No "perival" edema under HEENT - sm

doc states...HEENT is unremarkable. No proptosis. No S/l peri?? edema. I definetly hear the peri...just not sure what is next. ...

In this physical examination, it sounds like it is being dictated, "Both upper and lower extremities with (s/l pedal) edema." That doesn't seem to make sense, but perhaps I'm wrong...what other word could he be saying instead of pedal? He pretty much mumbles his way right passed it. ...

I can't understand my dr. for the life of me. I don't know if he's trying to say a medical term or if he's just talking. In the HPI he says "No increased swelling, but she has horbbile edema S/L RH HER LIT THUM." I could use any help y'all could give. Thanks so much in advance. ...

Hi there! I have always been taught that for edema classifications to use, for example, 2++, as opposed to just 2+. Clarification please and thank you! ...

'protracted' bilateral leg edema Does this sound correct? I can clearly hear that in the dictation to me but my tired ears and eyes do not think it is right. Thanks! ...

sentence s/l: Trace pretibial and free tibial edema. Does this sound correct? I have not been able to find any definition of "free tibial." ...

This is referring to the lower extremites in a patient with urosepsis ...

Does this look right? Extremities: No rubs, cords, or edema.What are rubs and cords in the extremities?Thanks ...

The doc consistently says venous stasis edema. However, when I look it up, I find that they are two different things, i.e. venous stasis AND edema. Which is correct? TIA ...

bibasilar crackles and diffuse (s/l type/tight) rhonchi ASR typed tight ...

Patient with glioblastoma multiforme and peripheral edema in lower extremities... "Patient does not have (hypo-al-pulmonemia) or any other obvious reason for peripheral edema." ...

HEENT: Unremarkable: there is sclimericterous or archis cinilis. Extraocular movement was within normal limits. ...

HEENT: A nasal s/l corium, right s/l pupea measuring 4 cm, the left 2 cm. ...

HEENT heading. Sound like the doc is saying, Eyes, pupils 2 and reactive. 2? Thanks! ...

Patient has pain in the right submandibular triangle. It is recommended that he have a "sialadenosubmandibular duct endoscopy." Is there such a term? Thanks. ...

HEENT: s/l paravoltema? Dr. is saying, no paravoltema any help would be appreciated, thanks ...

I think my problem with this issue is that once you are "caught" by QA/QC and given a 1.0 deduction (by which I mean I had the universally accepted HEENT and they heard HENT, thus I was docked 1.0 for that), I now must either listen carefully to determine if they are saying HENT or HEENT, then put one or the other, then still have a chance that my reviewer will give me the error because they hear something different. If there is obviously ears and eyes that one is easy, but oftentimes it DOES s ...

Patient with possible TIA. HEENT EXAM: "he did not have _____" sounds like "dove's eye" "dowsa" Thanks in advance for help ...

Doc says Bilateral TMs s/l FOR or OR. Any ideas? ...

HEENT s/l gershin normal? ...

Any idea what this could be on a cardiac consult? HEENT: No _____ory findings. Thanks!!! ...

"HEENT: CCs are plethoric. Sclerae are anicteric." Anyone know what the "CC" might stand for? TIA! ...

HEENT: Unremarkable. (Coddle?) hole is intact. ...

From now on, I am blanking HEENT/HENT any time I am not 100%, absolutely, positively sure of what the doctor says. Especially if they don't say anything at all (which is the usual). This is utter ridiculousness and I am not going to risk a QA (or QC or whatever it is!)'s subjective opinion about whether a dictator said (or meant) one E or two! What's next? If they only dictate a finding on the right lung, do we have to label it as "RIGHT LUNG:" instead of ...

When I requested reversal over getting gigged on this I spelled my thoughts out pretty thoroughly but don't know how far up the chain of holiness that goes. Has anyone else shot off their opinions on this? Hoping if we get enough of us to make an issue they might reverse this idiotic ruling. ...

Dictated: Eyes: Extraocular muscles intact. He has bilateral Marcus Aurelius. Tympanic membranes are okay. Transcribed: Eyes: Extraocular muscles intact. He has bilateral arcus senilis. Tympanic membranes are okay. first time a Roman empirer has made an appearance in my transcription! This was not even VR! ...

I've heard of palpable cords plenty of times when examining the extremities, but this time under HEENT, doc says "His mucous membranes are moist. His temples had no *s/l palpable cords* and nontender to palpation. Pupils equal, round, and reactive..." Is this correct? ...

No "perival" edema under HEENT - sm - LINDA

Could it be periorbital edema? - nm

yes, thank you. - Linda

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