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Possibly...no asymmetry in the neck?

Posted By: Patty on 2009-05-18
In Reply to: HEENT: Trachea is midline. No s/l subculary in the neck. Help? - MSmt

Subject: Possibly...no asymmetry in the neck?




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Urology. Bladder neck stenosis. Possibly device? see message
Subject: Urology. Bladder neck stenosis. Possibly device? see message


States:  I do not think that placing an _______________ (kinda sounds like arcus-something) sphincter at this time would be advisable secondary to likely recurrence of his bladder neck stenosis. As such, we spoke about other more durable means to treat his bladder neck stenosis. I think that again attempting a bladder incision would not be advisable.


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
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)?


Definitely not asymmetry, thanks though. nm
Subject: Definitely not asymmetry, thanks though. nm


asymmetry?
Subject: asymmetry?


Maybe scapular asymmetry. nm
Subject: Maybe scapular asymmetry. nm

.
Can you hear asymmetry? nm
Subject: Can you hear asymmetry? nm

nm
patient undwent menarche and s/l sealarche at 15. Has asymmetry of breasts. nm
Subject: patient undwent menarche and s/l sealarche at 15. Has asymmetry of breasts. nm

x


 


Breast exam - She does have asymmetry in both breasts from previous s/l brain ansatangias. please sm
Subject: Breast exam - She does have asymmetry in both breasts from previous s/l brain ansatangias. please sm

I know that makes no sense at all but that's what it sounds like. This doctor is from Puerto rico. Up until this point, she has been pretty clear. Thanks for any help
V neck
Subject: V neck

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


Thanks 


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


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
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?
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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. 
s/l "tech-ib" neck? sm
Subject: s/l "tech-ib" neck? sm

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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!!


Neck Exam
Subject: Neck Exam

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


Need help with the term hepatoreflux!


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.'

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Neck: Decreased ROM in all "axies"
Subject: Neck: Decreased ROM in all "axies"


JVD is cardiac or neck. Put it where it's dictated. nm
Subject: JVD is cardiac or neck. Put it where it's dictated. nm

xx
Hmm. Usually femoral neck fractures are
Subject: Hmm. Usually femoral neck fractures are

described as Garden fractures, ranging from I through IV.

How does the sentence read and what type of report are you typing?
neck is rigid but s/l puretic.
Subject: neck is rigid but s/l puretic.

flaccid quadriplegia but the neck is rigid but s/l puretic (patient in a coma from CP arrest).  I don't think pruritic makes sense.


neck dissection with some type of
Subject: neck dissection with some type of

__ ectomy.  Here is the context:


status post a recent composite resection including a right neck dissection and ___medivalectomy___ and free flap reconstruction with a fibular free flap. 


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Swollen gland on neck
Subject: Swollen gland on neck

He developed a sore throat that is worse on the right side on 08/23.  It is getting worse.  He has got a swollen  _____ gland on his neck. 


s/l tudor


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Subject: femoral neck fracture

This fellow has a femoral neck fracture.
HEENT: Neck supple ? nm
Subject: HEENT: Neck supple ? nm


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 


I meant area on her neck
Subject: I meant area on her neck


like a V-neck sweater? what exactly are you talking about? nm
Subject: like a V-neck sweater? what exactly are you talking about? nm

context people, CONTEXT
Jowling in neck __(s/l rid'-i-dees)
Subject: Jowling in neck __(s/l rid'-i-dees)


I agree with "torticollis of her neck."
Subject: I agree with "torticollis of her neck."

Torticollis is caused by muscle spasm, so hemorrhage is not likely to be what he's saying, IMO.


This is for a left neck mass??? nm.
Subject: This is for a left neck mass??? nm.

nm
do you hear glenoid neck?
Subject: do you hear glenoid neck?

s
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
supraomohyoid neck dissection. nm
Subject: supraomohyoid neck dissection. nm

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


neck is supple without any s/l birninsky ? TIA
Subject: neck is supple without any s/l birninsky ? TIA

xx
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.


Neck supple without s/l phism or JVD.
Subject: Neck supple without s/l phism or JVD.

TIA
HELP WITH CT SOFT TISSUE NECK
Subject: HELP WITH CT SOFT TISSUE NECK

Doc says "The lesion appears to s/l indaginate?? the parotid.  The findings are most compatible with branchial clef cyst.  Differential diagnosis would include lymphoproliferative cyst...."


 


Thanks in advance!!!


Help with soft tissue neck
Subject: Help with soft tissue neck

It is a branchial cleft cyst.