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s/l Perdidity ? noted in the left upper extremity

Posted By: mt on 2008-09-18
In Reply to:

Subject: s/l Perdidity ? noted in the left upper extremity




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Pt with MS, s/; "Tatense" is decreased over the right upper extremity.
Subject: Pt with MS, s/; "Tatense" is decreased over the right upper extremity.

This is on Neurologic exam: Dorsiflexor 2/5 and the remainder at 4/5. DTRs are 3+ throughout, except for 2+ at the ankles. Tatense is decreased over the right upper extremity but intact throughout on the remaining three extremities.
Exam of hand and upper extremity - please sm
Subject: Exam of hand and upper extremity - please sm

Regarding her hands and upper extremities, there is notable thenar atrophy at the right hand with APB weakness. s/l Apponing strength was good bilaterally. She does have a positive CMC grind test.
Extremity exam: "No astericks". No tremor noted. nm
Subject: Extremity exam: "No astericks". No tremor noted. nm


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Subject: s/l pseudo acitosis in upper extremity (neuro exam)

Thx
S/L Hemechromis?? noted bilateral upper extremites
Subject: S/L Hemechromis?? noted bilateral upper extremites

NM
?MOFFET? for the left lower extremity sm
Subject: ?MOFFET? for the left lower extremity sm

Dr. is stating for a woman with MS that he gave her a prescription for home physical therapy as well as a S/L moffit or mophet" and she is not to ambulate without it.  I cannot find anything in any of my resources.  Could really use some help.  thanks
On NSAIDs for left lower extremity DVT prophylaxis?
Subject: On NSAIDs for left lower extremity DVT prophylaxis?


on ______ (s/l NSCD?) to the left lower extremity for DVT prophylaxis
Subject: on ______ (s/l NSCD?) to the left lower extremity for DVT prophylaxis

Not sure if he's referring to some kind of stocking, but her discharge medications include aspirin, enteric-coated.


Thanks.


The left lower extremity is negative "raw growth." Am I hearing this right????
Subject: The left lower extremity is negative "raw growth." Am I hearing this right????


S/L: Ureteral jet "feromina" is noted on the left.
Subject: S/L: Ureteral jet "feromina" is noted on the left.

14 year old with hypertension.  Normal renal ultrasound.


feromina


pheromina


????


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s/l touchyo left upper quadrant
Subject: s/l touchyo left upper quadrant


Got it! It was "touchy over" the left upper quadrant.
Subject: Got it! It was "touchy over" the left upper quadrant.

Thanks for the suggestions!
CT scan showed s/l moneropasty noted to the left lung
Subject: CT scan showed s/l moneropasty noted to the left lung

due to scarring. Too much static to hear well.  TIA.
patient has a small COLAZION of her left upper lateral lid.
Subject: patient has a small COLAZION of her left upper lateral lid.

Anyone have any help?? 
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Subject: the word is used again here: left upper s/l mo-adi of the ectopic system. sm for complete snt again.

catheter which allowed passage of the Benson wire to the left upper moadi of the ectoptic system.
There is also noted to be a large Baker’s cyst in the posterior aspect to the left knee. please sm
Subject: There is also noted to be a large Baker’s cyst in the posterior aspect to the left knee. please sm

EHL and s/l EDC are both 4/5 bilaterally. Thanks for any help.
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Subject: fracture of the proximal left femur with segmented upper tip of the graded s/l turhunter


, inspection of her bilateral upper extremities, shows her s/l 'enteal' incision on the left s
Subject: , inspection of her bilateral upper extremities, shows her s/l 'enteal' incision on the left side


Thank you, but it still sounds like mod changes noted or motive changes noted. Maybe he shortened.
Subject: Thank you, but it still sounds like mod changes noted or motive changes noted. Maybe he shortened.


upper limb, upper leg?
Subject: upper limb, upper leg?


Funny thing, I had this yesterday and left 3 blanks that QA also left blank.
Subject: Funny thing, I had this yesterday and left 3 blanks that QA also left blank.

x
pain over the left hip and a biopsy of the left s/l SA pablum showed adenocarcinom
Subject: pain over the left hip and a biopsy of the left s/l SA pablum showed adenocarcinom

n
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Subject: probably means left anterior descending. Instead of saying LAD, just saying left AD.

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Please look at my extremity exam ...
Subject: Please look at my extremity exam ...

This is what I am hearing.  Does this make sense/look correct?  This MD likes to make every word short and sweet.... but I get so confused where to put it all.  Thank you.


 


EXTREMITIES:  There is edema of the right ankle at the site of fracture times two.  Trace to 1+ on the left, significantly diminished pulses equal 0-1 DP and PT lower extremities bilaterally.  Normal upper. 


CT Lower extremity
Subject: CT Lower extremity

Degenerative joint disease of the right [hellocele] sesamoid articulation is noted.  Thanks for the help.
Extremity exam:
Subject: Extremity exam:

Dr is saying Extremities: No cyanosis, clubbing or edema.  S/L" SETs" or SVTs are in fact in place.


 


Thank you



Extremity exam:
Subject: Extremity exam:

In the extremities exam: There is a notable s/L leglang discrepency and a positive external rotation.


 


thanks


 


Extremity Exam
Subject: Extremity Exam

Extremities:  Full range of motion.  No s/l testing, rash or tremor. 


Extremity exam
Subject: Extremity exam

The finger is swollen with a small opening on the s/l fulmer aspect of the ring finger at the DIP joint area.  He is not saying volar or palmar aspect.  It sounds like "fulmer."  I'm stumped.  Any help is appreciated.
Modeling of extremity? NM
Subject: Modeling of extremity? NM

xx
mottling of extremity..nm
Subject: mottling of extremity..nm


Extremity exam
Subject: Extremity exam

She has 1-2+ edema bilaterally in the ankle and s/l kalai region.  TIA.


 


 


No don't think so . . in the extremity exam, he says . . .
Subject: No don't think so . . in the extremity exam, he says . . .

The right lower extremity has this marked amoutn of heat and "resider endeposation" in the anterior aspect of the right leg.


Again, any help please . . . .


 


Pt was injected at L4-L5 and L5-S1 *upper sacroiliac joints or AND upper sacroiliac joints" sm
Subject: Pt was injected at L4-L5 and L5-S1 *upper sacroiliac joints or AND upper sacroiliac joints" sm

bilaterally. Thanks
Lower extremity exam sm
Subject: Lower extremity exam sm

Patient has bilateral feet ulcers, poor or nonexistent pulses. Dr. says her skin is thin and atrophic with s/l "zarosis planoy".  I can find "xerosis" which does not seem to apply here.  Any ideas would be appreciated.  TIA.
Extremity exam after stroke (sm)
Subject: Extremity exam after stroke (sm)

Diagnosis of acute right middle cerebral artery ischemic cerebral infarction and acute right internal carotid artery and right middle cerebral artery occlusion.


 


In exam, he says:


He has flaccid left hemiplegia of the left upper and lower extremities that does ______ (rep/rub) on the left on plantar response.


 


 


In view of the ___________ (rep/rub cuff/calf) it was felt that the patient would benefit from full anticoagulation for a short term.


 


Any help on this would be appreciated.  Thanks.


asteriscus? Extremity exam
Subject: asteriscus? Extremity exam


Physical exam of extremity
Subject: Physical exam of extremity

Both lower extremities are <___>(rap-nees-rap).????
lower extremity exam
Subject: lower extremity exam

No s/l kalar in the extremities bilaterally.
S/P left total knee reconstruction. On exam, has a palpable s/l clod defect on the left knee.
Subject: S/P left total knee reconstruction. On exam, has a palpable s/l clod defect on the left knee.

:-)
Extremity exam after surgery - see inside
Subject: Extremity exam after surgery - see inside

Patient post surgery Hys & BSO.  Medical consult.


Doc dictates -- Compression stockines and ____ in place.


The blank sounds like pneumovac.  Can anyone help me verify or give any suggestions.


Thank you!


lower extremity venous studies
Subject: lower extremity venous studies


350 mmHg is correct for a lower extremity. nm
Subject: 350 mmHg is correct for a lower extremity. nm

.
lower extremity neuro under back?
Subject: lower extremity neuro under back?

can "Lower extremity normal neuro" go under BACK:

if he was previously talking about pain in the thoracolumbar region?
Moses' sign - looking for DVT in lower extremity exam. NM
Subject: Moses' sign - looking for DVT in lower extremity exam. NM

:


lower extremity vesicular or vascular insufficiency?
Subject: lower extremity vesicular or vascular insufficiency?

not sure which he is saying
duh - never mind. He's saying "in the right lower extremity" Argh!
Subject: duh - never mind. He's saying "in the right lower extremity" Argh!


?break in dictation for MT instruction? i see "add this to review of systems above the extremity
Subject: ?break in dictation for MT instruction? i see "add this to review of systems above the extremity section" in your s/l ?? nm ??


Unfortunately, it is just noted in her PSH
Subject: Unfortunately, it is just noted in her PSH

I have relistened to this and it possibly sounds like some type of graying cyst? with what s/l Rusha.

Sorry I can't give you a location of the body on this. I have searched all sorts of words on google just hoping to get lucky. = )
There is a 3- to 4-mm effusion noted.
Subject: There is a 3- to 4-mm effusion noted.

Is this correct?


Thank you very much!


ascites was or were noted in the? I am not sure, help
Subject: ascites was or were noted in the? I am not sure, help