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possibly palpable cords as in Dupuytren's contractures

Posted By: ltt on 2007-11-06
In Reply to: s/l cori-some (part of PE) - sm

Subject: possibly palpable cords as in Dupuytren's contractures




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Consider surgery or s/l TOI for Dupuytren's contractures. TIA!!!
Subject: Consider surgery or s/l TOI for Dupuytren's contractures. TIA!!!


Agree with cords - as in Dupuytren's - nm
Subject: Agree with cords - as in Dupuytren's - nm

nm
they always say no palpable cords
Subject: they always say no palpable cords

i've always just assumed it meant something like strands... like a tendon in the leg.
There are no palpable cords or calf tenderness, despite the patient’s complaint of diffuse body ache
Subject: There are no palpable cords or calf tenderness, despite the patient’s complaint of diffuse body ache


contractures
Subject: contractures

xx
Could be gastrocsoleus complex or contractures. sm
Subject: Could be gastrocsoleus complex or contractures. sm

Have documented gastroc/soleus contractures in ortho words and phrases by HPI. Can type as gastroc/soleus or gastrocsoleus. I generally hear this term in conjunction with "complex" rather than "contractures."
There is a dactylogryposis which is contractures of fingers.
Subject: There is a dactylogryposis which is contractures of fingers.


Cerebral palsy with contractures. The patient is undergoing..sm
Subject: Cerebral palsy with contractures. The patient is undergoing..sm

chemoneurolysis and muscle lengthenings in both legs. The doc says:

The hip adductors were then lengthened, bringing the range from about 15-20 degrees s/l grab out to 65 degrees s/l grab which is a pretty good change considering the age of the patient.


Dupuytren's
Subject: Dupuytren's


Dupuytren's
Subject: Dupuytren's


Dupuytren contracture
Subject: Dupuytren contracture

nm
Dupuytren's contracture
Subject: Dupuytren's contracture


Thanks Dupuytren's disease sm
Subject: Thanks Dupuytren's disease sm

Had just found it on whonamedit.com.  I thought she was naming a tendon and I was not getting the disease part.  Once I figured out she was saying disease (talking at the speed of light)  then I knew where to look, my favorite site for these weirdo names LOL, www.whonamedit.com.  Thanks for getting that for me. 


Dupuytren diathesis?
Subject: Dupuytren diathesis?

xx
Dupuytren's contracture ?
Subject: Dupuytren's contracture ?

Dupuytren's contracture - affects tissues in the palm of the hand
dupuytren's range of motion?
Subject: dupuytren's range of motion?


Dupuytren canal (pronounced doopwetron) nm
Subject: Dupuytren canal (pronounced doopwetron) nm

x
The Dupuytren's contracture, which was s/l 15 15 on April 7, 2006 now has....
Subject: The Dupuytren's contracture, which was s/l 15 15 on April 7, 2006 now has....

severely affected the right little finger.  MP 44, PIP 71. 


 


Just curious how I would write the "15 15"  15/15 15:15.  Not too familiar with this.


 


Thanks guys!!!


cords NM
Subject: cords NM

`
I think it is cords.
Subject: I think it is cords.


That's right ... cords
Subject: That's right ... cords

The patient has no cords (like in palpable varicose veins), clubbing, cyanosis or edema in the lower extremities.
cords
Subject: cords

dictates what sounds like "without tramping cords" 


I know it's cords, but could it be cramping?  It really sounds like tramping but that doesn't make sense to me. 


Thanks so much. :)


cords
Subject: cords

where are you in the body?
I agree with cords.
Subject: I agree with cords.


can you hear cords? nm
Subject: can you hear cords? nm

x
vocal cords...
Subject: vocal cords...

"presbycularynx"????  No clue!
Cords is correct. nm
Subject: Cords is correct. nm


cords is correct. sm
Subject: cords is correct. sm


1. In anatomy, any long ropelike structure. A small, cordlike structure composed of several to many longitudinally oriented fibers, vessels, ducts, or combinations thereof. 


Examination of the right hand reveals s/l classic model of Dupuytren's contracture
Subject: Examination of the right hand reveals s/l classic model of Dupuytren's contracture

:-)
Extremities PE No chords or cords
Subject: Extremities PE No chords or cords


it's palpable
Subject: it's palpable

your doc is saying palpable, as in you can feel the resentment


 


115/palpable?
Subject: 115/palpable?

Vital signs: Bp 115/palpable? Dictated as 115 over palpable.
palpable?
Subject: palpable?


Doc says " No edema. No evidence of s/l cords. What is meant by that? TIA!!!
Subject: Doc says " No edema. No evidence of s/l cords. What is meant by that? TIA!!!


Use "or": There are no palpable ...
Subject: Use "or": There are no palpable ...








.
palpable ballottement.
Subject: palpable ballottement.


palpable frill?
Subject: palpable frill?


Palpable thrill nm
Subject: Palpable thrill nm

nm
palpable defect? nm
Subject: palpable defect? nm


palpable throw
Subject: palpable throw

dictated:

He has a functioning shunt in the left arm, with a palpable s/l throw.


Sometines hear calf tenderness, swelling, cords. nm
Subject: Sometines hear calf tenderness, swelling, cords. nm


thyroid palpable without GLARE or nodules
Subject: thyroid palpable without GLARE or nodules

Physical examination part of note.  Under thyroid she says Palpable without GLARE or nodules.  Any help? 
palpable mesocolonic lymph nodes???
Subject: palpable mesocolonic lymph nodes???


uterus was palpable, s/l ring incised-sm
Subject: uterus was palpable, s/l ring incised-sm

I don't know if he is saying something like ring incised or ring sized.

Past history says: She had four cesarean sections, laparoscopic tubal sterilization, and a laparotomy with left oophorectomy and abdominoplasty.

In pelvic exam: PELVIC: Skene, urethral, and Bartholin glands within normal limits. Vagina, good support. Cervix was closed. No lesions were seen. Uterus was palpable, ______. s/l "ring incised" or "ring sized."

Could he be saying "ring incised" meaning he feels the incision from previous surgeries. Could it be he is saying uterus is "ring sized?"
s/l doctor is saying palpable and outable crepitus?? Is this right?? Thanks. nm
Subject: s/l doctor is saying palpable and outable crepitus?? Is this right?? Thanks. nm

nm
The shoulder girdle and s/l "envurons" is without palpable deformity...TIA nm
Subject: The shoulder girdle and s/l "envurons" is without palpable deformity...TIA nm


On abdominal exam, no palpable s/l olive noted..nm
Subject: On abdominal exam, no palpable s/l olive noted..nm

nm
headache s/l endurary or palpable temporal artery.
Subject: headache s/l endurary or palpable temporal artery.

Patient has headaches over occipital ridge


PE:  There is no "endurary" or palpable temporal artery


probably palpable bulging discs. It's neural foramina, not neuroforamina nm
Subject: probably palpable bulging discs. It's neural foramina, not neuroforamina nm

:
He does have a Watson's maneuver and a palpable s/l "brinde" with radioulnar deviation
Subject: He does have a Watson's maneuver and a palpable s/l "brinde" with radioulnar deviation

thanks in advance!
ENT-physical examination reveals *syn___ectomy* without palpable adenopathy??? Thanks- nm
Subject: ENT-physical examination reveals *syn___ectomy* without palpable adenopathy??? Thanks- nm