Neck is not stiff (s/l with a few pieces of stagnus)
Posted By: Rena on 2008-10-09
In Reply to:
Subject: Neck is not stiff (s/l with a few pieces of stagnus)
This is part of the physical examination of a guy with alcohol poisoning. There is an entire phrase that I can not figure out though.
Neck is not stiff (s/l with a few pieces of stagnus)
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Neck is not stiff [s/l with the DP to nystagmus]??
Subject: Neck is not stiff [s/l with the DP to nystagmus]??
Does this sound right: Neck is not stiff [s/l with the DP to nystagmus]
Stiff neck ? Im thinking "crepitus"
Subject: Stiff neck ? Im thinking "crepitus"
headache? stiff neck? Symptoms of Lyme's etc. nm
Subject: headache? stiff neck? Symptoms of Lyme's etc. nm
Pt with colonoscopy. The patient several pieces of s/l fibilous pieces of stool in the left colon.
Subject: Pt with colonoscopy. The patient several pieces of s/l fibilous pieces of stool in the left colon.
I know that he is referring to hard stool, but for the life of me, I can't remember!!!
physical exam: neck shows no s/l N-S-E? looking for a standard abbrev. used for neck. nm
Subject: physical exam: neck shows no s/l N-S-E? looking for a standard abbrev. used for neck. nm
d
There is neck dystonia (neurologic condition affecting the muscles of the neck)?
Subject: There is neck dystonia (neurologic condition affecting the muscles of the neck)?
Stiff is appropriate.nm
Subject: Stiff is appropriate.nm
..
pyses or pieces ?!?!?!
Subject: pyses or pieces ?!?!?!
That word should be 'pieces' and it makes real sense too.
"pieces of distel foramen"
Thanks.
pieces could be pulses
Subject: pieces could be pulses
xx
if it is, she's hacked it to pieces. sm
Subject: if it is, she's hacked it to pieces. sm
there is definitely ...
int-r-frrr-l
but all run together. Interfural. Interpheral. Interfiral. Enterphyral!!!
I listened and researched for about 25 minutes. Slowed down. Speeded up. Speakers. Three different headphones.
I CAN'T make sense of it. It's so obvious that it should be intracranial, interhemispheric, something. But it just isn't what she is saying, or at least trying to say.
Then again, she says, "Eyes: Skerosa anisterusal." So if she says THAT, then heck, maybe you guys are right.
This dictator completely tries my patience and makes a 12-year MT feel like a total dunce. Just about everyone else passes up her jobs on the system.
Ugggggggh.
i would go with mini nebulizer pieces too
Subject: i would go with mini nebulizer pieces too
/
Yes, gel or gelling effect, getting stiff after period of inactivity
Subject: Yes, gel or gelling effect, getting stiff after period of inactivity
Pt's gait was stiff due to "turnus" in her left foot. nm
Subject: Pt's gait was stiff due to "turnus" in her left foot. nm
Might be correct with the Y's if portions of the bone are missing and only Y-shaped pieces are
Subject: Might be correct with the Y's if portions of the bone are missing and only Y-shaped pieces are
s
carotid endarectomy - s/l redundant pieces of intima and media were removed (nm)
Subject: carotid endarectomy - s/l redundant pieces of intima and media were removed (nm)
x
Wear stiff-soled shoes to reduce the aerobic activity to allow for bone healing. Sound right?nm
Subject: Wear stiff-soled shoes to reduce the aerobic activity to allow for bone healing. Sound right?nm
..
A cementoma is a bony tumor. Cementophytes are pieces of bony tumor. NM
Subject: A cementoma is a bony tumor. Cementophytes are pieces of bony tumor. NM
:
V neck
Subject: V neck
Is this correct V neck, v neck, or V-neck??? Help appreciated.
Thanks
Neck: Supple, no LAD. What's the LAD mean?
Subject: Neck: Supple, no LAD. What's the LAD mean?
: Supple, no LAD, no jugular venous distention, no thyromegaly
I'm sorry, what does this have to do with a neck exam?
Subject: I'm sorry, what does this have to do with a neck exam?
nm
The area was the neck...sm
Subject: The area was the neck...sm
I have already turned in the report. Even QA could not figure out what she was saying. They asked that a blank be left. Thank you for trying though. I appreciate it.
how about "torticollis of her neck."
Subject: how about "torticollis of her neck."
Could he be saying "area of his neck" or even C8?
Subject: Could he be saying "area of his neck" or even C8?
x
Abdomen: tip of the neck?
Subject: Abdomen: tip of the neck?
ABDOMEN: Normal bowel sounds, soft, nondistended. On the tip of the ___ nontender. Sounds like he is saying tip of the neck. Is that possible?
medication gel for neck
Subject: medication gel for neck
Medication S/l pi'a'low- gel on the back of her neck with amitriptyline Neurontin and lidocaine.
Thanks
neck rigidity
Subject: neck rigidity
That is what I was thinking. Can this been seen in the neuro exam because that is where she is next?
Under Neck Exam
Subject: Under Neck Exam
Neck: He has hard scar tissue in the right of his neck, but no nodes are noted. s/l Adison's test is positive.
s/l "tech-ib" neck? sm
Subject: s/l "tech-ib" neck? sm
ER assessment of pnt with h/o of CVAs: Contractures in all extremities. Extremely s/l "tech-ib" neck and working very hard to breathe.
neck length
Subject: neck length
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!!
Neck Exam
Subject: Neck Exam
Neck: No jugular venous pressure; no s/l 'hepatoreflux'.
Need help with the term hepatoreflux!
I would put it under a heading of NECK. sm
Subject: I would put it under a heading of NECK. sm
One of the tests for meningitis is to bend your chin to your chest or to your shoulders. So if the pateint can to this, they have no meningeal signs or meningismus.
s/l Neck retid
Subject: s/l Neck retid
Anyone have an idea what my doc might be saying? It s/l "retid." Here it is in context:
"A No. 15 blade was employed to make a curvilinear incision along a neck retid"
Thanks!
s/l nava-neck
Subject: s/l nava-neck
The patient was placed on Omnipred and s/l Nava-neck three times a day in the right eye.
Neck muscles?
Subject: Neck muscles?
Needing help with this sentence please.
'The medial aspect of the (s/l longest cola) muscles (s/l colorized) bilaterally at this level.'
Thanks in advance.
Neck: Decreased ROM in all "axies"
Subject: Neck: Decreased ROM in all "axies"
JVD is cardiac or neck. Put it where it's dictated. nm
Subject: JVD is cardiac or neck. Put it where it's dictated. nm
xx
Hmm. Usually femoral neck fractures are
Subject: Hmm. Usually femoral neck fractures are
described as Garden fractures, ranging from I through IV.
How does the sentence read and what type of report are you typing?
neck is rigid but s/l puretic.
Subject: neck is rigid but s/l puretic.
flaccid quadriplegia but the neck is rigid but s/l puretic (patient in a coma from CP arrest). I don't think pruritic makes sense.
neck dissection with some type of
Subject: neck dissection with some type of
__ ectomy. Here is the context:
status post a recent composite resection including a right neck dissection and ___medivalectomy___ and free flap reconstruction with a fibular free flap.
Maybe my ears are not working right tonight!! Imagine that after being at this for 13 hours today! Okay - many interuptions (I homeschool too), stopping to fix supper etc. but needless to say -- I'm tired!!
Swollen gland on neck
Subject: Swollen gland on neck
He developed a sore throat that is worse on the right side on 08/23. It is getting worse. He has got a swollen _____ gland on his neck.
s/l tudor
femoral neck fracture
Subject: femoral neck fracture
This fellow has a femoral neck fracture.
HEENT: Neck supple ? nm
Subject: HEENT: Neck supple ? nm
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
I meant area on her neck
Subject: I meant area on her neck
like a V-neck sweater? what exactly are you talking about? nm
Subject: like a V-neck sweater? what exactly are you talking about? nm
context people, CONTEXT
Jowling in neck __(s/l rid'-i-dees)
Subject: Jowling in neck __(s/l rid'-i-dees)
I agree with "torticollis of her neck."
Subject: I agree with "torticollis of her neck."
Torticollis is caused by muscle spasm, so hemorrhage is not likely to be what he's saying, IMO.
This is for a left neck mass??? nm.
Subject: This is for a left neck mass??? nm.
nm
do you hear glenoid neck?
Subject: do you hear glenoid neck?
s
on exam of the neck he says No s/l maningeals??
Subject: on exam of the neck he says No s/l maningeals??
are palpable
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