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Physical exam of extremity

Posted By: Sami on 2008-09-26
In Reply to:

Subject: Physical exam of extremity

Both lower extremities are <___>(rap-nees-rap).????


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Please look at my extremity exam ...
Subject: Please look at my extremity exam ...

This is what I am hearing.  Does this make sense/look correct?  This MD likes to make every word short and sweet.... but I get so confused where to put it all.  Thank you.


 


EXTREMITIES:  There is edema of the right ankle at the site of fracture times two.  Trace to 1+ on the left, significantly diminished pulses equal 0-1 DP and PT lower extremities bilaterally.  Normal upper. 


Extremity exam:
Subject: Extremity exam:

Dr is saying Extremities: No cyanosis, clubbing or edema.  S/L" SETs" or SVTs are in fact in place.


 


Thank you



Extremity exam:
Subject: Extremity exam:

In the extremities exam: There is a notable s/L leglang discrepency and a positive external rotation.


 


thanks


 


Extremity Exam
Subject: Extremity Exam

Extremities:  Full range of motion.  No s/l testing, rash or tremor. 


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Subject: Extremity exam

The finger is swollen with a small opening on the s/l fulmer aspect of the ring finger at the DIP joint area.  He is not saying volar or palmar aspect.  It sounds like "fulmer."  I'm stumped.  Any help is appreciated.
Extremity exam
Subject: Extremity exam

She has 1-2+ edema bilaterally in the ankle and s/l kalai region.  TIA.


 


 


No don't think so . . in the extremity exam, he says . . .
Subject: No don't think so . . in the extremity exam, he says . . .

The right lower extremity has this marked amoutn of heat and "resider endeposation" in the anterior aspect of the right leg.


Again, any help please . . . .


 


Lower extremity exam sm
Subject: Lower extremity exam sm

Patient has bilateral feet ulcers, poor or nonexistent pulses. Dr. says her skin is thin and atrophic with s/l "zarosis planoy".  I can find "xerosis" which does not seem to apply here.  Any ideas would be appreciated.  TIA.
Extremity exam after stroke (sm)
Subject: Extremity exam after stroke (sm)

Diagnosis of acute right middle cerebral artery ischemic cerebral infarction and acute right internal carotid artery and right middle cerebral artery occlusion.


 


In exam, he says:


He has flaccid left hemiplegia of the left upper and lower extremities that does ______ (rep/rub) on the left on plantar response.


 


 


In view of the ___________ (rep/rub cuff/calf) it was felt that the patient would benefit from full anticoagulation for a short term.


 


Any help on this would be appreciated.  Thanks.


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Subject: asteriscus? Extremity exam


lower extremity exam
Subject: lower extremity exam

No s/l kalar in the extremities bilaterally.
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Subject: Physical exam on eye exam, s/l Cardinal Welk's space?? noted.NM


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Subject: Extremity exam after surgery - see inside

Patient post surgery Hys & BSO.  Medical consult.


Doc dictates -- Compression stockines and ____ in place.


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Exam of hand and upper extremity - please sm
Subject: Exam of hand and upper extremity - please sm

Regarding her hands and upper extremities, there is notable thenar atrophy at the right hand with APB weakness. s/l Apponing strength was good bilaterally. She does have a positive CMC grind test.
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Subject: Moses' sign - looking for DVT in lower extremity exam. NM

:


Extremity exam: "No astericks". No tremor noted. nm
Subject: Extremity exam: "No astericks". No tremor noted. nm


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Subject: s/l pseudo acitosis in upper extremity (neuro exam)

Thx
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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.


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Subject: On physical exam.. S/L

or maybe slight disks bilaterally?  I'm drawing a blank... HELP PLEASE and THNX!
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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

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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 
Physical exam help.....
Subject: Physical exam help.....

The calf was nontender. The lower leg was s/l nonpeeing.  Nonpitting? Not pitting? Help, please!
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....


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??

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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.
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


 


physical exam...
Subject: physical exam...

i have never heard this before.  its not a standard.  going through the physical exam as normal and says ....


Eyes:  Split 1 and 2.


Ears, nose, throat:  1,2,5,6.


Neck:  1,2.


Respiratory:  1 and 4. 

Cardiovascular:  2, 3, 4, 5, 6, 7. 


 


What is this?  I have never seen or heard such a thing before.


Under physical exam
Subject: Under physical exam

Posture and Balance:  Good sitting balance.  Normal truncal tone.  No scoliosis.  No S/L: SAY-COE-ZYM-BOWL.


Thanks!


Need help with physical exam s/l
Subject: Need help with physical exam s/l

TMs are red and bulging bilaterally. Nose is erythematous, s/l choke-u-la, with enlarged tubinates.
Physical Exam help!
Subject: Physical Exam help!

Her s/l stome is pink and productive.
physical exam
Subject: physical exam

HEENT: Her s/l "spaustic" sign was negative.
physical exam
Subject: physical exam

OK, having a brain cramp here....help needed.

Neck supple, no "bruries"? I just cannot remember how to spell it! ARGH.....Thanks folks!
help with something in the physical exam
Subject: help with something in the physical exam

This is just a regular physical exam, but am drawing a blank as to what this word is.  The blanks sounds like "lingophany"


His lung fields are clear.  He has no _________.  He has no dullness to percussion. 


 


In physical exam
Subject: In physical exam

under neuro, dictator says "sensation strength intact" or sensation 'to' strenghth intact. Does the 'to' make sense?