lab question and other

Upon rectal exam, the patient has 1 "spline" or "swelling" right at 12 o’clock. Upon digital exam, she has no internal hemorrhoids palpable. "Urine negative. Hemoccult." Her urine dip today revealed 1+ blood, 1+ protein, positive nitrates.

I can't tell what she is saying, sounds like either "spline" or "swelling." Spline doesn't make sense. Also, it didn't make sense where she dictated: "Urine negative Hemoccult." She doesn't dictate punctuation so I don't know how to make sense of it.

• lab question and other - schmily
  • Thanks - schmily
  • i'd also BLANK Urine negative hemoccult...nm - no message
  • nitrites - not nitrates in urine........ - no message
  • Okay, let's start with the first thing. sm - Chipping away at this

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