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no rebound, guarding, or rigidity. Common to hear no guarding on abdominal exam.

Posted By: lacey on 2008-07-10
In Reply to: help with word - Tara

Subject: no rebound, guarding, or rigidity. Common to hear no guarding on abdominal exam.




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  • help with word - Tara
    • no rebound, guarding, or rigidity. Common to hear no guarding on abdominal exam. - lacey

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well, if the doc is doing abdominal exam, he would be looking for guarding, tenderness, rebound, etc
Subject: well, if the doc is doing abdominal exam, he would be looking for guarding, tenderness, rebound, etc in the

abdominal and pelvic region to rule out either a renal (kidney pain is mixed with back pain), or peritoneal or or intestinal pain, which can radiate to back. So if you hear it clearly, I think it is right, many docs use certain phrases lots of times!
without rebound or guarding?
Subject: without rebound or guarding?

I don't know the 2nd one, sorry :(
no guarding or rebound ??? (nm)
Subject: no guarding or rebound ??? (nm)


No PARTICULAR guarding
Subject: No PARTICULAR guarding

does that sound weird to anyone else?  Oh well....
gut wall guarding?
Subject: gut wall guarding?

Anyone heard of this.  Stating gut wall guarding right shoulder.


gut wall guarding?
Have you heard of this? Stating gut wall gaurding right shoulder.
no mass appreciated, no guarding
Subject: no mass appreciated, no guarding

xx
There is hesitancy in range of motion due to pain and guarding on the patient’s para-articular flexi
Subject: There is hesitancy in range of motion due to pain and guarding on the patient’s para-articular flexion, extension and supination.


Okay. It's very common - you will hear it
Subject: Okay. It's very common - you will hear it

a lot. I love my books because of the way you can look up the word you know (gait), and see your choices.
most common: can you hear penicillin ???
Subject: most common: can you hear penicillin ???


common to hear NICU. nm
Subject: common to hear NICU. nm


probably abdominal/... exam
Subject: probably abdominal/... exam

n/m
ABDOMINAL EXAM
Subject: ABDOMINAL EXAM

negative psoas sign (psoas is a muscle)
Rosie
Abdominal Exam
Subject: Abdominal Exam

Trying to find a word in the abdominal exam..


ABDOMEN:  Positive bowel sounds throughout.  Soft, flat, non (sounds like decendent??)


Any help would be greatly appreciated! Thanks


Abdominal Exam help!!!

I keep getting the same dictator who I believe it is during the abdominal exam although he is speaking 3 million miles a minute:


Anyone ever heard of "negative heel strike?"


 


 


Abdominal exam word-HELP
Subject: Abdominal exam word-HELP

TI cound not reproduce any pain in the epigastrium or in the subxiphoid area.  There was no s/l bulbar-igmea or abnormal bowel sounds.


 


HELP!!


Maybe saying abdominal/liver exam? nm
Subject: Maybe saying abdominal/liver exam? nm


I have had this dictated with the abdominal exam,
Subject: I have had this dictated with the abdominal exam,

GU exam, and specifically the back exam. If dictated under a heading, put it where it is dictated.
abdominal exam--s/l "heel tap"
Subject: abdominal exam--s/l "heel tap"

I've got a machine-gun-speed dictator who is doing an abdominal exam and talks about the Lloyd's maneuver (kidney punch) and then says "negative s/l heel tap." Does anyone know what this might be? Thanks in advance.


 


very common to hear "closed reduction" for a nasal fracture. nm
Subject: very common to hear "closed reduction" for a nasal fracture. nm


are you hearing hypoxemia (common to hear in the medical field). nm
Subject: are you hearing hypoxemia (common to hear in the medical field). nm

s

help please s/l sicussion splash for abdominal exam
Subject: help please s/l sicussion splash for abdominal exam

thank you very much!
abdominal exam s/l negative sew-is sign?
Subject: abdominal exam s/l negative sew-is sign?


Makes sense in abdominal exam sm
Subject: Makes sense in abdominal exam sm

There is the Murphy's test, also called kidney punch etc.


 


College of Medicine - University of Illinois Urbana-Champaign




What is the significance of a Murphy's Test other than to diagnose RUQ pain? A. Murphy's test is a specific exam finding. The sign is for the diagnosis of ...
https://www-s.med.uiuc.edu/m1/ihd/cases/Gelb/Gelb0506.php - 34k -


 


Groin goes under abdominal exam. CVA goes under spine.
Subject: Groin goes under abdominal exam. CVA goes under spine.


Abdominal exam... neg S/L "fisk" compression.. sm...
Subject: Abdominal exam... neg S/L "fisk" compression.. sm...

The doc dictates:  "No epigastric distress. Negative Murphy's, negative S/L "fisk compression".  The spleen is not involved." 


TIA for your ideas!


s/l negative "rose wing" on abdominal exam. thanx
Subject: s/l negative "rose wing" on abdominal exam. thanx


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

nm
Pt on abdominal exam s/l negative Four Haaves sign (with long A). nm
Subject: Pt on abdominal exam s/l negative Four Haaves sign (with long A). nm


abdominal exam -- negative soas, s/l rothsake, and Murphy signs?
Subject: abdominal exam -- negative soas, s/l rothsake, and Murphy signs?


Would "no costovertebral angle tenderness' be abdominal or back exam?
Subject: Would "no costovertebral angle tenderness' be abdominal or back exam?


common to hear either 14.9 g/dL or 14.9 percent, but not grams percent. nm
Subject: common to hear either 14.9 g/dL or 14.9 percent, but not grams percent. nm

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


renal rebound?
Subject: renal rebound?

No masses, renal rebound, or guarding.


This is under abdomen in the physical exam section.


the pt has abdominal pain and diarrhea.


 


No localizing, rebound or tenderness.
Subject: No localizing, rebound or tenderness.

Just wondering how anyone else would write this sentence.

Her examination today showed a weight of 142 pounds, blood pressure of 126/84, and her abdominal examination showed some minimal tenderness throughout. No localizing, rebound or guarding. No obvious organomegaly or masses.

TIA!!!
s/l follicular rebound (abdomen) nm
Subject: s/l follicular rebound (abdomen) nm


s/l rigidity
Subject: s/l rigidity

maybe good "elasticity and turgor"??
rigidity
Subject: rigidity

cogwheel rigidity
rigidity?
Subject: rigidity?


?no rigidity??
Subject: ?no rigidity??

...
nuchal rigidity
Subject: nuchal rigidity

nm
neck rigidity
Subject: neck rigidity

That is what I was thinking.  Can this been seen in the neuro exam because that is where she is next?
S/L coll-er-well rigidity
Subject: S/L coll-er-well rigidity

The doctor is going over the neurologic exam. 


"the patient has no resting tremor, no (s/l coll-er-well) rigidity, no Parkinsonian facies, and no shuffling gait."


any chance it's cogwheel rigidity?
Subject: any chance it's cogwheel rigidity?

Stedmans says its "a type of rigidity seen in parkinsonism in which the muscles respond with cogwheellike jerks to the use of constant force in bending the limb."
oops rigidity is PE, acidity is ROS, sorry!
Subject: oops rigidity is PE, acidity is ROS, sorry!


nuchal rigidity? In neck region...
Subject: nuchal rigidity? In neck region...


Yes, I think that would be part of neurological testing which would be nuchal rigidity.
Subject: Yes, I think that would be part of neurological testing which would be nuchal rigidity.


Brudzinski's sign. Also, it's *nuchal* rigidity. (nomsg)
Subject: Brudzinski's sign. Also, it's *nuchal* rigidity. (nomsg)

xx
would doc say skin with good s/l rigidity??? and turgor for elderly patient?
Subject: would doc say skin with good s/l rigidity??? and turgor for elderly patient?


Yes it is very common.
Subject: Yes it is very common.


yes, because it is a common lab value
Subject: yes, because it is a common lab value

If you find it easier to remember, you can write it out as hemoglobin A1c (and it would give you extra characters).  However, if you were to type the abbrev form, you would not get docked for it.