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Pt's gait was stiff due to "turnus" in her left foot. nm

Posted By: grace on 2007-08-21
In Reply to:

Subject: Pt's gait was stiff due to "turnus" in her left foot. nm




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pt walks with an antalgic gait on the left and this is
Subject: pt walks with an antalgic gait on the left and this is

slightly decrased over the s/l Reflexes?? on the left leg.  Is the word Reflexes right?  Sorry guys for so many questions, having a tough day.
first ray of the left foot
Subject: first ray of the left foot


This kept happening to me until I put my left foot up on a sm
Subject: This kept happening to me until I put my left foot up on a sm

small padded stool, just high enough that my chair doesn't hit the back of my knee.

Get up and stretch at least every hour to get that blood moving again.

I transcribe with dogs, too. And cats. They are my muses. :)
Patient with left foot metatarsalgia. Please sm
Subject: Patient with left foot metatarsalgia. Please sm

Plan: Place her into a s/l hase pad. Thanks for any help!
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Subject: S/L Hul-o-ma-maly or soft corn left foot

Not good with podiatry
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Subject: left lateral foot and ankle pain

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She is also concerned about s/l ___momali 1st interdigital space of the left foot
Subject: She is also concerned about s/l ___momali 1st interdigital space of the left foot


 



foot exam - removal of AFFENDING ingrown nail spicules from the right and left great toes
Subject: foot exam - removal of AFFENDING ingrown nail spicules from the right and left great toes

This is a new dictator for me and he says the same thing in almost every dictation.  He is stressing the AFFENDING - kind of like to let you know that it's an "A" and not "O".. 


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Subject: Achilles regional skin ulcer and left foot ulcer following venotomy?


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.

:-)
Stiff is appropriate.nm
Subject: Stiff is appropriate.nm

..
AFO-ankle foot orthosis for drop foot. nm
Subject: AFO-ankle foot orthosis for drop foot. nm

nm
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"


Neck is not stiff (s/l with a few pieces of stagnus)
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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Subject: Yes, gel or gelling effect, getting stiff after period of inactivity


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Subject: headache? stiff neck? Symptoms of Lyme's etc. nm


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Subject: if they say *foot* - give 'em foot....nm


She has a prosthetic *above?* right foot for right foot drop.
Subject: She has a prosthetic *above?* right foot for right foot drop.

,,
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

..
Funny thing, I had this yesterday and left 3 blanks that QA also left blank.
Subject: Funny thing, I had this yesterday and left 3 blanks that QA also left blank.

x
pain over the left hip and a biopsy of the left s/l SA pablum showed adenocarcinom
Subject: pain over the left hip and a biopsy of the left s/l SA pablum showed adenocarcinom

n
probably means left anterior descending. Instead of saying LAD, just saying left AD.
Subject: probably means left anterior descending. Instead of saying LAD, just saying left AD.

x
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Subject: S/P left total knee reconstruction. On exam, has a palpable s/l clod defect on the left knee.

:-)
maybe something like mid gait? nm
Subject: maybe something like mid gait? nm

nm
Could it be festinating gait???
Subject: Could it be festinating gait???

Hope this helps.
gait sl-distrentions
Subject: gait sl-distrentions

unresponsive patient with past history of gait sl-distrentions and essential tremors
Gait is not antalgic.
Subject: Gait is not antalgic.

.
OMG - it's gait!!! Duh - I should have known this! Thanks so much for your help Txczech!
Subject: OMG - it's gait!!! Duh - I should have known this! Thanks so much for your help Txczech!


antalgic gait
Subject: antalgic gait


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Subject: gait is s/l magnatic

His gait is s/l magnatic and shuffled.

ESL doctor
it's tandem gait.........
Subject: it's tandem gait.........


Parkinsonian gait
Subject: Parkinsonian gait

It should be ratcheting steps. 
A ptotic gait?
Subject: A ptotic gait?

nm
Angle of Gait?
Subject: Angle of Gait?

Angle of Gait: During running or walking, the angle formed between a line drawn from the midpoint of the calcaneus (heel bone) to the midpoint of the second toe of the same foot, and the line of direction of movement.


gait imbalance?
Subject: gait imbalance?

does it sound remotely close to that? I was a Neurology Secretary for 22 years (still looking for an after-hours job to do prn).
heel-toe gait with ???
Subject: heel-toe gait with ???

He has heel-toe gait, although he does have a slightly less (s/l weigh hung on the left than the right.  Also s/l wane/huddle)


I know it sounds funny but does anyone have an idea? 


Tandem gait is correct.
Subject: Tandem gait is correct.

dd
describing gait would be hyphenated...sm
Subject: describing gait would be hyphenated...sm

gait is broad based


patient has a broad-based gait.........


not sure of 1st, but _____, gait and Romberg...SM
Subject: not sure of 1st, but _____, gait and Romberg...SM


Romberg sign

with feet approximated, the subject stands with eyes open and then closed; if closing the eyes increases the unsteadiness, a loss of proprioceptive control is indicated, and the sign is positive
neurology tanding gait
Subject: neurology tanding gait

Hello: The statement reads


She does have difficulty in [s/l “tanding”] gait.


Could it be standing gait?  Is standing a gait?  Any ideas? Thank you in advance


PE: Gait is s/l neurobased? and steady.
Subject: PE: Gait is s/l neurobased? and steady.

x


antalgic gait posture?
Subject: antalgic gait posture?

does that sound right per the rest of the report?
Psych pt has an "app a tot ick" gait. nm
Subject: Psych pt has an "app a tot ick" gait. nm


Gait is normal "bitandem"? sm
Subject: Gait is normal "bitandem"? sm

My neuro, who is about 100 years old, used the word "bitandem" on the gait assessment of his patient. Anyone hear of this? "Bytandem"? "Bi-tandem"? I cannot find it. Thanks for any help.
Steady gait. CSMs are intact.
CSM stands for: Circulation, sensation and mobility.
Alzheimers patient SL festering gait - sm
Subject: Alzheimers patient SL festering gait - sm

Sorry for all the posts but this PA is very hard to hear.  Could it be festinating?  Thanks for your help!
hyphens...gait is broad-based?
Subject: hyphens...gait is broad-based?

I am drawing brain farts with hyphens lately.  Just looked at Dr. Grammar.  Still no help.  I know that before a noun, two or more adjectives are hyphenated, as in broad-based gait.  But what about gait is broad-based. ? Are there new rules on hyphenation? Do we always hyphenate heel-to-shin and the like?
Yes, cerebellar, gait, and Romberg would be correct.
Subject: Yes, cerebellar, gait, and Romberg would be correct.

x
ENG - vestibular testing? s/l may be gait disturbance.. nm
Subject: ENG - vestibular testing? s/l may be gait disturbance.. nm


Gait was analzyed that shows a slight sm
Subject: Gait was analzyed that shows a slight sm

s/l tromellon burget limp. Thanks for any help