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s/l "slow muffler" on abdominal tenderness to deep palpation - mom2boys

Posted: Sep 02, 2011

This is on a patient who has diverticulitis

no masses or abdominal tenderness? - jld

[ In Reply To ..]
Even though it's not grammatically correct (singular verb with plural subject), sometimes they say (very quickly) "There's no..." instead of "There are no..."--and so fast that at the beginning all you here is the S sound at the end of "There's..." so put that with the O sound of "no" and that might be your "slow." Then F's often sound like S's and vice versa, so combine that with the word "or" somewhere in there, and I could see how "masses" could sound like "mufflers," too.

Other than that, some words you might listen for in that part of the exam are splenomegaly, hepatomegaly or combined hepatosplenomegaly. I just thought the masses for mufflers fit better.

Again, I would correct "There's no masses or abdominal tenderness to deep palpation." to "There are no masses or abdominal tenderness to deep palpation."

Hope that helps some--and not too late.

please give the preceding sentence - ...

[ In Reply To ..]

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