Sounds like "chiller" venous veins appear normal. sm
Posted By: IC on 2005-12-03
In Reply to:
Subject: Sounds like "chiller" venous veins appear normal. sm
The patient is moribund. She is unable to speak at the current time and does not respond to sternal rub. "Chiller" venous veins appear normal. Site of the PEG tube is normal without any evidence of exudates.
She is 92 years old and comfort-care only. Here is some past history:
Past medical history is significant for progressive dysphagia leading to frequent bouts of aspiration secondary to a prior cerebrovascular accident in 1997, recent admission for probable aspiration bronchitis/pneumonia, history of hypertension, history of thyroid replacement therapy, history of possible dehydration. She has a prior history of cataract, prior history of gallbladder surgery, recent PEG placement in 11/2005, status post TAH-BSO at age 40 and eyelid surgery in January 2002, history of chest pain admission in February 1996, history of cerebrovascular accident of the right internal capsule in June 1997, and history of TIA in August 2003.
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Perhaps saying venous stasis ulceration, varicose veins?
Subject: Perhaps saying venous stasis ulceration, varicose veins?
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Subject: sounds like a normal "CS troponin" value to me... nm
5/5 sounds like normal motor strength...but sm
Subject: 5/5 sounds like normal motor strength...but sm
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venous ... long-standing VENOUS ulcer!
Subject: venous ... long-standing VENOUS ulcer!
nm
No jugular veins in legs, either!! Jugular veins are in the NECK!
Subject: No jugular veins in legs, either!! Jugular veins are in the NECK!
x
Heart sounds were normal intensity 1 and 2. *No S3 or S3 heard.* sm
Subject: Heart sounds were normal intensity 1 and 2. *No S3 or S3 heard.* sm
Could one of these S3s be F3? or something with a similar s/l? I can't document F3 though. New doc, but clearly states above.
Thanks for any help.
Heart sounds were normal in intensity, S1 and S2. No S3 or S4 heard.
Subject: Heart sounds were normal in intensity, S1 and S2. No S3 or S4 heard.
Heart sounds "when to heard" normal
Subject: Heart sounds "when to heard" normal
S/l Pulses are regular; heart sounds "when to" heard normal. No murmurs, "droops" or gallops. "droops is said very unclearly.
sounds like "car po mace a peen" level was normal.
Subject: sounds like "car po mace a peen" level was normal.
PE normal breath sounds in s/l in excursion, in discursion...I know it's something easy, thanks
Subject: PE normal breath sounds in s/l in excursion, in discursion...I know it's something easy, thanks
s/l venous light or venous late on CT. sm
Subject: s/l venous light or venous late on CT. sm
Head CT:
There is also a small, nonaggressive lytic lesion in the left frontal bone that appeared to reflect an angioma or venous s/l "light or late".
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
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Subject: I would use saline since it's the solution he's changing from half-normal to normal, not the
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s/l right decuer veins release
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Subject: jugular veins in legs?
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Subject: 1) ulceration 2) varicose veins nm
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Subject: Is it in regard to varicose veins?
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Subject: You are probably hearing normal BUS or normal BUSV. sm
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http://www.healthsystem.virginia.edu/internet/obgyn-clerkship/UVA/Abbreviations.cfm
may be normal values or normal range? nm
Subject: may be normal values or normal range? nm
nm
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Subject: I think it helps open up veins, thereby helping circulation. (nm)
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Subject: Wikipedia or Google spider veins...links inside
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Subject: venous ? (nm)
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Subject: Try venous anomaly...
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venous stasis?
Subject: venous stasis?
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Subject: Venous stasis/venostasis...sm
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Val
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Subject: venous flow question
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Subject: they usually say chronic venous stasis
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jugular venous distention? NM
Subject: jugular venous distention? NM
x
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