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Use "or": There are no palpable ...

Posted By: .... on 2006-01-10
In Reply to: There are no palpable cords or calf tenderness, despite the patient’s complaint of diffuse body ache - is OR are no palpable.... nm

Subject: Use "or": There are no palpable ...








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"or itching"?
Subject: "or itching"?

Is it in the skin portion of the physical exam? No rashes, itching, or lesions usually pops up with my dictators.
oops, ignore "or guid" (extra typing), but it is axis not access. nm
Subject: oops, ignore "or guid" (extra typing), but it is axis not access. nm

x
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 (?)


it's palpable
Subject: it's palpable

your doc is saying palpable, as in you can feel the resentment


 


115/palpable?
Subject: 115/palpable?

Vital signs: Bp 115/palpable? Dictated as 115 over palpable.
palpable?
Subject: palpable?


palpable ballottement.
Subject: palpable ballottement.


palpable frill?
Subject: palpable frill?


Palpable thrill nm
Subject: Palpable thrill nm

nm
palpable defect? nm
Subject: palpable defect? nm


palpable throw
Subject: palpable throw

dictated:

He has a functioning shunt in the left arm, with a palpable s/l throw.


they always say no palpable cords
Subject: they always say no palpable cords

i've always just assumed it meant something like strands... like a tendon in the leg.
thyroid palpable without GLARE or nodules
Subject: thyroid palpable without GLARE or nodules

Physical examination part of note.  Under thyroid she says Palpable without GLARE or nodules.  Any help? 
palpable mesocolonic lymph nodes???
Subject: palpable mesocolonic lymph nodes???


uterus was palpable, s/l ring incised-sm
Subject: uterus was palpable, s/l ring incised-sm

I don't know if he is saying something like ring incised or ring sized.

Past history says: She had four cesarean sections, laparoscopic tubal sterilization, and a laparotomy with left oophorectomy and abdominoplasty.

In pelvic exam: PELVIC: Skene, urethral, and Bartholin glands within normal limits. Vagina, good support. Cervix was closed. No lesions were seen. Uterus was palpable, ______. s/l "ring incised" or "ring sized."

Could he be saying "ring incised" meaning he feels the incision from previous surgeries. Could it be he is saying uterus is "ring sized?"
s/l doctor is saying palpable and outable crepitus?? Is this right?? Thanks. nm
Subject: s/l doctor is saying palpable and outable crepitus?? Is this right?? Thanks. nm

nm
The shoulder girdle and s/l "envurons" is without palpable deformity...TIA nm
Subject: The shoulder girdle and s/l "envurons" is without palpable deformity...TIA nm


possibly palpable cords as in Dupuytren's contractures
Subject: possibly palpable cords as in Dupuytren's contractures


On abdominal exam, no palpable s/l olive noted..nm
Subject: On abdominal exam, no palpable s/l olive noted..nm

nm
headache s/l endurary or palpable temporal artery.
Subject: headache s/l endurary or palpable temporal artery.

Patient has headaches over occipital ridge


PE:  There is no "endurary" or palpable temporal artery


probably palpable bulging discs. It's neural foramina, not neuroforamina nm
Subject: probably palpable bulging discs. It's neural foramina, not neuroforamina nm

:
He does have a Watson's maneuver and a palpable s/l "brinde" with radioulnar deviation
Subject: He does have a Watson's maneuver and a palpable s/l "brinde" with radioulnar deviation

thanks in advance!
ENT-physical examination reveals *syn___ectomy* without palpable adenopathy??? Thanks- nm
Subject: ENT-physical examination reveals *syn___ectomy* without palpable adenopathy??? Thanks- nm


Do some research using Courvoisier's. I don't find it as a node but as a sign (palpable gallbl
Subject: Do some research using Courvoisier's. I don't find it as a node but as a sign (palpable gallbladder)


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Subject: Physical exam: Abdomen soft nontender s/l no palpable aorta? and no bruits

I know that can not be correct...TIA
HEENT exam shows a barely palpable preauricular lymph node sm
Subject: HEENT exam shows a barely palpable preauricular lymph node sm

which measures only a few mm x a few mm on the L side. Would you type as he says it or would you type 3.0 x 3.0 mm? Thanks
There are no palpable cords or calf tenderness, despite the patient’s complaint of diffuse body ache
Subject: There are no palpable cords or calf tenderness, despite the patient’s complaint of diffuse body ache


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.

:-)