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physical exam shows TMA on the right side??

Posted By: cj on 2008-02-22
In Reply to:

Subject: physical exam shows TMA on the right side??




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Gonioscopic exam shows ?angular slit? in both eyes.


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Physical exam
Subject: Physical exam

Height: Six feet.


I'm having trouble remembering all my rules on numbers for stats and such. Is this right? Thank you.


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Subject: On physical exam.. S/L

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Physical exam
Subject: Physical exam

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Subject: re physical exam

PHYSICAL EXAMINATION: Significant findings for left lower quadrant tenderness. Blood pressure was 124/78, pulse rate of 96, and respiratory rate of 20. Heart: S1 and S2. Lungs: Clear to auscultation bilaterally.


I would type it this way or at least make it present tense.  On my accounts, I am required to categorize these things. 


PHYSICAL EXAMINATION:


Abdomen:  Significant findings for left lower quadrant tenderness. Vital signs:  Blood pressure 124/78, pulse rate 96, respiratory rate 20. Heart: S1 and S2. Lungs: Clear to auscultation bilaterally.


 


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Subject: GI physical exam

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This is on physical exam
Subject: This is on physical exam

thanks for trying.
physical exam help
Subject: physical exam help

Physical exam, under Extremities, doctor states ___ pulses throughout.


It sounds like temporis pulses. I know of temporal pulses, but would that be throughout the extremities? Thank you!


Physical exam help?
Subject: Physical exam help?

EXAMINATION:  No costovertebral angle tenderness.  Abdomen has normal active bowel sounds in all quadrants.  It is supple.  Extremely tender left upper quadrant and going down not quite into the groin.  Difficult to check the (s/l sternal) border because of increased tenderness but the spleen may be mildly enlarged but no distinct masses felt.  I am unable to check for rebound or guarding because she is so exquisitely tender with even a very light touch.


 


ASSESSMENT:  Acute left upper quadrant pain.


s/l sternal border?  Any help would be great?


physical exam
Subject: physical exam

Probably just means + (the plus sign), as in positive S1, S2...just means he heard 1st and 2nd heart sounds clearly (as opposed to sounds to distant or obscured by extra sounds). If something was dictated before that, I would put a comma and use the plus sign, i.e., PREVIOUS TEXT, + S1, S2. If nothing precedes it, I would type positive S1, S2. If account wants verbatim, give it to them.
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Subject: It was just a physical exam, and I don't know

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Subject: Need help with physical exam please

I am wondering if, in the last sentence, where "drop can arc" is dictated . . . would she be referring to three tests/maneuvers such as Drop Arm, Empty Can, and an Arc test, or is it correct as is?


She has excellent range of motion of the shoulder.  Good grip strength.  Distal pulses and sensation are intact.  She can do a full drop can arc.


TIA


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Subject: Please help with physical exam (sm)

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Subject: Under physical exam...

I know this is probably really easy...BUT, the doc is rattling it off and he's new to me...


ABDOMEN:  Soft, nontender, nondistended, ___ to bowel sounds. 


 


Is it normal to bowel sounds?


 


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Subject: Physical Exam

s/l duprichen contractions of both hands
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Subject: Physical exam

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Subject: physical exam

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Subject: physical exam help

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Subject: physical exam help

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physical exam help
Subject: physical exam help

Antalgic carrying posture?
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Subject: physical exam help

patient is in for left shoulder pain.

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Subject: Physical exam s/l please help. sm

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physical exam
Subject: physical exam

could that be peripheral pulses?


Vis


 


physical exam...
Subject: physical exam...

i have never heard this before.  its not a standard.  going through the physical exam as normal and says ....


Eyes:  Split 1 and 2.


Ears, nose, throat:  1,2,5,6.


Neck:  1,2.


Respiratory:  1 and 4. 

Cardiovascular:  2, 3, 4, 5, 6, 7. 


 


What is this?  I have never seen or heard such a thing before.


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Subject: Under physical exam

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Subject: Need help with physical exam s/l

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Subject: physical exam

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Subject: physical exam

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Subject: help with something in the physical exam

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Subject: In physical exam

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Subject: Where would I put this in physical exam?

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Subject: Physical Exam!

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Subject: physical exam

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Subject: physical exam

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Subject: physical exam help

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Subject: Physical exam

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Physical exam help.
Subject: Physical exam help.

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Subject: Physical exam help.

She was s/l (globally) weak but moved all four extremities well.