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first thought is decreased expiratory or sm

Posted By: Txczech on 2006-11-18
In Reply to: Phys Exam, Chest section - Misha

Subject: first thought is decreased expiratory or sm

inspiratory phases bilaterally. 


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end expiratory
Subject: end expiratory


it's end expiratory, I am sure....*S*
Subject: it's end expiratory, I am sure....*S*


They are all right, end expiratory.
Subject: They are all right, end expiratory.


end expiratory wheeze
Subject: end expiratory wheeze

nm
Or inspiratory or expiratory? nm
Subject: Or inspiratory or expiratory? nm

s
any idea? inspiratory and expiratory _____.
Subject: any idea? inspiratory and expiratory _____.

Flow volume loop shows normal.  Inspiratory and expiratory _____.  Peak flow is normal.
positive end-expiratory pressure (PEEP
Subject: positive end-expiratory pressure (PEEP


Says Few mild expiratory wheezing rales on deep
Subject: Says Few mild expiratory wheezing rales on deep

expiration only but no retracting??  Not sure if sentence is acceptable?  Heavy ESL dictator. 
Do you hear the words delayed expiratory phase, not sure if this helps. nm
Subject: Do you hear the words delayed expiratory phase, not sure if this helps. nm

x
no, it s/l decreased
Subject: no, it s/l decreased

I have listened over and over. I know the term nuclear sclerotic, but he s/l he is saying decreased. Thanks for the help.
Duh by me - decreased rom!! thanks
Subject: Duh by me - decreased rom!! thanks


decreased? sm
Subject: decreased? sm

it's close to your s/l (IF you say it while yawning) and it fits with paresthesias... ?? =)
I also think it would be decreased, and
Subject: I also think it would be decreased, and

it sounds like the patient has meralgia paresthetica.

I was confused by the subject line because I thought the patient was having the problem while yawning, LOL.
decreased curves
Subject: decreased curves

The guy could be more organized but that's not your fault. That is fine the way it is.
Neck: Decreased ROM in all "axies"
Subject: Neck: Decreased ROM in all "axies"


Says...Reflexes were decreased at his ankles with... sm
Subject: Says...Reflexes were decreased at his ankles with... sm

s/l equivalent of toes bilaterally. 
decreased sclerotic cataract
Subject: decreased sclerotic cataract

Does this make sense? Doing a cataract surgery and it s/l the preop dx is descreased sclerotic cataract.


decreased renal function. His *EFR* was 49 ml
Subject: decreased renal function. His *EFR* was 49 ml


decreased auditory acuity s/l AS ?
Subject: decreased auditory acuity s/l AS ?

xx


Doc says AC joint with decreased "scapitation" ?
Subject: Doc says AC joint with decreased "scapitation" ?

nm
decreased s/l nimblization of the mastoids
Subject: decreased s/l nimblization of the mastoids


decreased voluntary movement?
Subject: decreased voluntary movement?


not to mention, decreased range of motion
Subject: not to mention, decreased range of motion

not emotion. geez.
decreased air entry over the apices bilaterally. nm
Subject: decreased air entry over the apices bilaterally. nm

nm
RUE has functional ROM but there is decreased s/l proprius synchronius sm
Subject: RUE has functional ROM but there is decreased s/l proprius synchronius sm

mechanics of the shoulder girdle.
Pain decreased with "solumpus" patch
Subject: Pain decreased with "solumpus" patch

I have no clue what this could be ... sounds like sul-um-pus patch??Doctor says the patient's pain is decreased with heat and ____ patches.  Thanks.


Pt with MS, s/; "Tatense" is decreased over the right upper extremity.
Subject: Pt with MS, s/; "Tatense" is decreased over the right upper extremity.

This is on Neurologic exam: Dorsiflexor 2/5 and the remainder at 4/5. DTRs are 3+ throughout, except for 2+ at the ankles. Tatense is decreased over the right upper extremity but intact throughout on the remaining three extremities.
large areas of decreased attenuation
Subject: large areas of decreased attenuation


decreased s/l flying femur movements?
Subject: decreased s/l flying femur movements?

Under neurologic exam, motor exam.  s/l decreased flying femur movements right vs. left.
The patient has decreased skin s/l tuther. Help???
Subject: The patient has decreased skin s/l tuther. Help???


Decreased visual field on the right s/l 2 threat or throughout?
Subject: Decreased visual field on the right s/l 2 threat or throughout?

I don't know if this makes sense. 


Decreased visual field on the right s/l 2 threat or 2 throughout.  Do either of these make sense, or something else?


hypovolemia is a state of decreased blood volume
Subject: hypovolemia is a state of decreased blood volume


decreased breath sounds at the bilateral s/l faces? nm
Subject: decreased breath sounds at the bilateral s/l faces? nm


IDK, should be forced vital capacity, or forced expiratory volume (FEV)
Subject: IDK, should be forced vital capacity, or forced expiratory volume (FEV)


WILD GUESS maybe decreased vision, sclerotic cataract, although...
Subject: WILD GUESS maybe decreased vision, sclerotic cataract, although...

usually the dictator does not lump these together like this?  Any other words around diagnosis?  This is when I wish we could listen to each other's reports. 
Ortho help. Would this make sense: Posture s/l has decreased on the lordosis?
Subject: Ortho help. Would this make sense: Posture s/l has decreased on the lordosis?


Aerodynia can relate to "swallowing" of excessive air, so flow decreased, less pressure. NM
Subject: Aerodynia can relate to "swallowing" of excessive air, so flow decreased, less pressure. NM

nm
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!
it is not ESL and I thought of warts but thought the same thing and it does not sound like a "t&#
Subject: it is not ESL and I thought of warts but thought the same thing and it does not sound like a "t"


STRESS: Images reveal decreased uptake of radioisotope in the inferior wall and BASAL septum.
Subject: STRESS: Images reveal decreased uptake of radioisotope in the inferior wall and BASAL septum.


S/L * Rea * for peripheral smear shows slightly decreased platelets. No clumps. Normal white cells
Subject: S/L * Rea * for peripheral smear shows slightly decreased platelets. No clumps. Normal white cells and red cells.

The patient has idiopathic thrombocytopenic purpura. Thanks again.
I hear lumbar. So would it make sense as: Posture has decreased lumbar lordosis
Subject: I hear lumbar. So would it make sense as: Posture has decreased lumbar lordosis


I second your thought Dee. :) nm
nm
that is what I thought but. . .
Subject: that is what I thought but. . .

She says it twice in the report and pronounces it like it rhymes with cube or tube and sound like she says pube, so that is what made me think it was short for pubic.  Here is the other sentence: 


He had a high (pube) on the left and an elevate ASIS on the left in a sheer pattern.


 


 


That is what I thought, but. .sm
Subject: That is what I thought, but. .sm

I have to blank it since he is not saying the whole word including in the diagnosis.  He just say pila or pyelo.
Thank you. That is what I thought it was.
Subject: Thank you. That is what I thought it was.

x
Just thought I would
Subject: Just thought I would

glycopyrrolate (gly·co·pyr·ro·late) (gli”ko-pir´o-lât) [USP] a synthetic quaternary anticholinergic used as an antispasmodic to help treat peptic ulcer and other gastrointestinal disorders, a preanesthetic antisialagogue to decrease salivation and respiratory secretions, and an antiarrhythmic to counteract vagal inhibitory reflexes during induction of anesthesia and surgery; administered orally, intramuscularly, or intravenously. Called also glycopyrronium bromide.


that's what i thought. thank you.
Subject: that's what i thought. thank you.

x
my first thought was /sm
Subject: my first thought was /sm

"midline raphe" -- but looking it up, usually refers to area around mandible/jaw, so not sure if it would fit or not.


Thanks a ton. Thats what I thought too
Subject: Thanks a ton. Thats what I thought too


I thought that first too, but I don't...
Subject: I thought that first too, but I don't...

think that's it, but thanks!