| pulses in extremitiesPosted By: insane  on 2008-12-09In Reply to:
 
 He says posterior tibials 2+,  politeals 1-1/2+ ????  How should this be typed?
 
 
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 in the extremities are there NPO? pulses?
 Subject: in the extremities are there NPO? pulses?
 
 
 "good capillary refill and *brisk distal pulses*?? over both lower extremities" (my 2 cents) n
 Subject: "good capillary refill and *brisk distal pulses*?? over both lower extremities" (my 2 cents) nm
 
 
 undetectable pulses? equivocal pulses? nm
 Subject: undetectable pulses? equivocal pulses? nm
 
 
 pulses
 Subject: pulses
 
 Doctor dictates what s/l "pulses 1 and 4 in the lower extremities"....I doubt it should be pulses 1/4...Can you please help me out?
 How about 2+ pulses? nm
 Subject: How about 2+ pulses? nm
 
 /
 Pulses
 Subject: Pulses
 
 Can anyone help me with this.  I am hearing "popliteal and DP and PT pulses are all 1+.  What does DP and PT stand for?  TIA
 protuberant pulses?
 Subject: protuberant pulses?
 
 
 This is under abdomen under pe... 
 Abdomen: Soft, nontender. No protruberant pulses or masses. probably distal pulses
 Subject: probably distal pulses
 
 
 pieces could be pulses
 Subject: pieces could be pulses
 
 xx
 huh?  pulses would be correct....nm.
 Subject: huh?  pulses would be correct....nm.
 
 
   Peripheral pulses?
 Subject: Peripheral pulses?
 
 
 something to do with tibial pulses?
 Subject: something to do with tibial pulses?
 
 nm
 "Peter" Pulses?
 Subject: "Peter" Pulses?
 
 
 
 Lol I know th is sounds stupid.. but it sounds like he's saying Peter Pulses! ? Any Help? 
   
 Extremities: were without edema. "Peter" Pulses were present, no calf tenderness Pedal pulses (nm)
 Subject: Pedal pulses (nm)
 
 
 x Pulses are FULL AND strong
 Subject: Pulses are FULL AND strong
 
 would s/l full-en-strong.
 Cardio pulses are equal.
 Subject: Cardio pulses are equal.
 
 It sounds like she is saying cardio pulses are equal bilaterally.  Could this be right.  Is the 'cardio pulses' correct?
 is there a term disp pulses?
 Subject: is there a term disp pulses?
 
 
 He has no calf tenderness, and has good s/l disp pulses, or dispa pulses...either that or he is saying disp "uh" pulses..(trying to think of the term) 
 TIA  D: foot pulses were palpated
 Subject: D: foot pulses were palpated
 
 D: foot pulses were palpated and *gouture cells*, pedes pulses were felt... i have a little prob wit my hearing...
 Neck exam - pulses
 Subject: Neck exam - pulses
 
 
 Has anyone ever heard of Carotid "end" pulses.  This is the second time he has said this and sounds like "end" pulses.  Is it possible he could be saying carotid "and" pulses are diminished bilaterally.  I cannot find anything anywhere. 
 Thanks, Karen  sounds like blood pulses
 Subject: sounds like blood pulses
 
 She appeared to be in an atrial fibrillation at this time with ventricular response in the 110s to 120s.  She did receive a fluid bolus, and blood pulses were obtained.  Chest x-ray was very difficult to interpret in this morbidly obese, supine pat
 Just put  dopplerable pulses, no cap on this one. Hear this a lot. nm
 Subject: Just put  dopplerable pulses, no cap on this one. Hear this a lot. nm
 
 
 the last one is likely dorsalis pedis pulses. SM
 Subject: the last one is likely dorsalis pedis pulses. SM
 
 Location and name of pulses:
 
 Upper Extremity
 * Brachial
 * Radial
 * Ulnar
 
 Lower Extremity
 * Femoral
 * Popliteal
 * Anterior tibial
 * Dorsalis pedis
 * Posterior tibial
 
 Head & Neck
 * Common carotid
 * External carotid:
 * External carotid artery
 * Temporal
 could he be saying good pedal pulses?
 Subject: could he be saying good pedal pulses?
 
 
 dorsal pedal pulses??
 Subject: dorsal pedal pulses??
 
 
 dorsal pedal pulses..sm
 Subject: dorsal pedal pulses..sm
 
 That's the way the vascular surgeons say it....17 years ago I worked with the best on the planet.  I wouldn't steer ya wrong.
   anterior tibial pulses?
 Subject: anterior tibial pulses?
 
 X
 Extremities help
 Subject: Extremities help
 
 
 TGIF everyone! 
 Dr. states "extremiteis have clubbing, edema, and s/l ches-pa-nin."  I've looked at a million websites but am coming up with nothing.  Chest pain doesn't make sense--any thoughts? extremities
 Subject: extremities
 
 Is there any information in the rest of the report that might give a clue such as chief complaint/diagnosis, etc.?
 Extremities
 Subject: Extremities
 
 
 EXTREMITIES:  Dark s/l rugor as she does have peripheral vascular disease. 
 Any ideas?
 The dictator spells it out as rugor.  Just making sure it exists.
 Extremities - no CVA or CVP?
 Subject: Extremities - no CVA or CVP?
 
 
 Has anyone ever heard of either of these terms dictated under the "extremities" section of a physical exam?  I can understand "no CVA" in a way because of the patient ever had a stroke then their extremities might be effected (although I would think this would go under the neuro section).  Its the CVP that I'm not getting.  I've checked my abbreviation references and I can't find anything this would refer to. 
 BTW, I left this blank.  The QA department filled the blank with No CVA or CVP.  I'm curious more than anything.  Am I missing something here? extremities
 Subject: extremities
 
 EXTREMITIES: Full range of motion.s/l*no pull incentive.*
 
 62-year-old woman - no complaints
 
 Thanks for your help.
 Extremities
 Subject: Extremities
 
 
 one more extremities
 Subject: one more extremities
 
 
  Extremities: There was no s/l lawgren ____ syndrome present. 
 Thanks 
   Extremities
 Subject: Extremities
 
 
 Homan sign is negative.  There is no ??_________ or calf tenderness. 
 it kind of sounds like gastra something. I've searched google under Homan sign and calf tenderness and i just don't have the slightest idea what this could be. what part of the body? Maybe carotid pulses.
 Subject: what part of the body? Maybe carotid pulses.
 
 
 radial, tibial pulses among lots of others...sm
 Subject: radial, tibial pulses among lots of others...sm
 
 
 and many more in the upper extremities....... 
 sounds like what?  s/l?   blood gases? or good pulses? nm
 Subject: blood gases? or good pulses? nm
 
 s
 Intact reflexes.  Pulses 2+ and symmetric.
 Subject: Intact reflexes.  Pulses 2+ and symmetric.
 
 
   *kidlieros* and *racelle* pedis pulses
 Subject: *kidlieros* and *racelle* pedis pulses
 
 Sorry  - I should know these. This man has peripheral uritis, swelling, pain and a tender mass in the right pretibial area. There’s marked livedo reticularis of both legs. The femoral, popliteal, posterior, s/l *kidlieros* and *racelle* pedis pulses . . .
 
 Appreciate any help.
 should have typed dorsalis pedis pulses.
 Subject: should have typed dorsalis pedis pulses.
 
 
 In PE, s/l burning carotid pulses were felt.  TIA
 Subject: In PE, s/l burning carotid pulses were felt.  TIA
 
 This is an ESL doctor and it sounds like he is saying "burning" carotid pulses were felt.
 radial pulses are symmetrically s/l tine
 Subject: radial pulses are symmetrically s/l tine
 
 Is tine correct???
 Peripheral pulses are 1-2 (s/l with one) symmetrically equal. sm
 Subject: Peripheral pulses are 1-2 (s/l with one) symmetrically equal. sm
 
 Does that make sense.  It doesn't sound like it, but I have listened to it over and over.
 There is no s/l placidity to his extremities.
 Subject: There is no s/l placidity to his extremities.
 
 
   CVAT in the extremities?  What would this mean?
 Subject: CVAT in the extremities?  What would this mean?
 
 NM
 see above, probably not related to extremities nm
 Subject: see above, probably not related to extremities nm
 
 x
 Extremities  exam:
 Subject: Extremities  exam:
 
 
   
 s/l altoitialpalses are palpable. 
 Any idea what this term is? This is under Extremities physical exam.  
 Extremities: No edema. Altoitailpalses are palpable. Extremities word help
 Subject: Extremities word help
 
 
 This is on a physical examination under the heading extremities. 
 EXTREMITIES: Extremities show [hemorisnose] bilaterally.  
 I am having trouble with the word in brackets. That is what it sounds like. extremities word help
 Subject: extremities word help
 
 
 Heberden's nodes, named for William Heberden (1710-1801)[1], are hard or bony swellings which can develop in the distal interphalangeal joints (DIP) (the joints closest to the end of the fingers and toes). They are a sign of osteoarthritis, and are caused by formation... lower extremities
 Subject: lower extremities
 
 Could dictator be saying "gastrocs" for inner gastrocnemius muscles?  Let us know, if you find out -- this is a doozy! Rosie
 
 DP and PT pulses? dorsalis pedis and posterior tibial. NM
 Subject: DP and PT pulses? dorsalis pedis and posterior tibial. NM
 
 
 
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