vocal physical complaints?

He denies any __________ s/l vocal physical complaints except for some fatigue.

The pt has only complained about stress in life and having trouble sleeping. It sounds like vocal or local.

• vocal physical complaints? - lola
  • focal - luv2type
  • Focal? nm - my guess

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The patient has CNS complaints (ataxia, weakness) and moderate stenosis in carotid arteries.

Doctor dictates under plan:  Female with question of "BIA", question vascular etiology for her complaints.   

Under VIA or BIA I cannot find anything that might fit.  Any ideas?  Thanks!

I've found reference on google for both truvocal cord and true vocal cord.  Which is correct?

Using formal surgical technique, complete excision of this lesion was performed while taking care to protect as much normal epithelium and underlying superficial lamina propria as possible

The FORMAL could also sound a little bit like funnel or fur-nel??  I don't think formal is right, but not sure what I am hearing. 

.

Height: Six feet.

I'm having trouble remembering all my rules on numbers for stats and such. Is this right? Thank you.

obese 9 year old--phallus difficult to examine as the patient has a large sl-paptha- and has a concealed phallus.

PHYSICAL EXAMINATION: Significant findings for left lower quadrant tenderness. Blood pressure was 124/78, pulse rate of 96, and respiratory rate of 20. Heart: S1 and S2. Lungs: Clear to auscultation bilaterally.

I would type it this way or at least make it present tense.  On my accounts, I am required to categorize these things. 

PHYSICAL EXAMINATION:

Abdomen:  Significant findings for left lower quadrant tenderness. Vital signs:  Blood pressure 124/78, pulse rate 96, respiratory rate 20. Heart: S1 and S2. Lungs: Clear to auscultation bilaterally.

In the physical exam, s/l thenar and epithilial wasting.  He is listing liver disease stigmata and I just blanked out on this.  Help!

Physical exam, under Extremities, doctor states ___ pulses throughout.

It sounds like temporis pulses. I know of temporal pulses, but would that be throughout the extremities? Thank you!

EXAMINATION:  No costovertebral angle tenderness.  Abdomen has normal active bowel sounds in all quadrants.  It is supple.  Extremely tender left upper quadrant and going down not quite into the groin.  Difficult to check the (s/l sternal) border because of increased tenderness but the spleen may be mildly enlarged but no distinct masses felt.  I am unable to check for rebound or guarding because she is so exquisitely tender with even a very light touch.

ASSESSMENT:  Acute left upper quadrant pain.

s/l sternal border?  Any help would be great?

I am wondering if, in the last sentence, where "drop can arc" is dictated . . . would she be referring to three tests/maneuvers such as Drop Arm, Empty Can, and an Arc test, or is it correct as is?

She has excellent range of motion of the shoulder.  Good grip strength.  Distal pulses and sensation are intact.  She can do a full drop can arc.

TIA

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!

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?

HEENT: It sounds like she is saying 'TO' mucosa pink and moist.  Or TL mucosa.

Any ideas?

I know this is probably really easy...BUT, the doc is rattling it off and he's new to me...

ABDOMEN:  Soft, nontender, nondistended, ___ to bowel sounds. 

Is it normal to bowel sounds?

Thanks....