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

I know, but on head and neck exam in review of systems, it is very usual for Dr. to make mention of

Posted By: Cyndiee on 2008-11-05
In Reply to: no nosebleed - Lisa

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????


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 :)
Head/neck exam
Subject: Head/neck exam

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


It is Review of Systems and not Review of Symptoms.
Subject: It is Review of Systems and not Review of Symptoms.


Thats all in Review of systems.
Subject: Thats all in Review of systems.

Thanks though!
Under review of systems...
Subject: Under review of systems...

Sounds like dictator is saying:


Abdomen:  Soft. Flat. Obese.  Pressure: Soft. Obese.  No point of splenomegaly was noted.


However, it doesn't seem to me that this would fit.  He may be saying another heading instead of pressure but it is too jumbled to tell. 


Also this may be: No signs of [something] or splenomegally is noted.


 


Thanks in advance!


Review of Systems
On Review of Systems, he's saying . . ."@#$#&*&(" : No recent skin rash.  and then something else "@#$#$" : No anemia or lymph gland problems.  Psychiatric - No recent depression.    Can anyone tell me what these headings could possibly be?   I can't even get enough to give you a "sounds like".
In Review of Systems
Subject: In Review of Systems

There is no history of diabetes, polyuria, polydipsia, seizure, stroke, TIA, loss of strength or sensation, or DVT s/l pulmonary mesin around level bleeding. 


It might be 'pulmonary embolism' but I might just be wanting to hear that, it's kind of a stretch.  But the rest...


Any ideas??? Thanks.


Review of systems
Subject: Review of systems

Review of systems include shortness of breath and s/l ricacaria?? Anyone ...help???
Q in Review of Systems
Subject: Q in Review of Systems

When the doc says - Rest of systems: Negative.  do we write it that way or list the systems with Negative next to them all?


Do you want to know was ROS is? Review of systems.
Subject: Do you want to know was ROS is? Review of systems.


review of systems twice
Subject: review of systems twice

The doc says his normal ROS. At the end of his thought he pauses for a LONG TIME and then says "ROS, on the line, otherwise negative."
So should I do it like I have below or what are your suggestions?

REVIEW OF SYSTEMS: blah blah blah.
A review of systems is otherwise negative.


In review of systems he says,
Subject: In review of systems he says,

"no fevers, chills or sweat s/l size-or-trizer?
Review of Systems
Subject: Review of Systems

Of course...You are correct. I was typing too fast. :-)
Review of Systems
Subject: Review of Systems

I knew that is what you meant.
Not saying ROS of review of systems is negative? nm
Subject: Not saying ROS of review of systems is negative? nm


Other review of systems showed s/l OS negative
Subject: Other review of systems showed s/l OS negative

Other "review of systems" ____ showed s/l "OS"  negative. 
Review of systems: See HPI (History of Present Illness.)
Subject: Review of systems: See HPI (History of Present Illness.)


review of systems is "pan positive" with a lot of problems. Is this right? nm
Subject: review of systems is "pan positive" with a lot of problems. Is this right? nm


Is this right "A "ten part" review of systems reveal?
Subject: Is this right "A "ten part" review of systems reveal?

n/t
"Female: Negative" under a male's Review of Systems?
Subject: "Female: Negative" under a male's Review of Systems?

This is the only doc i have ever seen do this... can someone explain?  I'm confused.
Review of systems: Chills, night sweats,*commerfid*
Subject: Review of systems: Chills, night sweats,*commerfid*

TIA!
14 point review of systems was done s/l weighted, dated and placed in chart. Is that right?
Subject: 14 point review of systems was done s/l weighted, dated and placed in chart. Is that right?

n/t
Pt with migraines with aura, in review of systems, episodic visual s/l C D O's. nm
Subject: Pt with migraines with aura, in review of systems, episodic visual s/l C D O's. nm


?break in dictation for MT instruction? i see "add this to review of systems above the extremity
Subject: ?break in dictation for MT instruction? i see "add this to review of systems above the extremity section" in your s/l ?? nm ??


In Review of systems: Hem/Lymph: Has long-term bruising, no s/l atreemia, noncontributory. nm
Subject: In Review of systems: Hem/Lymph: Has long-term bruising, no s/l atreemia, noncontributory. nm


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.


would neck make sense?
Subject: would neck make sense?

I don't know...would neck make sense?
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


Does it make sense that Dr would say under Phys Exam: Neurologic: physiologic ?
Subject: Does it make sense that Dr would say under Phys Exam: Neurologic: physiologic ?


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)?


I really don't think it's the usual stuff, but thanks.
Subject: I really don't think it's the usual stuff, but thanks.

(nm)
Way to go Tx1 You're right on as usual.
Subject: Way to go Tx1 You're right on as usual.


thanks for all ur help =] ur awesome as usual
Subject: thanks for all ur help =] ur awesome as usual


Yep, sure is, thanks! As usual, I owe you one - or 2 this time! NM
Subject: Yep, sure is, thanks! As usual, I owe you one - or 2 this time! NM

X
The usual drug name is
Subject: The usual drug name is

clotrimazole

[ Pronunciation: kloe TRIM a zole ]

Brand Names: Mycelex Troche