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vaginal exam...sniff test??

Posted By: ALH on 2008-04-03
In Reply to:

Subject: vaginal exam...sniff test??

Is this correct?  He says she has a thick yellow-gray discharge and a positive sniff test.   Is it sniff, SNIFF or what.  I surely hope this is not the literal meaning of sniff!! lol  What a terrible job to have!




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sniff test
Subject: sniff test

It is sniff test, also known as whiff test
yes, sniff test....
Subject: yes, sniff test....

The diagnosis of this common condition is especially easy if the patient mentions a fishy or ammonia-like smell immediately after intercourse. In cases of Gardnerella infection, ammonia is released by the alkaline nature of semen--a purely chemical reaction.

This is the basis of the well known "sniff test," wherein a drop of potassium hydroxide is added to a drop of vaginal secretion on a slide and held to the nose. The other test is the microscopic examination of the vaginal smear. The "clue" cells: Shed vaginal epithelial cells, studded with Gardnerella organisms, are very characteristic. So to is the abundance of other frequently associated bacteria having pleomorphic coccobacillary shapes.

hope that helps :)
there is a sniff test for Alzheimer's, maybe using for stroke testing too...nm
Subject: there is a sniff test for Alzheimer's, maybe using for stroke testing too...nm

x
vaginal exam
Subject: vaginal exam

The patient was evaluated at the beside with a sterile speculum exam for rupture of membranes.  Upon questioning, the patient is denying any immediate gush of fluid.  The sterile speculum exam showed no pooling.  Nitrazine s/l enferon were negative. 


vaginal exam, s/l bolots?
Subject: vaginal exam, s/l bolots?

pregant woman, vaginal exam
vaginal pH, amine test and wet smear ? any of these? nm
Subject: vaginal pH, amine test and wet smear ? any of these? 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
Is this during an eye exam, test, or procedure? What comes before or after this? nm
.
That would be Galeazzi exam or test. nm
Subject: That would be Galeazzi exam or test. nm

nm
s/l "figure 4" exam test
Subject: s/l "figure 4" exam test

Is this correct?  The figure 4 and straight leg raise were negative. 
whoops I mean test or exam after a pacemaker
Subject: whoops I mean test or exam after a pacemaker

x
s/l Gofoids test (chiropractic exam)
Subject: s/l Gofoids test (chiropractic exam)

thanks much.
Knee Exam test s/l Belltome sm
Subject: Knee Exam test s/l Belltome sm

Doc dictates Lachman's, McMurrays, anterior/posterior draw signs and s/l Beltome or bell tone test are all negative.   


Sounds like "empty can test"...shoulder exam. nm
Subject: Sounds like "empty can test"...shoulder exam. nm


s/l negative saulstis test neuro exam-sm
Subject: s/l negative saulstis test neuro exam-sm

patient with subacromial impingement as well as rotator cuff tendinitis. In neuro exam, doctor states:

Cranial nerves II through XII are intact. Deep tendon reflexes 1/4, biceps, triceps, brachioradialis. He has 5/5 motor strength, bilateral upper extremities. Sensory examination demonstrates normal sensation to pinprick in C5 to T1. He has a positive impingement sign. Negative drop arm test. Negative ________ test. (s/l saulstus or saltsus test.


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
Romberg test. Here is link for sample neuro exam etc. sm
Subject: Romberg test. Here is link for sample neuro exam etc. sm

Romberg sign



with feet approximated, the subject stands with eyes open and then closed; if closing the eyes increases the unsteadiness, a loss of proprioceptive control is indicated, and the sign is positive. Syn: rombergism, Romberg test, station test.


 


http://courses.washington.edu/medicm/icm2/0506/W06neurosamplewriteup.shtml


On neuro exam, s/l ball pearl test for retropulsion negative. nm
Subject: On neuro exam, s/l ball pearl test for retropulsion negative. nm


short sniff? huh? sm
Subject: short sniff? huh? sm

doc says: patient would benefit from a (s/l)short sniff or TCC prior to discharge.

Ive never heard short sniff before. Anyone?
Pt is being discharged to a *sniff.* Doc says twice. sm
Subject: Pt is being discharged to a *sniff.* Doc says twice. sm

I don't normally do discharge summaries. I'm wondering if this is something significant other?? Thanks for educating me on this one!
Not this time. SL a sniff almost
Subject: Not this time. SL a sniff almost


"I'm gonna go sniff some glue now"
Subject: "I'm gonna go sniff some glue now"


vaginal repairs
Subject: vaginal repairs

New doctor, sounds like "paragy and apagy mesh vaginal repairs".   Anyone ever heard of this?? Thanks.
vaginal hyst.
Subject: vaginal hyst.

the cervical-vaginal junction was infiltrated with xx cc of sl-petrusman.
vaginal area....sm
Subject: vaginal area....sm

Pt comp. of pain with intercourse etc. Nothing found on vag. smear. Has already had a hysterectomy few years ago.
Could it be vaginal muscles?
Subject: Could it be vaginal muscles?

xx
vaginal cream
Subject: vaginal cream

s/l "valdot" vaginal cream 0.5% twice weekly


Pap and vaginal cultures - it's Pap...
Subject: Pap and vaginal cultures - it's Pap...


HELP!! Vaginal procedure
Subject: HELP!! Vaginal procedure

We then paid attention to the perineoplasty.  A triangular incision at the posterior s/l forcet  was performed with the apex approximating 1 cm away from the anus.  We then placed an s/l intergrafted stitch through the bulbocavernosis mucosa _____ tissue on the other side.  An additional supporting stitch was then placed.  At this point, we were able to reapproximate the vaginal and the posterior s/l forcet using a 2-0 chromic in a running fashion.  


vaginal sling?
Subject: vaginal sling?


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.


vaginal birth. She was 5 cm, -1 with some s/l cappit.
Subject: vaginal birth. She was 5 cm, -1 with some s/l cappit.

can't figure out what sounds like cappit. 


ProteGen Vaginal Sling?
Subject: ProteGen Vaginal Sling?

nm
leukorrhea is vaginal discharge though
Subject: leukorrhea is vaginal discharge though

This is a male, and it is definitely referring to urine.  Thanks, though.  It does sound close.
Think it's just short for vaginal packing. Don't
Subject: Think it's just short for vaginal packing. Don't

s
GYN Help Morgay vaginal speculum?
Subject: GYN Help Morgay vaginal speculum?

Please help, cannot find anywhere anything that sounds like this
Uvula of vaginal area ???...sm
Subject: Uvula of vaginal area ???...sm

Vaginal area: Noted right above the uvula the area was red and macerated.


She is clearly stating "uvula" but I have never heard this term used regarding the vaginal area.  Tried to google but not much for results. 


TIA


 


s/l vaginal cuff? Can someone confirm this.
Subject: s/l vaginal cuff? Can someone confirm this.


that is correct, vaginal cuff
Subject: that is correct, vaginal cuff


s/l monosil vaginal suppository
Subject: s/l monosil vaginal suppository

cant find
encolo vaginal fistula?
Subject: encolo vaginal fistula?

Could this possibly be chole-vaginal or something similar to this?  I can't find anything that is even close.  Any suggestions? 
You did mean *vaginal cuff* didn't you? nm
Subject: You did mean *vaginal cuff* didn't you? nm


Estring vaginal ring
Subject: Estring vaginal ring


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


Possibly...."and vaginal cuff"
Subject: Possibly...."and vaginal cuff"

x
NSVD Normospontaneous vaginal delivery
Subject: NSVD Normospontaneous vaginal delivery

/
Please help. I also did a vaginal s/l pannus or sanus culture. (sm)
Subject: Please help. I also did a vaginal s/l pannus or sanus culture. (sm)

She complained of some burning when I did the pelvic exam.  I feel like I know this one.  My brain is mush.  Baby was up all night, we're way behind, the house is a mess, and I'm sick as a dog.  I just can't think straight. 
Help - tension free vaginal tape
Subject: Help - tension free vaginal tape

Space aurexius?  Sentence is....


The vagina appears atrophic, however, bleeding is brisk and indeed on entering the retroperitoneal space on the left side we get a fairly brisk bleed as though a vein from the space aurexius had actually been severed.  HELP....anyone?


VCARE= vaginal-cervical-Ahluwalia-
Subject: VCARE= vaginal-cervical-Ahluwalia-

Retractor-Elevator
there is good s/l esterization of the vaginal mucosa.
Subject: there is good s/l esterization of the vaginal mucosa.