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google heel strike and appendicitis

Posted By: Lorie R. on 2009-03-28
In Reply to: Abdominal Exam help!!! - spirit329

Subject: google heel strike and appendicitis

nm


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It's heel tap, most likely. Done to check for appendicitis, I believe. (sm)
Subject: It's heel tap, most likely. Done to check for appendicitis, I believe. (sm)

They tap the bottom of the heel, and if it causes pain in the abdomen, then the patient most likely has appendicitis.  Don't know why....


Strike?
Subject: Strike?

What is this baseball?


Hemoglobin strike M (could be um) adequate 11.6 strike 35.1.


I'm wondering if when he is saying strike, he means dash (-) or slash (/). For instance:


Hemoglobin-adequate 11.6-35.1.


He's one of the doctors that dictates commas and periods.


Thanks


strike
Subject: strike

maybe he is saying strike as in cancel that. I have had a few that do that. They will say, for example, "21, strike that, 31". You know what I mean? Maybe not, but it's just a thought.
appendicitis
Subject: appendicitis

purulent maybe
Appendicitis.
Subject: Appendicitis.

The mesoappendix was then elevated and divided with the endoscopic stapler.  Hemostasis was good and the appendix was placed in a ??_________ and extracted through the left lower quadrant port site.


It sounds like pletement fack or something silly like that.



 


Thanks!


Appendicitis sign
Subject: Appendicitis sign

Okay, I know I know this but I'm drawing a complete blank.  The patient has a positive obturator sign and a positive ?Rostitch? sign.  Help!
Appendicitis sign
Subject: Appendicitis sign

I believe you are looking for Rovsing's sign.
Appendicitis with pearly rupture?
Subject: Appendicitis with pearly rupture?

Acute appendicitis with __________rupture.


 


s/l pearly


appy; slang for appendicitis
Subject: appy; slang for appendicitis

nm
Acute appendicitis, possible s/l Les Bence with cecal transposition.
Subject: Acute appendicitis, possible s/l Les Bence with cecal transposition.


Rovsing sign, pain over McBurney's point when looking for appendicitis. nm
Subject: Rovsing sign, pain over McBurney's point when looking for appendicitis. nm

s
pt. came in with appendicitis, but in postop notes, dictator keeps saying left epi/appe?
Subject: pt. came in with appendicitis, but in postop notes, dictator keeps saying left epi/appe?


Oh duh, I mean heel tap of course nm
Subject: Oh duh, I mean heel tap of course nm


re: Just says for heel, no details
Subject: re: Just says for heel, no details


heel spur--something???
Subject: heel spur--something???


heel spur?
Subject: heel spur?


Heel spur?
Subject: Heel spur?


for painful right heel, please sm..
Subject: for painful right heel, please sm..

The patient already has put a (s/l-shin-) into her shoe to raise the heel, and this apparently is comfortable. 


 


ESL doc, can't understand what it is.


Em-bal-bic 7.5 mg b.i.d. for heel pain. nm TIA
Subject: Em-bal-bic 7.5 mg b.i.d. for heel pain. nm TIA

sounds like em-bal-bic maybe um-bal-bic or im-bal-bic...or maybe the 1st sound is just him saying ummmm, not sure. any help greatly appreciated.
heel exercises ? nm
Subject: heel exercises ? nm

'
Peekaboo heel?
Subject: Peekaboo heel?

He has very wide-based feet and peekaboo heels. Anyone heard of this?  Couldn't find much online...mostly shoes and something about pole dancing! 
s/l apothositis (heel)
Subject: s/l apothositis (heel)

Probable apothositis of the heel (- heel injury)
heel-toe gait with ???
Subject: heel-toe gait with ???

He has heel-toe gait, although he does have a slightly less (s/l weigh hung on the left than the right.  Also s/l wane/huddle)


I know it sounds funny but does anyone have an idea? 


get his heel close to his glute? nm
Subject: get his heel close to his glute? nm

s
air brace......(s/l) hatch heel
Subject: air brace......(s/l) hatch heel

ORTHO


dictates:  we will get him an 'air' brace to be used on his (s/l) 'hatch' heel.


e-aw-sol? Possibly heel ulcer?
Subject: e-aw-sol? Possibly heel ulcer?


s/l subcallus region of the heel....tia (nm)
Subject: s/l subcallus region of the heel....tia (nm)

x
Could it be erythema instead of heel drop?
Subject: Could it be erythema instead of heel drop?


Viscoelastic Heel Cups
Subject: Viscoelastic Heel Cups

:)
s/l cobicoladonil??? for heel spur
Subject: s/l cobicoladonil??? for heel spur

Heel spur; use s/l Cobicoladonil...



Any ideas??? Thx in advance....


3/8-inch heel lift...
Subject: 3/8-inch heel lift...

Per AAMT BOS:
Use numerals for fractional measurements preceding a noun. Join the fraction to the unit of measure with a hyphen
heel--did you even try googling "heedle" boot???
Subject: heel--did you even try googling "heedle" boot???

x
Yes, thank you! Heel spur syndrome. Why is it the most obvious is sometimes so hard to get?
Subject: Yes, thank you! Heel spur syndrome. Why is it the most obvious is sometimes so hard to get?

nm
heel redness ......s/l "Praf" to offload heels
Subject: heel redness ......s/l "Praf" to offload heels

nm
Sores on heel treated with *s/l bagmom* and pumicing
Subject: Sores on heel treated with *s/l bagmom* and pumicing


Sounds like "Fuseman" file to remove heel spurs?
Subject: Sounds like "Fuseman" file to remove heel spurs?

x


3. Plantar fasciitis – it is not really affecting the heel of her foot as much as it is the insertio
Subject: 3. Plantar fasciitis – it is not really affecting the heel of her foot as much as it is the insertio

>
Ortho help needed please. Patient in with heel symptoms s/l gel effect...
Subject: Ortho help needed please. Patient in with heel symptoms s/l gel effect...

For context: "The patient does not describe definite gel effect and says she does not have problems getting out of the car after a long car ride, or out of her seat after a long movie."

Thanks for any help!
ESL doctor. Non-healing ulcer on heel. PT is on "prental or plental" 400 mg t.i.d. TIA
Subject: ESL doctor. Non-healing ulcer on heel. PT is on "prental or plental" 400 mg t.i.d. TIA

no message
Patient with plantar bursitis. We will fit her with visco-lescette heel cups.
Subject: Patient with plantar bursitis. We will fit her with visco-lescette heel cups.

:-)


I too love Google but be V_E_R_Y careful w/google
Subject: I too love Google but be V_E_R_Y careful w/google

Google is great for retrieving anything faster than the speed of light *lol* - but if the info comes from a nonverifiable medical website, be very wary.  There are a few I trust only...the NIH for one (Nat'l Institute of Health) and the CDC (Center for Disease Control) and a few others out of the government actually.


As for prescription places, I trusted rx.com for far too long, there are many more reliable drug websites out there... medilexicon.com is a great site and to confirm a proper name of a disease or things like that, there is whonamedit.com which, if you write to the site owner, can be added to (I have done some communication with the site owner so this is 100% true). 


When I first started using google in MT work about 8 years ago as google is not that old, (got online 12 years ago, been an MT since 1980), I had looked up Spironolactone, and Google gave the spelling to me incorrectly and (who knew it was wrong?!?!??) I used their spelling and I was wrong. 


So, only advice is be VERY CAREFUL what YOU CHOOSE to use as far as websites go regarding MT/ME work because in the end you're the one responsible....not google. 



gotta be careful w/Google....I love Google
Subject: gotta be careful w/Google....I love Google


listen for Sever's disease, painful condition of heel in growing children.
Subject: listen for Sever's disease, painful condition of heel in growing children.


Gait is slow but shows normal heel-toe pattern, base and s/l kagens. nm
Subject: Gait is slow but shows normal heel-toe pattern, base and s/l kagens. nm

nm
ortho - palpation of lower ext. shows tight heel cords demonstrated by 'silver shield' test sm
Subject: ortho - palpation of lower ext. shows tight heel cords demonstrated by 'silver shield' test sm

Can anyone verify?  If so, one word or two words?  Can't find on google, Dorlands, or my ortho/neuro book.


TIA


there is a heel test to test for bone density. susan
Subject: there is a heel test to test for bone density. susan


UBE (upper body exercises) and V-raises could be heel raises?
Subject: UBE (upper body exercises) and V-raises could be heel raises?


I found this on phoresis...maybe heel phoresis?
Subject: I found this on phoresis...maybe heel phoresis?

Phoresis: This means to "carry or transmit." There are two methods that therapists can use to transmit substances across the skin. Phonophoresis uses the high frequency sound waves of ultrasound to "push" a steroid medication (cortisone) through the skin. Iontophoresis uses a small machine that produces a mild electrical charge, which is used to carry medicine, usually a steroid, through the skin. The steroid is a very strong anti-inflammatory medication that actually stops the pain-causing chemical reaction within the cells of the sore tissue in your body. Either type of phoresis may be used in place of a cortisone injection.


s/l heel boot or heedle boot?
Subject: s/l heel boot or heedle boot?

EXTREMITIES:  Positive for contractures.  He has his s/l heedle boots on.


 


Could this just be heel? Thanks.


Google
If you type a term in Google you will usually get an answer, and a lot of times the TM symbol will be in the search results.
from google....sm...........
Subject: from google....sm...........

5 French Weinberg catheter and the standard Seldinger. technique


but you can only view it at google if you click on CACHE because it's password protected site in pdf.............