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Agree with Iowan "no lid lag or ptosis".

Posted By: pc on 2008-11-07
In Reply to: Physical exam of a diabetic in ketoacidosis - dana

Subject: Agree with Iowan "no lid lag or ptosis".




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An Iowan
Subject: An Iowan

Thank you so much for that information.  I had never heard that before.  I will write that down and try to remember it.  I knew I was definitely hearing "splint," but I was not sure of the context in the sentence.  Thank you again!  :-)
lid ptosis?
Subject: lid ptosis?

From Stedman's:
ptosis, pl. ptoses 
tbcsis, tbcsTz 

1. A sinking down or prolapse of an organ.
2. Syn: blepharoptosis.

ptosis?
Subject: ptosis?

It's probably "no ptosis",  as in drooping of the eyelids. 


Lid lag or ptosis?
Subject: Lid lag or ptosis?

nm
ptosis? (nm)
Subject: ptosis? (nm)

.
breast ptosis (nm)
Subject: breast ptosis (nm)

x
breast ptosis
Subject: breast ptosis

nm
Involutional ptosis maybe?
Subject: Involutional ptosis maybe?


Breast ptosis (drooping)
Subject: Breast ptosis (drooping)

nm
could be "mild left lid ptosis"
Subject: could be "mild left lid ptosis"

n/m
?? ptosis is drooping of eyelid, not normally
Subject: ?? ptosis is drooping of eyelid, not normally

x
Ptosis-drooping eyelid OR
Subject: Ptosis-drooping eyelid OR

proptosis-bulging eyeball??
On EKG, is it "No STT changes or ST-T?
Subject: On EKG, is it "No STT changes or ST-T?

This always messes me up.


Thanks.


Pt in for a rash. Doc says "no cal-la" ?? TIA
Subject: Pt in for a rash. Doc says "no cal-la" ?? TIA

x
"no atelectasis"
Subject: "no atelectasis"

a guess, after lung bases. Then Bowel loops could be the next sentence.
"no atelectasis"
Subject: "no atelectasis"

a guess, after lung bases. Then Bowel loops could be the next sentence.
"no atelectasis"
Subject: "no atelectasis"

a guess, after lung bases. Then Bowel loops could be the next sentence.
or "no ectopy"
Subject: or "no ectopy"


"no more" Nexium? nm
Subject: "no more" Nexium? nm


"No asymmetries are seen" ??
Subject: "No asymmetries are seen" ??


could be "no leukocytosis." nm.
Subject: could be "no leukocytosis." nm.

nm
"no S3 gallop" is correct. nm
Subject: "no S3 gallop" is correct. nm

x
Thanks. I still don't see a match for what he is saying. Maybe s/l "no kay kay test" will
Subject: Thanks. I still don't see a match for what he is saying. Maybe s/l "no kay kay test" will ring a bell?


How about "no history of diabetes", etc. nm
Subject: How about "no history of diabetes", etc. nm


Could it be "no signs of hepatosplenomegaly?" or sm
Subject: Could it be "no signs of hepatosplenomegaly?" or sm

no tenderness (or maybe even rebound) or hepatosplenomegaly?
how about "No abdominal hernias." .nm
Subject: how about "No abdominal hernias." .nm

.
Yes! It is "no field cuts" Thanks aln!
Subject: Yes! It is "no field cuts" Thanks aln!


can you hear "no bandemia?" nm
Subject: can you hear "no bandemia?" nm

nm
"No change" from? "previous" ????
Subject: "No change" from? "previous" ????

Is it an ESL?
Or "no evidence of JVD," perhaps, but we have no context to go on. nm
Subject: Or "no evidence of JVD," perhaps, but we have no context to go on. nm

nm
not sure if this makes sense, but I want to say "no
Subject: not sure if this makes sense, but I want to say "no

reversal..." in there - because it's mentioned in both places, maybe it's a followup study that's showing no changes or something??


probably "no bleeding or clotting disorders"
Subject: probably "no bleeding or clotting disorders"

x
Maybe it's "no dose" (there was no change in medication. nm
Subject: Maybe it's "no dose" (there was no change in medication. nm

x
Could be "no nasal flaring or retractions." /nm
Subject: Could be "no nasal flaring or retractions." /nm


In physical exam: Where will you put "no cyanosis?"
Subject: In physical exam: Where will you put "no cyanosis?"

a
X-ray report: S/l "no fracture, no dislocation, no GAS"??
Subject: X-ray report: S/l "no fracture, no dislocation, no GAS"??

This really sounds like "gas," but can "gas" be part of an x-ray report?
That's not it, but now it is sounding like "no exalate or mass"
Subject: That's not it, but now it is sounding like "no exalate or mass"


maybe "no atrial wall thickening" ? nm
Subject: maybe "no atrial wall thickening" ? nm


Phrase help, s/l "no pulsatile masses?"

under abdomen exam. I've been typing this phrase, actually, but now am hearing it clearer and wondering whether it's some other word besides "pulsatile?" Thanks for any help.


s/l "no perilumbo blush". Doing eye exam for conjunctivitis. thanks. nm
Subject: s/l "no perilumbo blush". Doing eye exam for conjunctivitis. thanks. nm


I'd put my money on the "no peculiar odor" idea, also.
Subject: I'd put my money on the "no peculiar odor" idea, also.

With a UTI, urine usually smells strange. The dictator was talking about urinary symptoms there, so don't expect he'll go off in some completely different direction.
nasal surgery - s/l "no agernase cell was seen"
Subject: nasal surgery - s/l "no agernase cell was seen"

any ideas? 
My guess...get rid of the A and "No biliary ductal dilatation"...nm
Subject: My guess...get rid of the A and "No biliary ductal dilatation"...nm

nm
Can you hear "no crepitus or deformity"? (nomsg)
Subject: Can you hear "no crepitus or deformity"? (nomsg)

xx
I have it dictated as "no added heart sounds"...nm
Subject: I have it dictated as "no added heart sounds"...nm

nm
"vena furlough"? slang for "no more venipuncture"!? nm
Subject: "vena furlough"? slang for "no more venipuncture"!? nm


"no code" ?? (meaning do not resuscitate, intubate)
Subject: "no code" ?? (meaning do not resuscitate, intubate)


wild guess..."no evidence of sequelae of hepatitis C" ?? nm
Subject: wild guess..."no evidence of sequelae of hepatitis C" ?? nm


Extremity exam: "No astericks". No tremor noted. nm
Subject: Extremity exam: "No astericks". No tremor noted. nm


in physical exam: where will I put "no cyanosis on oxygen"? Still in extremities or somewhere
Subject: in physical exam: where will I put "no cyanosis on oxygen"? Still in extremities or somewhere else?

a
Pelvic exam - sounds like "no exalative mass" nm
Subject: Pelvic exam - sounds like "no exalative mass" nm