| There are bruises on the extremities, but no "local eye a severe" pain???Posted By: Kelley Bahl on 2008-07-12In Reply to:
 
 Subject: There are bruises on the extremities, but no "local eye a severe" pain???
 
 
 Anyone know what this might be?   
 
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 Pt has hemosiderin staining of both lower extremities with severe s/l lipodermosclerosis on left.
 Subject: Pt has hemosiderin staining of both lower extremities with severe s/l lipodermosclerosis on left.
 
 x
 localized severe pain?  nm
 Subject: localized severe pain?  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
 or how about moderately severe encephalopathy or moderate-to-severe ? nm
 Subject: or how about moderately severe encephalopathy or moderate-to-severe ? nm
 
 
 possibly occult sciatic pain ( pain hidden/concealed/not manifest) ? nm
 Subject: possibly occult sciatic pain ( pain hidden/concealed/not manifest) ? nm
 
 
 if it's in the spine, it could be "discogenic" pain versus "facet"-related pain
 Subject: if it's in the spine, it could be "discogenic" pain versus "facet"-related pain
 
 
 could be TKA-total knee amputation. pain could be "ghost" pain --nm
 Subject: could be TKA-total knee amputation. pain could be "ghost" pain --nm
 
 ///
 Drug name - s/l amarek, for back pain and neck pain
 Subject: Drug name - s/l amarek, for back pain and neck pain
 
 Any ideas?  Thanks!
 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.
 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
 
 
 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
 
 .
 as postop diagnosis says severe central
 Subject: as postop diagnosis says severe central
 
 stenosis at L3-4 and 4-5 and s/l fraying/framing?? stenosis at 3-4, 4-5, and 5-1
   patient w severe metatarsal prolapse please sm
 Subject: patient w severe metatarsal prolapse please sm
 
 The conservative means of therapy in this case would be orthotic devices with a deep s/l-rale- for the lesser metatarsal heads and support of the metatarsal necks.
 Her EMG/NCV showed she has severe CTS on the right with a distal s/l mo-lank-c-see-a of 6.69.
 Subject: Her EMG/NCV showed she has severe CTS on the right with a distal s/l mo-lank-c-see-a of 6.69.
 
 :-)
 Extremities help
 Subject: Extremities help
 
 
 TGIF everyone! 
 Dr. states "extremiteis have clubbing, edema, and s/l ches-pa-nin."  I've looked at a million websites but am coming up with nothing.  Chest pain doesn't make sense--any thoughts? extremities
 Subject: extremities
 
 Is there any information in the rest of the report that might give a clue such as chief complaint/diagnosis, etc.?
 Extremities
 Subject: Extremities
 
 
 EXTREMITIES:  Dark s/l rugor as she does have peripheral vascular disease. 
 Any ideas?
 The dictator spells it out as rugor.  Just making sure it exists.
 Extremities - no CVA or CVP?
 Subject: Extremities - no CVA or CVP?
 
 
 Has anyone ever heard of either of these terms dictated under the "extremities" section of a physical exam?  I can understand "no CVA" in a way because of the patient ever had a stroke then their extremities might be effected (although I would think this would go under the neuro section).  Its the CVP that I'm not getting.  I've checked my abbreviation references and I can't find anything this would refer to. 
 BTW, I left this blank.  The QA department filled the blank with No CVA or CVP.  I'm curious more than anything.  Am I missing something here? extremities
 Subject: extremities
 
 EXTREMITIES: Full range of motion.s/l*no pull incentive.*
 
 62-year-old woman - no complaints
 
 Thanks for your help.
 Extremities
 Subject: Extremities
 
 
 one more extremities
 Subject: one more extremities
 
 
  Extremities: There was no s/l lawgren ____ syndrome present. 
 Thanks 
   Extremities
 Subject: Extremities
 
 
 Homan sign is negative.  There is no ??_________ or calf tenderness. 
 it kind of sounds like gastra something. I've searched google under Homan sign and calf tenderness and i just don't have the slightest idea what this could be. Differin cream is used for treating severe acne.
 Subject: Differin cream is used for treating severe acne.
 
 
 Maybe early severe acute pancreatitis ESAP
 Subject: Maybe early severe acute pancreatitis ESAP
 
 .
 There is no s/l placidity to his extremities.
 Subject: There is no s/l placidity to his extremities.
 
 
   CVAT in the extremities?  What would this mean?
 Subject: CVAT in the extremities?  What would this mean?
 
 NM
 in the extremities are there NPO? pulses?
 Subject: in the extremities are there NPO? pulses?
 
 
 see above, probably not related to extremities nm
 Subject: see above, probably not related to extremities nm
 
 x
 pulses in extremities
 He says posterior tibials 2+,  politeals 1-1/2+ ????  How should this be typed?
 Extremities  exam:
 Subject: Extremities  exam:
 
 
   
 s/l altoitialpalses are palpable. 
 Any idea what this term is? This is under Extremities physical exam.  
 Extremities: No edema. Altoitailpalses are palpable. Extremities word help
 Subject: Extremities word help
 
 
 This is on a physical examination under the heading extremities. 
 EXTREMITIES: Extremities show [hemorisnose] bilaterally.  
 I am having trouble with the word in brackets. That is what it sounds like. extremities word help
 Subject: extremities word help
 
 
 Heberden's nodes, named for William Heberden (1710-1801)[1], are hard or bony swellings which can develop in the distal interphalangeal joints (DIP) (the joints closest to the end of the fingers and toes). They are a sign of osteoarthritis, and are caused by formation... 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
 
 shoulder pain and knee pain
 Subject: shoulder pain and knee pain
 
 Doctor says, "he denies any neck pain or s/l ridicular symptomatology into the upper extremity.
 nEck pain and back pain
 Subject: nEck pain and back pain
 
 what a day!
 Pt with severe anemia.  The patient had s/l tegrabtusol scan that was negative.
 Subject: Pt with severe anemia.  The patient had s/l tegrabtusol scan that was negative.
 
 Any ideas?  I've done Nuclear Medicine, but the way this guy is chewing the word I just drew a blank.
 had the *apoplathic* onset of a very severe thunder clap headache-Thanks. nm
 Subject: had the *apoplathic* onset of a very severe thunder clap headache-Thanks. nm
 
 nm
 Pt with severe headache - will obtain s/l F E axis before sending to hospital.  nm
 Subject: Pt with severe headache - will obtain s/l F E axis before sending to hospital.  nm
 
 
 I would go with cervical because severe spinal stenosis could be in other parts of the body
 Subject: I would go with cervical because severe spinal stenosis could be in other parts of the body
 
 
 venous s/l chassis changes.( in the pe of extremities)
 Subject: venous s/l chassis changes.( in the pe of extremities)
 
 
 I think bones, joints and extremities.  nm
 Subject: I think bones, joints and extremities.  nm
 
 nm
 Extremities PE No chords or cords
 Subject: Extremities PE No chords or cords
 
 
 more likely a type of osteoarthritis because no it would not go there under extremities.
 Subject: more likely a type of osteoarthritis because no it would not go there under extremities.
 
 
 
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