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hair tourniquet--which put of physical examination would this go in??

Posted By: starstruck on 2008-10-11
In Reply to:

Subject: hair tourniquet--which put of physical examination would this go in??

I looked up "hair tourniquet" to find that it affects mostly infants, a hair wrapped tightly around an extremity or the external genitalia causing extreme discomfort. I've got a rambling dictator who states things in no particular order. Does anyone have an opinion on where this is most properly put?


 




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he's probably saying no hair tourniquet in GU exam
Subject: he's probably saying no hair tourniquet in GU exam

It is pretty bad.  When my little baby was only a couple of months old, I took off his tiny sock and, to my horror, a piece of hair was wrapped so tight around his teeny little toe that it had swollen and turned purple-red.  I so almost panicked.  I painstakingly removed it, which was no easy task, and vowed to be ever so more careful that it never happened again...
So how does a hair tourniquet get started?
Subject: So how does a hair tourniquet get started?

You can kind of see how a hair would be so fine, and babies have that sweet baby plumpness so that it would be hard to see the hair until the baby had redness and irritation, but does the hair just sort of get worked into the area from a sock or something that was in the dryer and had a hair already on it? Who knew there were so many things to worry about??
This is in the physical examination. Thanx for trying
Subject: This is in the physical examination. Thanx for trying


Physical examination... sm
Subject: Physical examination... sm

Examination of female patient. 


Musculoskeletal:  No (s/l) keps, pains, or pedal edema...


Genitourinary:  No (s/l) [cussforteeballing or maybe cusp  or teeballing], or area tenderness.


Thanks in advance!


Physical Examination
Subject: Physical Examination

Happy Monday everyone!  Hope you all had a great weekend!  I'm doing a report and wondering if any of you can point me in the right direction!


"There is good capillary refill and s/l preson to cultures over both lower extremities."  Any thoughts?  Any good physical examination websites?


s/l physical examination
Subject: s/l physical examination

s/l chaos lesions (Skin, no evidence of  ___ lesions)
CPX=complete physical examination nm
Subject: CPX=complete physical examination nm


Sorry, this should have been under heading Physical Examination.
Subject: Sorry, this should have been under heading Physical Examination.

 


on physical examination his BBI was greater than 1. Whats a BBI???? - nm
Subject: on physical examination his BBI was greater than 1. Whats a BBI???? - nm


ENT-physical examination reveals *syn___ectomy* without palpable adenopathy??? Thanks- nm
Subject: ENT-physical examination reveals *syn___ectomy* without palpable adenopathy??? Thanks- nm


The only other s/l mammalian is a slight pectus excavatum, otherwise normal physical examination.
Subject: The only other s/l mammalian is a slight pectus excavatum, otherwise normal physical examination.

x
Kwell...LINDANE (Kwell®, Scabene®) is a treatment for lice infestation of hair, including hair in th
Subject: Kwell...LINDANE (Kwell®, Scabene®) is a treatment for lice infestation of hair, including hair in the pubic area (crabs).

.
Abdominal examination - s/l no jaboya by examination? TIA
Subject: Abdominal examination - s/l no jaboya by examination? TIA


tourniquet
There is a DUAL tourniquet..
tourniquet
Subject: tourniquet

maybe increased?
DIAL tourniquet maybe...
xx
dial tourniquet

 


I'm not sure but an orthopedic doctor I type for says well padded nonsteriile tourniquet could it be that or sterile tourniquet? 


A "Turnakot" was used as a tourniquet
Subject: A "Turnakot" was used as a tourniquet

A "Turnakot" was used a tourniquet for both fingers.  
name of thumb tourniquet
Subject: name of thumb tourniquet

 


Sounds like "tournicot"? 


I believe it is Rumel as in the tourniquet
Subject: I believe it is Rumel as in the tourniquet


s/l Burgin tourniquet
Subject: s/l Burgin tourniquet


They also say the tourniquet was elevated
Subject: They also say the tourniquet was elevated


well-padded thigh tourniquet, maybe? nm
x
No, not Esmarch--that's a type of tourniquet. nm
Subject: No, not Esmarch--that's a type of tourniquet. nm

x
B could be for Bier block if tourniquet was used
Subject: B could be for Bier block if tourniquet was used

x
BTW, Carol, I think it is 250mmHg for the tourniquet....sm
Subject: BTW, Carol, I think it is 250mmHg for the tourniquet....sm

right now I am a full-time OP MT and have done thousands, I have never heard of the surgeon putting the tourniquet up over 275 mmHg, mostly I get 250 mmHg, I didn't want to cut in, just wanted to give a shout out for help to you!!
tourniquet s/l incliged to 250 mmHg
Subject: tourniquet s/l incliged to 250 mmHg

Got any ideas? It definetly doesn't sound like inflated or elevated. Thanks in advance.
Tourniquet was inflated. I hear that the most.
Subject: Tourniquet was inflated. I hear that the most.


Zimmer makes an ATS tourniquet. ? nm
Subject: Zimmer makes an ATS tourniquet. ? nm


Has anyone heard of a well padded dial tourniquet?
It sounds like the Dr is saying dial but not sure.
Ooooops!!! Sorry!!! I meant "DUAL" tourniquet


...hair! nm
Subject: ...hair! nm

s
Found a DePuy (dee-pew) reusable tourniquet on a search. nm
.
A well-padded "nostril" tourniquet was placed....but it is a knee replacement. Could you help
Subject: A well-padded "nostril" tourniquet was placed....but it is a knee replacement. Could you help? ThX

x
s/l osteo tourniquet - used for trigger thumb release (thanks)
Subject: s/l osteo tourniquet - used for trigger thumb release (thanks)

x
nose hair
Subject: nose hair

 


Looking for the word that means nose hair - s/l brisseye or bruceyeye


Thank you very much


S/l hair-cytism (sm)
Subject: S/l hair-cytism (sm)

Doctor says no complaints of s/l hair cytism or acne.
I'm about to pull my hair out!
Subject: I'm about to pull my hair out!

Infectious disease doctor (foreign) patient has a febrile illness, elevation of protein in spinal fluid.  Differential diagnoses include leptospirosis,  then what sounds something like "trepadoma paladin",  I"m clueless! 
sometimes I want to tear my hair out
Subject: sometimes I want to tear my hair out

but tumescing makes a crazy kind of sense when you look at the definition (at least I think so)!
Have had this same ESL all and ready to pull my hair out!!!
Subject: Have had this same ESL all and ready to pull my hair out!!!

start IV fluids with D5 one-half at (s/l 8) cc per hour - or it could be 18 or 80, but I really think it is 8.  Does that sound right? 


S/L HAIR-STEE-TISM
Subject: S/L HAIR-STEE-TISM

THIS UNDER THE HEADING OF SKIN:


SHE DOES HAVE SKIN TAGS AND SIGNIFICANT HAIR-STEE-TISM ABOUT THE CHEST AND ABDOMEN.


I take Biotin for my nails and hair.
Subject: I take Biotin for my nails and hair.

It is a B vitamin.


trichophagia (chewing of hair)
Subject: trichophagia (chewing of hair)

some pregnant women have vitamin deficiencies and they chew their hair(:
could "normal hair" be oropharynx sm
Subject: could "normal hair" be oropharynx sm

WAG but (n)ORmoPHARyx something?
hair plug test?
Subject: hair plug test?

Hair plug test does not reveal any signs of alopecia.


This is said under PE. Assessment is hair thinning.


Dx is hair loss, possible s/l tulogenifludium.
Subject: Dx is hair loss, possible s/l tulogenifludium.


hair splitting corrections
Subject: hair splitting corrections

The registered trademark is spelled ENDO CATCH, but depending on how QA and the AAMT attacks you it could be right or wrong.  What's right today is wrong tomorrow and changed back the next day.


It's become petty.  If you can spell it, and someone can read it aloud from what you transcribed why isn't that good enough? 


PFFTT!  We are transcribing doctors who say stupid things like "satting," and "Coumadinized," which aren't even real words and they accept that! 


I'm already miffed thinking of how stupid QA and the AAMT are and I have not even finished "coffeeing!"  LOL.


S/L ?hercertism? with the regrowth of her hair
Subject: S/L ?hercertism? with the regrowth of her hair

NM
Help! Ready to pull my hair out!!
Subject: Help! Ready to pull my hair out!!

Horrible sound quality, I now have 5 blanks in this report.  Need help with this anesthesiology consultation on pending shoulder surgery.


There is no tenderness along the right or left brachial plexus, the ________ groove or supraclavicular region. There is no tenderness along the right or left anterior or medial _________ muscles. The patient's upper extremity shows the _________ muscle mass appears symmetrical.


I'm sorry, the sound is so bad I don't even know what these words sound like.  It doesn't help that the dictator has marbles in his mouth!!  I just don't have a clue!!


MTP joint surgery. Foot elevated and exsanguinated and tourniquet inflated to 230 TOR
Subject: MTP joint surgery. Foot elevated and exsanguinated and tourniquet inflated to 230 TOR

Any ideas on the "TOR"?  I'm really stumped on this,  It's probably something simple..... 
ahem - not sure but Avacor is for HAIR LOSS.....
Subject: ahem - not sure but Avacor is for HAIR LOSS.....

if it's not at rx.com and drugs.com - and you find it on google and it's dosed very much like a cardiac drug and google says Avacor.....I'd not trust it........and I'm a huge google freak! AvacorTM is a Hair Loss Treatment System


Just how I do things..........