bilateral knee pain
Posted By: Tracey on 2007-11-13  
In Reply to: 
  
Subject: bilateral knee pain 
   Physical exam:  Doc says positive "J" sign.  Does this stand for Jackson sign? 
 
 
 
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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 
  ///
	 
	
Bilateral Knee DJD x-ray McKay or Maquet view ? 
Subject: Bilateral Knee DJD x-ray McKay or Maquet view ? 
 
  I am having a heck of a time with this.  Please help
	 
	
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.  
	 
	
Ortho...bilateral shoulder pain.  (sm) 
Subject: Ortho...bilateral shoulder pain.  (sm) 
   X-rays show s/l acromioniaztion / core munization / acromunization both shoulders.  There is arthritis in both shoulders.
	 
	
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?
	 
	
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 
   
	 
	
Teen with knee pain.  "Drawers McMurray" evaluation was unremarkable.   
Subject: Teen with knee pain.  "Drawers McMurray" evaluation was unremarkable.   
  
	 
	
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!!!
	 
	
Is typing biapical ok or should I put bilateral apical as he does say bilateral towards the end of t 
Subject: Is typing biapical ok or should I put bilateral apical as he does say bilateral towards the end of the dictation? 
  
	 
	
Pt with bilateral breast reconstruction.  She had bilateral 
Subject: Pt with bilateral breast reconstruction.  She had bilateral  
  s/l NoWet sponges in the area of both breasts.  Ideas????
	 
	
bilateral conjunctivae...example...bilateral knees..nm 
Subject: bilateral conjunctivae...example...bilateral knees..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. 
   :-)
	 
	
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 
  
	 
	
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. 
   :-)
	 
	
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!  
	 
	
nEck pain and back pain 
Subject: nEck pain and back pain 
  what a day!
	 
	
Bilateral? TAH, BSO. 
zz
	 
	
I would think that because it is bilateral--sm 
Subject: I would think that because it is bilateral--sm 
  to me...it would sound better if it was *there ARE cerumen impactions bilaterally which are removed.*  Since bilateral already denotes plural, I, personally would use the plural form.  JMO.
	 
	
bilateral? 
Subject: bilateral? 
  xxx
	 
	
bilateral? 
Subject: bilateral? 
  
	 
	
No, definitely not saying bilateral.  Thanks! 
Subject: No, definitely not saying bilateral.  Thanks!  
  
	 
	
i mean, if bilateral is before is it singular and sm 
Subject: i mean, if bilateral is before is it singular and sm 
 
 how do you hand bilaterally.  I am very confused on the singular and plural regarding these because doctors say it both ways.    
For example, examination of the hip, knee, and ankle is normal bilaterally...singular.  
So, is it always singular when you use these words? or an equivalent (left and right lower extremity or extremities, etc)  
I have been doing this for 3 months but this seems to keep coming up and i am hearing it dictated both ways.  Thanks ahead of time for any help :) 
	 
	
bilateral s/l orkasinilis.sm 
Subject: bilateral s/l orkasinilis.sm 
  HEENT:  Extraocular movements intact.  He has bilateral s/l orkasinilis.  Pupils are mid and reactive to light stimulus. 
	 
	
bilateral hallucis. 
Subject: bilateral hallucis. 
  x
	 
	
equilateral? bilateral? nm 
Subject: equilateral? bilateral? nm 
  s
	 
	
bilateral s/l qua toes? TIA.nm 
Subject: bilateral s/l qua toes? TIA.nm 
  xx
	 
	
Bilateral mastectomy 
Subject: Bilateral mastectomy 
  
	 
	
bilateral mastectomy 
Subject: bilateral mastectomy 
  
	 
	
Bilateral mastectomy 
Subject: Bilateral mastectomy 
   Only one mastectomy is being performed each on the right and left side.  The same thing for bilateral tubal ligation, you would not put bilateral tubal ligations.  If a person had four breasts and two were being removed from each side, then it would be bilateral mastectomies!  
	 
	
bilateral eyes 
Subject: bilateral eyes 
  Okay, doc keeps correcting me when I correct his dictation, stating bilateral knees, bilateral breasts, etc. to bilateral knee, bilateral breast - am I wrong?  It seems redundant his way.  He said today bilateral eyes but it seems to type bilateral eye is just weird.  Would you type just eyes or bilateral eye or bilateral eyes?  Thanks,
	 
	
maybe bilateral edema? n/m 
Subject: maybe bilateral edema? n/m 
  
	 
	
bilateral foot? 
Subject: bilateral foot? 
  or bilateral feet?
	 
	
bilateral feet 
Subject: bilateral feet 
 
 decreased skin turgor of bilateral feet  
cold skin temperature on bilateral feet  
	 
	
bilateral hips DDH 
Subject: bilateral hips DDH 
 
 please help: We found s/l soaked-bedded over the spica with urine matter...pls ASAP 
	 
	
are you sure it isn't just "BSO" (bilateral  
Subject: are you sure it isn't just "BSO" (bilateral  
  salpingo-oophorectomy) ??
	 
	
use of bilateral with pleural forms 
Subject: use of bilateral with pleural forms 
  That's always ben a puzzle to me too, but I think that either way might be acceptable.  The qualifying adjective (bilateral) suggests an "augmentation" was performed on both sides, and more often than not, MDs will dictate singular nouns following bilateral.  Sometimes, though, if it sounds strange, I will use the pleural, i.e., one of my docs says "bilateral lower extremity" which I change to extremities.  Would be interested in further input or if AAMT has a directive on this.  
	 
	
for example, doc dictated bilateral tibea and sm 
Subject: for example, doc dictated bilateral tibea and sm 
  i have heard "cornea and iris of both eyes" instead of corneas and irises of both eyes.  I am just looking for some kind of general rule to know what to do because i find that the doctors now even less about grammar than i do LOL  i am unsure if a doctor is talking about something plural like both eyes or both extremities of bilateral if what you are talking about should be made plural or singular.  Does that make sense?  I am sorry....complicated question. 
	 
	
Should it be...distal comma bilateral or distal no comma bilateral? nm 
nm
	 
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