| CVAT in the extremities?  What would this mean?Posted By: academia on 2007-09-17In Reply to: ?CVAT would make sense?  Wonder if dictator meant that. - MQnewB
 
 Subject: CVAT in the extremities?  What would this mean?
 
 NM
 
 
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 You can put CVAT and be done with it. nm
 Subject: You can put CVAT and be done with it. nm
 
 
 I put CVAT under musculoskeltal. They sm
 Subject: I put CVAT under musculoskeltal. They sm
 
 will drive you nuts with that one, sticking it every place in the exam. Usually talking about back etc when they throw it in.
 CVA tenderness or CVAT
 Subject: CVA tenderness or CVAT
 
 
   I have always typed CVA tenderness or CVAT.
 Subject: I have always typed CVA tenderness or CVAT.
 
 
 oops I meant CVA and/or CVAT...n/m
 Subject: oops I meant CVA and/or CVAT...n/m
 
 
   CVAT-no costovertebral angle tenderness
 Subject: CVAT-no costovertebral angle tenderness
 
 
 CVAT is usually dictated before or after extremity exam but I have, just yesterday, had a dictator say this in the extremity exam. 
 I'd just make another subheading (flush left,  if that's how the CP says to format and it is not a verbatim account.... 
 BACK:  No CVAT. 
 JMO-just my opinion ?CVAT would make sense?  Wonder if dictator meant that.
 Subject: ?CVAT would make sense?  Wonder if dictator meant that.
 
 nm
 Extremities help
 Subject: Extremities help
 
 
 TGIF everyone! 
 Dr. states "extremiteis have clubbing, edema, and s/l ches-pa-nin."  I've looked at a million websites but am coming up with nothing.  Chest pain doesn't make sense--any thoughts? extremities
 Subject: extremities
 
 Is there any information in the rest of the report that might give a clue such as chief complaint/diagnosis, etc.?
 Extremities
 Subject: Extremities
 
 
 EXTREMITIES:  Dark s/l rugor as she does have peripheral vascular disease. 
 Any ideas?
 The dictator spells it out as rugor.  Just making sure it exists.
 Extremities - no CVA or CVP?
 Subject: Extremities - no CVA or CVP?
 
 
 Has anyone ever heard of either of these terms dictated under the "extremities" section of a physical exam?  I can understand "no CVA" in a way because of the patient ever had a stroke then their extremities might be effected (although I would think this would go under the neuro section).  Its the CVP that I'm not getting.  I've checked my abbreviation references and I can't find anything this would refer to. 
 BTW, I left this blank.  The QA department filled the blank with No CVA or CVP.  I'm curious more than anything.  Am I missing something here? extremities
 Subject: extremities
 
 EXTREMITIES: Full range of motion.s/l*no pull incentive.*
 
 62-year-old woman - no complaints
 
 Thanks for your help.
 Extremities
 Subject: Extremities
 
 
 one more extremities
 Subject: one more extremities
 
 
  Extremities: There was no s/l lawgren ____ syndrome present. 
 Thanks 
   Extremities
 Subject: Extremities
 
 
 Homan sign is negative.  There is no ??_________ or calf tenderness. 
 it kind of sounds like gastra something. I've searched google under Homan sign and calf tenderness and i just don't have the slightest idea what this could be. There is no s/l placidity to his extremities.
 Subject: There is no s/l placidity to his extremities.
 
 
   in the extremities are there NPO? pulses?
 Subject: in the extremities are there NPO? pulses?
 
 
 see above, probably not related to extremities nm
 Subject: see above, probably not related to extremities nm
 
 x
 pulses in extremities
 He says posterior tibials 2+,  politeals 1-1/2+ ????  How should this be typed?
 Extremities  exam:
 Subject: Extremities  exam:
 
 
   
 s/l altoitialpalses are palpable. 
 Any idea what this term is? This is under Extremities physical exam.  
 Extremities: No edema. Altoitailpalses are palpable. Extremities word help
 Subject: Extremities word help
 
 
 This is on a physical examination under the heading extremities. 
 EXTREMITIES: Extremities show [hemorisnose] bilaterally.  
 I am having trouble with the word in brackets. That is what it sounds like. extremities word help
 Subject: extremities word help
 
 
 Heberden's nodes, named for William Heberden (1710-1801)[1], are hard or bony swellings which can develop in the distal interphalangeal joints (DIP) (the joints closest to the end of the fingers and toes). They are a sign of osteoarthritis, and are caused by formation... lower extremities
 Subject: lower extremities
 
 Could dictator be saying "gastrocs" for inner gastrocnemius muscles?  Let us know, if you find out -- this is a doozy! Rosie
 
 venous s/l chassis changes.( in the pe of extremities)
 Subject: venous s/l chassis changes.( in the pe of extremities)
 
 
 I think bones, joints and extremities.  nm
 Subject: I think bones, joints and extremities.  nm
 
 nm
 Extremities PE No chords or cords
 Subject: Extremities PE No chords or cords
 
 
 more likely a type of osteoarthritis because no it would not go there under extremities.
 Subject: more likely a type of osteoarthritis because no it would not go there under extremities.
 
 
 In PE: Extremities with basilar edema
 Subject: In PE: Extremities with basilar edema
 
 Patient has pneumonia.  Is this right or should I leave a blank?  Thanks.
 I see. In this pt it's upper & lower extremities [SM]
 Subject: I see. In this pt it's upper & lower extremities [SM]
 
 
 
 how about the extremities part of the exam?? nm
 Subject: how about the extremities part of the exam?? nm
 
 
 Neurology word help re extremities
 Subject: Neurology word help re extremities
 
 
 Neurology -  
 s/l briskly localizes in all four extremities (or maybe I am missing something between briskly and localizes, or maybe it's brisk ___ localizes in all four extremities.  Thanks  Lower extremities ? - could be pedal OR it
 Subject: Lower extremities ? - could be pedal OR it
 
 could just be plain ol' palpable.
 muscles of the upper extremities - sm
 Subject: muscles of the upper extremities - sm
 
 include opponens pollicis, lumbricals, and interossei.  Hope this helps!
 autopsy word -- Extremities are pugilistic
 Subject: autopsy word -- Extremities are pugilistic
 
 
 Any ideas on this one?   This poor thing was burned.  s/l pugilistic 
 thanks lower extremities - might be "peroneal nerve" /nm
 Subject: lower extremities - might be "peroneal nerve" /nm
 
 .
 Compression stockings over both lower extremities?
 Subject: Compression stockings over both lower extremities?
 
 Another stab in the dark...this one's drivin' me nuts for some reason!
   How about extremities no clubbing, cyanosis, or edema. no
 Subject: How about extremities no clubbing, cyanosis, or edema. no
 
 xxx
 s/l Lateral Lig views of the lower extremities
 Subject: s/l Lateral Lig views of the lower extremities
 
 
 Bilateral Lower Extremities (Test) 
 Lateral Lig views of the lower extremities  Neurological: Moving all 4 extremities and s/l withdrawing to sensation.
 
   extremities- positive s/l esquail edema is present
 Subject: extremities- positive s/l esquail edema is present
 
 
 No CCE? clubbing, cyanosis or edema? Extremities exam? nm
 Subject: No CCE? clubbing, cyanosis or edema? Extremities exam? nm
 
 
 physical exam: Extremities have *bordy* edema. Thanks!
 Subject: physical exam: Extremities have *bordy* edema. Thanks!
 
 
 There are bruises on the extremities, but no "local eye a severe" pain???
 Subject: There are bruises on the extremities, but no "local eye a severe" pain???
 
 
 Anyone know what this might be?   S/L areas of "ka-poor upper/lower extremities?sm
 Subject: S/L areas of "ka-poor upper/lower extremities?sm
 
 
 Or S/L areas that appear upper and lower extremities and some mottling of lower extremities with some cyanosis of digits. 
 ideas!  Thank you! 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
 #1 might be "extra sounds; extremities without edema." #2 is "leukocyte esterase" (nm)
 Subject: #1 might be "extra sounds; extremities without edema." #2 is "leukocyte esterase" (nm)
 
 x
 Here is a good all around PE link. Click on lower extremities exam. sm
 Subject: Here is a good all around PE link. Click on lower extremities exam. sm
 
 http://meded.ucsd.edu/clinicalmed/extremities.htm
 sorry...messed that up....s/l contact "art" assist level for the lower extremities?  nm
 Subject: sorry...messed that up....s/l contact "art" assist level for the lower extremities?  nm
 
 x
 Pt has hemosiderin staining of both lower extremities with severe s/l lipodermosclerosis on left.
 Subject: Pt has hemosiderin staining of both lower extremities with severe s/l lipodermosclerosis on left.
 
 x
 *Par due orange* of the lower extremities secondary to congestive heart failure. - sm
 Subject: *Par due orange* of the lower extremities secondary to congestive heart failure. - sm
 
 he spells and says it is three separate words???? Thanks.
 Decreased pinpric sensation to the bilateral lower extremities but areas of s/l passhiveness -sm-
 Subject: Decreased pinpric sensation to the bilateral lower extremities but areas of s/l passhiveness -sm-
 
 with increased sensation.  Would passiveness fit here?  Help is appreciated.  Thanks!
 
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