| anterior tibial pulses?Posted By: Anne on 2008-07-29In Reply to: Extremities  exam: - me
 
 Subject: anterior tibial pulses?
 
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 something to do with tibial pulses?
 Subject: something to do with tibial pulses?
 
 nm
 radial, tibial pulses among lots of others...sm
 Subject: radial, tibial pulses among lots of others...sm
 
 
 and many more in the upper extremities....... 
 sounds like what?  s/l?   DP and PT pulses? dorsalis pedis and posterior tibial. NM
 Subject: DP and PT pulses? dorsalis pedis and posterior tibial. NM
 
 
 Cold be suprapatellar, dorsalis pedis, posterior tibial pulses
 Subject: Cold be suprapatellar, dorsalis pedis, posterior tibial pulses
 
 
 There is also anterior tibial vein
 Subject: There is also anterior tibial vein
 
 
 can you hear posterior tibial tendon? or tibial groove? nm
 Subject: can you hear posterior tibial tendon? or tibial groove? nm
 
 
 undetectable pulses? equivocal pulses? nm
 Subject: undetectable pulses? equivocal pulses? nm
 
 
 s/l “the hell with systolic anterior motion of the anterior mitral leaflet is noted.”
 Subject: s/l “the hell with systolic anterior motion of the anterior mitral leaflet is noted.”
 
 
 From a TEE report (doctor with thick Indian accent): 
 s/l “the hell with systolic anterior motion of the anterior mitral leaflet is noted.” 
   
   do you hear anterior flexion (anterior west makes no sense) nm
 Subject: do you hear anterior flexion (anterior west makes no sense) nm
 
 
 pulses
 Subject: pulses
 
 Doctor dictates what s/l "pulses 1 and 4 in the lower extremities"....I doubt it should be pulses 1/4...Can you please help me out?
 How about 2+ pulses? nm
 Subject: How about 2+ pulses? nm
 
 /
 Pulses
 Subject: Pulses
 
 Can anyone help me with this.  I am hearing "popliteal and DP and PT pulses are all 1+.  What does DP and PT stand for?  TIA
 protuberant pulses?
 Subject: protuberant pulses?
 
 
 This is under abdomen under pe... 
 Abdomen: Soft, nontender. No protruberant pulses or masses. probably distal pulses
 Subject: probably distal pulses
 
 
 pieces could be pulses
 Subject: pieces could be pulses
 
 xx
 huh?  pulses would be correct....nm.
 Subject: huh?  pulses would be correct....nm.
 
 
   in the extremities are there NPO? pulses?
 Subject: in the extremities are there NPO? pulses?
 
 
 pulses in extremities
 He says posterior tibials 2+,  politeals 1-1/2+ ????  How should this be typed?
 Peripheral pulses?
 Subject: Peripheral pulses?
 
 
 "Peter" Pulses?
 Subject: "Peter" Pulses?
 
 
 
 Lol I know th is sounds stupid.. but it sounds like he's saying Peter Pulses! ? Any Help? 
   
 Extremities: were without edema. "Peter" Pulses were present, no calf tenderness Pedal pulses (nm)
 Subject: Pedal pulses (nm)
 
 
 x Pulses are FULL AND strong
 Subject: Pulses are FULL AND strong
 
 would s/l full-en-strong.
 Cardio pulses are equal.
 Subject: Cardio pulses are equal.
 
 It sounds like she is saying cardio pulses are equal bilaterally.  Could this be right.  Is the 'cardio pulses' correct?
 is there a term disp pulses?
 Subject: is there a term disp pulses?
 
 
 He has no calf tenderness, and has good s/l disp pulses, or dispa pulses...either that or he is saying disp "uh" pulses..(trying to think of the term) 
 TIA  D: foot pulses were palpated
 Subject: D: foot pulses were palpated
 
 D: foot pulses were palpated and *gouture cells*, pedes pulses were felt... i have a little prob wit my hearing...
 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  sounds like blood pulses
 Subject: sounds like blood pulses
 
 She appeared to be in an atrial fibrillation at this time with ventricular response in the 110s to 120s.  She did receive a fluid bolus, and blood pulses were obtained.  Chest x-ray was very difficult to interpret in this morbidly obese, supine pat
 Just put  dopplerable pulses, no cap on this one. Hear this a lot. nm
 Subject: Just put  dopplerable pulses, no cap on this one. Hear this a lot. nm
 
 
 the last one is likely dorsalis pedis pulses. SM
 Subject: the last one is likely dorsalis pedis pulses. SM
 
 Location and name of pulses:
 
 Upper Extremity
 * Brachial
 * Radial
 * Ulnar
 
 Lower Extremity
 * Femoral
 * Popliteal
 * Anterior tibial
 * Dorsalis pedis
 * Posterior tibial
 
 Head & Neck
 * Common carotid
 * External carotid:
 * External carotid artery
 * Temporal
 could he be saying good pedal pulses?
 Subject: could he be saying good pedal pulses?
 
 
 dorsal pedal pulses??
 Subject: dorsal pedal pulses??
 
 
 dorsal pedal pulses..sm
 Subject: dorsal pedal pulses..sm
 
 That's the way the vascular surgeons say it....17 years ago I worked with the best on the planet.  I wouldn't steer ya wrong.
   what part of the body? Maybe carotid pulses.
 Subject: what part of the body? Maybe carotid pulses.
 
 
 blood gases? or good pulses? nm
 Subject: blood gases? or good pulses? nm
 
 s
 Intact reflexes.  Pulses 2+ and symmetric.
 Subject: Intact reflexes.  Pulses 2+ and symmetric.
 
 
   *kidlieros* and *racelle* pedis pulses
 Subject: *kidlieros* and *racelle* pedis pulses
 
 Sorry  - I should know these. This man has peripheral uritis, swelling, pain and a tender mass in the right pretibial area. There’s marked livedo reticularis of both legs. The femoral, popliteal, posterior, s/l *kidlieros* and *racelle* pedis pulses . . .
 
 Appreciate any help.
 should have typed dorsalis pedis pulses.
 Subject: should have typed dorsalis pedis pulses.
 
 
 In PE, s/l burning carotid pulses were felt.  TIA
 Subject: In PE, s/l burning carotid pulses were felt.  TIA
 
 This is an ESL doctor and it sounds like he is saying "burning" carotid pulses were felt.
 radial pulses are symmetrically s/l tine
 Subject: radial pulses are symmetrically s/l tine
 
 Is tine correct???
 Peripheral pulses are 1-2 (s/l with one) symmetrically equal. sm
 Subject: Peripheral pulses are 1-2 (s/l with one) symmetrically equal. sm
 
 Does that make sense.  It doesn't sound like it, but I have listened to it over and over.
 tibial?
 Subject: tibial?
 
 
 tibial s/l in-tha-sop-athy
 Subject:  tibial s/l in-tha-sop-athy
 
 
 The patient was diagnosed with mild tibial  s/l in-tha-sop-athy. 
   
   tibial torsion?
 Subject: tibial torsion?
 
 
 s/l tibial jake
 Subject: s/l tibial jake
 
 The tibial JAKE? was placed just anterior to the posterior cruciate ligament.
 tibial plateau.
 Subject: tibial plateau.
 
 x
 Left tibial "H-way"
 Subject: Left tibial "H-way"
 
 The doctor states what sounds like the left tibial "H-way" was absent- any ideas?
 tibial tuberosity?
 Subject: tibial tuberosity?
 
 
 Dopperable pulses is acceptable (not capped) per Wheeless' Textbook of Orthopaedics nm
 Subject: Dopperable pulses is acceptable (not capped) per Wheeless' Textbook of Orthopaedics nm
 
 
   It there is a clear "t" sound, it may be tibial.  nm
 Subject: It there is a clear "t" sound, it may be tibial.  nm
 
 nm
 A/P: Mild tibial s/l em-pha-sopathy.. thank you
 Subject: A/P: Mild tibial s/l em-pha-sopathy.. thank you
 
 
 os tibial externum was the answer
 Subject: os tibial externum was the answer
 
 
 
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