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The shoulder girdle and s/l "envurons" is without palpable deformity...TIA nm

Posted By: lb on 2005-09-28
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Subject: The shoulder girdle and s/l "envurons" is without palpable deformity...TIA nm




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Part of the shoulder girdle paracervical and parathoracic muscles
Subject: Part of the shoulder girdle paracervical and parathoracic muscles


Barrel cup deformity of shoulder? sm
Subject: Barrel cup deformity of shoulder? sm

Doc states that her plain x-rays demonstrate a "barrel cup" ?? deformity of her shoulder?   She has Freeman-Sheldon Syndrome and had fusion for kyphoscoliosis.


 


Thanks!


Oops! Can't be a swan-neck deformity as that is not a deformity involving the thumb
Subject: Oops! Can't be a swan-neck deformity as that is not a deformity involving the thumb


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Subject: traction deformity? fascial deformity?


Might be Angular Deformity correction chart taken from the Angular Deformity
Subject: Might be Angular Deformity correction chart taken from the Angular Deformity

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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
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Subject: palpable defect? nm


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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

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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? 
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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?"
s/l doctor is saying palpable and outable crepitus?? Is this right?? Thanks. nm
Subject: s/l doctor is saying palpable and outable crepitus?? Is this right?? Thanks. nm

nm
possibly palpable cords as in Dupuytren's contractures
Subject: possibly palpable cords as in Dupuytren's contractures


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

nm
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Subject: headache s/l endurary or palpable temporal artery.

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probably palpable bulging discs. It's neural foramina, not neuroforamina nm
Subject: probably palpable bulging discs. It's neural foramina, not neuroforamina nm

:
He does have a Watson's maneuver and a palpable s/l "brinde" with radioulnar deviation
Subject: He does have a Watson's maneuver and a palpable s/l "brinde" with radioulnar deviation

thanks in advance!
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Subject: ENT-physical examination reveals *syn___ectomy* without palpable adenopathy??? Thanks- nm


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Subject: foot deformity

Charcot deformity?  Sounds like "charco or sharco". Thanks.
Your right..Charcot deformity..nm
Subject: Your right..Charcot deformity..nm

nm
hallux deformity?
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JACOOZ deformity?
Subject: JACOOZ deformity?

Sorry - Jaccoud! (Been a LONGGGG DAY!)
Maybe windswept deformity
Subject: Maybe windswept deformity


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Subject: "structural" deformity maybe?

I don't know what else it could be.
Could it be a Bankart deformity? nm
Subject: Could it be a Bankart deformity? nm

s
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Subject: Creps deformity?

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Amy


Do some research using Courvoisier's. I don't find it as a node but as a sign (palpable gallbl
Subject: Do some research using Courvoisier's. I don't find it as a node but as a sign (palpable gallbladder)


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Subject: s/l 'incisoring' or rotational deformity


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Subject: There is symphalangia (congenital deformity)


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Subject: recurvatum deformity in the knee. (nm)


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Subject: foot deformity , Down syndrome

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Subject: There is a wind swept deformity possible

x
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
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Subject: HEENT exam shows a barely palpable preauricular lymph node sm

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Hope this helps.


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Subject: Wondering if it is a "swan-neck" deformity - sm

which is a deformity of the digits associated with rheumatoid arthritis