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gut wall guarding?

Posted By: bspen on 2007-08-22
In Reply to:

Subject: gut wall guarding?

Anyone heard of this.  Stating gut wall guarding right shoulder.




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gut wall guarding?
Have you heard of this? Stating gut wall gaurding right shoulder.
no rebound, guarding, or rigidity. Common to hear no guarding on abdominal exam.
Subject: no rebound, guarding, or rigidity. Common to hear no guarding on abdominal exam.


wall leaks? wall leakage? nm
Subject: wall leaks? wall leakage? nm


No PARTICULAR guarding
Subject: No PARTICULAR guarding

does that sound weird to anyone else?  Oh well....
without rebound or guarding?
Subject: without rebound or guarding?

I don't know the 2nd one, sorry :(
no guarding or rebound ??? (nm)
Subject: no guarding or rebound ??? (nm)


no mass appreciated, no guarding
Subject: no mass appreciated, no guarding

xx
well, if the doc is doing abdominal exam, he would be looking for guarding, tenderness, rebound, etc
Subject: well, if the doc is doing abdominal exam, he would be looking for guarding, tenderness, rebound, etc in the

abdominal and pelvic region to rule out either a renal (kidney pain is mixed with back pain), or peritoneal or or intestinal pain, which can radiate to back. So if you hear it clearly, I think it is right, many docs use certain phrases lots of times!
There is hesitancy in range of motion due to pain and guarding on the patient’s para-articular flexi
Subject: There is hesitancy in range of motion due to pain and guarding on the patient’s para-articular flexion, extension and supination.


Gut Wall
Subject: Gut Wall

Are you sure he/she isn't saying gut wall guarding in the abdominal exam, then going into the extremity exam?
s/l over the wall tenderness
Subject: s/l over the wall tenderness

Doc says she has some ecchymosis around her eye.  She has some minor lateral ... over the wall .... tenderness and some tenderness at the zygoma but there is no palpable stepoff and no significant swelling. 


Any suggestions.  Thanks. 


wall board
Subject: wall board

a total guess - like rom for shoulders?
s/l eye wall manipulator
Subject: s/l eye wall manipulator


sl dent to the fifth wall
Subject: sl dent to the fifth wall

In the HEENT. Oropharynx is moist. She has a "dent to the fifth wall."


Patient is elderly with dementia and CVD.


duodenal wall?
Subject: duodenal wall?


Could it be posterior wall? (nm)
Subject: Could it be posterior wall? (nm)

.
wall motion abnormalities
Subject: wall motion abnormalities

!
bare wall sign
Subject: bare wall sign

I have an orthopedic surgeon who notes a "bare wall" in the knee when doing an arthroscopy to indicate the "bare wall" where the ligament should be attached but is no longer attached because of a tear. Hope this helps.
bare wall sign
Subject: bare wall sign

Anyone ever hear of this regarding a cruciate ligament exam?
Maybe secretory wall for the second blank? nm
Subject: Maybe secretory wall for the second blank? nm

.
bronchial wall remains
Subject: bronchial wall remains

I'm thing remains because he is comparing it to the May 17 study.
Pt with fat pad noted on chest wall. sm
Subject: Pt with fat pad noted on chest wall. sm

No hepatosplenomegaly. s/l Job space was not dull
? Regioinal wall motion?
Subject: ? Regioinal wall motion?


passive wall motion nm
Subject: passive wall motion nm


Unless totally off the wall, type what the
Subject: Unless totally off the wall, type what the

x
"ASD" placement in chest wall

Thorax has a well-healed placement of ASD in the left chest wall.  I can't tell if I'm hearing AST, ASD, or ???  Can't find anything that really fits without question.  Patient has non-Hodgkin's


Thanks!


listen for wall motion abnormality
Subject: listen for wall motion abnormality


Nope, but thanks. Bare wall is very clear!
Subject: Nope, but thanks. Bare wall is very clear!


Should have said..mine pronounce ESWL , "S Wall"...nm
Subject: Should have said..mine pronounce ESWL , "S Wall"...nm

nm
That second part could be a simple as "cyst wall"
Subject: That second part could be a simple as "cyst wall"

if it's pertaining to the same procedure.
circumferential is fine, going all the way around the intima instead of just along one wall or
Subject: circumferential is fine, going all the way around the intima instead of just along one wall or

s
fascia? abdominal wall? cul-de-sac? adnexa? nm
Subject: fascia? abdominal wall? cul-de-sac? adnexa? nm

s
If that is the case, then I would put septal and posterior wall...
Subject: If that is the case, then I would put septal and posterior wall...

It is usually in reference to the thickness and their ratio.
The lens was centered with an eye wall manipulator.
Subject: The lens was centered with an eye wall manipulator.


Echo- no wall motion in the s/l value is present?
Subject: Echo- no wall motion in the s/l value is present?


listen for wall motion abnormalities? nm
Subject: listen for wall motion abnormalities? nm

x
S/l: Nare-A on the abdominal wall are s/l blottalbe
Subject: S/l: Nare-A on the abdominal wall are s/l blottalbe

x
Anyone ever hear of s/l nuiasance wall syndrome...TIA
Subject: Anyone ever hear of s/l nuiasance wall syndrome...TIA


maybe new onset chest wall syndrome? NM
Subject: maybe new onset chest wall syndrome? NM

xx
maybe "no atrial wall thickening" ? nm
Subject: maybe "no atrial wall thickening" ? nm


Family hx: Mother has hx of s/l wall Benstroms microglobunemia tia
Subject: Family hx: Mother has hx of s/l wall Benstroms microglobunemia tia


Anyone hear of s/l nuisance chest wall syndrome..TIA
Subject: Anyone hear of s/l nuisance chest wall syndrome..TIA


I have heard of "empty wall sign" in association
Subject: I have heard of "empty wall sign" in association

x
Can be telangiectasia in vaginal wall so I think poikoloderma fits. nm
Subject: Can be telangiectasia in vaginal wall so I think poikoloderma fits. nm


Mild "ecky" periumbilical and abdominal wall ecchymosis. sm
Mild ____ periumbilical and upper abdominal wall ecchymosis.  Sounds like "ecky" or "epi".  Any ideas what this might be?  TIA
mastectomy and reconstruction followed by ETC and local chest wall radiation
Subject: mastectomy and reconstruction followed by ETC and local chest wall radiation

NM
perhaps ൛-gauge, single-wall access needle" ? nm
Subject: perhaps ൛-gauge, single-wall access needle" ? nm


haustra= multiple pouches in the wall of the large intestine
Subject: haustra= multiple pouches in the wall of the large intestine

not sure how he would be using it...but there is such a word.
If refering to the orbital wall/bones that could be correct, see inside.
Subject: If refering to the orbital wall/bones that could be correct, see inside.

Orbital Walls:



  • Provides protection to the globe
  • A pyramid in shape with apex at foramen
  • Roof - frontal bone, lesser wing of sphenoid
  • Medial - maxilla, lacrimal, ethmoid, body of sphenoid
  • Floor - maxillary, palatine, zygoma
  • Lateral - zygoma, greater wing of sphenoid

anterior abdominal wall was cleaned using a s/l "swaburette".. any ideas??
Subject: anterior abdominal wall was cleaned using a s/l "swaburette".. any ideas??

dried, Dermabond was placed to the 5 mm trocar sites. 
Usually it is not playing but attaching or connecting the NG tube to low wall suction.
Subject: Usually it is not playing but attaching or connecting the NG tube to low wall suction.