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duh - never mind. He's saying "in the right lower extremity" Argh!

Posted By: PoodleLady on 2008-12-04
In Reply to: Bilat. lower ext. u/s SM - PoodleLady

Subject: duh - never mind. He's saying "in the right lower extremity" Argh!




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Subject: lower extremity exam

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Subject: lower extremity venous studies


?MOFFET? for the left lower extremity sm
Subject: ?MOFFET? for the left lower extremity sm

Dr. is stating for a woman with MS that he gave her a prescription for home physical therapy as well as a S/L moffit or mophet" and she is not to ambulate without it.  I cannot find anything in any of my resources.  Could really use some help.  thanks
350 mmHg is correct for a lower extremity. nm
Subject: 350 mmHg is correct for a lower extremity. nm

.
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Subject: lower extremity neuro under back?

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Subject: Moses' sign - looking for DVT in lower extremity exam. NM

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Subject: lower extremity vesicular or vascular insufficiency?

not sure which he is saying
On NSAIDs for left lower extremity DVT prophylaxis?
Subject: On NSAIDs for left lower extremity DVT prophylaxis?


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

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Subject: The left lower extremity is negative "raw growth." Am I hearing this right????


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Subject: PE on consult lower extremity edema with multiple varicose veins. NO CORDAL LACK OBSTRUCTION

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Never mind - he was saying "in brackets" GRRRR!
Subject: Never mind - he was saying "in brackets" GRRRR!


Argh! What is he saying?
Subject: Argh! What is he saying?

Any stabs....


The pseudoaneurysm appeared to be a site of a venous side branch where the [tie inner custa vein ]or it blew off due to arterial pressure over time.


VIDAZA it was! ARGH
Subject: VIDAZA it was! ARGH


The lower convex curve in the lumbar spine was to the right, and the lower convex thoracic region to
Subject: The lower convex curve in the lumbar spine was to the right, and the lower convex thoracic region to the left

Is how I would do it.
Please look at my extremity exam ...
Subject: Please look at my extremity exam ...

This is what I am hearing.  Does this make sense/look correct?  This MD likes to make every word short and sweet.... but I get so confused where to put it all.  Thank you.


 


EXTREMITIES:  There is edema of the right ankle at the site of fracture times two.  Trace to 1+ on the left, significantly diminished pulses equal 0-1 DP and PT lower extremities bilaterally.  Normal upper. 


"In-Fast"
Subject: "In-Fast"

is a trade name . he may  be saying "dash" to use as a hyphen


 


Extremity exam:
Subject: Extremity exam:

Dr is saying Extremities: No cyanosis, clubbing or edema.  S/L" SETs" or SVTs are in fact in place.


 


Thank you



Extremity exam:
Subject: Extremity exam:

In the extremities exam: There is a notable s/L leglang discrepency and a positive external rotation.


 


thanks


 


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Subject: Extremity Exam

Extremities:  Full range of motion.  No s/l testing, rash or tremor. 


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Subject: Extremity exam

The finger is swollen with a small opening on the s/l fulmer aspect of the ring finger at the DIP joint area.  He is not saying volar or palmar aspect.  It sounds like "fulmer."  I'm stumped.  Any help is appreciated.
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Subject: Modeling of extremity? NM

xx
mottling of extremity..nm
Subject: mottling of extremity..nm


Extremity exam
Subject: Extremity exam

She has 1-2+ edema bilaterally in the ankle and s/l kalai region.  TIA.


 


 


maybe "in airway"??
Subject: maybe "in airway"??

x
No don't think so . . in the extremity exam, he says . . .
Subject: No don't think so . . in the extremity exam, he says . . .

The right lower extremity has this marked amoutn of heat and "resider endeposation" in the anterior aspect of the right leg.


Again, any help please . . . .


 


will check an "in-helm" INR. ??
Subject: will check an "in-helm" INR. ??

Not sure this is what I'm hearing.  The patient has an enterocutaneous fistula.  Says "need for daily wound care discussed.  Will check an "in-helm" INR. 


Clues??


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Subject: Not "romare"..."in room air".

You'll hear it this time!


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Subject: maybe "in florid relapse" NM


"In regards to" is not correct grammar. SM
Subject: "In regards to" is not correct grammar. SM

If we are going to be grammar experts, we must know that it should be in regard or as regards. 
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Subject: the second one is probably "in formalin" for pathology nm

xx
Second one, could it be "in origin" instead of epichondral?
Subject: Second one, could it be "in origin" instead of epichondral?


"in short order"
Subject: "in short order"


Extremity exam after stroke (sm)
Subject: Extremity exam after stroke (sm)

Diagnosis of acute right middle cerebral artery ischemic cerebral infarction and acute right internal carotid artery and right middle cerebral artery occlusion.


 


In exam, he says:


He has flaccid left hemiplegia of the left upper and lower extremities that does ______ (rep/rub) on the left on plantar response.


 


 


In view of the ___________ (rep/rub cuff/calf) it was felt that the patient would benefit from full anticoagulation for a short term.


 


Any help on this would be appreciated.  Thanks.


asteriscus? Extremity exam
Subject: asteriscus? Extremity exam


Physical exam of extremity
Subject: Physical exam of extremity

Both lower extremities are <___>(rap-nees-rap).????
confused...when to use "in" and "at"
I have had no problems using these before but my new Editor has started to confuse me, when do i use "at" and when do I use "in"...for example...the patient was seen "in/at" the clinic....appointment with the oncology department "in/at" soandso hospital...thanks
Thanks. I definitely hear the "In-testum"
Subject: Thanks. I definitely hear the "In-testum"

though so I'll flag it. It almost sounds like the word cuts off in the dictation.
just a guess, but how about "in excess"?
Subject: just a guess, but how about "in excess"?


I think it's "in-stent" - as in restenosis
Subject: I think it's "in-stent" - as in restenosis


meaning "in sinus rhythm." nm
Subject: meaning "in sinus rhythm." nm


Extremity exam after surgery - see inside
Subject: Extremity exam after surgery - see inside

Patient post surgery Hys & BSO.  Medical consult.


Doc dictates -- Compression stockines and ____ in place.


The blank sounds like pneumovac.  Can anyone help me verify or give any suggestions.


Thank you!


Could the phrase be, "in formalin" instead of "informally" nm
Subject: Could the phrase be, "in formalin" instead of "informally" nm

nm
maybe "in portion"...poor English use, but a WAG. sm
Subject: maybe "in portion"...poor English use, but a WAG. sm

The "in" portion of the study as opposed to the "out" portion. Maybe he was talking slowly because he was...thinking..while...talking.... I've done that myself.
Pt with MS, s/; "Tatense" is decreased over the right upper extremity.
Subject: Pt with MS, s/; "Tatense" is decreased over the right upper extremity.

This is on Neurologic exam: Dorsiflexor 2/5 and the remainder at 4/5. DTRs are 3+ throughout, except for 2+ at the ankles. Tatense is decreased over the right upper extremity but intact throughout on the remaining three extremities.
"breaking in to"--"in" and "to" just happen to be beside one another
Subject: "breaking in to"--"in" and "to" just happen to be beside one another

Into or In to?
"Into is a preposition that has many definitions, but they all generally relate to direction.
On the other hand, in by itself can be an adverb, preposition, or adjective (and to by itself is a preposition or an adverb). Sometimes in and to just end up next to each other.

Maybe examples will help!
He walked into the room.
(Which direction was he going? Into the room.)

We broke in to the room.
('Broke in' is a phrasal verb. What did you break in to? The room.)

(Fogarty, Grammar Girl's Quick and Dirty Tips 34-35).
Or, could it be "in and out" suture technique. Just don't know/can't find
Subject: Or, could it be "in and out" suture technique. Just don't know/can't find


stone "in gradu" formation...
Subject: stone "in gradu" formation...

That is the complete sentence if that helps any?
taking insulin "in excess" maybe
Subject: taking insulin "in excess" maybe