant tenderness
having trouble with my keyboard
they DO say *no punch tenderness*
Subject: they DO say *no punch tenderness*
actually CVA tenderness is in the back
Subject: actually CVA tenderness is in the back
Neck Tenderness
Subject: Neck Tenderness
I'm typing a report and this it what it sounds like..
NECK: Supple, no overtechial?? tenderness or paraoverchevial??? tenderness at this time.
Does anyone know these types of tenderness in the neck?? Thank you!!
lateralizing tenderness
Subject: lateralizing tenderness
No tenderness on bellotment?
Subject: No tenderness on bellotment?
It's in the physical exam, the back section. Dr. states there is not tenderness on s/l "bellotment" of the entire spine.
Thanks!
sinus tenderness
Subject: sinus tenderness
.
|
