Patient with below knee amputation. On exam, there is s/l communication to the drainage sites. TIA
Posted By: Barbara on 2008-12-15
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Subject: Patient with below knee amputation. On exam, there is s/l communication to the drainage sites. TIA
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"rest" pain and below-knee amputation
Subject: "rest" pain and below-knee amputation
Diagnosis s/l "rest" pain and ischemia of left foot with acute gangrene (resulting in below-knee amputation).
TKA is total knee arthroplasty, not amputation! Be careful! nm
Subject: TKA is total knee arthroplasty, not amputation! Be careful! nm
nm
Some ear exam sites for you. sm
Subject: Some ear exam sites for you. sm
Acute otitis media: Currents: UI Health Care
The diagnostic challenges of the ear exam can be greatly aided by a few ... One hand retracts the pinna and advances the tragus while the other is free to ...
www.uihealthcare.com/news/currents/vol3issue4/07acuteotitismedia.html - 21k - Cached - Similar pages |
[PDF] Appendix for the Head and Neck Exam
File Format: PDF/Adobe Acrobat - View as HTML
Extreme tenderness with pushing on tragus or pulling on pinna due to ... If the ear exam is normal, ear pain could be referred from diseases of the nose, ...
courses.washington.edu/medicm/benchmarks/A06headneckappendix.pdf - Similar pages |
could be TKA-total knee amputation. pain could be "ghost" pain --nm
Subject: could be TKA-total knee amputation. pain could be "ghost" pain --nm
///
The patient has no discharge, drainage, or pus.
Subject: The patient has no discharge, drainage, or pus.
status post exam under anesthesia with an incision and drainage of his rectal abscess and (C-TOM)
Subject: status post exam under anesthesia with an incision and drainage of his rectal abscess and (C-TOM)
status post exam under anesthesia with an incision and drainage of his rectal abscess and (C-TOM) placement. Any help would be appreciated. Thank you in advance
Patient underwent s/l PPH with drainage of rectal abscess. TIA
Subject: Patient underwent s/l PPH with drainage of rectal abscess. TIA
x
S/P left total knee reconstruction. On exam, has a palpable s/l clod defect on the left knee.
Subject: S/P left total knee reconstruction. On exam, has a palpable s/l clod defect on the left knee.
:-)
HEENT: Nares thin drainage? or possibly some drainage...
Subject: HEENT: Nares thin drainage? or possibly some drainage...
sounds like she is saying thin Thanks
Nares: Mucoid drainage? Purulent drainage?
Subject: Nares: Mucoid drainage? Purulent drainage?
 .
With knee exam....sm
Subject: With knee exam....sm
States minimum crepitans noted or is it crepitance. I can never remember this.
Thanks
knee exam help
Subject: knee exam help
There is some mild vague discomfort about the medial joint line, again more pronounced on the right than the left but it is not truly provocative ___ meniscal in nature.
At the blank, he just doesn't say anything. What should go in there? A comma maybe? or maybe the word "of"??
Knee exam: No evidence of s/l "aligamenesis" to
Subject: Knee exam: No evidence of s/l "aligamenesis" to
nm
RIGHT KNEE PAIN. PHYSICAL EXAM
Subject: RIGHT KNEE PAIN. PHYSICAL EXAM
NM
Knee Exam test s/l Belltome sm
Subject: Knee Exam test s/l Belltome sm
Doc dictates Lachman's, McMurrays, anterior/posterior draw signs and s/l Beltome or bell tone test are all negative.
ortho - knee exam, blank s/l shoulder
Subject: ortho - knee exam, blank s/l shoulder
He is now 4 days out from his left arthroscopic partial medial meniscectomy, where had probably had a bucket handle tear and debridement of loose cartilage in the trochlea, where he had a 2 cm x 1 cm lesion in the midportion with good _______ s/l shoulders, and an area where he had undoubtedly impacted the bucket handle tear tear anteriorly and had a few loose flaps of cartilage that we debrided.
I'm too tired of typing to try to think of what this word really should be. any suggestions?
Knee exam - There is only slight s/l retropatellar crepitus. Does this sound right? nm
Subject: Knee exam - There is only slight s/l retropatellar crepitus. Does this sound right? nm
If the patient has had knee replacement,
Subject: If the patient has had knee replacement,
how about pseudomonas prosthetic knee infection?
Patient was also provided with a s/l gen-u-met-e knee brace. tia nm
Subject: Patient was also provided with a s/l gen-u-met-e knee brace. tia nm
Patient complains of a very large, irregular, *brufus* mass to her knee....TIA
Subject: Patient complains of a very large, irregular, *brufus* mass to her knee....TIA
xxxx
Patient is status-post s/l ex-plan of the left total knee. nm
Subject: Patient is status-post s/l ex-plan of the left total knee. nm
The knee was debrided, closed back up and patient was initiated on IV antibiotic therapy so as to s
Subject: The knee was debrided, closed back up and patient was initiated on IV antibiotic therapy so as to s
s/l ensure infection prior to placing the prosthetic knee implant. Thanks
Could it be just communication of as in...(see inside)
Subject: Could it be just communication of as in...(see inside)
The majority of these fistulous communications involve dehiscences in the region of the fovea ethmoidalis, cribriform plate, and sphenoid sinus.
enteroureteral - a communication
Subject: enteroureteral - a communication
between the bowel and ureter
Exam on patient with MS
Subject: Exam on patient with MS
Cranial nerve exam revealed left homonymous hemianopsia, as well as *slowsecots* to the left, ocular dysmetria.
Thank you so much for any ideas. This is backup account. Never heard this before.
Musculoskeletal exam: The patient has good s/l RAM.
Subject: Musculoskeletal exam: The patient has good s/l RAM.
She says this twice. Clearly not sounding like range of motion. Thanks for any help!
He has a tracheostomy with no evidence of infection. He uses s/l *super reflux* for communication.
Subject: He has a tracheostomy with no evidence of infection. He uses s/l *super reflux* for communication.
Thanks.
Neuro exam - patient had cervicothoracic laminectomy - sm
Subject: Neuro exam - patient had cervicothoracic laminectomy - sm
Exam: Her wound is healed. She has got mild paraspinal tenderness with some evidence of spasm. No **rubo or corlora delora** noted. She is awake. She is oriented x3.
I have no idea what I am hearing or if my spaces are correct in my s/l. I'd love any help!! Thanks.
the patient is thin appearing on today’s exam, almost s/l morphonoid like.
Subject: the patient is thin appearing on today’s exam, almost s/l morphonoid like.
Are you in the hands? The back? Doing an exam or talking about a patient's test? nm
Subject: Are you in the hands? The back? Doing an exam or talking about a patient's test? nm
f
JUDE or JUTE exam. Patient has normal genitalia.
Subject: JUDE or JUTE exam. Patient has normal genitalia.
I've been listening and searching on this one - it's probably something simple.... Hope someone can help me - thanks in advance.
There is MVDP which is the Makaton Vocabulary Development Project for acquiring communication disord
Subject: There is MVDP which is the Makaton Vocabulary Development Project for acquiring communication disorders in adults and nonspeech systems of communication...
patient has shoulder pain. On exam no cerva-chromal crepitus. nm
Subject: patient has shoulder pain. On exam no cerva-chromal crepitus. nm
thanks.
physical exam under general: the patient appeared s/l kick ectic? nm
Subject: physical exam under general: the patient appeared s/l kick ectic? 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!!!
there is a ray amputation....
Subject: there is a ray amputation....
according to Stedman's Orthopedic. Maybe referring to that.
toe amputation
Subject: toe amputation
This is a preop for toe amputation.
S/L "shar-pel" discrimination.
s/l Vacugen used for amputation..
Subject: s/l Vacugen used for amputation..
stump ulcer treatment. Patient also has osteomyelitis. Seems to be some device attatched to the ulcer site. Cannot find a reference to it. Thanks! lmb
Baloney amputation. lol nm
Subject: Baloney amputation. lol nm
x
TMA ? (transmetatarsal amputation) nm
Subject: TMA ? (transmetatarsal amputation) nm
transmetatarsal amputation?
Subject: transmetatarsal amputation?
transmetatarsal amputation ?
Subject: transmetatarsal amputation ?
Amputation of phalanges of great toe
Subject: Amputation of phalanges of great toe
Or could he possibly mean:
Amputation of phalanges of right foot?
Thanks
Le Forte fracture/amputation
Subject: Le Forte fracture/amputation
Perhaps it is this and they made a special brace for it?
Patien tis s/l "transmit" amputation.
Subject: Patien tis s/l "transmit" amputation.
The knee is pain significant because she had a total knee replacement. Make sense? nm
Subject: The knee is pain significant because she had a total knee replacement. Make sense? nm
,,
X-ray of the knee shows arthritic change within the knee, but maintained s/l tibiofemoral stasis.
Subject: X-ray of the knee shows arthritic change within the knee, but maintained s/l tibiofemoral stasis.
Thanks :-)
Starting off great today...Rheo Knee prosthetic knee???
Subject: Starting off great today...Rheo Knee prosthetic knee???
Patient with gangrene of foot. On exam, the entire foot is ulcerated with s/l us-i-nest debris.
Subject: Patient with gangrene of foot. On exam, the entire foot is ulcerated with s/l us-i-nest debris.
:-)
Knee x-ray: s/l RATTY knee joint erosions? NM
Subject: Knee x-ray: s/l RATTY knee joint erosions? NM
MRI of knee. Semimembranosus s/l pes-dens-a-ri-nus region of the knee.
Subject: MRI of knee. Semimembranosus s/l pes-dens-a-ri-nus region of the knee.
:-)
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