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Pt with cardiomyopathy. Neck Exam: s/l "Craco middle" space is slightly diminished. nm

Posted By: tracy on 2008-04-23
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Subject: Pt with cardiomyopathy. Neck Exam: s/l "Craco middle" space is slightly diminished. nm




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On neck exam: s/l Crackle middle space diminished. nm
Subject: On neck exam: s/l Crackle middle space diminished. nm

Not cricopharyngeal space.  Second time doc has said this exact thing in two different documents.  Any ideas?  She is a sleep/wake doctor. 
she has a slightly s/l hue ish coloration of the face and neck.
Subject: she has a slightly s/l hue ish coloration of the face and neck.


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?


ridge? middle? If coming up the back, could be nape of his neck. nm
Subject: ridge? middle? If coming up the back, could be nape of his neck. nm

s
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
Physical exam on eye exam, s/l Cardinal Welk's space?? noted.NM
Subject: Physical exam on eye exam, s/l Cardinal Welk's space?? noted.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.


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
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. 
Neck Exam
Subject: Neck Exam

Neck: No jugular venous pressure; no s/l 'hepatoreflux'.


Need help with the term hepatoreflux!


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 


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
on neck exam, s/l ta-kia? was not deviated
Subject: on neck exam, s/l ta-kia? was not deviated


head/neck exam
Subject: head/neck exam

found it! arcus senilis it is :)
Head/neck exam
Subject: Head/neck exam

in the physical exam under head/neck...s/l arcus sinosis is present.


Neck Exam: s/l "Prismal" sign is negative. ??
Subject: Neck Exam: s/l "Prismal" sign is negative. ??


Neck exam: Negative for a s/l cow's node. Help, I'm tired!!
Subject: Neck exam: Negative for a s/l cow's node. Help, I'm tired!!


I know, but on head and neck exam in review of systems, it is very usual for Dr. to make mention of
Subject: I know, but on head and neck exam in review of systems, it is very usual for Dr. to make mention of ,,,,

all the usual complaints of the specific region, as in neck, no lyphadenopathy, chest, no rales or wheezes, etc., it is a consult. What does he say about something green on the guy's head????
used to be no space; Second Addition AAMT changed to a space
Subject: used to be no space; Second Addition AAMT changed to a space

nm
got it-diminished
Subject: got it-diminished


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)?


maybe globally diminished? have heard that before
myself
Same ESL. DTRs are diminished both s/l roturian and Achilles. Any ideas?
Subject: Same ESL. DTRs are diminished both s/l roturian and Achilles. Any ideas?


re-word it slightly
Subject: re-word it slightly

Sometimes I re-word it slightly, i.e. "with pus" or "pus drainage" something like that.  Depends how it is being used in your case.
slightly flat
Subject: slightly flat


slightly positive...
Subject: slightly positive...


s/l neopathic cardiomyopathy
Subject: s/l neopathic cardiomyopathy

Past medical history of "neopathic" cardiomyopathy, status post heart transplant.


I cannot document neopathic, but that's what he sounds like he's saying. Has anyone heard of this before? Thank you!


Could it be "ischemic cardiomyopathy?" nm
Subject: Could it be "ischemic cardiomyopathy?" nm

xxx
s/l tacosalvu cardiomyopathy
Subject: s/l tacosalvu cardiomyopathy

Any ideas?


Takotsubo cardiomyopathy
Subject: Takotsubo cardiomyopathy


Takotsubo cardiomyopathy
Subject: Takotsubo cardiomyopathy

Are you supposed to capitalize Takotsubo? And is it supposed to be hyphenated? I've seen it every which way...
s/l bydrape? .. slightly growing?
Subject: s/l bydrape? .. slightly growing?

The thigh was also prepped prior to prepping the face (and a bydrape ) was placed (slightly growing)from the operative fields
idiopathic dilated cardiomyopathy
Subject: idiopathic dilated cardiomyopathy


Could it be "tachycardia-induced" cardiomyopathy?
Subject: Could it be "tachycardia-induced" cardiomyopathy?


No, definitely Tako-tsubo cardiomyopathy. Thank you though for trying to help me. sm
Subject: No, definitely Tako-tsubo cardiomyopathy. Thank you though for trying to help me. sm

I really appreciate it.


slightly kyphotic or slight kyphosis
Subject: slightly kyphotic or slight kyphosis


HOCM hypertrophic obstructive cardiomyopathy
Subject: HOCM hypertrophic obstructive cardiomyopathy

nm
That's it, thank you! If it had been pronounced slightly differently, hope I would've gotten
Subject: That's it, thank you! If it had been pronounced slightly differently, hope I would've gotten it :)

nm
skin is slightly s/l hyperemic? but no definite rash
Subject: skin is slightly s/l hyperemic? but no definite rash

is seen
Yes, it is correct. It's usually heard in slightly older (40+) speakers.
Subject: Yes, it is correct. It's usually heard in slightly older (40+) speakers.


Cardiolotry in not a word. Maybe cardiopathy, cardiometry, cardiomyopathy.
Subject: Cardiolotry in not a word. Maybe cardiopathy, cardiometry, cardiomyopathy.


Have you heard s/l "hokum" as slang for hypertrophic cardiomyopathy? nm
Subject: Have you heard s/l "hokum" as slang for hypertrophic cardiomyopathy? nm

nm


talking about patient's slightly odd affect and s/l MELD score is currently 22
Subject: talking about patient's slightly odd affect and s/l MELD score is currently 22


Which is correct: Tako-tsubo or Takotsubo cardiomyopathy? Thanks in advance. nm
Subject: Which is correct: Tako-tsubo or Takotsubo cardiomyopathy? Thanks in advance. nm

nm
Sentence reads: Right axilla reveals a right s/l consolent, pink rash which is slightly pale.
Subject: Sentence reads: Right axilla reveals a right s/l consolent, pink rash which is slightly pale.

I must not be spelling this word correctly at all because I can't get even close to finding a definition for it.  Any takers on this one?  Thanks!
S/L * Rea * for peripheral smear shows slightly decreased platelets. No clumps. Normal white cells
Subject: S/L * Rea * for peripheral smear shows slightly decreased platelets. No clumps. Normal white cells and red cells.

The patient has idiopathic thrombocytopenic purpura. Thanks again.
Both mean middle. Could be either one. nm
Subject: Both mean middle. Could be either one. nm


Could it be 2 to 3, like in the middle of the two?
Subject: Could it be 2 to 3, like in the middle of the two?


Maybe he is already in the middle of a
Subject: Maybe he is already in the middle of a

x
I don't think so, middle one sounds like F or S
Subject: I don't think so, middle one sounds like F or S

Thanks for the try though!
SIM-KNEE-SHE-A from the middle
Subject: SIM-KNEE-SHE-A from the middle

turbinate to the septum...................


 


Anyone?