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PE on consult lower extremity edema with multiple varicose veins. NO CORDAL LACK OBSTRUCTION

Posted By: lucyo on 2006-05-11
In Reply to:

Subject: PE on consult lower extremity edema with multiple varicose veins. NO CORDAL LACK OBSTRUCTION

This is a new dictator to me - has a accent.  S/L CORDAL LACK OBSTRUCTION.  Any help?? 




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Subject: Is it in regard to varicose veins?

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Subject: #1 is venostasis ulceration, #2 varicose veins...


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Subject: Perhaps saying venous stasis ulceration, varicose veins?


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Subject: CT Lower extremity

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Subject: Lower extremity exam sm

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Subject: ?MOFFET? for the left lower extremity sm

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Subject: 350 mmHg is correct for a lower extremity. nm

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Subject: lower extremity neuro under back?

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Subject: lower extremity vesicular or vascular insufficiency?

not sure which he is saying
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Subject: On NSAIDs for left lower extremity DVT prophylaxis?


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Subject: duh - never mind. He's saying "in the right lower extremity" Argh!


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Subject: on ______ (s/l NSCD?) to the left lower extremity for DVT prophylaxis

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Subject: The left lower extremity is negative "raw growth." Am I hearing this right????


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Subject: thebesian veins? smallest cardiac veins. nm


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Subject: neuro consult, neuroconsult, or neural consult?

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Subject: Reason for consult: s/l Managed medical consult

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Subject: s/l cordal

I'm doing a mitral valve repair. Surgeon says "there was no s/l cordal lengthening."

Thanks

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Subject: No jugular veins in legs, either!! Jugular veins are in the NECK!

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Subject: Set consult since it's a fracture? Or set up consult? NM

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Subject: that's right and that's why there is a huge lack

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Subject: DUH....I'm going to blame that on my lack of sleep:) THX...NM


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Subject: anergia (abnormal lack of energy)

anergia-abnormal lack of energy
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Is how I would do it.
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Subject: Right leg (is) varicose

Varicosity = the state of being *varicose*

Excerpts from Dorland's:

varicose (var·i·cose) (var´ĭ-kôs) [L. varicosus] pertaining to a varix; unnaturally and permanently distended. Called also variceal and variciform.

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Subject: Varicose? N/M

NM
varicose?
Subject: varicose?

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Subject: Duffy 3 size varicose vein

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Any help? 


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Subject: jugular veins in legs?

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Subject: Sounds like "chiller" venous veins appear normal. sm

The patient is moribund. She is unable to speak at the current time and does not respond to sternal rub. "Chiller" venous veins appear normal. Site of the PEG tube is normal without any evidence of exudates.

She is 92 years old and comfort-care only. Here is some past history:

Past medical history is significant for progressive dysphagia leading to frequent bouts of aspiration secondary to a prior cerebrovascular accident in 1997, recent admission for probable aspiration bronchitis/pneumonia, history of hypertension, history of thyroid replacement therapy, history of possible dehydration. She has a prior history of cataract, prior history of gallbladder surgery, recent PEG placement in 11/2005, status post TAH-BSO at age 40 and eyelid surgery in January 2002, history of chest pain admission in February 1996, history of cerebrovascular accident of the right internal capsule in June 1997, and history of TIA in August 2003.
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I think it helps open up veins, thereby helping circulation. (nm)
Subject: I think it helps open up veins, thereby helping circulation. (nm)

x
a scan for UPJ obstruction?
Subject: a scan for UPJ obstruction?

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Subject: its under lab data, and the pt does have a possible obstruction


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Subject: Maybe ileus (obstruction)


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Subject: intestinal obstruction?

x