the patient actually is in for shoulder pain. This is just part of the PE and that's all he says
Posted By: loho on 2006-06-29
In Reply to: could you give a little more info? - trose
Subject: the patient actually is in for shoulder pain. This is just part of the PE and that's all he says.
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patient has shoulder pain. On exam no cerva-chromal crepitus. nm
Subject: patient has shoulder pain. On exam no cerva-chromal crepitus. nm
thanks.
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.
What part of the body are you in? Shoulder maybe?
Subject: What part of the body are you in? Shoulder maybe?
nm
shoulder pain
Subject: shoulder pain
this is a history of acromial shoulder pain. Doctor says, "this is a dull, achy pain s/l "low colosa" subacromial space.
Had a ?? Right shoulder pain s/l..
Subject: Had a ?? Right shoulder pain s/l..
The sentence says will send to Physical Therapy for some strengthening exercises and will need to undergo some changes in his ((pack)) placement in order to prevent the development of further pain..
does pack sound right? that is what it sounded like, but haven't found anything yet.. tia..
Test's for shoulder pain
Subject: Test's for shoulder pain
The doctor dictates that the arc test and drop can test is negative. The patient has been having shoulder pain.
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.
he has pain in the fingers, hand up to shoulder sm
Subject: he has pain in the fingers, hand up to shoulder sm
so I don't think it could be VATER and also not goiters because they are talking about mostly the wrist here.
have you ever heard of waiter's sign?
Part of the shoulder girdle paracervical and parathoracic muscles
Subject: Part of the shoulder girdle paracervical and parathoracic muscles
Pt has shoulder pain. On exam has positive s/l scarf sign.
Subject: Pt has shoulder pain. On exam has positive s/l scarf sign.
patient's do get "constipation" with chemo, so that could be part
Subject: patient's do get "constipation" with chemo, so that could be part
If the patient has pain down near the coccyx, it's a sm
Subject: If the patient has pain down near the coccyx, it's a sm
coccygeal fracture. It's difficult to tell your S/L without context.
Patient has abdominal pain
Subject: Patient has abdominal pain
The patient underwent a nuclear hepatobiliary scan and this revealed a gallbladder ejection fraction of 41.6%, severe pain during CHOLECYSTIC KININ??? adminstration.
Any clues. I know I have heard this, just can't grasp it this morning. Thanks
Patient has low back pain
Subject: Patient has low back pain
She has normal lumbar lordosis with tenderness at right PSI? and sacral sciatic notch?
Patient with foot pain. Please sm
Subject: Patient with foot pain. Please sm
Exam shows the foot to be clinically well aligned. Tenderness about the s/l ray of the 4th metatarsal. TIA
Patient with low back pain. She is on ....sm
Subject: Patient with low back pain. She is on ....sm
She is on s/l oral phenadrin/fenadrine (may be saying orphenadrine) and Cataflam for this.
Patient in mid back pain
Subject: Patient in mid back pain
Bowel sounds are normal. No organomegaly. She does have some epigastric tenderness. She also has some left flank tenderness, but there is no s/l spleen dent or dip noted. Thanks!
That was the whole sentence. It was under the "assessment" part of the note. The patient was
Subject: That was the whole sentence. It was under the "assessment" part of the note. The patient was 48. Thanks for your help. Any other ideas??
Apparently part of patient's history, but not clear...
Subject: Apparently part of patient's history, but not clear...
MRI is reviewed confirming the presence of a full-thickness supraspinatus tendon tear with early glenohumeral arthritis. The patient apparently had a long head biceps tendon operation as well, perhaps s/l an or in acoa.
The patient has another orthopaedic surgeon in New York that has done a shoulder procedure (he says this in the HPI) and I can't tell if he's saying "an" or "in" acoa.
Thanks MT50.
patient is given med for abdominal pain s/l DICLOSAMINE?
Subject: patient is given med for abdominal pain s/l DICLOSAMINE?
Patient was given s/l *sweeties* for pain control. sm
Subject: Patient was given s/l *sweeties* for pain control. sm
This is a 15-day-old baby, and ER doc is describing the LP being done. He says: The pt was given s/l *sweeties* for pain control.
Can't find anything in my Stedman's neonatology, abbrev., or with Google.
Anyone?!
Patient is having pain up to the s/l reed of his neck??
Subject: Patient is having pain up to the s/l reed of his neck??
Thanks for your help. The UBE makes sense as far as patient's pain.
Subject: Thanks for your help. The UBE makes sense as far as patient's pain.
nm
Patient has neck stiffness and pain ....
Subject: Patient has neck stiffness and pain ....
beginning in the s/l sero cervical aspect of the neck
The "Impression" part of the dictation reflects diagnoses; a patient can have many.
Subject: The "Impression" part of the dictation reflects diagnoses; a patient can have many.
.
she has had pain over her skin above s/l the level of T8 with hypoesthesias. patient has MS TIA!
Subject: she has had pain over her skin above s/l the level of T8 with hypoesthesias. patient has MS TIA!
patient with chronic back pain on SENTINEL 75 every third day.
Subject: patient with chronic back pain on SENTINEL 75 every third day.
The patient has chronic back pain and has been in a detox program recently. The medication S/L SENTINEL 75 - any help??
.75 mg per day / patient suffers from depression, Epigastric pain...
Subject: .75 mg per day / patient suffers from depression, Epigastric pain...
This patient is also on Cymbalta, Prevacid, simvastatin, metoprolol and Coumadin. This is really all I have. Thanks!
patient had a four part fracture of the greater tuberosity and had a sl/ *semer* prosthesis?? nm
Subject: patient had a four part fracture of the greater tuberosity and had a sl/ *semer* prosthesis?? nm
nm
Patient complains of s/l Theater sign with left hip pain. Thanks! nm
Subject: Patient complains of s/l Theater sign with left hip pain. Thanks! nm
patient with back pain, s/l policing eight paucet tumor??? nm
Subject: patient with back pain, s/l policing eight paucet tumor??? nm
nm
Epigastric/right upper quadrant pain. give the patient some pam-e-am 5 mg twice a day. nm
Subject: Epigastric/right upper quadrant pain. give the patient some pam-e-am 5 mg twice a day. nm
thanks
Ortho - patient has chronic cervical pain, numbness. sm
Subject: Ortho - patient has chronic cervical pain, numbness. sm
His position s/l shunts of the great toes is poor on the right and fair to good on the left. Just can't get it. I appreciate your help.
Labs - patient with abdominal pain. When seen earlier in the week - sm
Subject: Labs - patient with abdominal pain. When seen earlier in the week - sm
We obtained s/l acetive toxin and stool culture, which is still pending.
patient with back pain. s/l lichen does help but it makes him drowsy. Thanks. nm
Subject: patient with back pain. s/l lichen does help but it makes him drowsy. Thanks. nm
nm
s/l berra trauma left ear? (Patient has URI, ear pain from blowing nose) TIA
Subject: s/l berra trauma left ear? (Patient has URI, ear pain from blowing nose) TIA
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
s/l Tiazine 2 mg at night. Patient with nack and back pain history
Subject: s/l Tiazine 2 mg at night. Patient with nack and back pain history
thank you
Help -- Patient denies double vision, abdominal pain or ???distortia??
Subject: Help -- Patient denies double vision, abdominal pain or ???distortia??
Patient presents with a several year history of pain and this is s/l dedscious referable to the left
Subject: Patient presents with a several year history of pain and this is s/l dedscious referable to the left
Patient states the pain is located in the posterior lower back or **box** region. This is a new PA
Subject: Patient states the pain is located in the posterior lower back or **box** region. This is a new PA
student dictating but I have never heard this term used. Any help would be appreciated. Thxs
There is hesitancy in range of motion due to pain and guarding on the patient’s para-articular flexi
Subject: There is hesitancy in range of motion due to pain and guarding on the patient’s para-articular flexion, extension and supination.
Pt has low back pain. Patient exhibits no signs of "caudo-aquino syndrom"? I have no clue!!
Subject: Pt has low back pain. Patient exhibits no signs of "caudo-aquino syndrom"? I have no clue!! nm
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!!!
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
possibly occult sciatic pain ( pain hidden/concealed/not manifest) ? nm
Subject: possibly occult sciatic pain ( pain hidden/concealed/not manifest) ? nm
Is there more of the sentence? The 'que' part might be part of a dosage like q.12, etc. nm
Subject: Is there more of the sentence? The 'que' part might be part of a dosage like q.12, etc. nm
s
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
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
///
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!
2-part, 3-part, or 4-part possibly - nm
Subject: 2-part, 3-part, or 4-part possibly - nm
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