I'd say positive for musculoskeletal back pain.
Posted By: pc on 2007-10-24
In Reply to: musculoskeletally? - italia
Subject: I'd say positive for musculoskeletal back pain.
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sl/l positive bordel sign (from flexing neck and causes back pain)
Subject: sl/l positive bordel sign (from flexing neck and causes back pain)
s/l Fabray is positive on musculoskeletal exam.....(nm) TIA!
Subject: s/l Fabray is positive on musculoskeletal exam.....(nm) TIA!
x
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Subject: back pain, given dura-back if needed for spasm. nm
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nEck pain and back pain
Subject: nEck pain and back pain
what a day!
CC: Back pain
Subject: CC: Back pain
Thanks for taking the time on this . . .
While the CC: is back pain, the subjective describes . . .
This is an 81-year-old female who, for the last month, has had some intermittent pain next to her right shoulder blade. She is right-handed, and she has been doing a lot of gardening and weed whacking. It does not bother her much during the day, but at night when she sits, and then when she is lying in bed at night, she feels what she describes as a muscle spasm with twinges. She also at times has some diffuse pain from her elbow radiating up to her neck when she “overdoes it”, but that has been going on for quite some time, and she does not feel like that has recently changed.
it is just that she has low back pain..sm
Subject: it is just that she has low back pain..sm
Since that time, she has had increasing low back pain. She did do the s/l-Ergosco- method. She had no relief. She did have an injection to her SI joint region, which had a terrible reaction. Since that time, she has had low back pain.
Pt with low back pain sm
Subject: Pt with low back pain sm
Wondering if it is from his iliac or ileac surgery? Which one would it be/how to tell?
Back pain
Subject: Back pain
The patient has chronic back pain with severe s/l spurring and osteoarthritis.
TIA
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Subject: Pt has shoulder pain. On exam has positive s/l scarf sign.
thoracic back pain after MVA
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Subject: discogenic back pain
Patient has low back pain
Subject: Patient has low back pain
She has normal lumbar lordosis with tenderness at right PSI? and sacral sciatic notch?
s/l NAMBUTONE for back pain
Subject: s/l NAMBUTONE for back pain
 He is also on _____ 500 mg twice a day as needed for severe back pain.
Amryx for back pain? nm
Subject: Amryx for back pain? nm
Patient with low back pain. She is on ....sm
Subject: Patient with low back pain. She is on ....sm
She is on s/l oral phenadrin/fenadrine (may be saying orphenadrine) and Cataflam for this.
s/l peributtock back pain??
Subject: s/l peributtock back pain??
Patient in mid back pain
Subject: Patient in mid back pain
Bowel sounds are normal. No organomegaly. She does have some epigastric tenderness. She also has some left flank tenderness, but there is no s/l spleen dent or dip noted. Thanks!
S/L-ergosco method (for back pain)?
Subject: S/L-ergosco method (for back pain)?
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Subject: medication - s/l somatalez for back pain? TIA
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Subject: Dx of low back or sciatic pain? Maybe Laseague's? nm
s
for back pain and was given a script for Duraban??
Subject: for back pain and was given a script for Duraban??
s/l "conjoined" back and neck pain.
Subject: s/l "conjoined" back and neck pain.
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Neurosurgical note. Back pain. nm
Subject: Neurosurgical note. Back pain. nm
xx
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Subject: s/l naproline. Pt has neck/back pain. Thanks
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Subject: lower back pain due to s/l fitskating
lower back pain due to s/l fitskating
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Subject: patient with chronic back pain on SENTINEL 75 every third day.
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Pt's back pain is thought to be from her S/L "estalon" radiculopathy. TIA nm
Subject: Pt's back pain is thought to be from her S/L "estalon" radiculopathy. TIA nm
Only symptoms are low back pain which is improved, and the tinnitus -
Subject: Only symptoms are low back pain which is improved, and the tinnitus -
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Subject: trigger point injection for back pain
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Subject: patient with back pain, s/l policing eight paucet tumor??? nm
nm
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Subject: patient with back pain. s/l lichen does help but it makes him drowsy. Thanks. nm
nm
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Subject: Racz (baby) catheter is used against back pain during pregnancy...nm
nm
Racz catheter is used against back pain, inserted into the spine..nm
Subject: Racz catheter is used against back pain, inserted into the spine..nm
nm
Lower back pain" is probably the most common use in AE - though "lumbalgia" is a real word
Subject: Lower back pain" is probably the most common use in AE - though "lumbalgia" is a real word in English medicine...it's rarely used.
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Subject: s/l Tiazine 2 mg at night. Patient with nack and back pain history
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Subject: Oh, now she is adding she forgot to mention insomnia and low back pain (scream!) NM
nm
Patient states the pain is located in the posterior lower back or **box** region. This is a new PA
Subject: Patient states the pain is located in the posterior lower back or **box** region. This is a new PA
student dictating but I have never heard this term used. Any help would be appreciated. Thxs
Pt has low back pain. Patient exhibits no signs of "caudo-aquino syndrom"? I have no clue!!
Subject: Pt has low back pain. Patient exhibits no signs of "caudo-aquino syndrom"? I have no clue!! nm
Patient has a positive drawer test and s/l wobble test (knee pain)
Subject: Patient has a positive drawer test and s/l wobble test (knee pain)
thanks so much!!!
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Subject: Abdomen: Positive wave sign appreciated, "caps out" is positive as well. sm
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Subject: Positive grasp response and positive s/l palmo mentonian on the right. TIA!!!
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.
estrogen-progesterone receptor positive (as in ER-positive),
Subject: estrogen-progesterone receptor positive (as in ER-positive),
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Subject: In Ortho, positive s/l Meniere, positive Hawkins?
xx
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Subject: no just saying positive pH or KOH? Not exactly your S/L though. Or positive whiff test said fast? nm
Figured out the musculoskeletal one... still looking for the other...
Subject: Figured out the musculoskeletal one... still looking for the other...
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?
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