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Breast exam reveals no masses in the tail or s/l spence. Pt with a gunshot wound to the chest. TIA

Posted By: Jen on 2008-08-04
In Reply to:

Subject: Breast exam reveals no masses in the tail or s/l spence. Pt with a gunshot wound to the chest. TIA




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tail of Spence
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Subject: Auscultation of the chest reveals

s/l sonorus noises. 


I know that I have seen this one before but am drawing a total blank.


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Subject: portable chest x-ray reveals.....nm

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chest CT reveals diffuse s/l *centry* lobar emphysema. nm Thanks!
Subject: chest CT reveals diffuse s/l *centry* lobar emphysema. nm Thanks!


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Subject: patient with breast cancer. skin reveals no evidence of *poterauge*??? thanks. nm

nm
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Subject: Rectal exam: hemorrhoids, "suzors", or masses. nm


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Subject: GYN exam reveals a positive *shanglere*


sounds like perivascular exam reveals
Subject: sounds like perivascular exam reveals

a slightly prolonged expiratory phase and occasional rhonchi
Which is correct? self-breast exam or breast self-exam (nm)
Subject: Which is correct? self-breast exam or breast self-exam (nm)

xx
exam of back reveals it to be symmetrical without s/l farming???
Subject: exam of back reveals it to be symmetrical without s/l farming???


Exam of the spine reveals no s/l har-i-cu-tan-e-ous lesions. This is on a child. nm
Subject: Exam of the spine reveals no s/l har-i-cu-tan-e-ous lesions. This is on a child. nm


Exam of both feet reveals large medial **bos** that are not correctable. TIA nm
Subject: Exam of both feet reveals large medial **bos** that are not correctable. TIA nm


Chest exam on H&P, chest is symmetrical, free of dull s/l dull suspence straight, and without pectus
Subject: Chest exam on H&P, chest is symmetrical, free of dull s/l dull suspence straight, and without pectus

excurvatum.  No sure of "free of dull suspence straight"
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Subject: Exam reveals discomfort and crepitus about the radial head and s/l capatome. Thanks!


s/l Sargent-Masterson repair of right chest wound
Subject: s/l Sargent-Masterson repair of right chest wound

Patient in the midst of procedures, procedure in question at bottom.  Thanks for the help. 

Percutaneous endoscopic gastrostomy.Tracheotomy.  Right modified radical neck dissection sparing cranial nerve XI and internal jugular vein.  Composite resection of right tongue and oral cavity via a mandibular swing approach.  Lorenz titanium bar mandible reconstruction.  Right port removal.  Right pectoralis major myocutaneous flap reconstruction.  Sargent-Masterson repair of right chest wound.


Exam of the left hand reveals a 0.5 x 0.5 cm area of s/l pointing along the proximal phalanx to sm
Subject: Exam of the left hand reveals a 0.5 x 0.5 cm area of s/l pointing along the proximal phalanx to sm

the 5th finger on the palmar surface. Thanks for any help.

Not my day. exam of the chest and states (sm)
Subject: Not my day. exam of the chest and states (sm)

the "pox" is 90 and felt 87, and she is on oxygen.  This in the exam of the chest.  What could "pox" be? 
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Subject: Chest exam s/l *WP* or *WB* is negative

any ideas?
question about chest exam
Subject: question about chest exam

Sorry for so many questions tonight. They started me on a new account and this guy is hard!

Chest is clear without wheezing, rales, s/l flare or retractions.
breast exam
Subject: breast exam

peau d'orange
breast exam ?
Subject: breast exam ?

s/l; The talus bend??? seems somewhat thickened on each...breast exam...
Self-breast exam or self-breast-exam or.......TIA!
Subject: Self-breast exam or self-breast-exam or.......TIA!

a
self-breast exam
Subject: self-breast exam


breast self-exam
Subject: breast self-exam

This is the way we have been told to use it.


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Subject: breast exam help sm

Patient with breast cancer.


Patient has nipple retraction and s/l tepicular thickening in the posterior region of the right breast. 


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Subject: breast self-exam...nm

x
chest exam: s/o "breh-too-then" is unremarkable..tia! -nm
Subject: chest exam: s/o "breh-too-then" is unremarkable..tia! -nm


Phys Exam, Chest section
Subject: Phys Exam, Chest section

Dictator is Indian.

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Help with one word on breast exam, please.
Subject: Help with one word on breast exam, please.

Doctor dictates:


"I think the largest of her multiple breast nodules should be ultrasound core-biopsied in order to exclude the possibility of a Fah-LOI-dees," although given their size, this is unlikely, but given that they have increased in size, it may be possible."       


Thank you for your help! 


 


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Subject: Breast exam: CMP or CMT normal bilaterally? nm

nm
there's ER and PR assays in breast tissue exam
Subject: there's ER and PR assays in breast tissue exam

PR/ER positive or negative - it's used in tissue diagnosis for breast cancer I do believe....or some sort of cancer and DNA is correct.......not sure about what you are asking about the PRA/ERA....PR Assay or ER Assay but it's assay........not capital in the word, itself......
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Subject: Breast exam: No *dominant melasis*......TIA : ))

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Subject: On exam for breast reduction surgery,

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Subject: breast exam normal no _____ ORANGE?

PE report - Breast exam normal.  No (undetectable word) or S/L orange. 


Any help out there??? 


 


That's what I thought, but they always say self-breast exam. Glad it's not verbatim.TY!!(nm)
Subject: That's what I thought, but they always say self-breast exam. Glad it's not verbatim.TY!!(nm)

xx
Breast exam S/L slight FLYBO or FIBER tender tissue
Subject: Breast exam S/L slight FLYBO or FIBER tender tissue

Breasts:  Bilaterally without dimpling or retraction.  There are no firm, fixed, or dominant masses.  There is some slight FLYBO or FIBER tender tissue in the upper quadrants bilaterally.  There is no adenopathy.  Nipples are benign.


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Subject: Breast exam - She does have asymmetry in both breasts from previous s/l brain ansatangias. please sm

I know that makes no sense at all but that's what it sounds like. This doctor is from Puerto rico. Up until this point, she has been pretty clear. Thanks for any help
room warmed for gunshot surgery? Need ASAP please!
Subject: room warmed for gunshot surgery? Need ASAP please!

Has anyone heard a surgeon say "the room was warmed, the patient was prepped and draped" - this is for a patient with hemorrhagic shock and about to undergo thoracic surgery-


seven stages of Spence (shoulder) ? sm
Subject: seven stages of Spence (shoulder) ? sm

Sounds very clear, but I cannot find a reference for "7 stages of Spence"


 


Some grinding and crepitation with circumduction and the 7 stages of s/l Spence. Pain on external rotation against resistance at 0 and 90 degrees. 


 


Wound care? there is a Vista brand wound vac. sm
Subject: Wound care? there is a Vista brand wound vac. sm


  • Liberty Medical Specialties - Advanced Wound Care


    Versatile One Wound Vacuum System<a name=WoundVaccum></a> ... Vista NPWT Introducing the Vista NPWT. At only 4.3 lbs, the Versatile 1™ Portable is light ...
    www.liberty-ms.com/resource/products/productlist.asp?Cat=87 - 16k - Cached - Similar pages

  • [PDF

  • don't know really but there is a TAIL
    Subject: don't know really but there is a TAIL


    I just got a response from the doc. It is typed E/E. Mo, you were hot on the tail of this one!
    Subject: I just got a response from the doc. It is typed E/E. Mo, you were hot on the tail of this one!


    dissection of the s/l tail of durodas...
    Subject: dissection of the s/l tail of durodas...

    This is a pyeloplasty.  MD says, identified the kidney and then after some dissection of the s/l tail of durodas, we were able to identify the ureter.  Any idea? 
    Lamey tail retractor? sm
    Subject: Lamey tail retractor? sm

    ...filling the dome of the bladder with 2 moist (s/l) Lamey tail retractors.


    ....next, the (s/l) Lamey tails and retractor blades were removed completely from the bladder


    If breast, sentinel node breast biopsy.
    Subject: If breast, sentinel node breast biopsy.


    Ortho: Facet *tail* subluxation?
    Subject: Ortho: Facet *tail* subluxation?

    Context: A concomitant CT of the C-spine noted no vertebral fractures or facet *tail* subluxation.


    Can't find much in my research, blush! Can provide more info if needed. Thanks... I don't do a lot of ortho.
    masses? nm
    Subject: masses? nm

    nm
    No masses, no
    Subject: No masses, no

    hepatosplenomegaly, no (AC?) tenderness  help!
    Can you change it to questionable pancreatic TAIL lesion?
    .
    interesting! Strange that their tail does not grow back,
    Subject: interesting! Strange that their tail does not grow back,

    with lizards it does. So this species can only fool their preditors once? Poor fellows!