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

Posted By: minmin on 2007-12-19
In Reply to:

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

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Neck shows no adenopathies, ....
Subject: Neck shows no adenopathies, ....

Neck shows no  (s/l) adenopathies, hydromegaly or JVD.  I know hydromegaly can't be right. 
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)?


Throat exam is normal, as were the rest of her neck, face, and skull exam.
Subject: Throat exam is normal, as were the rest of her neck, face, and skull exam.


I'm sorry, what does this have to do with a neck exam?
Subject: I'm sorry, what does this have to do with a neck exam?

nm
Under Neck Exam
Subject: Under Neck Exam

Neck:  He has hard scar tissue in the right of his neck, but no nodes are noted.  s/l Adison's test is positive. 
Neck Exam
Subject: Neck Exam

Neck: No jugular venous pressure; no s/l 'hepatoreflux'.


Need help with the term hepatoreflux!


Neck exam - pulses
Subject: Neck exam - pulses

Has anyone ever heard of Carotid "end" pulses.  This is the second time he has said this and sounds like "end" pulses.  Is it possible he could be saying carotid "and" pulses are diminished bilaterally.  I cannot find anything anywhere.


Thanks, Karen 


on exam of the neck he says No s/l maningeals??
Subject: on exam of the neck he says No s/l maningeals??

are palpable
on neck exam, s/l ta-kia? was not deviated
Subject: on neck exam, s/l ta-kia? was not deviated


head/neck exam
Subject: head/neck exam

found it! arcus senilis it is :)
Head/neck exam
Subject: Head/neck exam

in the physical exam under head/neck...s/l arcus sinosis is present.


Neck Exam: s/l "Prismal" sign is negative. ??
Subject: Neck Exam: s/l "Prismal" sign is negative. ??


Neck exam: Negative for a s/l cow's node. Help, I'm tired!!
Subject: Neck exam: Negative for a s/l cow's node. Help, I'm tired!!


On neck exam: s/l Crackle middle space diminished. nm
Subject: On neck exam: s/l Crackle middle space diminished. nm

Not cricopharyngeal space.  Second time doc has said this exact thing in two different documents.  Any ideas?  She is a sleep/wake doctor. 
physical exam shows TMA on the right side??
Subject: physical exam shows TMA on the right side??


Pt with cardiomyopathy. Neck Exam: s/l "Craco middle" space is slightly diminished. nm
Subject: Pt with cardiomyopathy. Neck Exam: s/l "Craco middle" space is slightly diminished. nm


I know, but on head and neck exam in review of systems, it is very usual for Dr. to make mention of
Subject: I know, but on head and neck exam in review of systems, it is very usual for Dr. to make mention of ,,,,

all the usual complaints of the specific region, as in neck, no lyphadenopathy, chest, no rales or wheezes, etc., it is a consult. What does he say about something green on the guy's head????
V neck
Subject: V neck

Is this correct V neck, v neck, or V-neck??? Help appreciated.


Thanks 


Standard exam?
Subject: Standard exam?

Standard exam:  His TMs are clear.  Nasal mucosa shows some erythema and edema.


I keep hearing "standard exam" in front of some subcategories under physical exam, would this be accurate. Thanks.


 


Neck: Supple, no LAD. What's the LAD mean?
Subject: Neck: Supple, no LAD. What's the LAD mean?

: Supple, no LAD, no jugular venous distention, no thyromegaly


The area was the neck...sm
Subject: The area was the neck...sm

I have already turned in the report. Even QA could not figure out what she was saying. They asked that a blank be left. Thank you for trying though. I appreciate it.
how about "torticollis of her neck."
Subject: how about "torticollis of her neck."


Could he be saying "area of his neck" or even C8?
Subject: Could he be saying "area of his neck" or even C8?

x
Abdomen: tip of the neck?
Subject: Abdomen: tip of the neck?

ABDOMEN: Normal bowel sounds, soft, nondistended. On the tip of the ___ nontender. Sounds like he is saying tip of the neck. Is that possible?


medication gel for neck
Subject: medication gel for neck

Medication S/l pi'a'low- gel on the back of her neck with amitriptyline Neurontin and lidocaine.


Thanks


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 "tech-ib" neck? sm
Subject: s/l "tech-ib" neck? sm

ER assessment of pnt with h/o of CVAs: Contractures in all extremities. Extremely s/l "tech-ib" neck and working very hard to breathe.
neck length
Subject: neck length


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!!


I would put it under a heading of NECK. sm
Subject: I would put it under a heading of NECK. sm

One of the tests for meningitis is to bend your chin to your chest or to your shoulders. So if the pateint can to this, they have no meningeal signs or meningismus.
s/l Neck retid
Subject: s/l Neck retid

Anyone have an idea what my doc might be saying? It s/l "retid." Here it is in context: 


"A No. 15 blade was employed to make a curvilinear incision along a neck retid"


Thanks!


 


s/l nava-neck
Subject: s/l nava-neck

The patient was placed on Omnipred and s/l Nava-neck three times a day in the right eye. 
Neck muscles?
Subject: Neck muscles?

Needing help with this sentence please.

'The medial aspect of the (s/l longest cola) muscles (s/l colorized) bilaterally at this level.'

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Neck: Decreased ROM in all "axies"
Subject: Neck: Decreased ROM in all "axies"


JVD is cardiac or neck. Put it where it's dictated. nm
Subject: JVD is cardiac or neck. Put it where it's dictated. nm

xx
Hmm. Usually femoral neck fractures are
Subject: Hmm. Usually femoral neck fractures are

described as Garden fractures, ranging from I through IV.

How does the sentence read and what type of report are you typing?
neck is rigid but s/l puretic.
Subject: neck is rigid but s/l puretic.

flaccid quadriplegia but the neck is rigid but s/l puretic (patient in a coma from CP arrest).  I don't think pruritic makes sense.


neck dissection with some type of
Subject: neck dissection with some type of

__ ectomy.  Here is the context:


status post a recent composite resection including a right neck dissection and ___medivalectomy___ and free flap reconstruction with a fibular free flap. 


Maybe my ears are not working right tonight!! Imagine that after being at this for 13 hours today!  Okay - many interuptions (I homeschool too), stopping to fix supper etc.  but needless to say -- I'm tired!!


Swollen gland on neck
Subject: Swollen gland on neck

He developed a sore throat that is worse on the right side on 08/23.  It is getting worse.  He has got a swollen  _____ gland on his neck. 


s/l tudor


femoral neck fracture
Subject: femoral neck fracture

This fellow has a femoral neck fracture.
HEENT: Neck supple ? nm
Subject: HEENT: Neck supple ? nm


I meant area on her neck
Subject: I meant area on her neck


like a V-neck sweater? what exactly are you talking about? nm
Subject: like a V-neck sweater? what exactly are you talking about? nm

context people, CONTEXT
Jowling in neck __(s/l rid'-i-dees)
Subject: Jowling in neck __(s/l rid'-i-dees)


I agree with "torticollis of her neck."
Subject: I agree with "torticollis of her neck."

Torticollis is caused by muscle spasm, so hemorrhage is not likely to be what he's saying, IMO.


This is for a left neck mass??? nm.
Subject: This is for a left neck mass??? nm.

nm
do you hear glenoid neck?
Subject: do you hear glenoid neck?

s
supraomohyoid neck dissection. nm
Subject: supraomohyoid neck dissection. nm

s
neck is supple without any s/l birninsky ? TIA
Subject: neck is supple without any s/l birninsky ? TIA

xx
Neck supple without s/l phism or JVD.
Subject: Neck supple without s/l phism or JVD.

TIA
HELP WITH CT SOFT TISSUE NECK
Subject: HELP WITH CT SOFT TISSUE NECK

Doc says "The lesion appears to s/l indaginate?? the parotid.  The findings are most compatible with branchial clef cyst.  Differential diagnosis would include lymphoproliferative cyst...."


 


Thanks in advance!!!