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In physical exam ABDOMEN: s/l"G2 this is displaced"

Posted By: jckerygma on 2007-10-24
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Subject: In physical exam ABDOMEN: s/l"G2 this is displaced"

ABDOMEN:  s/l"G2 this is displaced"


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I am in the abdominal part of the exam.  She says


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Subject: Abdomen exam help...

I transcribe every so often for a visiting doctor and when he does the abdominal exam he always says, "abdomen is soft, non-tender, no masses(?) but he's putting a "megaly" at the end of it.


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Subject: Abdomen exam: Spleen tip palbable. No evidence of "poop medusee" !!? TIA!! nm

nm
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Subject: Physical exam

Height: Six feet.


I'm having trouble remembering all my rules on numbers for stats and such. Is this right? Thank you.


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Subject: On physical exam.. S/L

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Subject: re physical exam

PHYSICAL EXAMINATION: Significant findings for left lower quadrant tenderness. Blood pressure was 124/78, pulse rate of 96, and respiratory rate of 20. Heart: S1 and S2. Lungs: Clear to auscultation bilaterally.


I would type it this way or at least make it present tense.  On my accounts, I am required to categorize these things. 


PHYSICAL EXAMINATION:


Abdomen:  Significant findings for left lower quadrant tenderness. Vital signs:  Blood pressure 124/78, pulse rate 96, respiratory rate 20. Heart: S1 and S2. Lungs: Clear to auscultation bilaterally.


 


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thanks for trying.
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Subject: Physical exam help?

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ASSESSMENT:  Acute left upper quadrant pain.


s/l sternal border?  Any help would be great?


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Subject: physical exam

Probably just means + (the plus sign), as in positive S1, S2...just means he heard 1st and 2nd heart sounds clearly (as opposed to sounds to distant or obscured by extra sounds). If something was dictated before that, I would put a comma and use the plus sign, i.e., PREVIOUS TEXT, + S1, S2. If nothing precedes it, I would type positive S1, S2. If account wants verbatim, give it to them.
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Subject: It was just a physical exam, and I don't know

However, I do think it was "cervical or" inguinal adenopathy.  This guy is a real mush mouth.  THANK YOU ALL SO MUCH FOR YOUR HELP!  I am sorry I wasn't clear enough earlier in my first message.  I really do appreciate your help.  This is a great board to come to--everyone is so knowledgeable! 
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I am wondering if, in the last sentence, where "drop can arc" is dictated . . . would she be referring to three tests/maneuvers such as Drop Arm, Empty Can, and an Arc test, or is it correct as is?


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TIA


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Subject: Under physical exam...

I know this is probably really easy...BUT, the doc is rattling it off and he's new to me...


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Is it normal to bowel sounds?


 


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Vis


 


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Subject: physical exam...

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Ears, nose, throat:  1,2,5,6.


Neck:  1,2.


Respiratory:  1 and 4. 

Cardiovascular:  2, 3, 4, 5, 6, 7. 


 


What is this?  I have never seen or heard such a thing before.


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