Physical Medicine Exam sm

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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.

obese 9 year old--phallus difficult to examine as the patient has a large sl-paptha- and has a concealed phallus.

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.

In the physical exam, s/l thenar and epithilial wasting.  He is listing liver disease stigmata and I just blanked out on this.  Help!

Physical exam, under Extremities, doctor states ___ pulses throughout.

It sounds like temporis pulses. I know of temporal pulses, but would that be throughout the extremities? Thank you!

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?

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?

She has excellent range of motion of the shoulder.  Good grip strength.  Distal pulses and sensation are intact.  She can do a full drop can arc.

TIA

HEENT: It sounds like she is saying 'TO' mucosa pink and moist.  Or TL mucosa.

Any ideas?

I know this is probably really easy...BUT, the doc is rattling it off and he's new to me...

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

Is it normal to bowel sounds?

Thanks....

could that be peripheral pulses?

Vis

i have never heard this before.  its not a standard.  going through the physical exam as normal and says ....

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.

Posture and Balance:  Good sitting balance.  Normal truncal tone.  No scoliosis.  No S/L: SAY-COE-ZYM-BOWL.

Thanks!

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. 

Oral mucosa is dry. Tongue is s/l 'koopic'or Koopid.

Any idea what he means? Thanks

HI, I am doing an H&P and in the physical exam under the heart, Dr. dictates, Regular rhythm with a grade 1/6 s/l cesium but no gallop