If md says at end of report, go back to physical and add Hemmocult negative, sm
Posted By: dumb mt on 2006-01-06
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Subject: If md says at end of report, go back to physical and add Hemmocult negative, sm
Is Hemoccult always under rectal? Thank you very much
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Might just be the History and Physical that's back at the office, or the H&P. nm
Subject: Might just be the History and Physical that's back at the office, or the H&P. nm
s
in the physical exam s/l back, kethotic???
Subject: in the physical exam s/l back, kethotic???
"She had a negative MIBI back in 2002." - nm
Subject: "She had a negative MIBI back in 2002." - nm
nm
psychiatric report for a child, on the physical exam......
Subject: psychiatric report for a child, on the physical exam......
He says something that sounds very garbled and I cannot figure out what it is. Here is the paragraph:
PHYSICAL EXAMINATION: Weight is 52 pounds. Height 49.25 inches. Head circumference 52 c m. S/L palpeple fishery 27 mm bilaterally. Cranial nerves and cerebellar function were intact.
Thanks for any ideas.
Sputum cultures have come back negative for fungus "asp a sill ae". nm
Subject: Sputum cultures have come back negative for fungus "asp a sill ae". nm
I typed CA 125 on a report, QA sent it back with CA-125, SM
Subject: I typed CA 125 on a report, QA sent it back with CA-125, SM
my Stedman's has it without the dash. Any opinions? Talk about anal, geez.
ENT report s/l back??? endoscope...Thank you
Subject: ENT report s/l back??? endoscope...Thank you
Wet-prep shows negative whiff, 10-20 WBCs, negative clue, few s/l "LB's". Is LB's right?
Subject: Wet-prep shows negative whiff, 10-20 WBCs, negative clue, few s/l "LB's". Is LB's right? nm
gram-negative, lactose-negative rods is correct. I found a couple of interesting websites SM
Subject: gram-negative, lactose-negative rods is correct. I found a couple of interesting websites SM
after doing a google search for gram-negative, lactose-negative rods. Basically testing organisms to see if they ferment lactose (positive) or not (negative).
Also, just FYI, gram-negative is not capitalized.
Probably too late, I'm sure. Better late than never, I guess. 
Ortho - negative straight leg raise and negative s/l Lasek??
Subject: Ortho - negative straight leg raise and negative s/l Lasek??
She had a negative s/l clasp thumb test and a negative Finkelstein's.
Subject: She had a negative s/l clasp thumb test and a negative Finkelstein's.
:-)
McMurray's negative. Lachman's negative. nm
Subject: McMurray's negative. Lachman's negative. nm
McMurray negative. Lachman negative. No 's at end
Subject: McMurray negative. Lachman negative. No 's at end
x
back pain, given dura-back if needed for spasm. nm
Subject: back pain, given dura-back if needed for spasm. nm
s
Patient has a negative wrist extension sign on the right and a negative s/l 3rd finger sign on the R
Subject: Patient has a negative wrist extension sign on the right and a negative s/l 3rd finger sign on the R
Physical exam
Subject: Physical exam
Height: Six feet.
I'm having trouble remembering all my rules on numbers for stats and such. Is this right? Thank you.
On physical exam.. S/L
Subject: On physical exam.. S/L
or maybe slight disks bilaterally? I'm drawing a blank... HELP PLEASE and THNX!
Physical exam
Subject: Physical exam
The doctor dictated "no jugular venous distension at 30 degrees" under heart of the physical exam. Shouldn't it go under neck? Thank you.
physical exam-GU
Subject: physical exam-GU
obese 9 year old--phallus difficult to examine as the patient has a large sl-paptha- and has a concealed phallus.
re physical exam
Subject: re physical exam
PHYSICAL EXAMINATION: Significant findings for left lower quadrant tenderness. Blood pressure was 124/78, pulse rate of 96, and respiratory rate of 20. Heart: S1 and S2. Lungs: Clear to auscultation bilaterally.
I would type it this way or at least make it present tense. On my accounts, I am required to categorize these things.
PHYSICAL EXAMINATION:
Abdomen: Significant findings for left lower quadrant tenderness. Vital signs: Blood pressure 124/78, pulse rate 96, respiratory rate 20. Heart: S1 and S2. Lungs: Clear to auscultation bilaterally.
GI physical exam
Subject: GI physical exam
In the physical exam, s/l thenar and epithilial wasting. He is listing liver disease stigmata and I just blanked out on this. Help!
This is on physical exam
Subject: This is on physical exam
thanks for trying.
physical exam help
Subject: physical exam help
Physical exam, under Extremities, doctor states ___ pulses throughout.
It sounds like temporis pulses. I know of temporal pulses, but would that be throughout the extremities? Thank you!
Physical exam help?
Subject: Physical exam help?
EXAMINATION: No costovertebral angle tenderness. Abdomen has normal active bowel sounds in all quadrants. It is supple. Extremely tender left upper quadrant and going down not quite into the groin. Difficult to check the (s/l sternal) border because of increased tenderness but the spleen may be mildly enlarged but no distinct masses felt. I am unable to check for rebound or guarding because she is so exquisitely tender with even a very light touch.
ASSESSMENT: Acute left upper quadrant pain.
s/l sternal border? Any help would be great?
physical exam
Subject: physical exam
Probably just means + (the plus sign), as in positive S1, S2...just means he heard 1st and 2nd heart sounds clearly (as opposed to sounds to distant or obscured by extra sounds). If something was dictated before that, I would put a comma and use the plus sign, i.e., PREVIOUS TEXT, + S1, S2. If nothing precedes it, I would type positive S1, S2. If account wants verbatim, give it to them.
It was just a physical exam, and I don't know
Subject: It was just a physical exam, and I don't know
However, I do think it was "cervical or" inguinal adenopathy. This guy is a real mush mouth. THANK YOU ALL SO MUCH FOR YOUR HELP! I am sorry I wasn't clear enough earlier in my first message. I really do appreciate your help. This is a great board to come to--everyone is so knowledgeable!
Need help with physical exam please
Subject: Need help with physical exam please
I am wondering if, in the last sentence, where "drop can arc" is dictated . . . would she be referring to three tests/maneuvers such as Drop Arm, Empty Can, and an Arc test, or is it correct as is?
She has excellent range of motion of the shoulder. Good grip strength. Distal pulses and sensation are intact. She can do a full drop can arc.
TIA
Please help with physical exam (sm)
Subject: Please help with physical exam (sm)
Over the central aspect of the wound there is s/l shelfing of the superior aspect of the skin
This is in the physical examination. Thanx for trying
Subject: This is in the physical examination. Thanx for trying
H & P- history and physical...nm
Subject: H & P- history and physical...nm
m
Physical examination... sm
Subject: Physical examination... sm
Examination of female patient.
Musculoskeletal: No (s/l) keps, pains, or pedal edema...
Genitourinary: No (s/l) [cussforteeballing or maybe cusp or teeballing], or area tenderness.
Thanks in advance!
Physical exam help.....
Subject: Physical exam help.....
The calf was nontender. The lower leg was s/l nonpeeing. Nonpitting? Not pitting? Help, please!
Physical Examination
Subject: Physical Examination
Happy Monday everyone! Hope you all had a great weekend! I'm doing a report and wondering if any of you can point me in the right direction!
"There is good capillary refill and s/l preson to cultures over both lower extremities." Any thoughts? Any good physical examination websites?
Physical exam help
Subject: Physical exam help
HEENT: It sounds like she is saying 'TO' mucosa pink and moist. Or TL mucosa.
Any ideas?
Under physical exam...
Subject: Under physical exam...
I know this is probably really easy...BUT, the doc is rattling it off and he's new to me...
ABDOMEN: Soft, nontender, nondistended, ___ to bowel sounds.
Is it normal to bowel sounds?
Thanks....
yes, physical therapists
Subject: yes, physical therapists
What do you mean by PTs? Physical therapists?
Subject: What do you mean by PTs? Physical therapists?
.
s/l physical examination
Subject: s/l physical examination
s/l chaos lesions (Skin, no evidence of ___ lesions)
Physical Exam
Subject: Physical Exam
s/l duprichen contractions of both hands
Physical exam
Subject: Physical exam
New acct. Dr. states: Lungs were congested with s/l "rasmus" Any ideas? Thanks for the help.
physical exam
Subject: physical exam
thanks ss. Unfortunately, not rales or rhonchi. He dictates that quite often and it sounds nothing like it! I might be stuck on this one.
physical exam help
Subject: physical exam help
Patient converses in appropriate (s/l fashion _____ only). She is s/l confident imminently or eminently. Does this make sense??
physical exam help
Subject: physical exam help
He starts off Temperature 98, heart rate 73, then goes on to just list numbers like 20, 46/70, 91%. Do some doctors just list the numbers without the words. I am assuming it is the respirations and BP and maybe oxygen sat.
physical exam help
Subject: physical exam help
Examination of the head and neck reveals no s/l "antognic kerio" posture.
physical exam help
Subject: physical exam help
Antalgic carrying posture?
physical exam help
Subject: physical exam help
patient is in for left shoulder pain.
PE: No focal deficits are appreciated with neurovascular exam. s/l favored patrick's is equivocal.
Need help with a s/l - physical therapy.
Subject: Need help with a s/l - physical therapy.
Patient with persistent shoulder pain.
Gave her Anaprox and Flexeril and recommended some s/l graded physical therapy.
I've looked ever which way I can think of and can't find this. Hope someone has heard it. Thanks.
Physical therapy help please?
Subject: Physical therapy help please?
Objective section - Says negative {scour}, negative impingement. Nearby terms are negative FABER, negative piriformis.
Does scour ring any PT bells for anyone?
TIA!
physical therapy
Subject: physical therapy
Help with blank pls-Transfers, from sit to stand, [____] to chair, bed, tub and toilet, were all contact guard
Physical exam s/l please help. sm
Subject: Physical exam s/l please help. sm
On physical exam, she is not in atrial fibrillation at this point. Abdomen is soft. Pulses are intact. She s/l can do a clock, which was actually pretty good. She knew who the president was.
I feel like there must be something common with a mental status check that I'm missing here, but I don't have experience with this doc and just can't figure it out.
Any help is appreciated. Thanks.
physical exam
Subject: physical exam
could that be peripheral pulses?
Vis
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