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calf pain with neg. ______ and Homan's sign s/l Platz or Pratts

Posted By: A-rod on 2007-04-23
In Reply to:

Subject: calf pain with neg. ______ and Homan's sign s/l Platz or Pratts

xx


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Homan's sign
Subject: Homan's sign

nm
you're right...sm Homan=sign vs Hohmann=retractor nm
Subject: you're right...sm Homan=sign vs Hohmann=retractor nm


Homans sign, Hohmann retractor (not Homan's retractor). nm
Subject: Homans sign, Hohmann retractor (not Homan's retractor). nm

x
Some of his ribcage pain is better but he still has what seems to be a little s/l teachy sign.? nm
Subject: Some of his ribcage pain is better but he still has what seems to be a little s/l teachy sign.? nm


agree with chandelier sign...named so because pain could be
Subject: agree with chandelier sign...named so because pain could be

so bad, it would leave women hanging from the chandelier!
d~
Rovsing sign, pain over McBurney's point when looking for appendicitis. nm
Subject: Rovsing sign, pain over McBurney's point when looking for appendicitis. nm

s
Patient complains of s/l Theater sign with left hip pain. Thanks! nm
Subject: Patient complains of s/l Theater sign with left hip pain. Thanks! nm


chandelier sign...pain so bad it makes you jump off the table and
Subject: chandelier sign...pain so bad it makes you jump off the table and

s
Pt has shoulder pain. On exam has positive s/l scarf sign.
Subject: Pt has shoulder pain. On exam has positive s/l scarf sign.


There is a "grab sign" = worsening of pain with activities involving flexion - maybe that's
Subject: There is a "grab sign" = worsening of pain with activities involving flexion - maybe that's what he's talking about


sl/l positive bordel sign (from flexing neck and causes back pain)
Subject: sl/l positive bordel sign (from flexing neck and causes back pain)


There's a Gaenslen's sign for lumbar/sacroiliac inflammation pain by moving the hip, etc.
Subject: There's a Gaenslen's sign for lumbar/sacroiliac inflammation pain by moving the hip, etc.

x
calf?
Subject: calf?


Homan's retractor
Subject: Homan's retractor

Yes, an orthopedic surgery term.
The Homan Saga
Subject: The Homan Saga

It is like this:
...negative Homans.
or, if they dictated sign after Homans, it is like this: ...Homans' sign. Tell that to your MTSO. The continuing saga of "HIPAA" is killing me. The Gotcha Police are killing me too. We need to publish a book called THE BOTTOM LINE and all use it to avoid all the petty conflicts and misinformation.
Homan retractor
Subject: Homan retractor

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


maybe calf pains or
Subject: maybe calf pains or

creps? crepitus, crepitations?
Homan vs Hohmann retractor
Subject: Homan vs Hohmann retractor

Anybody know how to distinguish which retractor (Homan vs Hohmann) in ortho operative procedures? Both are listed in the Stedman's. Goggle is confusing me. This specific report is ORIF of medial malleolus fracture.
Could it be Homan's, looking for DVTs in the legs? nm
Subject: Could it be Homan's, looking for DVTs in the legs? nm

s
Stedmans says "Homans" not Homan's. NM
Subject: Stedmans says "Homans" not Homan's. NM

x
what about calf-high TED hose? does that fit? nm
Subject: what about calf-high TED hose? does that fit? nm


if I had to guess, I would say CALF PAINS
Subject: if I had to guess, I would say CALF PAINS

x
could be, I suppose, referring to calf vessels
Subject: could be, I suppose, referring to calf vessels


skin....Right calf shows an erythematous..
Subject: skin....Right calf shows an erythematous..

s/l lie-can-a-thide


Thanks Deborah


Point well taken.. Back when I started, it was Homan's but now your right in that it has changed
Subject: Point well taken.. Back when I started, it was Homan's but now your right in that it has changed to Homans..

Thanks
I imagine it would as the usually use a brace from about knee or mid-calf down to the foot for
Subject: I imagine it would as the usually use a brace from about knee or mid-calf down to the foot for

footdrop.
Sometines hear calf tenderness, swelling, cords. nm
Subject: Sometines hear calf tenderness, swelling, cords. nm


Just a WAG, maybe ______ fluid (nm)
Subject: Just a WAG, maybe ______ fluid (nm)

x
thanks..but he says "stridor *and* ?______" n/m
Subject: thanks..but he says "stridor *and* ?______" n/m


maybe ______ prep?
Subject: maybe ______ prep?

Could be saying ______ prep did not reveal any tumor cells.
NDP or MDP ______ facilitation
Subject: NDP or MDP ______ facilitation

techniques to return function after CVA?  Help please!!!
I'm thinking graded support as in firm at the ankle, medium over the calf, and
Subject: I'm thinking graded support as in firm at the ankle, medium over the calf, and

s
...pH ______ esophageal manometry ??
Subject: ...pH ______ esophageal manometry ??

Will also obtain pH _____ esophageal manometry for evaluation of possible antireflux surgery.    Kinda sounds like  "provida"  ???


 


Thanks in advance!!


Pt on Kaletra, Invirase and ______. (s/l a-ru-vi-da). nm
Subject: Pt on Kaletra, Invirase and ______. (s/l a-ru-vi-da). nm

nm
______ port sleeve
Subject: ______ port sleeve

x
iliotibial ______ syndrome
Subject: iliotibial ______ syndrome

s/l bowel but I know that isn't it.  All I can find is band friction syndrome but that sounds nothing like it.  I have no related info as this is just listed in PMH
aortoiliac ______ adenopathy s/l chain*
Subject: aortoiliac ______ adenopathy s/l chain*

please help.  It sounds like aortoiliac chain adenopathy, and I dunno if this is really correct.  TIA!


s/l interpore ______ bone graft
Subject: s/l interpore ______ bone graft

Interpore s/l "coral in" bone graft substitute was used.


There are no palpable cords or calf tenderness, despite the patient’s complaint of diffuse body ache
Subject: There are no palpable cords or calf tenderness, despite the patient’s complaint of diffuse body ache


ejection fraction ______ (titer? hi duct?)
Subject: ejection fraction ______ (titer? hi duct?)

CLueless here.... The patient had right upper quadrant pain and the ultrasound did not show gallbladder disease.  Says we may need to do an ejection fraction _____.  titer? hi duct?  Can't make out any better than that.  Ideas?


now I can hear something like mono ______ acid chemocautery.
Subject: now I can hear something like mono ______ acid chemocautery.


Positive flexion signs on right with ______ and palmomental. (s/l) the-mental
Subject: Positive flexion signs on right with ______ and palmomental. (s/l) the-mental

nm
white-to-tan verrucous ______ papules (s/l strigon) near eyes? sm
Subject: white-to-tan verrucous ______ papules (s/l strigon) near eyes? sm

White-to-tan verrucous ______ papules (s/l strigon) in the left infraorbital region and right upper eyelid lash margin. 


Dx:  Seborrheic keratoses


Tx:  liquid nitrogen cryotherapy


TYIA!


on ______ (s/l NSCD?) to the left lower extremity for DVT prophylaxis
Subject: on ______ (s/l NSCD?) to the left lower extremity for DVT prophylaxis

Not sure if he's referring to some kind of stocking, but her discharge medications include aspirin, enteric-coated.


Thanks.


In mean, listen to incision was made in ______ fascia and leave out the into.
Subject: In mean, listen to incision was made in ______ fascia and leave out the into.


possibly occult sciatic pain ( pain hidden/concealed/not manifest) ? nm
Subject: possibly occult sciatic pain ( pain hidden/concealed/not manifest) ? nm


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


grind test or Galeazzi sign, Gower sign
Subject: grind test or Galeazzi sign, Gower sign


if it's in the spine, it could be "discogenic" pain versus "facet"-related pain
Subject: if it's in the spine, it could be "discogenic" pain versus "facet"-related pain


could be TKA-total knee amputation. pain could be "ghost" pain --nm
Subject: could be TKA-total knee amputation. pain could be "ghost" pain --nm

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