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Abdomen with midline s/l rafay weakness without hernia

Posted By: anon on 2007-08-22
In Reply to:

Subject: Abdomen with midline s/l rafay weakness without hernia

Thanks!


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fascia was nicked in the midline or knicked in the midline.....was QA'd
Subject: fascia was nicked in the midline or knicked in the midline.....was QA'd

on this and looking for what others think....TIA
Left inguinal hernia repair with Prolene hernia s/l "system large" patch.

Is that right?  Typing on account that I am not usually on and not familair with this doctor?  TIA


 


 


 


 


Incisional hernia hernia repar, s/l Pyriatec mesh? nm
Subject: Incisional hernia hernia repar, s/l Pyriatec mesh? nm

Thanks
sorry weakness...
Subject: sorry weakness...

just a typo, late in the day (don't tell QA :)
I type it as weakness of
Subject: I type it as weakness of

3.5/5 of the bilateral lower extremities. susan
s/l balgar weakness?
Subject: s/l balgar weakness?


Give-way weakness or give-away weakness? Tks!
Subject: Give-way weakness or give-away weakness? Tks!

nm
Could it be no giving way or weakness? sm
Subject: Could it be no giving way or weakness? sm

This is something my ortho docs dictate a lot, usually in a series, i.e., no giving way, weakness, swelling, patellar pain, etc.

It could also be as you have it - give-way or giving-away weakness, just depending on the doc.
or chorioretinal weakness? nm
Subject: or chorioretinal weakness? nm


There was no history of s/l kinitis? or weakness. nm
Subject: There was no history of s/l kinitis? or weakness. nm


A significant relative weakness?
Subject: A significant relative weakness?

He has a significant relative weakness with executive functioning...


Is 'significant relative' correct?


I agree - I think it might be bulbar weakness nm
Subject: I agree - I think it might be bulbar weakness nm


bilateral caloric weakness
Subject: bilateral caloric weakness

The caloric test is a part of the ENG. It reflects an attempt to discover the degree to which the vestibular system is responsive and also how symmetric the responses are, between left and right. It is a test of the lateral semicircular canals alone -- it does not assess vertical canal function or otolithic function. While not as good as we would like, the caloric test is the best that we have.
weakness, fatigue, anorexia and malaise
Subject: weakness, fatigue, anorexia and malaise


systo/assisto weakness or numbness???
Subject: systo/assisto weakness or numbness???

Ortho file:


She denies ____(systo) weakness or numbness.


TIA


Do you hear focal weakness and paresthesias? nm
Subject: Do you hear focal weakness and paresthesias? nm

nm
might be caloric weakness. Found this site. sm
Subject: might be caloric weakness. Found this site. sm


  • Evaluation of Vestibular Function


    This test should be abnormal in patients with bilateral vestibular weakness ... Eye movements – When testing cranial nerve function, the examiner should evaluate ... Patients with vestibular weakness will rotate to the side of the weak ... Electronystagmography (ENG) – ENG is the most widely used vestibular tests ...
    www.utmb.edu/otoref/grnds/Vestibular-051214/Vestibular-051214.htm - 55k - Cached - Similar pages

  • [PDF]

    ICS May


    File Format: PDF/Adobe Acrobat - View as HTML
    abnormality was bilateral caloric weakness (that is, the sum of peak ... BPPV – simply not available with ENG. • Eye movements can be taped for later review

  • weakness in both *palmers* related to shoulder injuries. Thanks. nm
    Subject: weakness in both *palmers* related to shoulder injuries. Thanks. nm

    nm
    midline raphe
    Subject: midline raphe

    Excerpts from Dorland's:

    raphe (ra·phe) (ra´fe) gen. raphçs pl. ra´phae [Gr. rhaphç] [TA] a seam; anatomic terminology for the line of union of the halves of any of various symmetrical parts.

    abdominal r. linea alba.


    MLS=midline shift? sm
    Subject: MLS=midline shift? sm

    another wild guess here, but perhaps on the CT scan they can see a posterior MLS (midline shift)...caused by the hemorrhage...and now showing up as a hematoma or contusion within the midline shift???
    s/l mean/main is: midline
    Subject: s/l mean/main is: midline

    midline
    probably midline raphe ?
    Subject: probably midline raphe ?


    Atacand and midline ???
    Subject: Atacand and midline ???


    entered in the midline?
    Subject: entered in the midline?


    Probably midline laceration...nm
    Subject: Probably midline laceration...nm


    First would be trachea midline. I have
    Subject: First would be trachea midline. I have

    seen lungs "wet" but not sure about 2nd.
    pt. does not have HIV/AIDS, admitted with gen weakness, has hypertension, dementia with Parkinson&#
    Subject: pt. does not have HIV/AIDS, admitted with gen weakness, has hypertension, dementia with Parkinson's


    Neurologic: No headaches or seizures. Focal weakness of all ??parathesis??
    Subject: Neurologic: No headaches or seizures. Focal weakness of all ??parathesis??


    Thanks! Must be 'calcified pineal is midline'.
    Subject: Thanks! Must be 'calcified pineal is midline'.


    a firm s/l cicotrix in the midline
    Subject: a firm s/l cicotrix in the midline

    of the lower lip. 
    doing tracheotomy...the midline s/l ruf-fae was then opened. nm
    Subject: doing tracheotomy...the midline s/l ruf-fae was then opened. nm

    d
    Could it be "uvula" test is midline?
    Subject: Could it be "uvula" test is midline?


    entered sharply in the midline
    Subject: entered sharply in the midline


    I usually hear "trachea midline, no JVD, no lymphadenopathy. nm
    Subject: I usually hear "trachea midline, no JVD, no lymphadenopathy. nm

    .
    Trachea was midline without s/l *truss* stidor. Thanks!
    Subject: Trachea was midline without s/l *truss* stidor. Thanks!


    It is trachea midline. Fonts you can leave
    Subject: It is trachea midline. Fonts you can leave

    if your client permits "slang." Personally I would spell it out to fontanelles. No idea on mertz.
    asap please s/l villainy midline palatine prominence nm
    Subject: asap please s/l villainy midline palatine prominence nm


    postpartum.....diastasis, separation of the midline muscles...nm
    Subject: postpartum.....diastasis, separation of the midline muscles...nm

    s
    First could be midline of the abdominal skin sharply through (or down to) the fascia..nm
    Subject: First could be midline of the abdominal skin sharply through (or down to) the fascia..nm

    s
    cervix is parous, freely moveable, midline and
    Subject: cervix is parous, freely moveable, midline and


    HEENT: Trachea is midline. No s/l subculary in the neck. Help?
    Subject: HEENT: Trachea is midline. No s/l subculary in the neck. Help?


    It is over the rhomboid area. No s/l CF or midline pain. Limited range of motion.
    Subject: It is over the rhomboid area. No s/l CF or midline pain. Limited range of motion.

    nt
    Abdomen
    Subject: Abdomen

    Abdomen: There is a well-healed scar in the right lower corner or coron at McBurney's point.


    I can't tell specifically he's saying. Which one sounds correct? Thanks as always for the help. You guys are great!


    Abdomen
    Subject: Abdomen

    There is a well-healed scar in the right upper quadrant scar. Sounds like he says scarl, but I don't think that makes sense. Thank you.
    If it's a CT of the abdomen sm
    Subject: If it's a CT of the abdomen sm

    They can see portions of the chest because they start the exam in the lower chest. If the patient had breast cancer, the doctor might mention the axillae.
    Probably abdomen. nm
    Subject: Probably abdomen. nm


    CTA of the abdomen help, please
    Subject: CTA of the abdomen help, please

    Patient has a stenotic superior mesenteric artery.  Doctor is giving the findings of the CTA and says, with no pauses:  "She has findings suggestive of progression of a high-grade approximately 80-90% stenosis of the proximal 1 cm of the SMA cascade collaterals."  I cannot find "SMA cascade collaterals".  Should there be anything between SMA and cascade collaterals like a comma or something.  (Doc always uses fragments, not complete sentences, so it's not easy to separate things)  Anyone heard of this?  Thanks very much!


    She had a s/l doy abdomen
    Subject: She had a s/l doy abdomen

    This is a death summary. 


    Whole sentence: She had s/l doy abdomen,  mild pneumonia, and CAT scan nonspecific from free-air, obvious abdominal catastrophe, but she was treated with Zosyn antibiotics in surgical consultation, as well as respiratory consultations for ventilatory management. This sentence does not make sense!?! 


    ct of abdomen
    Subject: ct of abdomen

    tumor?
    Abdomen (sm)
    Subject: Abdomen (sm)

    Anatomy of the Abdomen and Groin www.medscape.com/viewarticle/420354_2
    ABDOMEN
    Subject: ABDOMEN

    pendulous