Home     Contact Us    
Main Board Job Seeker's Board Job Wanted Board Resume Bank Company Board Word Help Medquist New MTs Classifieds Offshore Concerns VR/Speech Recognition Tech Help Coding/Medical Billing
Gab Board Politics Comedy Stop Health Issues
ADVERTISEMENT




Serving Over 20,000 US Medical Transcriptionists

Head/neck exam

Posted By: lovely1991 on 2008-12-10
In Reply to:

Subject: Head/neck exam

in the physical exam under head/neck...s/l arcus sinosis is present.




Complete Discussion Below: marks the location of current message within thread

The messages you are viewing are archived/old.
To view latest messages and participate in discussions, select the boards given in left menu


Other related messages found in our database

head/neck exam
Subject: head/neck exam

found it! arcus senilis it is :)
I know, but on head and neck exam in review of systems, it is very usual for Dr. to make mention of
Subject: I know, but on head and neck exam in review of systems, it is very usual for Dr. to make mention of ,,,,

all the usual complaints of the specific region, as in neck, no lyphadenopathy, chest, no rales or wheezes, etc., it is a consult. What does he say about something green on the guy's head????
physical exam: neck shows no s/l N-S-E? looking for a standard abbrev. used for neck. nm
Subject: physical exam: neck shows no s/l N-S-E? looking for a standard abbrev. used for neck. nm

d
posterior 36 mm head and neck
Have you ever heard of it?  I've done plently of total hip arthro, have have typed many a mm head and neck, but never posterior, nor can I verify, has anyone ever heard of it and have a clue where I could verify it?
Throat exam is normal, as were the rest of her neck, face, and skull exam.
Subject: Throat exam is normal, as were the rest of her neck, face, and skull exam.


I think this is the type of incision used in Head and Neck Surgery. see inside
Subject: I think this is the type of incision used in Head and Neck Surgery. see inside

Schobinger 1957-(fig 3a and 3b) Higher horizontal incision allows easier access to oral cavity and
various modifications for posterior vertical limb.
Shorter superior flap allows midline lip splitting extension with less likelihood of loss of tip (Becker 1984, fig 3c)

Also found:

Surgical treatment of many tumors of the head and neck require extended approaches. Many cervicotomies have been described in the treatment of head and neck and cervical tumors; careful thought must be made by a surgeon when surgical treatment is planned for an extended tumor.Our purpose is to show the versatility of the modified Schobinger incision.



HEENT is head, eyes, ears, nose and throat. NECK would be listed separately.
Subject: HEENT is head, eyes, ears, nose and throat. NECK would be listed separately.


I'm sorry, what does this have to do with a neck exam?
Subject: I'm sorry, what does this have to do with a neck exam?

nm
Under Neck Exam
Subject: Under Neck Exam

Neck:  He has hard scar tissue in the right of his neck, but no nodes are noted.  s/l Adison's test is positive. 
Neck Exam
Subject: Neck Exam

Neck: No jugular venous pressure; no s/l 'hepatoreflux'.


Need help with the term hepatoreflux!


Head exam: See
Subject: Head exam: See

"An s/l OMIRE reservoir is present on the left side of the patient's scalp."
Neck exam - pulses
Subject: Neck exam - pulses

Has anyone ever heard of Carotid "end" pulses.  This is the second time he has said this and sounds like "end" pulses.  Is it possible he could be saying carotid "and" pulses are diminished bilaterally.  I cannot find anything anywhere.


Thanks, Karen 


on exam of the neck he says No s/l maningeals??
Subject: on exam of the neck he says No s/l maningeals??

are palpable
on neck exam, s/l ta-kia? was not deviated
Subject: on neck exam, s/l ta-kia? was not deviated


Neck Exam: s/l "Prismal" sign is negative. ??
Subject: Neck Exam: s/l "Prismal" sign is negative. ??


Neck exam: Negative for a s/l cow's node. Help, I'm tired!!
Subject: Neck exam: Negative for a s/l cow's node. Help, I'm tired!!


Physical exam: Head is normalized normal.
Subject: Physical exam: Head is normalized normal.

Just a well-child check, no special diagnosis or medical history.


On neck exam: s/l Crackle middle space diminished. nm
Subject: On neck exam: s/l Crackle middle space diminished. nm

Not cricopharyngeal space.  Second time doc has said this exact thing in two different documents.  Any ideas?  She is a sleep/wake doctor. 
Exam reveals discomfort and crepitus about the radial head and s/l capatome. Thanks!
Subject: Exam reveals discomfort and crepitus about the radial head and s/l capatome. Thanks!


Pt with cardiomyopathy. Neck Exam: s/l "Craco middle" space is slightly diminished. nm
Subject: Pt with cardiomyopathy. Neck Exam: s/l "Craco middle" space is slightly diminished. nm


There is neck dystonia (neurologic condition affecting the muscles of the neck)?
Subject: There is neck dystonia (neurologic condition affecting the muscles of the neck)?


Eye exam: s/l "sub-lamp" exam shows left side has multiple small punctations in the cornea.(t
Subject: Eye exam: s/l "sub-lamp" exam shows left side has multiple small punctations in the cornea.(thanks)


Physical exam on eye exam, s/l Cardinal Welk's space?? noted.NM
Subject: Physical exam on eye exam, s/l Cardinal Welk's space?? noted.NM


What kind of doc is doing the exam? And where in the exam is this test mentioned? nm
Subject: What kind of doc is doing the exam? And where in the exam is this test mentioned? nm

s
Question about eye exam...when everting lids on eye exam (sm)
Subject: Question about eye exam...when everting lids on eye exam (sm)

It is EVERT, not AVERT, right? I have always typed it with an E but I have a PA who keeps insisting it is A.  I always thought Avert applied to gaze, as if to look away.  Just want to make sure everting the eyelid is the right term.  TIA. 
V neck
Subject: V neck

Is this correct V neck, v neck, or V-neck??? Help appreciated.


Thanks 


CT head/esl doc
Subject: CT head/esl doc

CT brain showed central s/l "cortical and cerebellar" involutional changes, old infarct in the territory of the anterior s/l "BR" of the left middle cerebral artery.


Not sure on the wording in first one.  I am coming up with a blank on the second.


Ha ha! This doc is exactly enough of a bu**head to say this... (sm)
Subject: Ha ha! This doc is exactly enough of a bu**head to say this... (sm)

Thanks! I bet that's it!
CT of the head
Subject: CT of the head

The patient has a history of a remote-appearing lacunar infarct within the left frontal lobe adjacent to the left frontal horn of the left lateral ventricle and mild periventricular white matter chronic small-vessel disease on CT scan of the head without contrast.


I am just concerned with the ..periventricular white matter chronic small-vessel disease


How would you type this? the doctor just says it without any pausing.


ahhhhhhh!


s/l CVC of the head was done???
Subject: s/l CVC of the head was done???


Head. Thank you!
Subject: Head. Thank you!

xx
Help! Head CT. SM
Subject: Help! Head CT. SM

Elderly patient with transient alteration of awareness.  It reads:


"Minor periventricular areas of low attenuation without definite evidence of s/l TRANS-UH-TIN-UH-MUL flow CSF to suggest acute hydrocephalus."


HEAD CT
Subject: HEAD CT


I am have troubles filling in the blanks here, can anyone lead me in the right direction?


HEAD CT


Contiguous axial image was obtained from base of the skull to the vertex without (intravenous) IV contrast. Multiple regions of decreased density are seen in the right and left internal capsule. There is no evidence of benign shift, common mass effect or (avastment) of cell _______intervals or cisterns. The cell _____intervals are_________ . Inspections of _________was unremarkable.


HEAD CT
Subject: HEAD CT


IMPRESSION


1. Multiple regions of low density in both sides of internal capsule. (cannot understand this word) represent old white matter infarcts.


head?
Subject: head?


CT of Head.
Subject: CT of Head.

Does this sound right: ...effacement of sulci, ventricles, or cisterns. Inspection of (bone or brain?) windows are unremarkable.
Neck: Supple, no LAD. What's the LAD mean?
Subject: Neck: Supple, no LAD. What's the LAD mean?

: Supple, no LAD, no jugular venous distention, no thyromegaly


The area was the neck...sm
Subject: The area was the neck...sm

I have already turned in the report. Even QA could not figure out what she was saying. They asked that a blank be left. Thank you for trying though. I appreciate it.
how about "torticollis of her neck."
Subject: how about "torticollis of her neck."


Could he be saying "area of his neck" or even C8?
Subject: Could he be saying "area of his neck" or even C8?

x
Abdomen: tip of the neck?
Subject: Abdomen: tip of the neck?

ABDOMEN: Normal bowel sounds, soft, nondistended. On the tip of the ___ nontender. Sounds like he is saying tip of the neck. Is that possible?


medication gel for neck
Subject: medication gel for neck

Medication S/l pi'a'low- gel on the back of her neck with amitriptyline Neurontin and lidocaine.


Thanks


neck rigidity
Subject: neck rigidity

That is what I was thinking.  Can this been seen in the neuro exam because that is where she is next?
s/l "tech-ib" neck? sm
Subject: s/l "tech-ib" neck? sm

ER assessment of pnt with h/o of CVAs: Contractures in all extremities. Extremely s/l "tech-ib" neck and working very hard to breathe.
neck length
Subject: neck length


Neck Tenderness
Subject: Neck Tenderness

I'm typing a report and this it what it sounds like..


NECK:  Supple, no overtechial?? tenderness or paraoverchevial??? tenderness at this time.


Does anyone know these types of tenderness in the neck?? Thank you!!


I would put it under a heading of NECK. sm
Subject: I would put it under a heading of NECK. sm

One of the tests for meningitis is to bend your chin to your chest or to your shoulders. So if the pateint can to this, they have no meningeal signs or meningismus.
s/l Neck retid
Subject: s/l Neck retid

Anyone have an idea what my doc might be saying? It s/l "retid." Here it is in context: 


"A No. 15 blade was employed to make a curvilinear incision along a neck retid"


Thanks!


 


s/l nava-neck
Subject: s/l nava-neck

The patient was placed on Omnipred and s/l Nava-neck three times a day in the right eye. 
Neck muscles?
Subject: Neck muscles?

Needing help with this sentence please.

'The medial aspect of the (s/l longest cola) muscles (s/l colorized) bilaterally at this level.'

Thanks in advance.
Head laceration still.
Subject: Head laceration still.

Doctor is referring to s/l "Harrow" arterial bleeders being cauterized.  Can't find anything on this either?