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Pt has hemosiderin staining of both lower extremities with severe s/l lipodermosclerosis on left.

Posted By: lynn on 2008-02-01
In Reply to:

Subject: Pt has hemosiderin staining of both lower extremities with severe s/l lipodermosclerosis on left.

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There are bruises on the extremities, but no "local eye a severe" pain???
Subject: There are bruises on the extremities, but no "local eye a severe" pain???

Anyone know what this might be? 


lower extremities
Subject: lower extremities

Could dictator be saying "gastrocs" for inner gastrocnemius muscles? Let us know, if you find out -- this is a doozy! Rosie

I see. In this pt it's upper & lower extremities [SM]
Subject: I see. In this pt it's upper & lower extremities [SM]


Lower extremities ? - could be pedal OR it
Subject: Lower extremities ? - could be pedal OR it

could just be plain ol' palpable.
lower extremities - might be "peroneal nerve" /nm
Subject: lower extremities - might be "peroneal nerve" /nm

.
Compression stockings over both lower extremities?
Subject: Compression stockings over both lower extremities?

Another stab in the dark...this one's drivin' me nuts for some reason! 
s/l Lateral Lig views of the lower extremities
Subject: s/l Lateral Lig views of the lower extremities

Bilateral Lower Extremities (Test)


Lateral Lig views of the lower extremities


S/L areas of "ka-poor upper/lower extremities?sm
Subject: S/L areas of "ka-poor upper/lower extremities?sm

Or S/L areas that appear upper and lower extremities and some mottling of lower extremities with some cyanosis of digits.


ideas!  Thank you!


Here is a good all around PE link. Click on lower extremities exam. sm
Subject: Here is a good all around PE link. Click on lower extremities exam. sm

http://meded.ucsd.edu/clinicalmed/extremities.htm
sorry...messed that up....s/l contact "art" assist level for the lower extremities? nm
Subject: sorry...messed that up....s/l contact "art" assist level for the lower extremities? nm

x
*Par due orange* of the lower extremities secondary to congestive heart failure. - sm
Subject: *Par due orange* of the lower extremities secondary to congestive heart failure. - sm

he spells and says it is three separate words???? Thanks. 
Decreased pinpric sensation to the bilateral lower extremities but areas of s/l passhiveness -sm-
Subject: Decreased pinpric sensation to the bilateral lower extremities but areas of s/l passhiveness -sm-

with increased sensation.  Would passiveness fit here?  Help is appreciated.  Thanks!
"good capillary refill and *brisk distal pulses*?? over both lower extremities" (my 2 cents) n
Subject: "good capillary refill and *brisk distal pulses*?? over both lower extremities" (my 2 cents) nm


She was on a trip without problication and had severe pain in the left knee. nm
Subject: She was on a trip without problication and had severe pain in the left knee. nm

nm
left lower limb?
Subject: left lower limb?

x
, inspection of her bilateral upper extremities, shows her s/l 'enteal' incision on the left s
Subject: , inspection of her bilateral upper extremities, shows her s/l 'enteal' incision on the left side


Range of motion of his lower extremities was full in range accompanied by mild ____ sign
Subject: Range of motion of his lower extremities was full in range accompanied by mild ____ sign

.


Per Stedman's, LLB is left lower border, sm
Subject: Per Stedman's, LLB is left lower border, sm

as it lists LLBCD as left lower border of cardiac dullness, so LLB is probably okay for your doc's use. We usually hear LSB for left sternal border with regard to murmurs. Can you hear LSB?

?MOFFET? for the left lower extremity sm
Subject: ?MOFFET? for the left lower extremity sm

Dr. is stating for a woman with MS that he gave her a prescription for home physical therapy as well as a S/L moffit or mophet" and she is not to ambulate without it.  I cannot find anything in any of my resources.  Could really use some help.  thanks
On NSAIDs for left lower extremity DVT prophylaxis?
Subject: On NSAIDs for left lower extremity DVT prophylaxis?


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

Not sure if he's referring to some kind of stocking, but her discharge medications include aspirin, enteric-coated.


Thanks.


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


ejection (or early) systolic murmur at the anterior ascending right and (or "or") left lower s
Subject: ejection (or early) systolic murmur at the anterior ascending right and (or "or") left lower sternal border (?)


or how about moderately severe encephalopathy or moderate-to-severe ? nm
Subject: or how about moderately severe encephalopathy or moderate-to-severe ? nm


hemosiderin
Subject: hemosiderin

nm
hemosiderin deposition?
Subject: hemosiderin deposition?


no staining? sm
Subject: no staining? sm

On eye injuries they stain with fluorescein dye to look for corneal abrasions etc.  They will sometimes say no uptake.


 


Summary




Generally the area around a foreign body will stain blue. Slit lamp examination will aid in detection * Evert the upper lid. Eversion of the lid can be ...
www.firstconsult.com/?action=view_ article&id=5092804&type=104&bref=1 - Similar pages


FIRSTConsult - Uveitis - Medical Topic File




Lid eversion must be performed to examine for foreign body. * ... Evidence. One small randomized controlled trial found no significant difference between ...
www.firstconsult.com/?action=view_ article&id=1014185&type=101&bref=1 - Similar pages


Foreign bodies in the eye - Patient UK




The lower and upper lids need to be everted to look for additional foreign bodies. If a superficial foreign body is suspected but not found, double eversion ...
www.patient.co.uk/showdoc/40024897/ - 29k - Cached - Similar pages


could it be staining again?
Subject: could it be staining again?

x
aminohistochemistry staining ....
Subject: aminohistochemistry staining ....

anyone know if this is one word or two as in amino histochemistry? TIA
doc is doing a LEEP cone and staining
Subject: doc is doing a LEEP cone and staining

the cervix. She probably means Schiller. Thanks.
The lower convex curve in the lumbar spine was to the right, and the lower convex thoracic region to
Subject: The lower convex curve in the lumbar spine was to the right, and the lower convex thoracic region to the left

Is how I would do it.
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Subject: yep, no staining with sterile milk like indigo carmine and such. nm

.
Can find plenty on the internet regarding lipodermosclerosis, but unfortunately cannot find that exa
Subject: Can find plenty on the internet regarding lipodermosclerosis, but unfortunately cannot find that exact spelling in any dictionary... sorry. Anyone else?


On fluoroscein staining there was no evidence of s/l streaming to suggest puncture.
Subject: On fluoroscein staining there was no evidence of s/l streaming to suggest puncture.

I know I should know this, but it has been a long day to say the least.  Thanks!!!!
Could be lymphazurin blue positive? Used for staining lymph nodes.
Subject: Could be lymphazurin blue positive? Used for staining lymph nodes.


Funny thing, I had this yesterday and left 3 blanks that QA also left blank.
Subject: Funny thing, I had this yesterday and left 3 blanks that QA also left blank.

x
pain over the left hip and a biopsy of the left s/l SA pablum showed adenocarcinom
Subject: pain over the left hip and a biopsy of the left s/l SA pablum showed adenocarcinom

n
probably means left anterior descending. Instead of saying LAD, just saying left AD.
Subject: probably means left anterior descending. Instead of saying LAD, just saying left AD.

x
relatively severe, diffuse....
Subject: relatively severe, diffuse....

/
severe ileus?? nm
Subject: severe ileus?? nm

ss
severe phobia maybe? nm
Subject: severe phobia maybe? nm

nm
......'as severe as HERS'...nm
Subject: ......'as severe as HERS'...nm

nm
s/l cervical or severe?
Subject: s/l cervical or severe?

Cervical or severe spinal stenosis surgery 3 years ago.
S/P left total knee reconstruction. On exam, has a palpable s/l clod defect on the left knee.
Subject: S/P left total knee reconstruction. On exam, has a palpable s/l clod defect on the left knee.

:-)
Yes, have seen that in severe case of cholera
Subject: Yes, have seen that in severe case of cholera


severe? situational? secondary? nm
Subject: severe? situational? secondary? nm


could be, does not pronounce the xi, med list of 18, but does have severe PVD, thanks
Subject: could be, does not pronounce the xi, med list of 18, but does have severe PVD, thanks


localized severe pain? nm
Subject: localized severe pain? nm

.
agree - probably follicular dermatitis, severe
Subject: agree - probably follicular dermatitis, severe


severe splanchnic activity with s/l durolap
Subject: severe splanchnic activity with s/l durolap

thank you
Severe narrowing of the lateral recess nm
Subject: Severe narrowing of the lateral recess nm

.