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Physical exam... - mary
Posted: Nov 03, 2009Extremities: 3+ edema. s/l kidneys bilaterally.
What could "kidneys" be?
Maybe "3+ edema to the knees bilaterally" ? (nm) - Mushroom
[ In Reply To ..]
nm
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Physical Exam. Mar 08, 2010Cardiovascular system: Heart sounds regular. No murmurs. No gallops heard. s/l "percussed" respiratory sounds masking the heart sounds. Abdomen soft.
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Physical Exam With Cbc Jun 22, 2011The 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 Exam Help Dec 07, 2010I 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.
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Help With Physical Exam Please (sm) Mar 01, 2011Dictated .... Her affect is somewhat tense, a little anxious. Speech is S/L lunar and lucid.
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Physical Exam Help... Oct 30, 2011I'm having trouble with one part of this physical exam...
NECK: Supple. Trachea is midline. The patient has s/l "emanciation of aphasees" but no signs of skin breakdown.
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Physical Exam May 01, 2015The patient is afebrile. Af_____ is appropriate. Heart rate 110.
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Physical Exam Wording Oct 31, 2009Under physical exam of a patient with back pain the doctor states what sounds like "pain is reproduced by flexion, extension and "side orientator side" of his back. Has anyone heard of a phrase that sounds like that? ...
Neuro Physical Exam - Thanks! Jan 26, 2010Disks sharp on funduscopy. Cranial nerves 2-12 intact. No signs of appendicular s/l "cori ditosis", dysmetria, ataxia. Reflexes were 1/4 bilaterally with no asymmetries.
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Physical Exam Section Feb 10, 2010S/l he is saying "scariotristic???? changes of the skin" ...
Physical Exam Headings... Apr 19, 2010I really have a problem under the Physical Examination trying to figure out what goes where when the headings aren't dictated. For instance, in this dictation, she dictates lungs, describes her exam of them, then goes on to say, "Mass in the back and the left paraspinous area is measured..." Would this stay under the lungs or would I make a new heading...if so, if "Back" an acceptable heading?
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Skin - Physical Exam Aug 30, 2010In the derm part of this physical exam, the patient has "s/l mediastatious changes in the lower legs." This condition is not referred to anywhere else in the dictation. The patient has diabetes, OA, fibromyalgia, and she is obese. ...
ER Extremities Physical Exam Jun 24, 2011Never seen or heard before. New doc states in extremities portion...No clubbing, cyanosis or edema. EDVLSWNL.
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Physical Exam Question Oct 31, 2010This is an ESL doctor who is a very good dictator, but for some reason this part always trips me up. She says what sounds like:
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Physical Exam. Extremities Dec 01, 2010Physical Exam: Extremities (sounds like no tumor). What could it be? ...
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What Part Of The PHYSICAL EXAM Does This Go Under? Jan 04, 2012Not sure where to put this. Just started doing nursing home dictations and I need to know where "Patient is drinking thickened liquids." would go under the PHYSICAL EXAM. I'm thinking Neuro, but not sure. ...
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H&P Report, Physical Exam Format Help? Aug 05, 2010I added all the subheadings. I am sure of the subheading Neurology and eyes. Any suggestions? Anything else look incorrect? I am still new to this. Thanks for the help.
PHYSICAL EXAMINATION
VITAL SIGNS: Blood pressure is 112/80, weight is 155 pounds, and height is 5 foot 6 inches.
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NEUROLOGY: Orientation and language are normal.
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Nontoxic Means What In Physical Exam? Nov 07, 2011Hi, I'm a fairly new MT. I come across "patient is nontoxic" often enough and I've come to think it means he is not sick/contagious. Google searching does not yield much. Maybe I'm missing something. Report today had doctor describing patient who has a rash/contact dermatitis. He begins to say he is "nontoxic" but then seems to swallow the end as if changing his mind. My question is--Would a patient with contact dermatitis who is NOT sick in any ...
Capitalize Headings Under Physical Exam? Aug 23, 2012Hi, I am doing an Emergency Room report and looked up several samples of ER Reports. Under PHYSICAL EXAMINATION, some of the sample on the Internet have (for instance) HEART and EXTREMITIES in all caps, but others transcribe it as "Heart" and "Extremities", not in all caps. Which is preferred? Thanks so much. ...
Physical Exam, Allergic Reaction Nov 01, 2012Patient developed a rash from Bactrim. Under physical exam the doc states.......
SKIN: The skin shows a diffuse erythematous urticarial rash that blanches under pressure. There is no __________ sign.
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Ortho Physical Question On Extremity Exam Aug 18, 2010Apprehension on patellar tracking with increased Q-angle, positive ____ and crepitus and positive grind test.
s/l chase sign or just chase
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Beginning A Physical Exam Sentence With A Number May 03, 2012I have transcribed: PELVIC EXAM: Fourteen to sixteen week size mobile uterus.
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Physical Exam. "Head Showing S/l Hair A Timbo Dec 01, 2009. ...
Physical Exam: DTRs Equal 2+ 4 Upper And Lower Extremities. Jun 20, 2010Unsure how to correctly type the 2+ 4. Does she mean 2+/4?? Thanks for helping. ...
Okay, Stupid Question Here ... Neural Deficit Or Neuro Deficit On Physical Exam Jun 22, 2010Thanks so much!! ...
Ques About Abbrv "p" Physical Exam May 28, 2010CHIEF COMPLAINT: Dyspnea. Then Dr. starts rattling the following off really quickly...
For details on his (??personal??) past medical history please see dictates from p physical exam On admission please see dictates from p laboratory, please see dictates (H & P) .
Does p stand for past or previous? Does this sentence look correct?
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In Cardiac Physical Exam - No "cupping"? Jul 23, 2013New one on me ...
"flank" On Physical Exam Jan 21, 2010I'm sure this sounds ignorant and/or trivial, but I always struggle with it. Under what header do y'all include the flank on a physical exam? Abdomen? Back? Something completely different?
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