WebCase 2 VS: T 38.1 HR 104 BP 140/76 RR 20 O2 sat 95% on RA Physical exam: Gen – in mild distress due to chest pain, leaning forward while in bed Lungs – CTAB Chest wall – no visible rash, chest wall NT to palpation Heart – tachycardic, nl s1/s2, no rub Rest of physical exam benign Labs: WBC = 14, RFP wnl, AMI panel x 1 = negative CXR ... WebJun 10, 2011 · CTAB is a code for "normal lung exam." If you found a positive finding, you would instead describe the positive finding. When you describe a positive finding, it is …

Lungs Physical Exam Section Medical Transcription Examples

WebASSESSMENT: Metastatic malignant melanoma with disease in his lungs, chest wall, and abdomen. PLAN: We will go ahead and give him his second cycle of Taxotere and temozolomide. He will be premedicated with Zofran and Dexamethasone to minimize the nausea and vomiting. WebPerform a focused physical exam Look for tachycardia, hypertension/hypotension or hypoxia on vital signs General Sick appearing, actively having chest pain HEENT JVD, carotid bruits Chest Rales, wheezes or decreased breath sounds CVS New murmurs, reproducible chest pain, s3 gallop Abd Abdominal tenderness, pulsatile mass gpu can\\u0027t be detected

Chest Pain – The SOAPnote Project

WebA cardiac CTA is a scan of the chest that focuses on the heart. We use a 64 slice scanner that provides pictures with pixel size of 0.6 mm. This allows us to obtain 3-D images of … WebJul 27, 2024 · Bibasilar crackles are a crackling or bubbling sound that doctors may hear in the lungs during a physical examination. They can indicate mucus or fluid in the base of the lungs, possibly due to... WebOn examination, he weighs 205 lb, and he is afebrile. There is slight pallor of the conjunctiva, skin, and palms. No lymphadenopathy is noted. Chest is clear to auscultation bilaterally. Examination of the cardiovascular system reveals a regular rate and rhythm, with no rub or gallop. There is a systolic ejection murmur. gpu cant catch up