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On abdominal exam, no palpable s/l olive noted..nm

Posted By: Still Asleep on 2008-01-09
In Reply to:

Subject: On abdominal exam, no palpable s/l olive noted..nm

nm


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Physical exam on eye exam, s/l Cardinal Welk's space?? noted.NM
Subject: Physical exam on eye exam, s/l Cardinal Welk's space?? noted.NM


Physical exam: Abdomen soft nontender s/l no palpable aorta? and no bruits
Subject: Physical exam: Abdomen soft nontender s/l no palpable aorta? and no bruits

I know that can not be correct...TIA
HEENT exam shows a barely palpable preauricular lymph node sm
Subject: HEENT exam shows a barely palpable preauricular lymph node sm

which measures only a few mm x a few mm on the L side. Would you type as he says it or would you type 3.0 x 3.0 mm? Thanks
probably abdominal/... exam
Subject: probably abdominal/... exam

n/m
ABDOMINAL EXAM
Subject: ABDOMINAL EXAM

negative psoas sign (psoas is a muscle)
Rosie
Abdominal Exam
Subject: Abdominal Exam

Trying to find a word in the abdominal exam..


ABDOMEN:  Positive bowel sounds throughout.  Soft, flat, non (sounds like decendent??)


Any help would be greatly appreciated! Thanks


Abdominal Exam help!!!

I keep getting the same dictator who I believe it is during the abdominal exam although he is speaking 3 million miles a minute:


Anyone ever heard of "negative heel strike?"


 


 


There is no **nasal surrey** branch involvement noted. This is for eye exam.
Subject: There is no **nasal surrey** branch involvement noted. This is for eye exam.


Extremity exam: "No astericks". No tremor noted. nm
Subject: Extremity exam: "No astericks". No tremor noted. nm


I think in neuro exam it is usually "essential tremor" that is noted, still thinking on other.
Subject: I think in neuro exam it is usually "essential tremor" that is noted, still thinking on other.....nm

nm
Abdominal exam word-HELP
Subject: Abdominal exam word-HELP

TI cound not reproduce any pain in the epigastrium or in the subxiphoid area.  There was no s/l bulbar-igmea or abnormal bowel sounds.


 


HELP!!


Maybe saying abdominal/liver exam? nm
Subject: Maybe saying abdominal/liver exam? nm


I have had this dictated with the abdominal exam,
Subject: I have had this dictated with the abdominal exam,

GU exam, and specifically the back exam. If dictated under a heading, put it where it is dictated.
abdominal exam--s/l "heel tap"
Subject: abdominal exam--s/l "heel tap"

I've got a machine-gun-speed dictator who is doing an abdominal exam and talks about the Lloyd's maneuver (kidney punch) and then says "negative s/l heel tap." Does anyone know what this might be? Thanks in advance.


 


In physical exam, she says "No s/l nasal oral? discharge noted?
Subject: In physical exam, she says "No s/l nasal oral? discharge noted?

xx
help please s/l sicussion splash for abdominal exam
Subject: help please s/l sicussion splash for abdominal exam

thank you very much!
abdominal exam s/l negative sew-is sign?
Subject: abdominal exam s/l negative sew-is sign?


Makes sense in abdominal exam sm
Subject: Makes sense in abdominal exam sm

There is the Murphy's test, also called kidney punch etc.


 


College of Medicine - University of Illinois Urbana-Champaign




What is the significance of a Murphy's Test other than to diagnose RUQ pain? A. Murphy's test is a specific exam finding. The sign is for the diagnosis of ...
https://www-s.med.uiuc.edu/m1/ihd/cases/Gelb/Gelb0506.php - 34k -


 


Groin goes under abdominal exam. CVA goes under spine.
Subject: Groin goes under abdominal exam. CVA goes under spine.


Abdominal exam... neg S/L "fisk" compression.. sm...
Subject: Abdominal exam... neg S/L "fisk" compression.. sm...

The doc dictates:  "No epigastric distress. Negative Murphy's, negative S/L "fisk compression".  The spleen is not involved." 


TIA for your ideas!


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


well, if the doc is doing abdominal exam, he would be looking for guarding, tenderness, rebound, etc
Subject: well, if the doc is doing abdominal exam, he would be looking for guarding, tenderness, rebound, etc in the

abdominal and pelvic region to rule out either a renal (kidney pain is mixed with back pain), or peritoneal or or intestinal pain, which can radiate to back. So if you hear it clearly, I think it is right, many docs use certain phrases lots of times!
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Subject: Pt on abdominal exam s/l negative Four Haaves sign (with long A). nm


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


Would "no costovertebral angle tenderness' be abdominal or back exam?
Subject: Would "no costovertebral angle tenderness' be abdominal or back exam?


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.

:-)
Thank you, but it still sounds like mod changes noted or motive changes noted. Maybe he shortened.
Subject: Thank you, but it still sounds like mod changes noted or motive changes noted. Maybe he shortened.


no rebound, guarding, or rigidity. Common to hear no guarding on abdominal exam.
Subject: no rebound, guarding, or rigidity. Common to hear no guarding on abdominal exam.


abdominal exam: obturator sign, and positiv s/l Zoe-is sign
Subject: abdominal exam: obturator sign, and positiv s/l Zoe-is sign


Thanks Olive! - NM
Subject: Thanks Olive! - NM

NM
olive
Subject: olive

Olive thanks for responding. The procedures are phacoemulsification and peripheral iridotomy. The sentence before this is "The lid speculum was inserted in left eye." Hopefully this helps you figure this  out because I still can't.  


Thanks Olive! that's it!
Subject: Thanks Olive! that's it!


Olive thank you so much!
Subject: Olive thank you so much!


Like Olive said, it is florid...nm
Subject: Like Olive said, it is florid...nm

xx
yes! He says Lantus later so that is it. Thanks Olive. nm
Subject: yes! He says Lantus later so that is it. Thanks Olive. nm

nm
Olive is correct (hernia)
Subject: Olive is correct (hernia)


You got it, Olive, I could not remember the drug, thanx, you rock!....nm
Subject: You got it, Olive, I could not remember the drug, thanx, you rock!....nm

nm
Grazi, Olive...Now I can get the picture of paintbrushes curing cancer outta my mind :-)
Subject: Grazi, Olive...Now I can get the picture of paintbrushes curing cancer outta my mind :-)

:-)
it's palpable
Subject: it's palpable

your doc is saying palpable, as in you can feel the resentment


 


115/palpable?
Subject: 115/palpable?

Vital signs: Bp 115/palpable? Dictated as 115 over palpable.
palpable?
Subject: palpable?


Use "or": There are no palpable ...
Subject: Use "or": There are no palpable ...








.
palpable ballottement.
Subject: palpable ballottement.


palpable frill?
Subject: palpable frill?


Palpable thrill nm
Subject: Palpable thrill nm

nm
palpable defect? nm
Subject: palpable defect? nm


palpable throw
Subject: palpable throw

dictated:

He has a functioning shunt in the left arm, with a palpable s/l throw.


they always say no palpable cords
Subject: they always say no palpable cords

i've always just assumed it meant something like strands... like a tendon in the leg.
thyroid palpable without GLARE or nodules
Subject: thyroid palpable without GLARE or nodules

Physical examination part of note.  Under thyroid she says Palpable without GLARE or nodules.  Any help? 
palpable mesocolonic lymph nodes???
Subject: palpable mesocolonic lymph nodes???


uterus was palpable, s/l ring incised-sm
Subject: uterus was palpable, s/l ring incised-sm

I don't know if he is saying something like ring incised or ring sized.

Past history says: She had four cesarean sections, laparoscopic tubal sterilization, and a laparotomy with left oophorectomy and abdominoplasty.

In pelvic exam: PELVIC: Skene, urethral, and Bartholin glands within normal limits. Vagina, good support. Cervix was closed. No lesions were seen. Uterus was palpable, ______. s/l "ring incised" or "ring sized."

Could he be saying "ring incised" meaning he feels the incision from previous surgeries. Could it be he is saying uterus is "ring sized?"