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No adnexal *str. . .* tenderness

Posted By: Audrey Graham on 2007-09-26
In Reply to:

Subject: No adnexal *str. . .* tenderness

This is in an H&P where the patient presents with frequent headaches and frequent urination.


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adnexal structure tenderness? nm
Subject: adnexal structure tenderness? nm

s
or calf tenderness? cords or tenderness? nm
Subject: or calf tenderness? cords or tenderness? nm

s
I know CVA tenderness is what is used, .my question was when was it changed from c.v.a. tenderness?
Subject: I know CVA tenderness is what is used, .my question was when was it changed from c.v.a. tenderness?

I learned from from a QA's report.  How are we to know there are changes on things that were done one way for so long and now done another?  geesh
the she finds tenderness is C-spine tenderness
Subject: the she finds tenderness is C-spine tenderness

otherwise, the way you've typed the paragraph with the headings looks correct.


 



adnexal mass
Subject: adnexal mass

Patient has an adnexal mass that could be a "corti sue tium cyst" Why am I drawing a blank this morning?
adnexal nodal?
Subject: adnexal nodal?


no adnexal masses on s/l E-way
Subject: no adnexal masses on s/l E-way

x
Could it be Left Adnexal Mass? NM
Subject: Could it be Left Adnexal Mass? NM

xx
breast adnexal mass?
Subject: breast adnexal mass?

Adnexa by itself isn't limited to the breast, so maybe the "quest" is breast???
Do you type; c.v.a. tenderness or CVA tenderness?
Subject: Do you type; c.v.a. tenderness or CVA tenderness?

I am getting two different opinions on this one and was wondering what is actually correct....Thanks in Advance!
Uterus was s/l antesmall with no adnexal masses.
Subject: Uterus was s/l antesmall with no adnexal masses.

nm
I'd say pelvic, adnexal, and omental adhesions, but I'm
Subject: I'd say pelvic, adnexal, and omental adhesions, but I'm

nm
"CV angle tenderness" or "CVA tenderness" as A=angle nm
Subject: "CV angle tenderness" or "CVA tenderness" as A=angle nm


adnexal region: complex predominantly solid [s/l nonperastilting] mass
Subject: adnexal region: complex predominantly solid [s/l nonperastilting] mass


CVA tenderness
Subject: CVA tenderness

He probably meant CVA (costovertebral angle) tenderness when he said "renal." You could insert an "or" and type it as "renal or rebound, or guarding."
CVA tenderness
Subject: CVA tenderness

I must be having a brain fart.  My doc is dictating a physical exam for his discharge summary and states, "She had no CVA tenderness." 


My question is would this go under the heading of MUSCULOSKELETAL??  If not that, then which one???


Thanks in advance for your help.  


CVA tenderness
Subject: CVA tenderness

costovertebral angle tenderness
CVA Tenderness
Subject: CVA Tenderness

The hospital that I do IC work for requires that we put it under the abdomen heading.
CVA tenderness nm
Subject: CVA tenderness nm


AC tenderness
Subject: AC tenderness

abdominal compression (AC) tenderness?
no CVA tenderness.....
Subject: no CVA tenderness.....


tenderness
Subject: tenderness

nm
No CVA tenderness? nm
Subject: No CVA tenderness? nm


CVA tenderness
No significant tenderness of the left (s/l CVA) ____ region.  Vague tenderness over the left flank area. Is this correct and/or cva or CVA?  Thanks.  
AP tenderness
Subject: AP tenderness

What does the doctor mean when he says there is no AP tenderness. The doctor is referring to her ankle. tia.
No tenderness or dullness in the LUQ? sm
Subject: No tenderness or dullness in the LUQ? sm

Sorry. Not exactly your S/L. Here is a link with terms regarding abdominal exam and others.


 


http://mtdesk.com/lstphysl.shtml


maybe saying "point tenderness"?
Subject: maybe saying "point tenderness"?

nm
There is tenderness above the calf....
Subject: There is tenderness above the calf....

and is s/l easing collapse of the remainder of the varicosities bilaterally.


 


or easily collapsed


CVA tenderness or CVAT
Subject: CVA tenderness or CVAT


s/l over the wall tenderness
Subject: s/l over the wall tenderness

Doc says she has some ecchymosis around her eye.  She has some minor lateral ... over the wall .... tenderness and some tenderness at the zygoma but there is no palpable stepoff and no significant swelling. 


Any suggestions.  Thanks. 


diffuse tenderness - nm
Subject: diffuse tenderness - nm

nm
tenderness? (guess) nm
Subject: tenderness? (guess) nm

xx
...or suprapubic tenderness??? nm
Subject: ...or suprapubic tenderness??? nm

s
meant tenderness
Subject: meant tenderness

having trouble with my keyboard
they DO say *no punch tenderness*
Subject: they DO say *no punch tenderness*


actually CVA tenderness is in the back
Subject: actually CVA tenderness is in the back


Neck Tenderness
Subject: Neck Tenderness

I'm typing a report and this it what it sounds like..


NECK:  Supple, no overtechial?? tenderness or paraoverchevial??? tenderness at this time.


Does anyone know these types of tenderness in the neck?? Thank you!!


lateralizing tenderness
Subject: lateralizing tenderness


No tenderness on bellotment?
Subject: No tenderness on bellotment?

It's in the physical exam, the back section.  Dr. states there is not tenderness on s/l "bellotment" of the entire spine. 


Thanks!


sinus tenderness
Subject: sinus tenderness

.
wrist - says tenderness over the *fobia*
Subject: wrist - says tenderness over the *fobia*

and thanks again!


costovertebral angle tenderness
Subject: costovertebral angle tenderness

Does it sound like that?
doesn't s/l that. It's somethig --ary tenderness
Subject: doesn't s/l that. It's somethig --ary tenderness


I have always typed CVA tenderness or CVAT.
Subject: I have always typed CVA tenderness or CVAT.


CVA=costovertebral angle tenderness
Subject: CVA=costovertebral angle tenderness


No s/l seeming or seamline tenderness around the hip. Any ideas?
Subject: No s/l seeming or seamline tenderness around the hip. Any ideas?


No localizing, rebound or tenderness.
Subject: No localizing, rebound or tenderness.

Just wondering how anyone else would write this sentence.

Her examination today showed a weight of 142 pounds, blood pressure of 126/84, and her abdominal examination showed some minimal tenderness throughout. No localizing, rebound or guarding. No obvious organomegaly or masses.

TIA!!!
sheath line tenderness??
Subject: sheath line tenderness??

Does this make sense to anyone as part of Physical examination under Neck:  ..demonstrates full range of motion of his neck without pain or "sheath line" pain to palpation?  This definitely sounds like "sheath line" pain to me.  Is there anything I'm missing that would sound like this??
Could be joint line tenderness, like TMJ (jaw) nm
Subject: Could be joint line tenderness, like TMJ (jaw) nm

nm
atrial tenderness in the neck.
Subject: atrial tenderness in the neck.

Patient with multiple small joint pain.


Diffuse tenderness through the posterior cervical strap muscles and across the upper trapezial borders bilaterally. No restriction on range of motion. No _____ tenderness. Thyroid not palpable. No bruits.


 


It sounds like atrial or or maybe a little bit like achy. 


correction he says AP laxity. not tenderness.
Subject: correction he says AP laxity. not tenderness.