extremities- positive s/l esquail edema is present
Posted By: kjlange on 2007-10-01
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Subject: extremities- positive s/l esquail edema is present
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still s/l esquail edema
Subject: still s/l esquail edema
Rt. leg +3 edema, left leg w/in norm.limits.
In PE: Extremities with basilar edema
Subject: In PE: Extremities with basilar edema
Patient has pneumonia. Is this right or should I leave a blank? Thanks.
How about extremities no clubbing, cyanosis, or edema. no
Subject: How about extremities no clubbing, cyanosis, or edema. no
xxx
No CCE? clubbing, cyanosis or edema? Extremities exam? nm
Subject: No CCE? clubbing, cyanosis or edema? Extremities exam? nm
physical exam: Extremities have *bordy* edema. Thanks!
Subject: physical exam: Extremities have *bordy* edema. Thanks!
#1 might be "extra sounds; extremities without edema." #2 is "leukocyte esterase" (nm)
Subject: #1 might be "extra sounds; extremities without edema." #2 is "leukocyte esterase" (nm)
x
Pt on hospice...Peripheral edema, woody, heavy edema, "rabatik" appearance of bilateral legs,
Subject: Pt on hospice...Peripheral edema, woody, heavy edema, "rabatik" appearance of bilateral legs,
Abdomen: Positive wave sign appreciated, "caps out" is positive as well. sm
Subject: Abdomen: Positive wave sign appreciated, "caps out" is positive as well. sm
Abdomen tympanic to percussion, diffuse tenderness, no point tenderness appreciated. Positive wave sign appreciated, "caps out" is positive as well.
Positive grasp response and positive s/l palmo mentonian on the right. TIA!!!
Subject: Positive grasp response and positive s/l palmo mentonian on the right. TIA!!!
estrogen-progesterone receptor positive (as in ER-positive),
Subject: estrogen-progesterone receptor positive (as in ER-positive),
In Ortho, positive s/l Meniere, positive Hawkins?
Subject: In Ortho, positive s/l Meniere, positive Hawkins?
xx
no just saying positive pH or KOH? Not exactly your S/L though. Or positive whiff test said fast? nm
Subject: no just saying positive pH or KOH? Not exactly your S/L though. Or positive whiff test said fast? nm
She has a positive Tinel's sign, positive Phalen's sign, and positive s/l Durkin's sign.
Subject: She has a positive Tinel's sign, positive Phalen's sign, and positive s/l Durkin's sign.
:-)
A positive, direct "Kums" positive
Subject: A positive, direct "Kums" positive
This is for a 3-day-old baby with hyperbilirubinemia. He is A positive and "Kums"positive. What is the Kums positive?
She has a grayish, frothy discharge that is KOH ____ test positive. S/l 'with' test positive?
Subject: She has a grayish, frothy discharge that is KOH ____ test positive. S/l 'with' test positive? nm
..
which is present??
Subject: which is present??
after her surgery. Could mean "still present" after her surgery
She lay in bed, present tense....sm
Subject: She lay in bed, present tense....sm
she laid in bed all day Saturday (past tense).........
s/l vertebrae Why's present
Subject: s/l vertebrae Why's present
Pt has vertebral anomalies, only 16 thoracic and lumbar vertebrae s/l Why's present. I thought maybe lumbar vertebrae Ys, not sure though.
Thanks for any help 
can present doppler
Subject: can present doppler
Doesn't sound like comprehensive. Are dopplers done by percentages? Like 10% doppler was performed? Thanks.
Sorry meant ER-positive or PR-positive) might also be HER-2/neu
Subject: Sorry meant ER-positive or PR-positive) might also be HER-2/neu
S/l tar-loff-sis is present in the sacrum.
Subject: S/l tar-loff-sis is present in the sacrum.
Can't give much more relative info than that. Any help would be appreciated. Thanks!
s/l dorsal *kelostity* present...
Subject: s/l dorsal *kelostity* present...
Podiatry again.
There are hammertoe contractures that are increasing in size of digits 2-5 of the right foot. There is dorsal ______ present at digits three and four at the PIPJ, this is increasing as well especially since this patient is not wearing shoes.
Thanks in advance!
on all reps I try for present tense except
Subject: on all reps I try for present tense except
Could the first part be comprehensive instead of can present?
Subject: Could the first part be comprehensive instead of can present?
See HPI. (as in see history of present illness)
Subject: See HPI. (as in see history of present illness)
Bilateral Rouse? are present
Subject: Bilateral Rouse? are present
ABDOMEN: Normal. No edema. Bilateral rouse? are present.
Any idea? Thanks
s/l on UA she had cass present as well as mucus threads
Subject: s/l on UA she had cass present as well as mucus threads
Echo- no wall motion in the s/l value is present?
Subject: Echo- no wall motion in the s/l value is present?
HEENT s/l early calazian is present......nm
Subject: HEENT s/l early calazian is present......nm
Not sure, but "Per History of Present Illness?
Subject: Not sure, but "Per History of Present Illness?
Would my guess work? I just checked my Sloan Medical Abbreviations and Eponyms book and found neither "PHPI" nor "CHPI" listed. These abbreviations can be soooo difficult!
I type it History of Present Illness
Subject: I type it History of Present Illness
but that's the way the employer wants it. If it's verbatim I'd type just what he said HPI.
Review of systems: See HPI (History of Present Illness.)
Subject: Review of systems: See HPI (History of Present Illness.)
Under HEENT, very slight s/l arca senilis is present.
Subject: Under HEENT, very slight s/l arca senilis is present.
TIA!
Procedures: s/l can present my vehicle of venous doppler
Subject: Procedures: s/l can present my vehicle of venous doppler
Skin: s/l icthius present antecubital region
Subject: Skin: s/l icthius present antecubital region
tachycardia present with a rate of 175 s/l atropic beats
Subject: tachycardia present with a rate of 175 s/l atropic beats
Symptoms of epigastric discomfort present s/l *de novo*
Subject: Symptoms of epigastric discomfort present s/l *de novo*
Has anyone heard of de novo being used in this context? TIA!!
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.
Unless treatment in the report indicates those conditions are present, would just leave blanks. nm
Subject: Unless treatment in the report indicates those conditions are present, would just leave blanks. nm
s
Pt with a miscarriage. A complete placenta appeared to be present w/o any missing SM
Subject: Pt with a miscarriage. A complete placenta appeared to be present w/o any missing SM
s/l caudal lee-dent.
to the best of my knowledge it is a word (past/versus present tense)
Subject: to the best of my knowledge it is a word (past/versus present tense)
s/l: "The ___ dens space is present indicating atrophy" (sm)
Subject: s/l: "The ___ dens space is present indicating atrophy" (sm)
s/l There is some ___ choroid dens space is present
blank sounds like supraventricular but not supratentorial.
I don't know...static on line. This is to rule out acoustic neuroma.
Thank You!
Multiple internal s/l syneckyi are present within this popliteal cyst. I know this word....grr!
Subject: Multiple internal s/l syneckyi are present within this popliteal cyst. I know this word....grr!
Apparently, the "flame sign" may be present, due to disruption and depression of the lateral c
Subject: Apparently, the "flame sign" may be present, due to disruption and depression of the lateral canthal tendon (according to Emedicine)
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