back exam, s/l Stepoff's?
Posted By: mtx3 on 2007-07-18
In Reply to:
Subject: back exam, s/l Stepoff's?
no bruising or Stepoff's? Thanks so much to anyone who can help with this.
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Back exam
Subject: Back exam
While transcribing the back exam, the doctor says what sounds like "no rotation or scoliosis noted." I'm not exactly sure if he is saying "rotation," but would that make sense? I've never heard that used in a back exam before.
back exam for infant
Subject: back exam for infant
S/l - the back showed no toss (does not s/l loss) of hair.
in the physical exam s/l back, kethotic???
Subject: in the physical exam s/l back, kethotic???
exam of back reveals it to be symmetrical without s/l farming???
Subject: exam of back reveals it to be symmetrical without s/l farming???
Are you in the hands? The back? Doing an exam or talking about a patient's test? nm
Subject: Are you in the hands? The back? Doing an exam or talking about a patient's test? nm
f
Would "no costovertebral angle tenderness' be abdominal or back exam?
Subject: Would "no costovertebral angle tenderness' be abdominal or back exam?
You are correct - 1 word - stepoff nm
Subject: You are correct - 1 word - stepoff nm
Stepoff, ankle fracture
Subject: Stepoff, ankle fracture
Three views of the right ankle demonstrate healing in more or less anatomic position, with less than 1-mm stepoff on a s/l "P". No widening of the medial mortis. The fifth metatarsal is healed.
Thanks for any help.
Phys. Exam on 2 yr - Heart regular rate. s/l vascularity or back appears intact? r
Subject: Phys. Exam on 2 yr - Heart regular rate. s/l vascularity or back appears intact? r
Phys exam on 2 yr old - Heart regular rate. ?? s/l vascularity appears intact or back appears int.
Subject: Phys exam on 2 yr old - Heart regular rate. ?? s/l vascularity appears intact or back appears int.
back pain, given dura-back if needed for spasm. nm
Subject: back pain, given dura-back if needed for spasm. nm
s
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.
Eye exam: s/l "sub-lamp" exam shows left side has multiple small punctations in the cornea.(t
Subject: Eye exam: s/l "sub-lamp" exam shows left side has multiple small punctations in the cornea.(thanks)
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
What kind of doc is doing the exam? And where in the exam is this test mentioned? nm
Subject: What kind of doc is doing the exam? And where in the exam is this test mentioned? nm
s
Question about eye exam...when everting lids on eye exam (sm)
Subject: Question about eye exam...when everting lids on eye exam (sm)
It is EVERT, not AVERT, right? I have always typed it with an E but I have a PA who keeps insisting it is A. I always thought Avert applied to gaze, as if to look away. Just want to make sure everting the eyelid is the right term. TIA.
you should always try to back it up
Subject: you should always try to back it up
:)
Thx for the help. I just keep going back and forth on it. Now I know. nm
Subject: Thx for the help. I just keep going back and forth on it. Now I know. nm
X-ray of back
Subject: X-ray of back
x-ray of back.....
Subject: x-ray of back.....
It sounds like it might be spondylolisthesis, which would be descriptive of the L5-S1 joint; where as anterolisthesis refers to a subluxation of one vertebral body upon another would be stated as "there is anterolisthesis of L5 on S1"
Going to go w ith take-back
Subject: Going to go w ith take-back
cannot figure out what else this could be. Says this very clear. Thanks for those who were looking.
Went back...
Subject: Went back...
and it is clear as day! Geez...guess I just needed to talk it out! Thanks! :)
That was it, Thank you - I think I need to go back to bed!!!
Subject: That was it, Thank you - I think I need to go back to bed!!!
I put 110 to 120. Never had it come back yet....nm
Subject: I put 110 to 120. Never had it come back yet....nm
x
Just got it back from QA -
Subject: Just got it back from QA -
She has a long habit of only drinking...........
Wow! Call me homer simpson. d'oh!
Back strain
The doctor is giving instruction for a back strain. The blank s/l leg umes or rig umes. Thanks for any help!
The sentence is: Rest, ice, _______ for pain not controlled with ibuprofen.
Just wanted to get back and thank you
Subject: Just wanted to get back and thank you
Yuk-he's back. Will probably post something,,,,
Subject: Yuk-he's back. Will probably post something,,,,
nm
I take back the palladium..
Subject: I take back the palladium..
I didn't think about gadolinium, but it is used with MRIs.
I am back again with another question
Subject: I am back again with another question
I have never had so many questions and this is the same doctor I have always worked for. the patient has an actinic keratosis behind the ear along the hairline ove the "occioitent". He is not saying occipital...is it possible he is making this up?
thanks..going back and checking it out
Subject: thanks..going back and checking it out
Just got QA back, just wanted you to know that you were right! Thank you
Subject: Just got QA back, just wanted you to know that you were right! Thank you
x
as I go back and listen
Subject: as I go back and listen
it sounds like "Dilaudid hepta" but I can't make out "hepta". This is an ESL.
Just coming back on
Subject: Just coming back on
to say DUH, tragal pit.
Not thinking clearly today.
Thanks for the help though!
Hello back atcha ................nm
Subject: Hello back atcha ................nm
CC: Back pain
Subject: CC: Back pain
Thanks for taking the time on this . . .
While the CC: is back pain, the subjective describes . . .
This is an 81-year-old female who, for the last month, has had some intermittent pain next to her right shoulder blade. She is right-handed, and she has been doing a lot of gardening and weed whacking. It does not bother her much during the day, but at night when she sits, and then when she is lying in bed at night, she feels what she describes as a muscle spasm with twinges. She also at times has some diffuse pain from her elbow radiating up to her neck when she “overdoes it”, but that has been going on for quite some time, and she does not feel like that has recently changed.
thanks, I thought of that and went back
Subject: thanks, I thought of that and went back
and listened again, but he is definitely saying AS or AZ-vair, or something like that. To complicate matters, I'm having problems with the tape not playing correctly in that spot..it keeps stopping and slowing down,etc. I think the tape is just bad.
no offense, but what do either of these have to do with the low back? nm
Subject: no offense, but what do either of these have to do with the low back? nm
nm
I take that back...it could also be "tack"...sm
Subject: I take that back...it could also be "tack"...sm
there apparently is a sling "Tack" procedure, but could also just be saying bladder tact which is not naming the specific procedure.
Thank you . . . I was just coming back
Subject: Thank you . . . I was just coming back
It is PMR.
Thanks to all for taking the time.
Well, I went back and relistened,
Subject: Well, I went back and relistened,
proud flesh and then changed to pride flesh . . . I had never heard this term, but was able to find proud flesh (still cannot locate pride flesh, but this is a verbatim account and he clearly changes from proud to pride, so I'll give him what he says)
Thanks all!
QA sent it back as IPJ... guess I was way off.
Subject: QA sent it back as IPJ... guess I was way off.
I went back and relistened and thats what he said...
Subject: I went back and relistened and thats what he said...
I searched and searched for this sounding drug. Thank you.
I went back and listened . . .
Subject: I went back and listened . . .
It sounds like "reostis" or "reosis" to sight. This is an ESL but he's not too hard to understand. Thanks for your help.
you could be right, I am going to back and relisten
Subject: you could be right, I am going to back and relisten
cause it sounds like valve plus ....... valve prolapse she talks really fast sometimes and funs her words together. Thanks
That's it! Went back and listened again. Thx!
Subject: That's it! Went back and listened again. Thx!
nm
it is just that she has low back pain..sm
Subject: it is just that she has low back pain..sm
Since that time, she has had increasing low back pain. She did do the s/l-Ergosco- method. She had no relief. She did have an injection to her SI joint region, which had a terrible reaction. Since that time, she has had low back pain.
yes, if the patient has come back more....s/m
Subject: yes, if the patient has come back more....s/m
Yes if it's not the first visit for this patient with this particular problem. If the patient was recently seen for the same thing, it's a representation......
after all was typed, went back and
Subject: after all was typed, went back and
listened and it was fibroids, he just stumbled. Thank you for your help
Deborah
Heard back from QA on this - sm
Subject: Heard back from QA on this - sm
You were right.
He was saying upper limbs and lower limbs.
Thanks for your input.
Went back and listened again
Subject: Went back and listened again
but he definitely says "4-5" shaver. Thanks for your help though!
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