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atrial tenderness in the neck.

Posted By: sm -thanks on 2009-03-29
In Reply to:

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. 




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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!!


atrial - as in atrial versus vetricular perhaps?
Subject: atrial - as in atrial versus vetricular perhaps?

x
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.


 



physical exam: neck shows no s/l N-S-E? looking for a standard abbrev. used for neck. nm
Subject: physical exam: neck shows no s/l N-S-E? looking for a standard abbrev. used for neck. nm

d
There is neck dystonia (neurologic condition affecting the muscles of the neck)?
Subject: There is neck dystonia (neurologic condition affecting the muscles of the neck)?


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


atrial fibrillation
Subject: atrial fibrillation

I would spell it out, too. 
atrial fibrillation
Subject: atrial fibrillation

Doc says ?? para ?? something atrial fibrillation.  Thanks.
atrial fibrillation
Subject: atrial fibrillation

It is probably paroxysmal atrial fibrillation
atrial...not atril
Subject: atrial...not atril


dud me...thats what i meant was atrial..tee hee
Subject: dud me...thats what i meant was atrial..tee hee


atrial fibrillation
Subject: atrial fibrillation

Can you hear paroxysmal atrial fibrillation?
AH (stands for atrial His)
Subject: AH (stands for atrial His)


Pt had atrial fib and s/l MAT in the past........TIA! nm
Subject: Pt had atrial fib and s/l MAT in the past........TIA! nm

x
atrial fibrillation
Subject: atrial fibrillation

acording to Stedman's all this possibilities are right


AFib

atrial fibrillation also ATR FIB, atr fib., At Fib, AF
atrial fibrillation
Subject: atrial fibrillation

 Holter monitoring showed that she is in s/l "betron of" atrial fibrillation. Any help on the word s/l betron?
brief run of atrial fibrillation (nm)
Subject: brief run of atrial fibrillation (nm)

//
atrial flutter
Subject: atrial flutter

Actually, now that I've moved further through the dictation, I think he was just stuttering around a bit. He says just atrial flutter from then on. Thanks though.
atrial malformation?
Subject: atrial malformation?


atrial fibrillation ???
Subject: atrial fibrillation ???


hm..right radial? atrial? femoral? nm
Subject: hm..right radial? atrial? femoral? nm


Probably paroxysmal atrial fibrillation
Subject: Probably paroxysmal atrial fibrillation


Could it be parasystole in atrial fibrillation? nm
Subject: Could it be parasystole in atrial fibrillation? nm


atrial wire seen in the right ventricle
Subject: atrial wire seen in the right ventricle


for atrial tachycardia s/l feconide 100 mg q.12h
Subject: for atrial tachycardia s/l feconide 100 mg q.12h


s/l PAIRIXIS no atrial fibrillation
Subject: s/l PAIRIXIS no atrial fibrillation

TY!
paroxysmal atrial fibrillation. nm
Subject: paroxysmal atrial fibrillation. nm

.
PAF - paroxysmal atrial fibrillation>?
Subject: PAF - paroxysmal atrial fibrillation>?

dd
MAT can mean multifocal atrial tachycardia. nm
Subject: MAT can mean multifocal atrial tachycardia. nm


how about a BAS ...balloon atrial septostomy
Subject: how about a BAS ...balloon atrial septostomy

just a guess.
PAT - paroxysmal atrial tachycardia
Subject: PAT - paroxysmal atrial tachycardia

x
atrial fibrillation pericusma
Subject: atrial fibrillation pericusma

s/l atrial fibrillation pericusma  Thank you
*ProFlux* atrial defibrillator?
Subject: *ProFlux* atrial defibrillator?

Has anyone heard of a s/l ProFlux atrial defibrillator?
yup...MAT=multifocal atrial tachycardia nm
Subject: yup...MAT=multifocal atrial tachycardia nm


atrial "followup" flutter
Subject: atrial "followup" flutter

atrial s/l followup flutter


I'm getting the atrial flutter part but not sure what he's saying in between. I think it's followup. Does that seem right?


Thanks!


They do say atrial fibrillation/flutter all the
Subject: They do say atrial fibrillation/flutter all the

x
atrial levelution vs. revolution vs. ?
Subject: atrial levelution vs. revolution vs. ?

Dictation states patient had a positive saline contrast for atrial levelution.  Is this right?  Thanks!
Atrial level-shunting?
Subject: Atrial level-shunting?


? atrial level dilution
Subject: ? atrial level dilution

Could that be it - atrial level dilution (as in dilution of the contrast, indicating a shunt in flow?
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