Right hand has pain in the s/l theen-ar region with palpation, but no swelling. thank you
Posted By: debbie on 2007-07-10
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Subject: Right hand has pain in the s/l theen-ar region with palpation, but no swelling. thank you
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Hmm...could it be C spine pain to palpation maybe? nm
Subject: Hmm...could it be C spine pain to palpation maybe? nm
nm
s/l *piller* region of the hand?
Subject: s/l *piller* region of the hand?
Thank you!
No pain to fist palpation over the costovertebral angle
Subject: No pain to fist palpation over the costovertebral angle
tenderness in the s/l pillow region of her hand
Subject: tenderness in the s/l pillow region of her hand
nm
ago pain in the left "parepigastric" region
He stumbles on this but I think I hear "par epigastric". Patient has a hernia. ?? I don't see many references to "parepigastric". Does this make sense? Thanks!
wants to try keying? for hand pain
Subject: wants to try keying? for hand pain
ASSESSMENT: Status post left index, long and ring finger flexor tenosynovitis, right thumb, index and ring finger flexor tenosynovitis, right thumb symptomatic carpometacarpal pain and status post bilateral carpal tunnel releases.
She also wants to try s/l keying for one hour a day with several breaks.
Patient states the pain is located in the posterior lower back or **box** region. This is a new PA
Subject: Patient states the pain is located in the posterior lower back or **box** region. This is a new PA
student dictating but I have never heard this term used. Any help would be appreciated. Thxs
he has pain in the fingers, hand up to shoulder sm
Subject: he has pain in the fingers, hand up to shoulder sm
so I don't think it could be VATER and also not goiters because they are talking about mostly the wrist here.
have you ever heard of waiter's sign?
sounds right, antalgic posturing. Using hand in position to minimize pain
Subject: sounds right, antalgic posturing. Using hand in position to minimize pain
Oh, and you need to check the anatomy of the hand. Do a google search for "bones of the hand"
Subject: Oh, and you need to check the anatomy of the hand. Do a google search for "bones of the hand".
Try this site, you can click on the bones of the hand and it will tell you what the bone is called.
http://www.gwc.maricopa.edu/class/bio201/hand/anhand.htm
The trapezoid bone is a bone in the distal row of the carpus; it articulates with the second metacarpal.
The scaphoid bone is the largest bone of the proximal row of the carpus on the radial side, articulating with radius, lunate, capitate, trapzium, and trapezoid.
Please know what you are talking about before you try to be condescending.
probably is isthmusectomy. Those two procedures go hand in hand.
Subject: probably is isthmusectomy. Those two procedures go hand in hand.
x
Hand surgery, lead hand?
Subject: Hand surgery, lead hand?
The hand was placed in a lead hand? Attention directed to, in sequence, the lacerations over the DIP joints and pulps of the index, long and ring fingers. Thanks
Then would it be palpation?
Subject: Then would it be palpation?
If so, she really messed up with that dictation.. she definitely said palpitation ..
Also, thanks for the explanation of the blanching... I have never had that and probably would never have found it since she pronounced it wrong
palpation (nm)
Subject: palpation (nm)
x
warm to palpation?
Subject: warm to palpation?
The feet were cool but equally cool in both feet. __________ s/l warm to palpation bilaterally. 
Sinuses are s/l pan tender to palpation.
Subject: Sinuses are s/l pan tender to palpation.
Pts PBCs do not seem to generate a pulse to intermittent palpation.
Subject: Pts PBCs do not seem to generate a pulse to intermittent palpation.
fremitus congestion, where it can be felt with palpation? Where in body are you? nm
Subject: fremitus congestion, where it can be felt with palpation? Where in body are you? nm
s
Pt has tenderness on palpation of the s/l sentra trochanteric bursa nm
Subject: Pt has tenderness on palpation of the s/l sentra trochanteric bursa nm
posterior tibial palpation? Not sure if this makes sense...
Subject: posterior tibial palpation? Not sure if this makes sense...
Dictation states "Dorsalis pedis and _____(faciliar or maybe posterior?) tibial were not palpable bilaterally".
ortho - palpation of lower ext. shows tight heel cords demonstrated by 'silver shield' test sm
Subject: ortho - palpation of lower ext. shows tight heel cords demonstrated by 'silver shield' test sm
Can anyone verify? If so, one word or two words? Can't find on google, Dorlands, or my ortho/neuro book.
TIA
possibly occult sciatic pain ( pain hidden/concealed/not manifest) ? nm
Subject: possibly occult sciatic pain ( pain hidden/concealed/not manifest) ? nm
if it's in the spine, it could be "discogenic" pain versus "facet"-related pain
Subject: if it's in the spine, it could be "discogenic" pain versus "facet"-related pain
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
///
Drug name - s/l amarek, for back pain and neck pain
Subject: Drug name - s/l amarek, for back pain and neck pain
Any ideas? Thanks!
Swelling?
Subject: Swelling?
I've done orthopedic examinations where "symmetrical with no swelling" was used. I know that doesn't sound like "farming," but a lot of doctors don't speak clearly and if you listen to it again with "swelling" in mind, see if it could possibly be swelling.
swelling?
Subject: swelling?
swelling?
lymphoid swelling nm
Subject: lymphoid swelling nm
x
Maybe corona swelling?
Subject: Maybe corona swelling?
could he be stumbling over swelling?
Subject: could he be stumbling over swelling?
just a guess
nuncal swelling?
Subject: nuncal swelling?
Anyone ever hear of this? I'm pretty sure it's not knuckle. Sentence is as follows:
Neck: Supple, non-tender. There is no cervical lymphadenopathy, nunkal swelling, thyromegaly, or JVD.
collection swelling?
Subject: collection swelling?
It sounds like the doctor is saying the patient has "collection swelling" over the olecranon bursa area. Would this make sense or seem proper? I assume he is saying there is a collection of fluid.
is it anchor swelling?
Subject: is it anchor swelling?
sounds like ankle or anchor but it doesn't sounds right. "CV: No chest pain, palpitation or anchor swellling." thank u for your help
ankle swelling nm
Subject: ankle swelling nm
Oops! Swelling.
Subject: Oops! Swelling.
It does sound like presacral, but is dictated in the extremities portion of an H & P. Thank you anyway.
med - s/l subsusporin for leg swelling of 11 yo
Subject: med - s/l subsusporin for leg swelling of 11 yo
no infection, just swelling. Thanks for your help!
Subject: no infection, just swelling. Thanks for your help!
s/l sulfa methoxycil causes swelling.
Subject: s/l sulfa methoxycil causes swelling.
Cervix 690 minus 1 with swelling. sm
Subject: Cervix 690 minus 1 with swelling. sm
Should I type this as 6.90 minus 1 with swelling? Just had the same doctor with another patient coming in with labor, and she says "Cervix is 390 and 0." That should be 3.90, meaning the cervical length, right? But what about this patient of 690 minus 1 with swelling? Is that cervical length of 6.90? Thank you.
s/l ardemitous aparidic swelling...
Subject: s/l ardemitous aparidic swelling...
Isn't erythematous. Distinctly sounds like *are dema tus*
The patient does have an ***ardematous aparidic*** swelling on the dorsum web space of the left hand. Suspected to be an allergic reaction to insect bite.
post kneecap swelling......I think....
Subject: post kneecap swelling......I think....
Patient with swelling in legs...sm
Subject: Patient with swelling in legs...sm
This could be one of many things, including venous insufficiency, but also she could be s/l throwing clots from her legs.
Thanks for any help!
ankle swelling is r/to cardio...CHF
Subject: ankle swelling is r/to cardio...CHF
"considerable" facial swelling?
Subject: "considerable" facial swelling?
Actos for swelling of feet?
Subject: Actos for swelling of feet?
Decrease Metformin to once a day. Will probably reduce Actos to 30 mg a day to decrease the swelling of his feet.
It sounded right but is Actos going to help swelling of the feet? He said throughout the report he had swelling of the tongue. He has type 2 diabetes and sugar levels are running low. Just checking another opinion.
short of breath and feet swelling
Subject: short of breath and feet swelling
s/l swelling of the dorsum underhand is noted
Subject: s/l swelling of the dorsum underhand is noted
thanks...
Boss is a protuberance or rounded swelling.
Subject: Boss is a protuberance or rounded swelling.
No plural given in Stedman's.
s/l lochular swelling in the lateral gutter. nm
Subject: s/l lochular swelling in the lateral gutter. nm
nm
help with word describing facial swelling..
Subject: help with word describing facial swelling..
My doctor dictated that the patient had developed S/L sideral facial swelling? Does anyone have any ideas?
Thanks in advance!!
"and is having a lot of swelling and edema in the nasal mucosa." .nm
Subject: "and is having a lot of swelling and edema in the nasal mucosa." .nm
.
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