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Is this in a physical? Lung sounds on expiration? Ear exam? Give us some more to go on, thanks. nm

Posted By: not Kreskin here! on 2006-07-16
In Reply to: s/l Tylox - anon

Subject: Is this in a physical? Lung sounds on expiration? Ear exam? Give us some more to go on, thanks. nm

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  • s/l Tylox - anon
    • Is this in a physical? Lung sounds on expiration? Ear exam? Give us some more to go on, thanks. nm - not Kreskin here!

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Sonorous? Very often that is used for lung sounds on exam. NM
Subject: Sonorous? Very often that is used for lung sounds on exam. NM

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Sounds like a physical exam
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VASCULAR: DPPT (dorsalis pedis and posterior tibialis pulses) 1/4.
Sibilant can describe breath sounds, kind of rhonchi or "sh" sound on expiration,,,,,nm
Subject: Sibilant can describe breath sounds, kind of rhonchi or "sh" sound on expiration,,,,,nm

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Subject: Physical exam on eye exam, s/l Cardinal Welk's space?? noted.NM


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Subject: lung exam

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sounds like:


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any ideas???


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There is diminished air movement air movement in all fields, but no clear s/l epintious sounds heard.


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Subject: related to lung exam - s/l ti-kip-ium

She had crackles in the bases of her lungs bilaterally.  No ___ti-kip-ium___.
Lung exam- ABCs?
Subject: Lung exam- ABCs?

Hi.  Doctor is saying what sounds lke:  Lung are clerr "ABCs" with some faint wheezes.  Is that rght? The only remotely similar thing I can find in my acronym book os the CPR ABCs   - airway,breathing & ciculation.  Any help would be greatly appreciaaed.  Thank you! 


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Subject: Lung Exam apices

That's it!  That's it!  Good grief.  Where is my brain today?


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Subject: on pedi lung exam

positive wheezing, "nonstrigulous", with decreased aeration.  Any clues?
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Subject: Here is good lung exam site for you. sm

http://medinfo.ufl.edu/year1/bcs/clist/chest.html
Thanks but no.. not for lung sounds, on x-ray...nm
Subject: Thanks but no.. not for lung sounds, on x-ray...nm

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Subject: Lung sounds

Lung sounds are somewhat coarse for his s/l "good air icks change" and frank rhonchi.
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Height: Six feet.


I'm having trouble remembering all my rules on numbers for stats and such. Is this right? Thank you.


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Subject: re physical exam

PHYSICAL EXAMINATION: Significant findings for left lower quadrant tenderness. Blood pressure was 124/78, pulse rate of 96, and respiratory rate of 20. Heart: S1 and S2. Lungs: Clear to auscultation bilaterally.


I would type it this way or at least make it present tense.  On my accounts, I am required to categorize these things. 


PHYSICAL EXAMINATION:


Abdomen:  Significant findings for left lower quadrant tenderness. Vital signs:  Blood pressure 124/78, pulse rate 96, respiratory rate 20. Heart: S1 and S2. Lungs: Clear to auscultation bilaterally.


 


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thanks for trying.
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Subject: physical exam help

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EXAMINATION:  No costovertebral angle tenderness.  Abdomen has normal active bowel sounds in all quadrants.  It is supple.  Extremely tender left upper quadrant and going down not quite into the groin.  Difficult to check the (s/l sternal) border because of increased tenderness but the spleen may be mildly enlarged but no distinct masses felt.  I am unable to check for rebound or guarding because she is so exquisitely tender with even a very light touch.


 


ASSESSMENT:  Acute left upper quadrant pain.


s/l sternal border?  Any help would be great?


physical exam
Subject: physical exam

Probably just means + (the plus sign), as in positive S1, S2...just means he heard 1st and 2nd heart sounds clearly (as opposed to sounds to distant or obscured by extra sounds). If something was dictated before that, I would put a comma and use the plus sign, i.e., PREVIOUS TEXT, + S1, S2. If nothing precedes it, I would type positive S1, S2. If account wants verbatim, give it to them.
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Subject: It was just a physical exam, and I don't know

However, I do think it was "cervical or" inguinal adenopathy.  This guy is a real mush mouth.  THANK YOU ALL SO MUCH FOR YOUR HELP!  I am sorry I wasn't clear enough earlier in my first message.  I really do appreciate your help.  This is a great board to come to--everyone is so knowledgeable! 
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Subject: Need help with physical exam please

I am wondering if, in the last sentence, where "drop can arc" is dictated . . . would she be referring to three tests/maneuvers such as Drop Arm, Empty Can, and an Arc test, or is it correct as is?


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TIA


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Subject: Please help with physical exam (sm)

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Subject: Physical exam help.....

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Subject: Under physical exam...

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ABDOMEN:  Soft, nontender, nondistended, ___ to bowel sounds. 


 


Is it normal to bowel sounds?


 


Thanks....


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s/l duprichen contractions of both hands
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Subject: Physical exam

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Subject: Physical exam s/l please help. sm

On physical exam, she is not in atrial fibrillation at this point. Abdomen is soft. Pulses are intact. She s/l can do a clock, which was actually pretty good. She knew who the president was.

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Subject: physical exam

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Vis


 


physical exam...
Subject: physical exam...

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Eyes:  Split 1 and 2.


Ears, nose, throat:  1,2,5,6.


Neck:  1,2.


Respiratory:  1 and 4. 

Cardiovascular:  2, 3, 4, 5, 6, 7. 


 


What is this?  I have never seen or heard such a thing before.


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This is just a regular physical exam, but am drawing a blank as to what this word is.  The blanks sounds like "lingophany"


His lung fields are clear.  He has no _________.  He has no dullness to percussion. 


 


In physical exam
Subject: In physical exam

under neuro, dictator says "sensation strength intact" or sensation 'to' strenghth intact. Does the 'to' make sense?