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ER extremities physical exam - tford

Posted: Jun 24, 2011

Never seen or heard before. New doc states in extremities portion...No clubbing, cyanosis or edema. EDVLSWNL.

At least that what is sounds like. Could possibly be EDVLSWNO but don't know what that would be either.

Has anyone here heard of this? Thanks!

edvlswnl - dont know

[ In Reply To ..]
Don't know all of it but WNL is within normal limits. LS could be lumbar spine

Lab values WNL?? - royals11

[ In Reply To ..]
Just wondering if maybe he could be saying that if he is a difficult dictator. I said it out loud to myself and that is sort of what it sounded like to me.

EDVLSWNL - tford

[ In Reply To ..]
That's entirely possible. He's a new doc and dictates all over the chart. No headings for him. No punctuation and a monotone dictation style. Very trying to get everything as close to normal as possible. Then we have all the new jargon that a new doc brings too. Gotta love it! Still working on this one though. Thanks for the help!

Here's a Clue - see message - mtanon

[ In Reply To ..]
Found this referencing Vascular Quantitation (result of Doppler study)

"Carotid Doppler Right & Left
PSV and EDV"

Not sure where the "L" fits in but could be EDV within normal limits.

Site where found:

http://www.digison.net/sitecase_digisonics3asp/vascularquantitation.asp

he could mean 'end-diastolic velocities' within normal limits but - mt

[ In Reply To ..]
that would be found on a venous Doppler ultrasound, not physical exam. Although you did say he was dictating all over the place with no categories so....

good luck with him! don't-cha love it when they make up their own lingo?

EDVLSWNL - tford

[ In Reply To ..]
Thank you. That makes sense but you're right. Not normal to be included in PE. And yes they DO make up their own lingo. I've seen some doozies in my time too. Cardiology was my main field the first 8 or so years in this profession until they started making the docs do the Dopplers, ECGs, EKGs and a few others. Now I get the TEEs, TCO2s and various stress tests. Nowhere near what I used to get. More ERs than anything. It still throws me sometimes but a constant thorn in my side is the medications. So many sound alike. I think some of the docs resent having to dictate and therefore some of them rattle it out as fast as possible to get through it. My take on dictation is that the care of their patients doesn't stop with sending the final bill. If they have to do it, do it with the same professional style that hopefully they used while interacting with their patients. And for goodness sakes! PLEASE stop yelling at someone in the room, smacking gum, eating, yawning and still talking, talking on the phone, gossiping, belching, constantly sniffing instead of blowing their nose, harking to spit, sneezing or coughing into the mic and above all please curb your farts and then taking my time to brag on it and laugh about it. I'm not amused and I don't get paid by the hour. I'm still with the same hospital I started with, work at home and thank God every day for my job. Where else could I work in my pajamas and thumb my nose at the weather?! And yes, hopefully we can get him "trained" soon. lol. Gotta love 'em!

Nm - Mqmt

[ In Reply To ..]
Sorry. I didn't read your entire question. Don't have a clue.

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