No pain to fist palpation over the costovertebral angle
Posted By: pc on 2009-01-05
In Reply to: Sounds like costal "fetigo" angle?? - Tracy
Subject: No pain to fist palpation over the costovertebral angle
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No pain in the disc spaces or the costovertebral angle ?
Subject: No pain in the disc spaces or the costovertebral angle ?
costovertebral angle? angle between 12th rib and vertebral column. nm
Subject: costovertebral angle? angle between 12th rib and vertebral column. nm
second one is costovertebral angle nm
Subject: second one is costovertebral angle nm
costovertebral angle
Subject: costovertebral angle
CVA - costovertebral angle.
Subject: CVA - costovertebral angle.
x
costovertebral angle tenderness
Subject: costovertebral angle tenderness
Does it sound like that?
CVA=costovertebral angle tenderness
Subject: CVA=costovertebral angle tenderness
costovertebral angle junction? nm
Subject: costovertebral angle junction? nm
x
CVAT-no costovertebral angle tenderness
Subject: CVAT-no costovertebral angle tenderness
CVAT is usually dictated before or after extremity exam but I have, just yesterday, had a dictator say this in the extremity exam.
I'd just make another subheading (flush left, if that's how the CP says to format and it is not a verbatim account....
BACK: No CVAT.
JMO-just my opinion
it sure doesn't go under GU but slurs together like costovertebral angle tenderness
Subject: it sure doesn't go under GU but slurs together like costovertebral angle tenderness
nm
sounds like you are in the abdomen and maybe costovertebral angle, CVA, tenderness. NM
Subject: sounds like you are in the abdomen and maybe costovertebral angle, CVA, tenderness. NM
ss
Would "no costovertebral angle tenderness' be abdominal or back exam?
Subject: Would "no costovertebral angle tenderness' be abdominal or back exam?
Hmm...could it be C spine pain to palpation maybe? nm
Subject: Hmm...could it be C spine pain to palpation maybe? nm
nm
Right hand has pain in the s/l theen-ar region with palpation, but no swelling. thank you
Subject: Right hand has pain in the s/l theen-ar region with palpation, but no swelling. thank you
to fist percussion.
Subject: to fist percussion.
nm
maybe fist percussion
Subject: maybe fist percussion
comma between fist and maximally
Subject: comma between fist and maximally
Well, we all know it wouldn't be the fist time
Subject: Well, we all know it wouldn't be the fist time
a doc made up a word!! Once again, do we get paid enough for this!?
thank you, fist time I heard that term:)
Subject: thank you, fist time I heard that term:)
"CV angle tenderness" or "CVA tenderness" as A=angle nm
Subject: "CV angle tenderness" or "CVA tenderness" as A=angle nm
Then would it be palpation?
Subject: Then would it be palpation?
If so, she really messed up with that dictation.. she definitely said palpitation ..
Also, thanks for the explanation of the blanching... I have never had that and probably would never have found it since she pronounced it wrong
palpation (nm)
Subject: palpation (nm)
x
warm to palpation?
Subject: warm to palpation?
The feet were cool but equally cool in both feet. __________ s/l warm to palpation bilaterally. 
Sinuses are s/l pan tender to palpation.
Subject: Sinuses are s/l pan tender to palpation.
costovertebral
Subject: costovertebral
This is what you are looking for.
On neuro exam, s/l "Lure EE ah" triangle, squares, and fist edge palm were intact. nm
Subject: On neuro exam, s/l "Lure EE ah" triangle, squares, and fist edge palm were intact. nm
costal if not costovertebral
Subject: costal if not costovertebral
Pts PBCs do not seem to generate a pulse to intermittent palpation.
Subject: Pts PBCs do not seem to generate a pulse to intermittent palpation.
fremitus congestion, where it can be felt with palpation? Where in body are you? nm
Subject: fremitus congestion, where it can be felt with palpation? Where in body are you? nm
s
Pt has tenderness on palpation of the s/l sentra trochanteric bursa nm
Subject: Pt has tenderness on palpation of the s/l sentra trochanteric bursa nm
posterior tibial palpation? Not sure if this makes sense...
Subject: posterior tibial palpation? Not sure if this makes sense...
Dictation states "Dorsalis pedis and _____(faciliar or maybe posterior?) tibial were not palpable bilaterally".
ortho - palpation of lower ext. shows tight heel cords demonstrated by 'silver shield' test sm
Subject: ortho - palpation of lower ext. shows tight heel cords demonstrated by 'silver shield' test sm
Can anyone verify? If so, one word or two words? Can't find on google, Dorlands, or my ortho/neuro book.
TIA
possibly occult sciatic pain ( pain hidden/concealed/not manifest) ? nm
Subject: possibly occult sciatic pain ( pain hidden/concealed/not manifest) ? nm
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!
I believe it is angle. (nm)
Subject: I believe it is angle. (nm)
Angle of s/l *Hes*?
Subject: Angle of s/l *Hes*?
Angle of His
Subject: Angle of His
xx
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.
nEck pain and back pain
Subject: nEck pain and back pain
what a day!
Meningioma of the CP angle.
//
It's angle of Citelli
Subject: It's angle of Citelli
I broke down and asked QA at my job (I try not to do that too much).
Also, it was on Google:
http://www.google.com/search?hl=en&q=Angle+of+Citelli
"Cotts" angle....
Subject: "Cotts" angle....
Could he possibly be shortening costophrenic angle? Just a thought.
There is an angle of Louie
Subject: There is an angle of Louie
in the sternal area.
Sorry angle of Louis
Subject: Sorry angle of Louis
Found this in Dorlands Medical Dictionary
stride and angle
Subject: stride and angle
It sounds like he says:
She has a very short stride and angle and base of gait.
I've heard of a wide angle and base of gait.....
any ideas?
Capitolunate angle was it. Thanks!
Subject: Capitolunate angle was it. Thanks!
nm
scapholunate angle maybe
Subject: scapholunate angle maybe
o
angle of Hiss or His?
Subject: angle of Hiss or His?
Pls help. Thanks.
angle of Hiss or His?
Subject: angle of Hiss or His?
assuredly, angle of His
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