Infant Physical Exam Medical Transcription Words / Terms For Medical Transcriptionists


Infant Physical Exam Terms & Phrases for MTs:

 

anal wink

 

anterior fontanelle open and flat

 

Apgar score

 

birth OFC of  ( ) cm

 

body measures ( ) cm from crown to heel

 

caput succedaneum

 

choanal atresia

 

clavicles and limbs were grossly normal without deformities

 

cleft lip

 

cleft palate

 

clunk (hip clunk)

 

coarctation of the aorta

 

congenital cataracts

 

cremasteric reflex

 

dancing reflex

 

Down syndrome

 

Epstein pearls

 

facial grimace

 

facies are normal

 

fetal alcohol syndrome

 

good eye tracking

 

good strong tone

 

hard palate is intact

 

head circumference

 

hypertelorism

 

hypospadias

 

hypotelorism

 

infant was moving all extremities

 

kyphosis

 

lordosis

 

low-set ears

 

macrocephaly

 

macroglossia

 

macrostomia

 

meningomyelocele

 

microcephaly

 

micrognathia

 

microstomia

 

nasal bridge is normal

 

no hip click

 

normal red reflex bilaterally

 

Ortolani maneuver (or Ortolani test)

 

overriding sutures

 

palm lines are examined and are not unusual

 

palmar grasp reflex

 

placing reflex

 

positive grasp

 

positive grasp reflexes

 

positive Moro

 

positive root

 

positive suck

 

posterior choanal canals can be probed

 

radial-femoral delay

 

rooting reflex

 

scoliosis

 

stepping reflex

 

subcostal recession

 

sucking reflex

 

symmetric Moro reflexes were elicited

 

tendon reflexes were brisk

 

tonic neck reflex

 

tracheal tug

 

Treacher Collins syndrome

 

truncal incurvation reflex

 

Turner syndrome

 

vigorous cry

 

webbed neck


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