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Pelvic exam revealed normal external genitalia, s/l; *DUS*, clear vagina,... nm

Posted By: New MT on 2006-08-09
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Subject: Pelvic exam revealed normal external genitalia, s/l; *DUS*, clear vagina,... nm




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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. 
normal female ???? peak-- dictated in pelvic exam
Subject: normal female ???? peak-- dictated in pelvic exam

thanks
Male genitalia exam...s/l no "adver's lie."
Subject: Male genitalia exam...s/l no "adver's lie."

normal external genitalia, no swelling, normal scrotum, and no s/l adver's lie ???
Genitalia exam had left scrotal swelling, negative s/l transluminents?
Subject: Genitalia exam had left scrotal swelling, negative s/l transluminents?


I also found in Stedman's that EN can mean "external normal", as in external range of motio
Subject: I also found in Stedman's that EN can mean "external normal", as in external range of motion,,,,,,nm

nm
Throat exam is normal, as were the rest of her neck, face, and skull exam.
Subject: Throat exam is normal, as were the rest of her neck, face, and skull exam.


Pelvic exam
Subject: Pelvic exam

Doc says:


Adnexa appears symmetrically (Sounds like) "sived" (long i sound) with some mild tenderness, left greater than right. No adnexal masses felt. No tenderness on palpation of the uterus.


She is being seen for right lower quadrant pain. TIA


Pelvic exam
Subject: Pelvic exam

It's BUS...Bartholin's, urethral and Skene's glands....
pelvic exam
Subject: pelvic exam

Speculum exam minimal pelvic. Nelly paracervix estrogenized pink mucosa.


Should it read... Speculum exam: Minimal pelvic. If so, what does the minimal pertain to?


Should it read.. Nelly paracervix. Estrogenized pink mucosa.


No idea what the nelly paracervix is about.


Ahhhhhhh!!!


Pelvic exam
Subject: Pelvic exam

Sounds like EGVS or EGVD in pelvic exam.
pelvic exam
Subject: pelvic exam

externally s/l mear clear.


Thanks!


on PE (pelvic exam)? OR sm
Subject: on PE (pelvic exam)? OR sm

 might be saying something like this: No adnexal masses. On UA ---? Really need the surrounding phrases.
Pelvic exam question
Subject: Pelvic exam question

Has anyone heard of "cream-colored cervical lymphadenopathy" of the cervix?  I sent this to QA but it came back filled in as dictated. I have never heard of this and did not find a source on Google.  I thought it should be perhaps "discharge."  TIA
Pelvic exam +valsalver
Subject: Pelvic exam +valsalver

Vaginal exam is done with her in sitting, standing and with valsalver in the supine position.  The last part of this does not make sense to me- it sounds like valsalver in the supine position. Can anyone shed any light on this for me? 


Pelvic exam question please see message..
Subject: Pelvic exam question please see message..

Cervix is visualized and appears normal. A s/l D&A probe is obtained.
Pelvic exam showed 'clidomegaly'
Subject: Pelvic exam showed 'clidomegaly'

normal looking vagina and cervix.  Pap smear taken.


Pelvic exam: No s/l da ma sil stress urinary incontinence
Subject: Pelvic exam: No s/l da ma sil stress urinary incontinence

Thanks for any help.
Pelvic exam - sounds like "no exalative mass" nm
Subject: Pelvic exam - sounds like "no exalative mass" nm


on pelvic exam for sexual assault....There was some redness at the posterior S/L Freshet...sm
Subject: on pelvic exam for sexual assault....There was some redness at the posterior S/L Freshet...sm

could it be FACET? TIA    



 


 


Breast exam: CMP or CMT normal bilaterally? nm
Subject: Breast exam: CMP or CMT normal bilaterally? nm

nm
s/l GCS is 15 with normal gait on neuro exam. TIA nm
Subject: s/l GCS is 15 with normal gait on neuro exam. TIA nm

x
Ear exam showed the canals s/l antiems to be clear? Thanks! nm
Subject: Ear exam showed the canals s/l antiems to be clear? Thanks! nm


mental status exam - (s/l sasorium was clear) - nm
Subject: mental status exam - (s/l sasorium was clear) - nm


on exam of newborn, S/L normal "roving" reflex......is this right....TIA
Subject: on exam of newborn, S/L normal "roving" reflex......is this right....TIA


breast exam normal no _____ ORANGE?
Subject: breast exam normal no _____ ORANGE?

PE report - Breast exam normal.  No (undetectable word) or S/L orange. 


Any help out there??? 


 


Motor Exam: s/l diminished tone, normal (sm)
Subject: Motor Exam: s/l diminished tone, normal (sm)

no atrophy.


the patient had a stroke and has no residual except for dysarthria. Can a motor exam show diminished tone and still be considered normal?


Physical exam: Head is normalized normal.
Subject: Physical exam: Head is normalized normal.

Just a well-child check, no special diagnosis or medical history.


Female exam, s/l urethral pillars normal
Subject: Female exam, s/l urethral pillars normal


HEENT: exam normal with "elastic" membranes
Subject: HEENT: exam normal with "elastic" membranes

x
Throat exam is normal (s/l) mal hempaty 2. Please help me as I have typed this before, just drawing
Subject: Throat exam is normal (s/l) mal hempaty 2. Please help me as I have typed this before, just drawing

a complete blank...TIA
Neuro exam: Weber lateralized to right ear, (s/l) Renee normal on both sides. (nm)
Subject: Neuro exam: Weber lateralized to right ear, (s/l) Renee normal on both sides. (nm)


CNS physical exam, cranial nerve???, motor, cerebellum??? and sensory were normal...thanks.ASAP
Subject: CNS physical exam, cranial nerve???, motor, cerebellum??? and sensory were normal...thanks.ASAP


Genitalia maybe? nm
Subject: Genitalia maybe? nm

nm
pv is per vagina
Subject: pv is per vagina


OH. vagina and vulva probably. I would do it as he says. BUS-V-V. nm
Subject: OH. vagina and vulva probably. I would do it as he says. BUS-V-V. nm


s/l vagina forschet area
Subject: s/l vagina forschet area

External genitalia shows a pea-sized pustule ont he patient's left distal vaginal s/l forschet area.
s/l pelvic vas or maybe pelvic vest.. does anyone know? thanks
The patient is 8-10 weeks post repair for recurrent cystourethrocele in cuff. She is still not healed. She is a diabetic, and it had been lowering her hormones. She had granulation tissue, which we cauterized. She will continue vaginal cream "in the pelvic vas", and will see her back in 2 weeks.
or maybe "and the pelvic vest" does anyone know? thank you

 


maybe colpocervical -pertaining to the vagina and the cervix uteri
Subject: maybe colpocervical -pertaining to the vagina and the cervix uteri


The genitalia shows a slight amount of redness to the s/l pro-pus-ium.
Subject: The genitalia shows a slight amount of redness to the s/l pro-pus-ium.

TIA
introitus...an opening into a hollow tube or canal, not just in the vagina. nm
Subject: introitus...an opening into a hollow tube or canal, not just in the vagina. nm

s
Understand, just stating mucus for vagina, mucous for lung
Subject: Understand, just stating mucus for vagina, mucous for lung


That is not correct. It is mucus (noun) for any part of the body--lung or vagina.
Subject: That is not correct. It is mucus (noun) for any part of the body--lung or vagina.

x
Patient with a groin mass. No involvement of her s/l labial madura or genitalia.
Subject: Patient with a groin mass. No involvement of her s/l labial madura or genitalia.


no dont think so, the two line prior are LFTS normal and Chem-7 was normal
Subject: no dont think so, the two line prior are LFTS normal and Chem-7 was normal


I would use saline since it's the solution he's changing from half-normal to normal, not the
Subject: I would use saline since it's the solution he's changing from half-normal to normal, not the

s
CT chest revealed tree and s/l bud changes s/m
Subject: CT chest revealed tree and s/l bud changes s/m

CT of the chest revealed some tree and s/l "bud" changes in the right lower lobe consistent with pneumonitis.
X-ray revealed (SoundS like) BJT in all three compar
Subject: X-ray revealed (SoundS like) BJT in all three compar

Post bilateral total knee arthroplasty. X-rays of bilateral knees revealed (sounds like) BJT or DJT in all three compartments.


Thank you in advance for your help!


 


Echo revealed lf vent. hypertrophy with a s/l 5th
Subject: Echo revealed lf vent. hypertrophy with a s/l 5th

hypertrophy with s/l 5th person ejection fracture???
A s/l NMH analyzer revealed elevated titer of ANA
Subject: A s/l NMH analyzer revealed elevated titer of ANA

Bad accent dictator help pls
HEART: revealed a s/l "night" rate........
Subject: HEART: revealed a s/l "night" rate........

Under Physical exam, in the HEART section, doc says "revealed a s/l "night" rate of 96, no murmur."


Can anyone think of a word that sounds like "night," that makes sense here?


Thanks,


 


Abby


See MS. Not sure if word after "PAI-1 Stage 4G/5G (being). Does being fit or maybe revealed?
Subject: See MS. Not sure if word after "PAI-1 Stage 4G/5G (being). Does being fit or maybe revealed?

The patient did have laboratory studies performed in February 2008, which revealed normal MTHFR, protein-C, protein-S as well as antithrombin III, negative Factor V Leiden mutation, anticardiolipin antibodies being normal with PAI-1 Stage 4G/5G being heterozygous.  The patient’s had a normal homocysteine level of 8.2 as well.  In April 2008, the patient had other studies performed including a prothrombin 20210A mutation, which was negative with anti beta-2 glycoprotein antibodies being negative as well.