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adnexal structure tenderness? nm

Posted By: Another stab on 2007-09-26
In Reply to: No or heard - Audrey Graham

Subject: adnexal structure tenderness? nm

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No adnexal *str. . .* tenderness
Subject: No adnexal *str. . .* tenderness

This is in an H&P where the patient presents with frequent headaches and frequent urination.
or calf tenderness? cords or tenderness? nm
Subject: or calf tenderness? cords or tenderness? nm

s
I know CVA tenderness is what is used, .my question was when was it changed from c.v.a. tenderness?
Subject: I know CVA tenderness is what is used, .my question was when was it changed from c.v.a. tenderness?

I learned from from a QA's report.  How are we to know there are changes on things that were done one way for so long and now done another?  geesh
the she finds tenderness is C-spine tenderness
Subject: the she finds tenderness is C-spine tenderness

otherwise, the way you've typed the paragraph with the headings looks correct.


 



adnexal mass
Subject: adnexal mass

Patient has an adnexal mass that could be a "corti sue tium cyst" Why am I drawing a blank this morning?
adnexal nodal?
Subject: adnexal nodal?


no adnexal masses on s/l E-way
Subject: no adnexal masses on s/l E-way

x
Could it be Left Adnexal Mass? NM
Subject: Could it be Left Adnexal Mass? NM

xx
breast adnexal mass?
Subject: breast adnexal mass?

Adnexa by itself isn't limited to the breast, so maybe the "quest" is breast???
Do you type; c.v.a. tenderness or CVA tenderness?
Subject: Do you type; c.v.a. tenderness or CVA tenderness?

I am getting two different opinions on this one and was wondering what is actually correct....Thanks in Advance!
Uterus was s/l antesmall with no adnexal masses.
Subject: Uterus was s/l antesmall with no adnexal masses.

nm
I'd say pelvic, adnexal, and omental adhesions, but I'm
Subject: I'd say pelvic, adnexal, and omental adhesions, but I'm

nm
"CV angle tenderness" or "CVA tenderness" as A=angle nm
Subject: "CV angle tenderness" or "CVA tenderness" as A=angle nm


adnexal region: complex predominantly solid [s/l nonperastilting] mass
Subject: adnexal region: complex predominantly solid [s/l nonperastilting] mass


cordlike structure? nm
Subject: cordlike structure? nm

x
structure question
Subject: structure question

Would you place the hyphens in this sentence?


She will require a new valve in the not-too-distant future.


Thanks for your opinions!


sentence structure help
Subject: sentence structure help

He does not check his blood sugar ,and he admits that he has not been dieting or exercising quote unquote he is simply too busy.


Any opinions on how to transcribe this one. Not a verbatim account.


Maybe this way?....dieting or exercising saying, "I am simply too busy."


sentence structure
Subject: sentence structure

I would type it dieting or exercising; "he is simply too busy."
sentence structure
Subject: sentence structure

X-rays showed a left femoral neck fracture and a fracture of the distal left radius comminuted minimally displaced (so) she had an old s/l heal wrist fracture and had scars from previous Austin Moore prosthesis.

Maybe I'm not hearing the word (so) and these should be two separate sentences. The s/l heal I'm thinking should be healed?

Thanks.
help with sentence structure please sm
Subject: help with sentence structure please sm

It should also be noted that studies have confirmed that controlled blood pressure without the use of a thiazide does not resolve it ---is? or as? well of a reduction ---- of the long-term adverse reactions unless there is a thiazide included in the treatment.  The aera I have marked with --- is where I need help. Might have some little word/words wrong here. Sounds like doc has raspy voice while dictating!


Depends on the sentence structure
Subject: Depends on the sentence structure

I would do bed-bound, as in the bed-bound patient.
Mucous is the structure, mucus is the goo. :-) (nm)
Subject: Mucous is the structure, mucus is the goo. :-) (nm)

x
chiropractic sentence structure help
Subject: chiropractic sentence structure help

We did perform low-force manipulation to the transition area of the thoracic spine for segmental fixation rotation T5 for rotation left.

I am not familar with chirpractic and am not sure of this sentence.

Anybody??

Thanks

Need help wtih sentence structure.
Subject: Need help wtih sentence structure.

Examination, evaluation, debridement of mycotic nail 1-5 bilateral feet. Nail plate débrided nailbed as tolerated by patient.


 


I am questioning the last part of the sentence and need help with punctuation there. Does the word debrided go with nail plate or nailbed as tolerated by patient?


Senteces structure/parenthesis
Subject: Senteces structure/parenthesis

Dictator states: The patient was uncooperative during treatment (she left abruptly during the exam).

Do I capitalize the 's' on the word 'she' or is it correct as typed? I am confused because the info in parenthesis is a complete sentence.
angiography help- pasystic structure?
Subject: angiography help- pasystic structure?

cerebral angiography revealed anterior displacement of the opercular branches of the middle cerebral artery due to "pa-cyst-ic" structure.
what is this pacystic word?
maybe pericystic or paracystic structure?
Subject: maybe pericystic or paracystic structure?

x
A sentence structure question....sm
Subject: A sentence structure question....sm

Just need clarification, please.  Which is correct? 


a)  The left foot and ankle IS warm (one unit), or
b)  The left foot and ankle ARE warm (separate units).


Stupid question, I know, but after hearing it both ways for so long, I am now officially confused. 


Looking for anatomical structure in the throat. sm
Subject: Looking for anatomical structure in the throat. sm

In the physical exam doc says:
LARYNX AND PHARYNX: Reveals normal adenoids, COIN-I-AYE, pharyngeal walls, piriforms, epiglottis, folds, true cords and mobility.

structure in the posts leaves me confused...sm
Subject: structure in the posts leaves me confused...sm

don't know what exactly you want. 


but yes there are bloody bowel movements....and occult bleeding would be bleeding from somewhere, and in your case for your question would be the bowel...hemoccult-negative stool test would be no blood in the bowels.


Dunno what it is you want though....


Can you change sentence structure to maybe repeat CT scan?
Subject: Can you change sentence structure to maybe repeat CT scan?


false: any suspensory ligament that is a peritoneal fold and not of true ligamentous structure.
Subject: false: any suspensory ligament that is a peritoneal fold and not of true ligamentous structure.


CVA tenderness
Subject: CVA tenderness

He probably meant CVA (costovertebral angle) tenderness when he said "renal." You could insert an "or" and type it as "renal or rebound, or guarding."
CVA tenderness
Subject: CVA tenderness

I must be having a brain fart.  My doc is dictating a physical exam for his discharge summary and states, "She had no CVA tenderness." 


My question is would this go under the heading of MUSCULOSKELETAL??  If not that, then which one???


Thanks in advance for your help.  


CVA tenderness
Subject: CVA tenderness

costovertebral angle tenderness
CVA Tenderness
Subject: CVA Tenderness

The hospital that I do IC work for requires that we put it under the abdomen heading.
CVA tenderness nm
Subject: CVA tenderness nm


AC tenderness
Subject: AC tenderness

abdominal compression (AC) tenderness?
no CVA tenderness.....
Subject: no CVA tenderness.....


tenderness
Subject: tenderness

nm
No CVA tenderness? nm
Subject: No CVA tenderness? nm


CVA tenderness
No significant tenderness of the left (s/l CVA) ____ region.  Vague tenderness over the left flank area. Is this correct and/or cva or CVA?  Thanks.  
AP tenderness
Subject: AP tenderness

What does the doctor mean when he says there is no AP tenderness. The doctor is referring to her ankle. tia.
No tenderness or dullness in the LUQ? sm
Subject: No tenderness or dullness in the LUQ? sm

Sorry. Not exactly your S/L. Here is a link with terms regarding abdominal exam and others.


 


http://mtdesk.com/lstphysl.shtml


maybe saying "point tenderness"?
Subject: maybe saying "point tenderness"?

nm
There is tenderness above the calf....
Subject: There is tenderness above the calf....

and is s/l easing collapse of the remainder of the varicosities bilaterally.


 


or easily collapsed


CVA tenderness or CVAT
Subject: CVA tenderness or CVAT


s/l over the wall tenderness
Subject: s/l over the wall tenderness

Doc says she has some ecchymosis around her eye.  She has some minor lateral ... over the wall .... tenderness and some tenderness at the zygoma but there is no palpable stepoff and no significant swelling. 


Any suggestions.  Thanks. 


diffuse tenderness - nm
Subject: diffuse tenderness - nm

nm
tenderness? (guess) nm
Subject: tenderness? (guess) nm

xx
...or suprapubic tenderness??? nm
Subject: ...or suprapubic tenderness??? nm

s