Intact reflexes. Pulses 2+ and symmetric.
Posted By: luv2type on 2007-01-11
In Reply to: The only help I can give you here (very confusing) - nm
Subject: Intact reflexes. Pulses 2+ and symmetric.
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undetectable pulses? equivocal pulses? nm
Subject: undetectable pulses? equivocal pulses? nm
Symmetric? Could Be!
Subject: Symmetric? Could Be!
Actually on listening again, it sounds like it could be symmetric; he's slurring the beginning of words a lot. She doesn't have chest or lung issues, though. Thanks for the suggestion! 
symmetric bilaterally
Subject: symmetric bilaterally
symmetric excretion maybe..
Subject: symmetric excretion maybe..
shoulder shrug symmetric? nm
Subject: shoulder shrug symmetric? nm
Could be symmetric, as in lung sounds???
Subject: Could be symmetric, as in lung sounds???
x
leg lengths and ________ folds are symmetric? nm
Subject: leg lengths and ________ folds are symmetric? nm
x
DTR exam for reflexes? nm
Subject: DTR exam for reflexes? nm
There are palmar reflexes.
Subject: There are palmar reflexes.
x
Deep tendon reflexes. nm
Subject: Deep tendon reflexes. nm
"dumb" plantar reflexes. SM
Subject: "dumb" plantar reflexes. SM
Please excuse the extra words in my post, the antihyperglycemic and Amaryl. I did not type those words, and I can't understand how I "messed up" such that they ended up in my answer. (??)
Says...Reflexes were decreased at his ankles with... sm
Subject: Says...Reflexes were decreased at his ankles with... sm
s/l equivalent of toes bilaterally. 
Deep tendon reflexes?
Subject: Deep tendon reflexes?
deep tendon reflexes are L1+ ? (NM)
Subject: deep tendon reflexes are L1+ ? (NM)
nm
deep tendon reflexes are euthyroid?
Subject: deep tendon reflexes are euthyroid?
does this make sense because that is what the doctor says?
Corneals, meaning corneal reflexes.
Subject: Corneals, meaning corneal reflexes.
Deep tendon reflexes possbily...
Subject: Deep tendon reflexes possbily...
ENT report - elevated S/L Ry-op-sin ipsilateral acoustic reflexes
Subject: ENT report - elevated S/L Ry-op-sin ipsilateral acoustic reflexes
Impedance testing for the left ear revealed type A tympanograms and elevated __Ryopsin__ ipsilateral acoustic reflexes. Impedance testing for the right ear revealed a type A tympanograms and absent ipsilateral acoustic reflexes.
no cogwheeling. Deep tendon reflexes are equal. nm
Subject: no cogwheeling. Deep tendon reflexes are equal. nm
xx
or maybe just the word "pathologic" - missed the reflexes on the end of the sentence. - nm
Subject: or maybe just the word "pathologic" - missed the reflexes on the end of the sentence. - nm
How to type this. Deep tendon reflexes plus 2 plus 2. Also, abdomen has half plus tenderness-sm
Subject: How to type this. Deep tendon reflexes plus 2 plus 2. Also, abdomen has half plus tenderness-sm
I have been typing: Deep tendon reflexes +2/+2. Does that seem correct?
For half plus tenderness of abdomen, I have been typing: Abdomen with ½+ tenderness. I make sure it changes from 1/2+ to ½+ so that it doesn't look like one over two plus. Does this seem right?
Thanks.
pulses
Subject: pulses
Doctor dictates what s/l "pulses 1 and 4 in the lower extremities"....I doubt it should be pulses 1/4...Can you please help me out?
How about 2+ pulses? nm
Subject: How about 2+ pulses? nm
/
Pulses
Subject: Pulses
Can anyone help me with this. I am hearing "popliteal and DP and PT pulses are all 1+. What does DP and PT stand for? TIA
protuberant pulses?
Subject: protuberant pulses?
This is under abdomen under pe...
Abdomen: Soft, nontender. No protruberant pulses or masses.
probably distal pulses
Subject: probably distal pulses
pieces could be pulses
Subject: pieces could be pulses
xx
huh? pulses would be correct....nm.
Subject: huh? pulses would be correct....nm.
in the extremities are there NPO? pulses?
Subject: in the extremities are there NPO? pulses?
pulses in extremities
He says posterior tibials 2+, politeals 1-1/2+ ???? How should this be typed?
Peripheral pulses?
Subject: Peripheral pulses?
something to do with tibial pulses?
Subject: something to do with tibial pulses?
nm
"Peter" Pulses?
Subject: "Peter" Pulses?
Lol I know th is sounds stupid.. but it sounds like he's saying Peter Pulses! ? Any Help?
Extremities: were without edema. "Peter" Pulses were present, no calf tenderness
Pedal pulses (nm)
Subject: Pedal pulses (nm)
x
Pulses are FULL AND strong
Subject: Pulses are FULL AND strong
would s/l full-en-strong.
Cardio pulses are equal.
Subject: Cardio pulses are equal.
It sounds like she is saying cardio pulses are equal bilaterally. Could this be right. Is the 'cardio pulses' correct?
is there a term disp pulses?
Subject: is there a term disp pulses?
He has no calf tenderness, and has good s/l disp pulses, or dispa pulses...either that or he is saying disp "uh" pulses..(trying to think of the term)
TIA 
D: foot pulses were palpated
Subject: D: foot pulses were palpated
D: foot pulses were palpated and *gouture cells*, pedes pulses were felt... i have a little prob wit my hearing...
Neck exam - pulses
Subject: Neck exam - pulses
Has anyone ever heard of Carotid "end" pulses. This is the second time he has said this and sounds like "end" pulses. Is it possible he could be saying carotid "and" pulses are diminished bilaterally. I cannot find anything anywhere.
Thanks, Karen
sounds like blood pulses
Subject: sounds like blood pulses
She appeared to be in an atrial fibrillation at this time with ventricular response in the 110s to 120s. She did receive a fluid bolus, and blood pulses were obtained. Chest x-ray was very difficult to interpret in this morbidly obese, supine pat
Just put dopplerable pulses, no cap on this one. Hear this a lot. nm
Subject: Just put dopplerable pulses, no cap on this one. Hear this a lot. nm
the last one is likely dorsalis pedis pulses. SM
Subject: the last one is likely dorsalis pedis pulses. SM
Location and name of pulses:
Upper Extremity
* Brachial
* Radial
* Ulnar
Lower Extremity
* Femoral
* Popliteal
* Anterior tibial
* Dorsalis pedis
* Posterior tibial
Head & Neck
* Common carotid
* External carotid:
* External carotid artery
* Temporal
could he be saying good pedal pulses?
Subject: could he be saying good pedal pulses?
dorsal pedal pulses??
Subject: dorsal pedal pulses??
dorsal pedal pulses..sm
Subject: dorsal pedal pulses..sm
That's the way the vascular surgeons say it....17 years ago I worked with the best on the planet. I wouldn't steer ya wrong.
anterior tibial pulses?
Subject: anterior tibial pulses?
X
what part of the body? Maybe carotid pulses.
Subject: what part of the body? Maybe carotid pulses.
radial, tibial pulses among lots of others...sm
Subject: radial, tibial pulses among lots of others...sm
and many more in the upper extremities.......
sounds like what? s/l?
blood gases? or good pulses? nm
Subject: blood gases? or good pulses? nm
s
*kidlieros* and *racelle* pedis pulses
Subject: *kidlieros* and *racelle* pedis pulses
Sorry - I should know these. This man has peripheral uritis, swelling, pain and a tender mass in the right pretibial area. There’s marked livedo reticularis of both legs. The femoral, popliteal, posterior, s/l *kidlieros* and *racelle* pedis pulses . . .
Appreciate any help.
should have typed dorsalis pedis pulses.
Subject: should have typed dorsalis pedis pulses.
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