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Doc says " No edema. No evidence of s/l cords. What is meant by that? TIA!!!

Posted By: me on 2009-04-24
In Reply to:

Subject: Doc says " No edema. No evidence of s/l cords. What is meant by that? TIA!!!




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Pt on hospice...Peripheral edema, woody, heavy edema, "rabatik" appearance of bilateral legs,
Subject: Pt on hospice...Peripheral edema, woody, heavy edema, "rabatik" appearance of bilateral legs,


cords NM
Subject: cords NM

`
I think it is cords.
Subject: I think it is cords.


That's right ... cords
Subject: That's right ... cords

The patient has no cords (like in palpable varicose veins), clubbing, cyanosis or edema in the lower extremities.
cords
Subject: cords

dictates what sounds like "without tramping cords" 


I know it's cords, but could it be cramping?  It really sounds like tramping but that doesn't make sense to me. 


Thanks so much. :)


cords
Subject: cords

where are you in the body?
I agree with cords.
Subject: I agree with cords.


can you hear cords? nm
Subject: can you hear cords? nm

x
vocal cords...
Subject: vocal cords...

"presbycularynx"????  No clue!
Cords is correct. nm
Subject: Cords is correct. nm


they always say no palpable cords
Subject: they always say no palpable cords

i've always just assumed it meant something like strands... like a tendon in the leg.
cords is correct. sm
Subject: cords is correct. sm


1. In anatomy, any long ropelike structure. A small, cordlike structure composed of several to many longitudinally oriented fibers, vessels, ducts, or combinations thereof. 


Extremities PE No chords or cords
Subject: Extremities PE No chords or cords


Agree with cords - as in Dupuytren's - nm
Subject: Agree with cords - as in Dupuytren's - nm

nm
possibly palpable cords as in Dupuytren's contractures
Subject: possibly palpable cords as in Dupuytren's contractures


Sometines hear calf tenderness, swelling, cords. nm
Subject: Sometines hear calf tenderness, swelling, cords. nm


No evidence of a DVT?
Subject: No evidence of a DVT?


It's scintigraphic evidence of....
Subject: It's scintigraphic evidence of....


almost looks like evidence of ascites? WAG here.
Subject: almost looks like evidence of ascites? WAG here.


No evidence of HAVT?
Subject: No evidence of HAVT?

???
Where is the evidence linking him to culdoplasty?
Thanks, I know about the Mt. Sinai link and Alexis Moschcowitz. But his only publications were about femoral hernias, rectal prolapse, and thoracoplasty. Where is evidence firmly linking him, or anyone for that matter, to the culdoplasty?
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Subject: no evidence of "tropication" disease??

The patient had reportedly had an abnormal noninvasive arterial study with evidence of lower extremity trophication disease.   Tropication?  Any clues?


Thanks!!


There is no evidence of fistula extravasation
Subject: There is no evidence of fistula extravasation

or do you think he means


 


fistula or extravasation?


fistulous extravasation?


Walks with evidence of intaliga????
Subject: Walks with evidence of intaliga????

anybody please?
s/l centralagraphic evidence of ischemia
Subject: s/l centralagraphic evidence of ischemia

I cannot find this anywhere!  Please help.


s/l sin-thee-o-graphic evidence.. thanks
Subject: s/l sin-thee-o-graphic evidence.. thanks


Could be "intrinsic" - but are you sure it is "new" evidence? sm
Subject: Could be "intrinsic" - but are you sure it is "new" evidence? sm

Or "no" evidence? Did they find new masses or lesions?


Just checking - that little word "no" can make a WORLD of difference.


No evidence of right leg (s/l textopathy) or radiculopathy
Subject: No evidence of right leg (s/l textopathy) or radiculopathy

x
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
There are no palpable cords or calf tenderness, despite the patient’s complaint of diffuse body ache
Subject: There are no palpable cords or calf tenderness, despite the patient’s complaint of diffuse body ache


Knee exam: No evidence of s/l "aligamenesis" to
Subject: Knee exam: No evidence of s/l "aligamenesis" to

nm
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Subject: no evidence of skin peeling/descomation?

s/l descomation. 
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nm
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Subject: No evidence of any s/l propsapatella alta or tilt


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Subject: On neuro exam...there is no evidence of "wish nodules". sm

Funduscopic exam showed sharp disc margins bilaterally. There is no evidence of “wish” nodules.
physical exam: abdomen s/l no evidence of preorientation..
Subject: physical exam: abdomen s/l no evidence of preorientation..

I know that I have heard this term before but I am drawing a blank... 


Thanks for you assistance. 


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Subject: Funduscopic exam: No evidence of s/l apple eema

s/l apple eema or apalima?
"There was no evidence of a deep vein thromposis"
How do these RN's get out of HIGH SCHOOL without being able to read?
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Subject: ortho - palpation of lower ext. shows tight heel cords demonstrated by 'silver shield' test sm

Can anyone verify?  If so, one word or two words?  Can't find on google, Dorlands, or my ortho/neuro book.


TIA


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


There is no s/l streaming, no evidence of foreign body with eversion of the lids.
Subject: There is no s/l streaming, no evidence of foreign body with eversion of the lids.

Mind is blank today.
On fluoroscein staining there was no evidence of s/l streaming to suggest puncture.
Subject: On fluoroscein staining there was no evidence of s/l streaming to suggest puncture.

I know I should know this, but it has been a long day to say the least.  Thanks!!!!
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Subject: I would put MRA Abdominal Aorta: No evidence for renal artery stenosis. sm

And it is definitely not part of the ECG report.
He has a tracheostomy with no evidence of infection. He uses s/l *super reflux* for communication.
Subject: He has a tracheostomy with no evidence of infection. He uses s/l *super reflux* for communication.

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

nm
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Subject: Pt with AIDS under HEENT: enlarged tonsils. No evidence of "coplic" spots. nm


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Subject: Abdomen exam: Spleen tip palbable. No evidence of "poop medusee" !!? TIA!! nm

nm
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Subject: EEG: There was evidence of mild disorganization and diffuse slowing of the posterior ___________-sm

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Subject: Ophthalmology consult, this elderly gentleman has evidence of previous s/l a. phaci...the only

thing that comes to my mind is phacoemulsification. The doc dictating this is so old and slurs so much that he should probably be retired. Any ideas anyone?
No evidence of cramping abdominal pain that would suggest a s/l hydraged obstruction. Help??
Subject: No evidence of cramping abdominal pain that would suggest a s/l hydraged obstruction. Help??


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Subject: There is evidence of previous caput costae, left thorax with good bony healings