A community of 30,000 US Transcriptionist serving Medical Transcription Industry


Physical Findings - Sherlyn12


Posted: Jan 06, 2011

EXTREMITIES: There is lower extremity edema present on the s/l ocburt extremity.  On the forearms and hands are tattoos.  Thank you.

I wonder if the dictator is stumbling - sm

[ In Reply To ..]
It almost sounds like they could be kind of automatically "grabbing a phrase" and saying:

There is lower extremity edema present in the upper extremity.

If that is what they're saying, you'll have to kick it back to the dictator to referee.

operative? - no1joe

[ In Reply To ..]
This might be it if the patient had surgery on one of the lower extremities.


Similar Messages:


EGD Findings
Mar 01, 2010

Using fluroroscopy, the markedly enlarged gastric bubble was apparent, as was some enlargement of the dudenal bulb with very s/l "puff-a-teal" gas beyond where the head of the scope was located. Cannot find a reference.  Help if you can please.  Thanks! ...


EKG Findings
Feb 08, 2012

Normal axis deviated from the (s/l)"virgin" at III aVF. ...


GU Findings
Jun 25, 2013

Doctor performing a: Repair of rectovaginal fistula and peritoneoplasty. FINDINGS:  A fistula at the posterior s/l forchus just outside of the hymenal ring. ...


MRI Findings
Dec 15, 2014

On MRI findings of lumbar spine, doctor says "discogenic degenerative changes and moderate s/l diskite loss at L3-4. Can't find any reference to diskite or disckite. ...


Laboratory Findings
Jan 17, 2010

Laboratories on admission include sodium 127, potassium 6.0, chloride 98, bicarbonate 19, calcium 7.9, phosphorus 6.8, glucose 54, BUN 39, uric acid 3.1, creatinine 1.8, alkaline phosphatase 315, total protein 6.9, albumin 2.5, total bilirubin 1.6, direct bilirubin 0.7, LDH 630, ALT 47, AST 122, protime 34%, hemoglobin 13.6, hematocrit 39.9, white blood cells 4,300 with 26% polys, 56% bands, 14% lymphocytes, 1% monocytes and "2% els".  Is this how it is written? ...


Findings Jobs
Jun 15, 2010

For those quitting their jobs right now are you having any luck as an IC finding other jobs or is it getting impossible.  This is for IC and critical care work. ...


Database/Lab Findings
Sep 08, 2010

ALt 47, AST 122, _____ 34% (sounds like he's saying "chrotom").   He follows with hemoglobin 13.6, hematocrit 39.9, white blood cell 4,300 with 26% ___ (sounds like "paulies") 56% bans, 14% lymphocytes...  Any help you can offer with my two blanks would be greatly apprecaited. Cheers ...


Tenosynovectomy Findings Sm
Mar 24, 2011

Pt with rheumatoid arthritis.  She had thickening of the tendon sheaths with the little s/l nizzle bodies visible in the fluid. ...


Hip Arthropathy X-ray Findings
Dec 15, 2011

Doctor dictates:   Radiographs show a right total hip arthroplasty that is in place and demonstrates good alignment and version. I clearly hear "version."  Is this term used to discuss x-ray findings for a total hip arthroplasty?  To what does "version" refer? Thanks! ...


Ultrasound Findings
Mar 02, 2012

History on patient: multinodular goiter and thyroid nodule. Ultrasound scan reveals diffuse heterogenous A with multiple slightly (s/l) hyperchloic hyperechoic nodular area. Not used to ultrasound terms.  I usually just do geri evals and H&Ps for a nursing home. ...


Quado Cado Findings S/l
Feb 26, 2010

MRI of her lumbosacral spine demonstrates some mild degenerative changes, but no evidence of radicular findings or codoquado findings. ...


HEENT: No _______ory Findings.
Mar 25, 2011

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


Carotid Duplex Findings
Aug 18, 2012

She had a carotid duplex done, which showed no significant hemodynamic "althralitis " changes or flow restrictive disease. cannot find anything on google - any help would be appreciated. ...


Check Your Audit Findings Yourself
Apr 07, 2014

Just had an audit today returned saying "failed audit".  Well I reviewed it with audio in DQM and the auditor was clearly incorrect, and in fact changed my sentence around to look pretty when the dictator in fact said exactly what I had via the ASR.   So check, check and recheck each time you get an audit.  This is the 3rd time this has happened to me in the last 30 days.  Good luck ...


Appendectomy- Findings: *indebitus* (??) Inflamed
Nov 06, 2011

NM ...


Pulmonary Findings S/l Desenal Adenopathy
Feb 22, 2012

"There is diffuse s/l desenal adenopathy."  This is a heavy ESL dictator, so if someone could even point th way to what kind of adenopathy or lymphadenopathy someone with lung problems might have, I'd appreciate it. ...


CT Scan Findings. Does This Make Sense. Please See Message
Nov 10, 2009

There is a large structure that is filling oral contrast that does not seem to connect to the bowel on this CT scan. Does there seem to be a word missing, or does this make sense? ...


Bone Scan Findings Sounds Like Suprascan Or Superscan Appearance.
Mar 08, 2013

Bone scan.  He has diffuse metastatic disease involving the axial and appendicular skeleton with a super scan appearance.  ...


Physical
Jun 22, 2011

In the physical exam the dictator says "no perineum _______?______ " it sounds like hosslecourse. I know that's not a real word but that is what it sounds like, and I can't find anything that resembles it. ...


Physical Exam...
Nov 03, 2009

Extremities: 3+ edema. s/l kidneys bilaterally. What could "kidneys" be?   ...


On Physical Examination..
Mar 01, 2010

Typing on Physical Examination, I hear this:  Abdomen was nontender; no liberetch, no spleen tip...   "liberetch"?!  I think I am going crazy.  What is this? ...


Physical Exam.
Mar 08, 2010

Cardiovascular system:  Heart sounds regular.  No murmurs.  No gallops heard.  s/l "percussed" respiratory sounds masking the heart sounds.  Abdomen soft. Patient with URI symptoms.  Does this make sense in this context? Thanks! ...


Physical Requirements?
Jul 01, 2010

I've been thinking about going into coding, but what is it like physically? The immobility of transcription drives me crazy sometimes, as well as the eye strain of editing, so I am wondering if the actual physical work of coding includes the same stress. Or maybe I will just get a job on my feet, stocking in a warehouse? ...


Two Physical Exams?
Apr 19, 2010

I transcribing a dictation where "physical examination" was already dictated after the history of present illness and before the past medical history.  Now she's dictated it again after the review of systems.  Is it possible that the first one should have gone under the history of present illness heading?  Also, in her review of systems, she numbers each heading...should I transcribe it as such or leave the numbers out? ...


Physical Examination Help
May 16, 2010

Patient called ("on later heart exam") as late as 2000. No murmurs, rubs, or gallops ("----") and  moderate entry. Clear abdomen, soft nontender.   It might say 1 over 2000? ...


OB Physical Examination
Jun 03, 2010

Physical examination status post C-section, under "genitourinary" - Normal female external genitalia.  _______ was mild.  s/l luke hair or low care. ...


Physical Exam With Cbc
Jun 22, 2011

The dictation talks about a blood culture, then a chest x-ray, then says glucose 78 and then after that i cant tell it sounds like they say few in 8, cracken 0.4 then goes on to talk about the electrolytes, please any help will be appreciated.  ...


Physical Therapy
Oct 23, 2010

Typing phy. therapy and s/l aura suppression or orris impression? ...


Physical Exam Help
Dec 07, 2010

I am typing a new doc that does not dictate the headings in his physical exam, however i am required to add them in.  I am horrible sometimes at determining the headings so i am hoping to get some input on this file.   A moderate hematoma persists over the proximal anterior tibial area which is somewhat fluctuant but not tender.  Lumbar flexion is 60 degrees.  Lumbar extension is 20 degrees.  Lateral flexion is decreased to the left as compared to the right.  The l ...


Help With Physical Exam Please (sm)
Mar 01, 2011

Dictated .... Her affect is somewhat tense, a little anxious.  Speech is S/L lunar and lucid.  TIA ...