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Genitalia exam had left scrotal swelling, negative s/l transluminents?

Posted By: mz on 2007-11-15
In Reply to:

Subject: Genitalia exam had left scrotal swelling, negative s/l transluminents?




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Male genitalia exam...s/l no "adver's lie."
Subject: Male genitalia exam...s/l no "adver's lie."

normal external genitalia, no swelling, normal scrotum, and no s/l adver's lie ???
JUDE or JUTE exam. Patient has normal genitalia.
Subject: JUDE or JUTE exam. Patient has normal genitalia.

I've been listening and searching on this one - it's probably something simple.... Hope someone can help me - thanks in advance. 
Pelvic exam revealed normal external genitalia, s/l; *DUS*, clear vagina,... nm
Subject: Pelvic exam revealed normal external genitalia, s/l; *DUS*, clear vagina,... nm


hernia exam help please ..swelling along the cord above the s/l tescum
Subject: hernia exam help please ..swelling along the cord above the s/l tescum

Thanks!  You're great!
Eye exam: s/l "sub-lamp" exam shows left side has multiple small punctations in the cornea.(t
Subject: Eye exam: s/l "sub-lamp" exam shows left side has multiple small punctations in the cornea.(thanks)


S/P left total knee reconstruction. On exam, has a palpable s/l clod defect on the left knee.
Subject: S/P left total knee reconstruction. On exam, has a palpable s/l clod defect on the left knee.

:-)
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????


GYN exam - BSU negative. Is this right? What would this mean?
Subject: GYN exam - BSU negative. Is this right? What would this mean?

n/t
Chest exam s/l *WP* or *WB* is negative
Subject: Chest exam s/l *WP* or *WB* is negative

any ideas?
Me again, the s/l crawlback is negative bilaterally...ear exam..nm..TIA
Subject: Me again, the s/l crawlback is negative bilaterally...ear exam..nm..TIA

.
HEENT exam: negative s/l spurlings?
Subject: HEENT exam: negative s/l spurlings?


abdominal exam s/l negative sew-is sign?
Subject: abdominal exam s/l negative sew-is sign?


neuro exam - negative ***col-coryx*** on each ear. TIA! nm
Subject: neuro exam - negative ***col-coryx*** on each ear. TIA! nm

x
s/l negative "rose wing" on abdominal exam. thanx
Subject: s/l negative "rose wing" on abdominal exam. thanx


Neuro exam..negative s/l traybostix sign...nm
Subject: Neuro exam..negative s/l traybostix sign...nm

nm
s/l negative saulstis test neuro exam-sm
Subject: s/l negative saulstis test neuro exam-sm

patient with subacromial impingement as well as rotator cuff tendinitis. In neuro exam, doctor states:

Cranial nerves II through XII are intact. Deep tendon reflexes 1/4, biceps, triceps, brachioradialis. He has 5/5 motor strength, bilateral upper extremities. Sensory examination demonstrates normal sensation to pinprick in C5 to T1. He has a positive impingement sign. Negative drop arm test. Negative ________ test. (s/l saulstus or saltsus test.


Neck Exam: s/l "Prismal" sign is negative. ??
Subject: Neck Exam: s/l "Prismal" sign is negative. ??


Neck exam: Negative for a s/l cow's node. Help, I'm tired!!
Subject: Neck exam: Negative for a s/l cow's node. Help, I'm tired!!


Pt on abdominal exam s/l negative Four Haaves sign (with long A). nm
Subject: Pt on abdominal exam s/l negative Four Haaves sign (with long A). nm


On neuro exam, s/l ball pearl test for retropulsion negative. nm
Subject: On neuro exam, s/l ball pearl test for retropulsion negative. nm


abdominal exam -- negative soas, s/l rothsake, and Murphy signs?
Subject: abdominal exam -- negative soas, s/l rothsake, and Murphy signs?


Exam of the left hand reveals a 0.5 x 0.5 cm area of s/l pointing along the proximal phalanx to sm
Subject: Exam of the left hand reveals a 0.5 x 0.5 cm area of s/l pointing along the proximal phalanx to sm

the 5th finger on the palmar surface. Thanks for any help.

foot exam - removal of AFFENDING ingrown nail spicules from the right and left great toes
Subject: foot exam - removal of AFFENDING ingrown nail spicules from the right and left great toes

This is a new dictator for me and he says the same thing in almost every dictation.  He is stressing the AFFENDING - kind of like to let you know that it's an "A" and not "O".. 


Scrotal surgery
Subject: Scrotal surgery

Is there such a thing as "cold fascia" and "box fascia"?

The infection which had gone through the s/l cold fascia, but it stopped at the s/l fascia, was completely broke down . . .
s/l scrip-a-scrotal defect
Subject: s/l scrip-a-scrotal defect

X-rays show a scrip-a-scrotal defect to be intact.  There is no evidence of fracture or dislocation.  He has an open physes distally.  He is really more comfortable in flexion, so we are going to brace him in flexion.  -- Thanks for any help


s/l RETAY testical (Scrotal ULS)
Subject: s/l RETAY testical (Scrotal ULS)

Here is the sentence: There is an ill-defined area of lower density in the region of the javascript:editor_insertHTML('text','');
javascript:editor_insertHTML('text',''); testicles on the right which is most consistent with more focal edema rather than a true mass. TYIA
S/l Judi dressing for scrotal procedure
Subject: S/l Judi dressing for scrotal procedure

??
Genitalia maybe? nm
Subject: Genitalia maybe? nm

nm
Wet-prep shows negative whiff, 10-20 WBCs, negative clue, few s/l "LB's". Is LB's right?
Subject: Wet-prep shows negative whiff, 10-20 WBCs, negative clue, few s/l "LB's". Is LB's right? nm


gram-negative, lactose-negative rods is correct. I found a couple of interesting websites SM
Subject: gram-negative, lactose-negative rods is correct. I found a couple of interesting websites SM

after doing a google search for gram-negative, lactose-negative rods.  Basically testing organisms to see if they ferment lactose (positive) or not (negative).


Also, just FYI, gram-negative is not capitalized.


Probably too late, I'm sure.  Better late than never, I guess. 


The genitalia shows a slight amount of redness to the s/l pro-pus-ium.
Subject: The genitalia shows a slight amount of redness to the s/l pro-pus-ium.

TIA
Ortho - negative straight leg raise and negative s/l Lasek??
Subject: Ortho - negative straight leg raise and negative s/l Lasek??


She had a negative s/l clasp thumb test and a negative Finkelstein's.
Subject: She had a negative s/l clasp thumb test and a negative Finkelstein's.

:-)
Patient with a groin mass. No involvement of her s/l labial madura or genitalia.
Subject: Patient with a groin mass. No involvement of her s/l labial madura or genitalia.


McMurray's negative. Lachman's negative. nm
Subject: McMurray's negative. Lachman's negative. nm


McMurray negative. Lachman negative. No 's at end
Subject: McMurray negative. Lachman negative. No 's at end

x
Funny thing, I had this yesterday and left 3 blanks that QA also left blank.
Subject: Funny thing, I had this yesterday and left 3 blanks that QA also left blank.

x
pain over the left hip and a biopsy of the left s/l SA pablum showed adenocarcinom
Subject: pain over the left hip and a biopsy of the left s/l SA pablum showed adenocarcinom

n
Patient has a negative wrist extension sign on the right and a negative s/l 3rd finger sign on the R
Subject: Patient has a negative wrist extension sign on the right and a negative s/l 3rd finger sign on the R


probably means left anterior descending. Instead of saying LAD, just saying left AD.
Subject: probably means left anterior descending. Instead of saying LAD, just saying left AD.

x
Swelling?
Subject: Swelling?

I've done orthopedic examinations where "symmetrical with no swelling" was used.  I know that doesn't sound like "farming," but a lot of doctors don't speak clearly and if you listen to it again with "swelling" in mind, see if it could possibly be swelling.
swelling?
Subject: swelling?

swelling?
lymphoid swelling nm
Subject: lymphoid swelling nm

x
Maybe corona swelling?
Subject: Maybe corona swelling?


could he be stumbling over swelling?
Subject: could he be stumbling over swelling?

just a guess
nuncal swelling?
Subject: nuncal swelling?

Anyone ever hear of this?  I'm pretty sure it's not knuckle.  Sentence is as follows:


 


Neck:  Supple, non-tender.  There is no cervical lymphadenopathy, nunkal swelling, thyromegaly, or JVD. 


collection swelling?
Subject: collection swelling?

It sounds like the doctor is saying the patient has "collection swelling" over the olecranon bursa area.  Would this make sense or seem proper?  I assume he is saying there is a collection of fluid. 
is it anchor swelling?
Subject: is it anchor swelling?

sounds like ankle or anchor but it doesn't sounds right. "CV: No chest pain, palpitation or anchor swellling." thank u for your help
ankle swelling nm
Subject: ankle swelling nm


Oops! Swelling.
Subject: Oops! Swelling.

It does sound like presacral, but is dictated in the extremities portion of an H & P.  Thank you anyway.


med - s/l subsusporin for leg swelling of 11 yo
Subject: med - s/l subsusporin for leg swelling of 11 yo