would doc say skin with good s/l rigidity??? and turgor for elderly patient?
Posted By: stupid question on 2007-09-18
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Subject: would doc say skin with good s/l rigidity??? and turgor for elderly patient?
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May be skin turgor is supple. nm
Subject: May be skin turgor is supple. nm
nm
spasticity is correct. She isn't saying skin turgor. Still sounds like turgurous, but that isn
Subject: spasticity is correct. She isn't saying skin turgor. Still sounds like turgurous, but that isn't a word.
Skin pulp turgor is a reliable way of monitoring reperfusion
Subject: Skin pulp turgor is a reliable way of monitoring reperfusion
Turgor is good? nm
Subject: Turgor is good? nm
Elderly patient has history of
Subject: Elderly patient has history of
recurrent falls with ***icular ***ium syndrome. Can't make out the mumble. Thanks for any help!
Patient with skin lesions please sm
Subject: Patient with skin lesions please sm
Skin lesions consistent with actinic keratoses. Discussed cryotherapy versus ablation use of s/l aldira.
Patient has warts ..... Skin is *zerotic*....TIA
Subject: Patient has warts ..... Skin is *zerotic*....TIA
xxx
The patient has decreased skin s/l tuther. Help???
Subject: The patient has decreased skin s/l tuther. Help???
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 hep C and skin lesions felt to have mixed *kryoemia*??? nm
Subject: patient with hep C and skin lesions felt to have mixed *kryoemia*??? nm
nm
The patient has polycythemia vera. She has a right s/l * acolus * regional skin ulcer
Subject: The patient has polycythemia vera. She has a right s/l * acolus * regional skin ulcer
and left foot ulcer following s/l bone-ee-atomy. Also has leukocytosis and thrombocytosis and is getting a phlebotomy. This is an ESL, so not sure I'm hearing right. Thanks for any ideas!
patient with breast cancer. skin reveals no evidence of *poterauge*??? thanks. nm
Subject: patient with breast cancer. skin reveals no evidence of *poterauge*??? thanks. nm
nm
The patient looks fairly good (or well)?
Subject: The patient looks fairly good (or well)?
x
Musculoskeletal exam: The patient has good s/l RAM.
Subject: Musculoskeletal exam: The patient has good s/l RAM.
She says this twice. Clearly not sounding like range of motion. Thanks for any help!
turgor?
Subject: turgor?
turgor
Subject: turgor
nm
So is this, like, a colonoscopy? Physcial exam? Pediatric? Elderly? NM
Subject: So is this, like, a colonoscopy? Physcial exam? Pediatric? Elderly? NM
nm
Also, any mention of his "dentition", many times a cause in elderly patients?? NM
Subject: Also, any mention of his "dentition", many times a cause in elderly patients?? NM
nm
Patient has a history of s/l hyperpotassiumemia. I'm not finding any good hits on google and sm
Subject: Patient has a history of s/l hyperpotassiumemia. I'm not finding any good hits on google and sm
doc is known for making up his own words.
pulp turgor?
Subject: pulp turgor?
Doc states his s/l pulp turgor is good?
Does that make sense?
Ophthalmology consult, this elderly gentleman has evidence of previous s/l a. phaci...the only
Subject: Ophthalmology consult, this elderly gentleman has evidence of previous s/l a. phaci...the only
thing that comes to my mind is phacoemulsification. The doc dictating this is so old and slurs so much that he should probably be retired. Any ideas anyone?
Patient w/ dysesthesias in his hand, s/l [lamets] negative, and good range of motion of neck?-nm
Subject: Patient w/ dysesthesias in his hand, s/l [lamets] negative, and good range of motion of neck?-nm
I found articles pertaining to LH levels done in the elderly to check pituitary hormones etc.
Subject: I found articles pertaining to LH levels done in the elderly to check pituitary hormones etc.
"In women, although
not in all studies (22), a decline in both FSH and LH levels
occurs with age after menopause (19, 23), and decreased
gonadotropins secretion with age is also observed in aged
men (24)..."
I guess it would depend on what you patient is being studied for. It may not be LH at all? Sorry
Patient is oriented to time, person and place with good *respondent* memory. Does this make sense?
Subject: Patient is oriented to time, person and place with good *respondent* memory. Does this make sense?
thanks - turgor def. makes more sense, but still hearing character - this is a new ESL doc
Subject: thanks - turgor def. makes more sense, but still hearing character - this is a new ESL doc
s/l rigidity
Subject: s/l rigidity
maybe good "elasticity and turgor"??
rigidity
Subject: rigidity
cogwheel rigidity
rigidity?
Subject: rigidity?
?no rigidity??
Subject: ?no rigidity??
...
Hyaloronic acid, humectant found in healthy skin....also used as injectible for skin wrinkles, defor
Subject: Hyaloronic acid, humectant found in healthy skin....also used as injectible for skin wrinkles, deformities, etc?
nm
"she has s/l keltic skin. -- I just so want to write in "hell thick skin"
Subject: "she has s/l keltic skin. -- I just so want to write in "hell thick skin"
pre-skin cancer - as in common skin lesions caused by sun exposure.
Subject: pre-skin cancer - as in common skin lesions caused by sun exposure.
nuchal rigidity
Subject: nuchal rigidity
nm
neck rigidity
Subject: neck rigidity
That is what I was thinking. Can this been seen in the neuro exam because that is where she is next?
S/L coll-er-well rigidity
Subject: S/L coll-er-well rigidity
The doctor is going over the neurologic exam.
"the patient has no resting tremor, no (s/l coll-er-well) rigidity, no Parkinsonian facies, and no shuffling gait."
any chance it's cogwheel rigidity?
Subject: any chance it's cogwheel rigidity?
Stedmans says its "a type of rigidity seen in parkinsonism in which the muscles respond with cogwheellike jerks to the use of constant force in bending the limb."
oops rigidity is PE, acidity is ROS, sorry!
Subject: oops rigidity is PE, acidity is ROS, sorry!
Dermatology: Skin precancer or pre-skin cancer? I have a doc saying pre-skin cancer
Subject: Dermatology: Skin precancer or pre-skin cancer? I have a doc saying pre-skin cancer
They have tried applying (s/l Begbalm) to the skin to at least keep the skin from cracking
Subject: They have tried applying (s/l Begbalm) to the skin to at least keep the skin from cracking
nuchal rigidity? In neck region...
Subject: nuchal rigidity? In neck region...
Yes, I think that would be part of neurological testing which would be nuchal rigidity.
Subject: Yes, I think that would be part of neurological testing which would be nuchal rigidity.
Brudzinski's sign. Also, it's *nuchal* rigidity. (nomsg)
Subject: Brudzinski's sign. Also, it's *nuchal* rigidity. (nomsg)
xx
skin breakdown and s/l massuration of the skin
Subject: skin breakdown and s/l massuration of the skin
NWMNMT:Good grief, good grief, good grief..If this is the case, the doctor should also explain
Subject: NWMNMT:Good grief, good grief, good grief..If this is the case, the doctor should also explain
the meaning in an ADDENDUM.
How do you know what the doctor meant? GOOD GRIEF, are you the know-it-all (hyphens must be put here, as it is used as a noun!) on this board? Get over yourself!
Who understands what it means without an explanation?
The MOST obvious is apparently like I understood it:
5 packs in 1 year.
Maybe the doctor really meant this, 5 packs per year, so essentially a nonsmoker.
GOOD GRIEF, get over yourself!
no rebound, guarding, or rigidity. Common to hear no guarding on abdominal exam.
Subject: no rebound, guarding, or rigidity. Common to hear no guarding on abdominal exam.
Glad to help. You give good me a good S/L and info. nm
Subject: Glad to help. You give good me a good S/L and info. nm
Glad to help. You give good such good S/L and info. nm
Subject: Glad to help. You give good such good S/L and info. nm
Good save, Hay! I never heard of this. Have a good one! nm
Subject: Good save, Hay! I never heard of this. Have a good one! nm
s
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
OB patient - s/l The patient has a 'null' sign.
Subject: OB patient - s/l The patient has a 'null' sign.
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