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thoracic back pain after MVA

Posted By: sm please on 2005-08-01
In Reply to:

No vertebral tenderness on palpation.  She does have some tenderness on palpating rhomboids and s/l Q L's and paraspinal muscles. 


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CC: Back pain
Subject: CC: Back pain

Thanks for taking the time on this . . .

While the CC: is back pain, the subjective describes . . .

This is an 81-year-old female who, for the last month, has had some intermittent pain next to her right shoulder blade. She is right-handed, and she has been doing a lot of gardening and weed whacking. It does not bother her much during the day, but at night when she sits, and then when she is lying in bed at night, she feels what she describes as a muscle spasm with twinges. She also at times has some diffuse pain from her elbow radiating up to her neck when she “overdoes it”, but that has been going on for quite some time, and she does not feel like that has recently changed.
it is just that she has low back pain..sm
Subject: it is just that she has low back pain..sm

Since that time, she has had increasing low back pain.  She did do the s/l-Ergosco-  method.  She had no relief.  She did have an injection to her SI joint region, which had a terrible reaction.  Since that time, she has had low back pain. 
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Subject: Pt with low back pain sm

Wondering if it is from his iliac or ileac surgery? Which one would it be/how to tell?
Back pain
Subject: Back pain

The patient has chronic back pain with severe s/l spurring and osteoarthritis.   


TIA


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Subject: discogenic back pain


Patient has low back pain
Subject: Patient has low back pain

She has normal lumbar lordosis with tenderness at right PSI? and sacral sciatic notch?
s/l NAMBUTONE for back pain
Subject: s/l NAMBUTONE for back pain

He is also on _____ 500 mg twice a day as needed for severe back pain.
Amryx for back pain? nm
Subject: Amryx for back pain? nm


Patient with low back pain. She is on ....sm
Subject: Patient with low back pain. She is on ....sm

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s/l peributtock back pain??
Subject: s/l peributtock back pain??


Patient in mid back pain
Subject: Patient in mid back pain

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is it thoracic? Maybe TESI - thoracic epidural steroid injection? Just a guess - nm
Subject: is it thoracic? Maybe TESI - thoracic epidural steroid injection? Just a guess - nm

xx
S/L-ergosco method (for back pain)?
Subject: S/L-ergosco method (for back pain)?


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Subject: Dx of low back or sciatic pain? Maybe Laseague's? nm

s
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Subject: for back pain and was given a script for Duraban??


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Subject: s/l "conjoined" back and neck pain.

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Subject: Only symptoms are low back pain which is improved, and the tinnitus -

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Subject: patient with back pain, s/l policing eight paucet tumor??? nm

nm
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Subject: patient with back pain. s/l lichen does help but it makes him drowsy. Thanks. nm

nm
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nm
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Subject: Racz catheter is used against back pain, inserted into the spine..nm

nm
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.
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Subject: sl/l positive bordel sign (from flexing neck and causes back pain)


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Subject: s/l Tiazine 2 mg at night. Patient with nack and back pain history

thank you
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Subject: Oh, now she is adding she forgot to mention insomnia and low back pain (scream!) NM

nm
Patient states the pain is located in the posterior lower back or **box** region. This is a new PA
Subject: Patient states the pain is located in the posterior lower back or **box** region. This is a new PA

student dictating but I have never heard this term used. Any help would be appreciated.  Thxs
Pt has low back pain. Patient exhibits no signs of "caudo-aquino syndrom"? I have no clue!!
Subject: Pt has low back pain. Patient exhibits no signs of "caudo-aquino syndrom"? I have no clue!! nm


MRI of thoracic spine. There is a relatively normal thoracic s/l hi-pos-is.
Subject: MRI of thoracic spine. There is a relatively normal thoracic s/l hi-pos-is.

::-)
possibly occult sciatic pain ( pain hidden/concealed/not manifest) ? nm
Subject: possibly occult sciatic pain ( pain hidden/concealed/not manifest) ? nm


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Subject: if it's in the spine, it could be "discogenic" pain versus "facet"-related pain


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Subject: could be TKA-total knee amputation. pain could be "ghost" pain --nm

///
could it be all T as in all thoracic
Subject: could it be all T as in all thoracic

spine vertebrae?


thoracic
Subject: thoracic


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Subject: What did he say about thoracic spine

earlier in the report?

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Subject: thoracic kyphosis, maybe

nm
Thoracic kyphosis is the most likely sm
Subject: Thoracic kyphosis is the most likely sm

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Subject: s/l thoracic lumbar-sure

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