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PE normal breath sounds in s/l in excursion, in discursion...I know it's something easy, thanks

Posted By: stupid question on 2007-09-22
In Reply to:

Subject: PE normal breath sounds in s/l in excursion, in discursion...I know it's something easy, thanks




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Breath sounds - nm
Subject: Breath sounds - nm

nm
Breathing? Breath sounds? nm
Subject: Breathing? Breath sounds? nm

s
Breath sounds were s/l operose
Subject: Breath sounds were s/l operose

Never heard this before, and it is a resident so wanted to double check.
Mammograms don't evaluate breath sounds.
Subject: Mammograms don't evaluate breath sounds.


Has anyone heard of "rhonchorous" breath sounds? nm
Subject: Has anyone heard of "rhonchorous" breath sounds? nm

Can't


decreased breath sounds at the bilateral s/l faces? nm
Subject: decreased breath sounds at the bilateral s/l faces? nm


sounds too easy..
Subject: sounds too easy..

Procedure:  Apligraf placement to the left shin ulcer. 


INDICATION:  Nonhealing s/l menus (mean-es) ulcer, left shin.


Thanks.


Sibilant can describe breath sounds, kind of rhonchi or "sh" sound on expiration,,,,,nm
Subject: Sibilant can describe breath sounds, kind of rhonchi or "sh" sound on expiration,,,,,nm

nm
In LD says UA normal and then what sounds like C-MENT T is normal (maybe CMT)? nm
Subject: In LD says UA normal and then what sounds like C-MENT T is normal (maybe CMT)? nm


sounds like a normal "CS troponin" value to me... nm
Subject: sounds like a normal "CS troponin" value to me... nm


5/5 sounds like normal motor strength...but sm
Subject: 5/5 sounds like normal motor strength...but sm

...i have no idea about your s/l... "overall motor strength"? there's also an OMA score (or OMAS)=Olerud & Molander Ankle Score but 5/5 power doesn't match that...?? =(
Sounds like "chiller" venous veins appear normal. sm
Subject: Sounds like "chiller" venous veins appear normal. sm

The patient is moribund. She is unable to speak at the current time and does not respond to sternal rub. "Chiller" venous veins appear normal. Site of the PEG tube is normal without any evidence of exudates.

She is 92 years old and comfort-care only. Here is some past history:

Past medical history is significant for progressive dysphagia leading to frequent bouts of aspiration secondary to a prior cerebrovascular accident in 1997, recent admission for probable aspiration bronchitis/pneumonia, history of hypertension, history of thyroid replacement therapy, history of possible dehydration. She has a prior history of cataract, prior history of gallbladder surgery, recent PEG placement in 11/2005, status post TAH-BSO at age 40 and eyelid surgery in January 2002, history of chest pain admission in February 1996, history of cerebrovascular accident of the right internal capsule in June 1997, and history of TIA in August 2003.
Heart sounds were normal intensity 1 and 2. *No S3 or S3 heard.* sm
Subject: Heart sounds were normal intensity 1 and 2. *No S3 or S3 heard.* sm

Could one of these S3s be F3? or something with a similar s/l? I can't document F3 though. New doc, but clearly states above.


Thanks for any help.


Heart sounds were normal in intensity, S1 and S2. No S3 or S4 heard.
Subject: Heart sounds were normal in intensity, S1 and S2. No S3 or S4 heard.


Heart sounds "when to heard" normal
Subject: Heart sounds "when to heard" normal

S/l Pulses are regular; heart sounds "when to" heard normal.  No murmurs, "droops" or gallops.  "droops is said very unclearly. 
sounds like "car po mace a peen" level was normal.
Subject: sounds like "car po mace a peen" level was normal.


excursion
Subject: excursion


s/l tendonous excursion?
Subject: s/l tendonous excursion?

ASSESSMENT: Trochanteric bursitis of the left hip. The MRI scan is reviewed today of the left knee and is consistent with a posterior horn tear in the medial meniscus, some chondromalacia of the patella and ankle impinging osteophytes with s/l tendonous excursion.
How about just tendon excursion?
Subject: How about just tendon excursion?


tendinous excursion
Subject: tendinous excursion


..on or with excursion, the up-and-down motion of the chest. nm
Subject: ..on or with excursion, the up-and-down motion of the chest. nm

s
no dont think so, the two line prior are LFTS normal and Chem-7 was normal
Subject: no dont think so, the two line prior are LFTS normal and Chem-7 was normal


I would use saline since it's the solution he's changing from half-normal to normal, not the
Subject: I would use saline since it's the solution he's changing from half-normal to normal, not the

s
Breath
Subject: Breath


Breast or Breath
Subject: Breast or Breath

I can not figure out what the word would be, if anyone could help me it would be great. I am new......


It is an emergency room that a male went to because he had apple stuck in his throat. I have included the sentence before so you might be able to tell what word he would use.


This is it:


There is no strider appreciated. Breath (or breast) sounds are clear and equal bilaterally.


Thank you


Breast or breath
Subject: Breast or breath

It's also stridor, not strider. :-)
normal Pap smear in there anywhere? Normal Pap in 2006?nm
Subject: normal Pap smear in there anywhere? Normal Pap in 2006?nm


normal motility? normal motilities? nm
Subject: normal motility? normal motilities? nm


You are probably hearing normal BUS or normal BUSV. sm
Subject: You are probably hearing normal BUS or normal BUSV. sm

BUS                                       Bartholins/Urethra/Skene’s


 


BUSV                                     Bartholins/Urethra/Skene’s/vagina.


 


Here is abbrev link for you.       


 


http://www.healthsystem.virginia.edu/internet/obgyn-clerkship/UVA/Abbreviations.cfm                         


may be normal values or normal range? nm
Subject: may be normal values or normal range? nm

nm
last breath - medical term
I know there is a medical term for the very last breath a person takes before they die.  Can anyone help me out with this?  TX
Could he be saying the first part under his breath like some of my docs - nm
Subject: Could he be saying the first part under his breath like some of my docs - nm

nm
maybe shortness of breath, wheezing?? nm
Subject: maybe shortness of breath, wheezing?? nm


Should be H2 or lactulose breath test. (sm)
Subject: Should be H2 or lactulose breath test. (sm)

http://www3.interscience.wiley.com/journal/118696419/abstract?CRETRY=1&SRETRY=0
Never mind - it was shortness of breath, just
Subject: Never mind - it was shortness of breath, just

x
short of breath and hypoxia

The patient presented with shortness of breath and was started on s/l congestive and oxygen.


 


Thanks.


s/l rethopnia??? fear of shortness of breath
Subject: s/l rethopnia??? fear of shortness of breath

Postive s/l "rethopnia" associated with fear of shortness of breath and development of panic.  What is rethopnia?  Can't find this definition for correct word.
short of breath and feet swelling
Subject: short of breath and feet swelling


She has COPD, shortness of breath, just in list of meds...tia
Subject: She has COPD, shortness of breath, just in list of meds...tia

nm
s/l bareknife breath test irritable bowel syndrome
Subject: s/l bareknife breath test irritable bowel syndrome


Nope, not even a breath before the Bay tall. It is so clear, even had my husband listen??
Subject: Nope, not even a breath before the Bay tall. It is so clear, even had my husband listen??


I know this should be easy but I'm just not getting it (sm)
Subject: I know this should be easy but I'm just not getting it (sm)

Heart: regular rate and rhythm without murmur or s/l ek-a-pee. Thanks!
This has to be easy, I just can't get it(in ROS)
Subject: This has to be easy, I just can't get it(in ROS)

He goes through, giving negatives to everything, but I can't understand this last one.


"No hematochezia or melena.  No abdominal pain.  No skin changes, "da-rone" changes. 


This is probably an easy one...
Subject: This is probably an easy one...

...but I cannot seem to figure it out:


Assessment:


Mild cognitive disturbance likely secondary to just what the patient thinks it is, namely anxiety, panic attacks, need for perfection, feels overwhelmed from having spent so many years dulling her senses with drugs and is now being bombarded by the S/L: STEH-ME-NOS OR STI-MIN-OSE of society. 


Thanks for any help.


That was easy!
Subject: That was easy!

Really?!  How come some sentences are like that?  Thank you so much!!! 
sleep apnea, shortness of breath and ?aneric? drug allergy nm
Subject: sleep apnea, shortness of breath and ?aneric? drug allergy nm

nm
That should have been ma's first move! easy look-up. nm
Subject: That should have been ma's first move! easy look-up. nm

;aljfd
An easy way to remember...
Subject: An easy way to remember...

If you can put an "a" in front of it, it is one word.

She a vascular followup.
She is here for followup.

2-words

She will follow up in one week.
She can follow up with me tomorrow.
Yes, the KVO allows easy access
Subject: Yes, the KVO allows easy access

warranted.  In my experience, the KVO rate was used during a transesophageal echocardiogram wherein if the patient needed a bolus of a med, then the line was there to give it.  Saline was given at a KVO rate, but I think it also (slow drip) allowed hydration for the patient while undergoing the procedure.  I believe these drips given at KVO rate can be started a lot of times in the ER to allow venous access. 
it's easy to hear that when they say
Subject: it's easy to hear that when they say

piperacillin.
Welcome, the easy ones the ones that getcha!
Subject: Welcome, the easy ones the ones that getcha!