Physical exam: DTRs equal 2+ 4 upper and lower extremities.

The Dr. says "Grip strength is 5/5 in the upper and lower extremities." Is he misspeaking, or is there grip strength measurement for the lower extremities? Thanks! ...

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! ...

Physical Exam: Extremities (sounds like no tumor). What could it be? ...

I have listened to this over and over and it sounds like this doctor is saying, "No clubbing, cyanosis, edema, or lesions. Full range of motion s/l of/in both pulses." Then he goes on to the neurologic part of the exam. Can anyone help me with this, please? ...

upper and lower extremity exam-sounds like "crunch" test? ...

After bilateral knee arthroplasty, patient has (S/L) SEDs on both lower extremities. I cannot seem to figure this one out. I was thinking TEDs stockings or some mechanical device to prevent DVT? ...

Hi all, There is a discrepancy with the proper use of this - can anyone help? Some at my work are saying it should be bilateral lower extremities, whereas others think it is bilateral lower extremity since the "bilateral" implies that it's plural and hence no need to say "lower extremities." I've seen it both ways, but the more that I think about it the more I'm getting myself confused. Any input would be greatly appreciated! ...

Woody skin at the lower extremities and very s/l hyperprepinted areas compatible with stigmata, venous stasis, and poor circulation. ...

Visual fields equal examiners on confrontation exam. It seems like I'm missing something...even if it's just punctuation. Just doesn't make sense to me :/ ...

When the doctor dictates about the gait and tandem gait, do you leave that under extremities if he dictates it there? He usually says it at very end of physical exam, and I am unsure if he just forgot to dictate "NEUROLOGICAL" heading or what. Sometimes he does dictate a NEUROLOGICAL heading and puts the gait there as well as other things, but then many times he dictates it at end of extremities and does not give separate heading. What would be the appropriate thing to do in th ...

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

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! ...

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. ...

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 ...

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

I'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. LUNGS: Clear to auscultation... I feel like I know what he's trying to say, but I can't put my finger on it. Thanks so much for your help! ...

The patient is afebrile. Af_____ is appropriate. Heart rate 110. any suggestions on what the blank could be? TIA ...

Is there a type of lower extremity exam that would be done called digital hair? It s/l hair! DP and PT pulses are palpable bilateral. Positive digital (hair) bilateral. There are no lesions or lacerations noted bilateral. Normal skin color, texture, and turgor bilateral. It's an exam for a bunion deformity. Thanks. ...

Under 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? ...

Disks 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. thanks. ...

S/l he is saying "scariotristic???? changes of the skin" ...

I 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? Next, she talks about the pelvis...would this go under a heading with a "Pelvis" labe ...

In 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. ...

This 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: "Cardiovascular: S1, S2, plus 0. No murmurs, rubs, or gallops." It's the plus 0 part that gets me. Any ideas? ...

Pt has fibromyalgia and polyarticular joint pain. ...

Not 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. ...

Has anyone ever heard: "Marxers and premarxers are negative"? This is on physical exam. Does not sound like marchers and premarchers, but definite x sound. Thanks! ...

I 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. GENERAL APPEARANCE: Well-developed, well-nourished. No apparent distress. HEART: Regular rate and rhythm. No murmurs, carotids. No bruits bilaterally. NEUROLOGY: Orientation and language are normal. EYES: Fu ...

Physical exam: DTRs equal 2+ 4 upper and lower extremities. - Ash

Could be... - hr

I agree - CAS

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