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Teen with knee pain. "Drawers McMurray" evaluation was unremarkable.

Posted By: tracy on 2009-04-09
In Reply to:

Subject: Teen with knee pain. "Drawers McMurray" evaluation was unremarkable.




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McMurray's sign is in the knee.
Subject: McMurray's sign is in the knee.

x
The knee is pain significant because she had a total knee replacement. Make sense? nm
Subject: The knee is pain significant because she had a total knee replacement. Make sense? nm

,,
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

///
shoulder pain and knee pain
Subject: shoulder pain and knee pain

Doctor says, "he denies any neck pain or s/l ridicular symptomatology into the upper extremity.
knee pain
Subject: knee pain

I can't make out the first word.  S/L dis-tal-ly.  * does walk with a slight limp.  any help???
knee pain
Subject: knee pain

With range of motion, he is able to obtain full extension and maintain a s/l straight leg razor. Does this make sense?
bilateral knee pain
Subject: bilateral knee pain

Physical exam: Doc says positive "J" sign. Does this stand for Jackson sign?


second one could be she complains of right knee pain
Subject: second one could be she complains of right knee pain


s/l aquacore gel OTC for relief of knee pain
Subject: s/l aquacore gel OTC for relief of knee pain

u
RIGHT KNEE PAIN. PHYSICAL EXAM
Subject: RIGHT KNEE PAIN. PHYSICAL EXAM

NM
ensethopathy? Child with knee pain.
Subject: ensethopathy? Child with knee pain.


"rest" pain and below-knee amputation
Subject: "rest" pain and below-knee amputation

Diagnosis s/l "rest" pain and ischemia of left foot with acute gangrene (resulting in below-knee amputation).  


Status post "TVA" with knee pain
Subject: Status post "TVA" with knee pain

has knee prosthesis in place with components intact.  Thanks!
She was on a trip without problication and had severe pain in the left knee. nm
Subject: She was on a trip without problication and had severe pain in the left knee. nm

nm
Pt with knee pain. Has tried a s/l strolap brace whic has not helped. nm TIA
Subject: Pt with knee pain. Has tried a s/l strolap brace whic has not helped. nm TIA


Patient has a positive drawer test and s/l wobble test (knee pain)
Subject: Patient has a positive drawer test and s/l wobble test (knee pain)

thanks so much!!!
Negative McMurray - nm
Subject: Negative McMurray - nm

nm
equivocal McMurray's
Subject: equivocal McMurray's


The hip joint "proper" is unremarkable.
Subject: The hip joint "proper" is unremarkable.

Help!  TIA :)
past films were unremarkable? nm
Subject: past films were unremarkable? nm


could you be hearing "x-rays are really unremarkable"
Subject: could you be hearing "x-rays are really unremarkable"


Homans and McMurray's sign maybe?
Subject: Homans and McMurray's sign maybe?

x
There is a McMurray sign, could he posb mean that?
Subject: There is a McMurray sign, could he posb mean that?

xx
they say ŕ-teen" 90 to 1-teen
Subject: they say ŕ-teen" 90 to 1-teen

nm
I mean they say 1-teen; 90 to 1-teen
Subject: I mean they say 1-teen; 90 to 1-teen

nm
definitely one teen
Subject: definitely one teen

I came across this before.  It definitely sounds like "teen"  dictator talks very clearly. 
chest exam: s/o "breh-too-then" is unremarkable..tia! -nm
Subject: chest exam: s/o "breh-too-then" is unremarkable..tia! -nm


H&P - s/l prim-a-teen
Subject: H&P - s/l prim-a-teen

ABDOMEN: Well-healed surgical scars.  No masses, no tenderness, s/l "primateen" or edema.


lab work: BUN and creatinine were 16 and 0.7, glucose 93, **microlytes** were unremarkable
Subject: lab work: BUN and creatinine were 16 and 0.7, glucose 93, **microlytes** were unremarkable


cervical spine: the [s/l predense] space is unremarkable
Subject: cervical spine: the [s/l predense] space is unremarkable


one-teen or one-teens is correct. nm.
Subject: one-teen or one-teens is correct. nm.

x
s/l chris-teen or crst-een
Subject: s/l chris-teen or crst-een

Patient has lymphoma, sentence is: "She, with going off the steroids, had a little bit of pain in her knees and skins, but that is gettting bettter and she has a little bit of neuropathy in her fingertips and toes from the chemotherapy most likely as in <s/l christ-teen or crest-een>?
Lumbar spine film: s/l the "TIP U LATING" joints unremarkable
Subject: Lumbar spine film: s/l the "TIP U LATING" joints unremarkable

Completely normal lumbar spine films.  He's being speedy dictator tonight. 
medication s/l comma seff teen cream
Subject: medication s/l comma seff teen cream


Doc says blood sugars elevated in the 1-teen to 120 range. sm
Subject: Doc says blood sugars elevated in the 1-teen to 120 range. sm

Does anyone know the correct way to type this - 1-teen or one-teen.
in past surgical history for a teen *slazon* removal from the eye. ?? TIA! nm
Subject: in past surgical history for a teen *slazon* removal from the eye. ?? TIA! nm

nm
X-ray of the knee shows arthritic change within the knee, but maintained s/l tibiofemoral stasis.
Subject: X-ray of the knee shows arthritic change within the knee, but maintained s/l tibiofemoral stasis.

Thanks :-)
Starting off great today...Rheo Knee prosthetic knee???
Subject: Starting off great today...Rheo Knee prosthetic knee???


Knee x-ray: s/l RATTY knee joint erosions? NM
Subject: Knee x-ray: s/l RATTY knee joint erosions? NM


MRI of knee. Semimembranosus s/l pes-dens-a-ri-nus region of the knee.
Subject: MRI of knee. Semimembranosus s/l pes-dens-a-ri-nus region of the knee.

:-)
GAU evaluation
Subject: GAU evaluation

Does anyone know what this pertains to?  I do not find anything in my Stedman's reference that would shed light on it.  The patient is 51 years old and it is a very short dictation with little detail. 
possibly occult sciatic pain ( pain hidden/concealed/not manifest) ? nm
Subject: possibly occult sciatic pain ( pain hidden/concealed/not manifest) ? nm


evaluation and treatment?
Subject: evaluation and treatment?

x
Evaluation of right shoulder . . .
Subject: Evaluation of right shoulder . . .

Evaluation of his right shoulder shows he does have some atrophy in his 'p_____ disfaucet'.


I know that is not right, but that I was I get from his garble and what sounds like him eating the recorder. LOL


Thanks.


s/l fornik evaluation (sm)
Subject: s/l fornik evaluation (sm)

The patient had been on aspirin at the time of his stroke.  He was changed to Plavix.  He may be considered for __________ evaluation in the future. 


This doctor flies through the dictation at warp speed, but the closest I can hear is "fornik."


Thanks.


Maybe "eval" for evaluation???
Subject: Maybe "eval" for evaluation???

x
Re-evaluation or Reevaluation?
Subject: Re-evaluation or Reevaluation?

Any idea whether this word has a hyphen or not?


Thank you


Could the doc just be stumbling on GU evaluation? Sorry not more help Nm
Subject: Could the doc just be stumbling on GU evaluation? Sorry not more help Nm

nm
maybe for "a VATS" evaluation ??
Subject: maybe for "a VATS" evaluation ??


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


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

:-)