350 mmHg is correct for a lower extremity. nm
Posted By: oldtimer on 2008-11-18
In Reply to: BTW, Carol, I think it is 250mmHg for the tourniquet....sm - Cyndiee
Subject: 350 mmHg is correct for a lower extremity. nm
.
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CT Lower extremity
Subject: CT Lower extremity
Degenerative joint disease of the right [hellocele] sesamoid articulation is noted. Thanks for the help.
Lower extremity exam sm
Subject: Lower extremity exam sm
Patient has bilateral feet ulcers, poor or nonexistent pulses. Dr. says her skin is thin and atrophic with s/l "zarosis planoy". I can find "xerosis" which does not seem to apply here. Any ideas would be appreciated. TIA.
lower extremity exam
Subject: lower extremity exam
No s/l kalar in the extremities bilaterally.
lower extremity venous studies
Subject: lower extremity venous studies
?MOFFET? for the left lower extremity sm
Subject: ?MOFFET? for the left lower extremity sm
Dr. is stating for a woman with MS that he gave her a prescription for home physical therapy as well as a S/L moffit or mophet" and she is not to ambulate without it. I cannot find anything in any of my resources. Could really use some help. thanks
lower extremity neuro under back?
Subject: lower extremity neuro under back?
can "Lower extremity normal neuro" go under BACK:
if he was previously talking about pain in the thoracolumbar region?
Moses' sign - looking for DVT in lower extremity exam. NM
Subject: Moses' sign - looking for DVT in lower extremity exam. NM
:
lower extremity vesicular or vascular insufficiency?
Subject: lower extremity vesicular or vascular insufficiency?
not sure which he is saying
On NSAIDs for left lower extremity DVT prophylaxis?
Subject: On NSAIDs for left lower extremity DVT prophylaxis?
duh - never mind. He's saying "in the right lower extremity" Argh!
Subject: duh - never mind. He's saying "in the right lower extremity" Argh!
on ______ (s/l NSCD?) to the left lower extremity for DVT prophylaxis
Subject: on ______ (s/l NSCD?) to the left lower extremity for DVT prophylaxis
Not sure if he's referring to some kind of stocking, but her discharge medications include aspirin, enteric-coated.
Thanks.
The left lower extremity is negative "raw growth." Am I hearing this right????
Subject: The left lower extremity is negative "raw growth." Am I hearing this right????
PE on consult lower extremity edema with multiple varicose veins. NO CORDAL LACK OBSTRUCTION
Subject: PE on consult lower extremity edema with multiple varicose veins. NO CORDAL LACK OBSTRUCTION
This is a new dictator to me - has a accent. S/L CORDAL LACK OBSTRUCTION. Any help??
350 mmHg is correct nm
Subject: 350 mmHg is correct nm
still hallux and lower case is correct..nm
Subject: still hallux and lower case is correct..nm
these would be lower case correct? orthopedic department of the medial school.
Subject: these would be lower case correct? orthopedic department of the medial school.
perhaps a trip to the orthopedic department at the medical school would help him find somebody that could advise him regarding this approach.
The lower convex curve in the lumbar spine was to the right, and the lower convex thoracic region to
Subject: The lower convex curve in the lumbar spine was to the right, and the lower convex thoracic region to the left
Is how I would do it.
mmHg
Subject: mmHg
Transcribed as mmHg. Does the blank sound like insufflated?
15 mmHg
Subject: 15 mmHg
nm
1 TOR = 1 mmHg....sm
Subject: 1 TOR = 1 mmHg....sm
230 sounds high, is it "to 30 mmHg"????
1:100 mmHg
Subject: 1:100 mmHg
mmHg n/m
Subject: mmHg n/m
xx
could be 32 mm or 32 mmHg gradient nm
Subject: could be 32 mm or 32 mmHg gradient nm
I would put 15 mmHg pressure
Subject: I would put 15 mmHg pressure
? 30 mmHg (guessing) n/m
Subject: ? 30 mmHg (guessing) n/m
tourniquet s/l incliged to 250 mmHg
Subject: tourniquet s/l incliged to 250 mmHg
Got any ideas? It definetly doesn't sound like inflated or elevated. Thanks in advance.
Tourniquets routinely inflated to 200-350 mmHg or so for limb surgery. nm
Subject: Tourniquets routinely inflated to 200-350 mmHg or so for limb surgery. nm
,
An echo. Tricuspid valve structurally normal. Mild TR. RVSP 30 mmHg.. and
Subject: An echo. Tricuspid valve structurally normal. Mild TR. RVSP 30 mmHg.. and
pulmonic valve not visualized. Atrial wire seen in the RV. No significant effusion.
Please look at my extremity exam ...
Subject: Please look at my extremity exam ...
This is what I am hearing. Does this make sense/look correct? This MD likes to make every word short and sweet.... but I get so confused where to put it all. Thank you.
EXTREMITIES: There is edema of the right ankle at the site of fracture times two. Trace to 1+ on the left, significantly diminished pulses equal 0-1 DP and PT lower extremities bilaterally. Normal upper.
Extremity exam:
Subject: Extremity exam:
Dr is saying Extremities: No cyanosis, clubbing or edema. S/L" SETs" or SVTs are in fact in place.
Thank you
Extremity exam:
Subject: Extremity exam:
In the extremities exam: There is a notable s/L leglang discrepency and a positive external rotation.
thanks
Extremity Exam
Subject: Extremity Exam
Extremity exam
Subject: Extremity exam
The finger is swollen with a small opening on the s/l fulmer aspect of the ring finger at the DIP joint area. He is not saying volar or palmar aspect. It sounds like "fulmer." I'm stumped. Any help is appreciated.
Modeling of extremity? NM
Subject: Modeling of extremity? NM
xx
mottling of extremity..nm
Subject: mottling of extremity..nm
Extremity exam
Subject: Extremity exam
She has 1-2+ edema bilaterally in the ankle and s/l kalai region. TIA.
No don't think so . . in the extremity exam, he says . . .
Subject: No don't think so . . in the extremity exam, he says . . .
The right lower extremity has this marked amoutn of heat and "resider endeposation" in the anterior aspect of the right leg.
Again, any help please . . . .
Extremity exam after stroke (sm)
Subject: Extremity exam after stroke (sm)
Diagnosis of acute right middle cerebral artery ischemic cerebral infarction and acute right internal carotid artery and right middle cerebral artery occlusion.
In exam, he says:
He has flaccid left hemiplegia of the left upper and lower extremities that does ______ (rep/rub) on the left on plantar response.
In view of the ___________ (rep/rub cuff/calf) it was felt that the patient would benefit from full anticoagulation for a short term.
Any help on this would be appreciated. Thanks.
asteriscus? Extremity exam
Subject: asteriscus? Extremity exam
Physical exam of extremity
Subject: Physical exam of extremity
Both lower extremities are <___>(rap-nees-rap).????
Extremity exam after surgery - see inside
Subject: Extremity exam after surgery - see inside
Patient post surgery Hys & BSO. Medical consult.
Doc dictates -- Compression stockines and ____ in place.
The blank sounds like pneumovac. Can anyone help me verify or give any suggestions.
Thank you!
Pt with MS, s/; "Tatense" is decreased over the right upper extremity.
Subject: Pt with MS, s/; "Tatense" is decreased over the right upper extremity.
This is on Neurologic exam: Dorsiflexor 2/5 and the remainder at 4/5. DTRs are 3+ throughout, except for 2+ at the ankles. Tatense is decreased over the right upper extremity but intact throughout on the remaining three extremities.
Exam of hand and upper extremity - please sm
Subject: Exam of hand and upper extremity - please sm
Regarding her hands and upper extremities, there is notable thenar atrophy at the right hand with APB weakness. s/l Apponing strength was good bilaterally. She does have a positive CMC grind test.
s/l Perdidity ? noted in the left upper extremity
Subject: s/l Perdidity ? noted in the left upper extremity
Extremity exam: "No astericks". No tremor noted. nm
Subject: Extremity exam: "No astericks". No tremor noted. nm
s/l pseudo acitosis in upper extremity (neuro exam)
Subject: s/l pseudo acitosis in upper extremity (neuro exam)
Thx
?break in dictation for MT instruction? i see "add this to review of systems above the extremity
Subject: ?break in dictation for MT instruction? i see "add this to review of systems above the extremity section" in your s/l ?? nm ??
Blank is probably "to" as in "to 15 mmHg." sm
Subject: Blank is probably "to" as in "to 15 mmHg." sm
"of" might be okay, too. In laparoscopic surgeries, the doc use a needle, in this case the Veress, to insufflate the abdomen (fill it with air) so that he/she has room to look around in there. The peritoneum fills with the air ("pneumo"). They keep an eye on the pressure so they don't add more than can be handled (like filling up a balloon with air or a car tire--there are gauges to keep track of that, too).
It would be lower case "w" sm
Subject: It would be lower case "w" sm
It is named after Augustus V. Waller. The word wallerian is not a proper noun. It's the same principle as applied to Parkinson disease when the dictator says "parkinsonism".
I've seen a lot of text books and word books that have wrong spellings in them.
yes, re-x-ray (lower case) (nm)
Subject: yes, re-x-ray (lower case) (nm)
x
lower case of course : )
Subject: lower case of course : )
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