patient had a ***clupping*** sensation in the chest SM
Posted By: gamt on 2008-05-16
In Reply to:
Subject: patient had a ***clupping*** sensation in the chest SM
he has been diagnosed with atrial fibrillation in the past and presents with palpitations.
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GOT IT!!! EDG patient has choking sensation when swallowing.
Subject: GOT IT!!! EDG patient has choking sensation when swallowing.
Thanks.
the patient stated he has had a s/l ??PARTNESS?? over the anterior chest with incredible pain
Subject: the patient stated he has had a s/l ??PARTNESS?? over the anterior chest with incredible pain
NM
Patient admitted with chest pain and was admitted to s/l *ams" (long a)...nm
Subject: Patient admitted with chest pain and was admitted to s/l *ams" (long a)...nm
Chest exam on H&P, chest is symmetrical, free of dull s/l dull suspence straight, and without pectus
Subject: Chest exam on H&P, chest is symmetrical, free of dull s/l dull suspence straight, and without pectus
excurvatum. No sure of "free of dull suspence straight"
Sensation ?
Subject: Sensation ?
? sensation
Subject: ? sensation
? sensation
Subject: ? sensation
pin prick sensation.
Subject: pin prick sensation.
We also checked 2 point and 1 point pin sensation discrimination and this was intact. (I am questioning discrimination have not heard it this way before I may be hearing discrimination incorrectly, any tips?)
Usually a *fluttering* sensation. (nm)
Subject: Usually a *fluttering* sensation. (nm)
x
discomfortable sensation?
Subject: discomfortable sensation?
xx
gross sensation? sm
Subject: gross sensation? sm
PDF]
File Format: PDF/Adobe Acrobat - View as HTMLNext, test gross sensation of Cranial Nerve V. Tell the patient to close their .... locations bilaterally to test for temperature sensation. Light touch ...
gas/gaseous sensation?
Subject: gas/gaseous sensation?
.
ahh-voo-cartic sensation??sm
Subject: ahh-voo-cartic sensation??sm
s/l "ah-voo-cartic" sensation is intact bilateral lower extremities, retrograde sensation for sharp, dull, vibratory and proprioception."
Strength is 5/5 throughout. Sensation is intact.
Subject: Strength is 5/5 throughout. Sensation is intact.
is how I would do it.
pinprick sensation #1...patchiness #2....
Subject: pinprick sensation #1...patchiness #2....
but it's pinprick sensation (with a k)....*S*
not passiveness - rather patchiness.....
so...dull, aching sensation... but your QA may
Subject: so...dull, aching sensation... but your QA may
s
hypesthesia (loss of sensation)?
Subject: hypesthesia (loss of sensation)?
sensation and strength intact. (nm)
Subject: sensation and strength intact. (nm)
.
dr says s/l "grass" sensation while yawning
Subject: dr says s/l "grass" sensation while yawning
The working diagnosis at this point in time is paresthesias of the right thigh.
There is a s/l grass or glass sensation to light touch on the anterior and anteromedial aspect of the right thigh from the suprapatellar region to the proximal thigh region.
You're right, it's sensation. Thanks sooooo much!!!
Subject: You're right, it's sensation. Thanks sooooo much!!!
Maybe an anesthetic reaction? Dulling of sensation? nm
Subject: Maybe an anesthetic reaction? Dulling of sensation? nm
s
neuro exam - says intact sensation, "V-one, V-two,
Subject: neuro exam - says intact sensation, "V-one, V-two,
and V-three" - would that be VI, VII, VIII or V1, V2, V3 ??
Neuro - not sure if I have this right - sensation testing of diabetic sm
Subject: Neuro - not sure if I have this right - sensation testing of diabetic sm
Usually this doc says something along the lines of monofilament testing is intact, which is also how the other docs have dictated it to one degree or another.
However, this time he says, "a nylon string test reveals s/l 5 point of sensation on both feet."
Don't know if it should be 5 points of sensation, 5-point sensation, or if it's simply 5.0 sensation. Is anyone aware of how to type this?
Thanks for any help with this.
Neuro - not sure if I have this right - sensation testing of diabetic sm
Subject: Neuro - not sure if I have this right - sensation testing of diabetic sm
Usually this doc says something along the lines of monofilament testing is intact, which is also how the other docs have dictated it to one degree or another.
However, this time he says, "a nylon string test reveals s/l 5 point of sensation on both feet."
Don't know if it should be 5 points of sensation, 5-point sensation, or if it's simply 5.0 sensation.
Is anyone aware of how to type this?
Thanks for any help with this.
Neurological: Moving all 4 extremities and s/l withdrawing to sensation.
Found it! LOPS (loss of protective sensation). TXS! NM
Subject: Found it! LOPS (loss of protective sensation). TXS! NM
loss of protective sensation (LOPS)
She has poor facial sensation bilaterally in "VI, II, and III". Is this right?
Subject: She has poor facial sensation bilaterally in "VI, II, and III". Is this right?
There is insensate meanng devoid of sensation or feeling.
Subject: There is insensate meanng devoid of sensation or feeling.
Neuro help please... gross 'epocrate' sensation is intact. Thanks! nm
Subject: Neuro help please... gross 'epocrate' sensation is intact. Thanks! nm
x
After reading all of it, would change my answer to distally going with sensation. Not sure about th
Subject: After reading all of it, would change my answer to distally going with sensation. Not sure about the second ??.
No melena, hematochezia, heartburn, “or rerlash gorba sensation’ or dysphagia.
Subject: No melena, hematochezia, heartburn, “or rerlash gorba sensation’ or dysphagia.
If someone gets this...you get a gold star!
Decreased pinpric sensation to the bilateral lower extremities but areas of s/l passhiveness -sm-
Subject: Decreased pinpric sensation to the bilateral lower extremities but areas of s/l passhiveness -sm-
with increased sensation. Would passiveness fit here? Help is appreciated. Thanks!
doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???
Subject: doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???? NM
Patient is here for an s/l eflex injection. Patient previously had Orthovisc.
Subject: Patient is here for an s/l eflex injection. Patient previously had Orthovisc.
nm
Doing chest x-ray and this s/l
Subject: Doing chest x-ray and this s/l
Used in a sentence: I cannot exclude infiltrate or possible small (s/l) lymph-hyema.
chest x-ray
Subject: chest x-ray
Chest x-ray with some right s/l * basal rad-o-lexis-is , worse than from previous x-ray.
Any help appreciated!
chest x-ray help
Subject: chest x-ray help
The heart size and pulmonary vascularity are within normal limits.
Some linear densities are present in the lung bases, {*** s/l possibly of current} atelectasis. No pleural effusion or pneumothorax noted.
(He is very slurry sounding tonight - slurring everything together - any help greatly appreciated.)
chest x-ray help
Subject: chest x-ray help
"there is no s/l *sevil cephalozation*".
I don't know if *sevil* is really another word, or if the doctor started a word, got mixed up and then said it right. Please help!!
chest-- s/l
Subject: chest-- s/l
It s/l the dict is stating the chest is hyperesthenic, but clearly not stating hyperexpanded-- not sure.
chest x-ray
Subject: chest x-ray
Chest x-ray reveals increased s/l reticular/radicular/verticular?? findings at mid to low lung field areas with rales on auscultation, likely secondary to pulmonary edema with superimposed bilateral pneumonia.
Chest x-ray help please.
Subject: Chest x-ray help please.
I don't get these much and there is a new doctor dictating.
I question "Cardiac size and cardiovasculature" and also have a blank.
"Cardiac size and cardiovascular" are normal. No infiltrate or pleural fluid is seen ___________ trachea is midline. There is no hilar enlargement.
Chest
Subject: Chest
Chest CT
Subject: Chest CT
May be "lesions" suspicious of ...... Just check it out.
Chest x-ray
Subject: Chest x-ray
Chest x-ray showed showed small alveolar infiltrate.
chest x-ray please sm
Subject: chest x-ray please sm
...another x-ray in the *jakayir*?
any ideas?
Chest CT .......
Subject: Chest CT .......
CT scan of the chest showed no evidence of any s/l "P" or PEE? There was a 9-mm nodule in the right upper lobe with prominent mediastinal lymph nodes.
chest
Subject: chest
thudding?
chest
Subject: chest
ground-glass
chest x-ray
Subject: chest x-ray
chest x-ray showed right upper lobe mass, suspect lung s/l nee-av or lee-av???
sorry, chest
Subject: sorry, chest
chest x-ray
Subject: chest x-ray
Chest x-ray.
Marked elevation in the right hemidiaphragm with s/i savagies and atelectasis and/or scarring.
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