| Extremities helpPosted By: Stacy on 2007-02-16In Reply to:
 
 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? 
 
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 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.
 
 
   CVAT in the extremities?  What would this mean?
 Subject: CVAT in the extremities?  What would this mean?
 
 NM
 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!
 , inspection of her bilateral upper extremities, shows her s/l 'enteal' incision on the left s
 Subject: , inspection of her bilateral upper extremities, shows her s/l 'enteal' incision on the left side
 
 
   "good capillary refill and *brisk distal pulses*?? over both lower extremities" (my 2 cents) n
 Subject: "good capillary refill and *brisk distal pulses*?? over both lower extremities" (my 2 cents) nm
 
 
 Range of motion of his lower extremities was full in range accompanied by mild ____ sign
 Subject: Range of motion of his lower extremities was full in range accompanied by mild ____ sign
 
 
 . Could use Thorax or Extremities. Axillary line is the horizontal line
 Subject: Could use Thorax or Extremities. Axillary line is the horizontal line
 
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