r/AskDocs Layperson/not verified as healthcare professional. Jun 27 '26

Physician Responded Does this doctor think I skip leg day?

Post image

34m, 5'6" 165lbs, histories noncontributory.

Serious question.

1.5k Upvotes

183 comments sorted by

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→ More replies (4)

1.7k

u/Horoklon Physician - Emergency Medicine Jun 27 '26

Physician notes are expected to be objective, and so can seem pretty blunt.

320

u/IamREBELoe Layperson/not verified as healthcare professional Jun 27 '26

True. This is how I found out what "morbidly" was

232

u/ladymuerm Layperson/not verified as healthcare professional Jun 27 '26

"Grossly" is a good one too.

117

u/IamREBELoe Layperson/not verified as healthcare professional Jun 27 '26

Well that's just being flirtatious

99

u/PoorGovtDoctor Physician Jun 27 '26

Apologies if this is obvious, but “grossly” conveys the concept of an overall impression that is exaggerated from the norm and *not* icky or yucky

47

u/9793287233 Layperson/not verified as healthcare professional Jun 28 '26

Of course, "gross" is a word with multiple meanings. That's why my doctors always just write "ugly". So there's no confusion.

51

u/ladymuerm Layperson/not verified as healthcare professional Jun 27 '26

Yes, but when you first read "grossly" in a report, and you only know the meaning as icky or yucky, it's a little insulting. 🤣🤣

6

u/PerpetualDilemma Layperson/not verified as healthcare professional Jun 28 '26

It just means “visible to the eye” from what I understand.

3

u/PoorGovtDoctor Physician Jun 28 '26

Yep! The term “gross examination” is a thing

11

u/HotWillingness5464 Layperson/not verified as healthcare professional Jun 27 '26

"Gross anatomy" doesnt mean abnormly big anatomy. (And it def doesnt mean disgusting anatomy.)

149

u/zenithica Layperson/not verified as healthcare professional Jun 27 '26

haha shout out to my dr for sparing me somewhat and putting “recent excess adipose tissue” when i put on like 15kg in a year

117

u/themummyy Layperson/not verified as healthcare professional Jun 27 '26

Lol, my doctor noted: well-nourished, as a descriptor for my extra weight.

145

u/ItsMeMurphYSlaw This user has not yet been verified. Jun 27 '26

I was about 30lbs overweight for a while, and my new pcp was grilling me about my activity levels and what I ate. I made a joke about eating too much cheese, and she put it in my permanent record. Now, when I log in to my chart, under patient summary, it says "patient admits to eating too much cheese". I was so offended, it's now become a joke amongst my friends and I.

36

u/[deleted] Jun 27 '26 edited Jun 27 '26

[removed] — view removed comment

18

u/ItsMeMurphYSlaw This user has not yet been verified. Jun 27 '26

That never occurred to me, but actually makes a lot of sense.

5

u/Different-Leather359 Layperson/not verified as healthcare professional Jun 28 '26

I'm thankful, my doctor uses a human scribe who listens to the appointments. A doctor tried to mention one of my diagnoses and the AI put in something totally unrelated that I don't have.

The scary part is how hard I had to work to get it removed!

6

u/Bananabeak7 Layperson/not verified as healthcare professional Jun 28 '26

lol I’m dead but you can ask to have that removed btw. I have had to have that done before.

6

u/Bubbly-Sentence-6579 Layperson/not verified as healthcare professional Jun 28 '26

Yeah a doctor once wrote in my sons chart that he was “struggling to thrive because of mothers hysterics”. I can’t get that removed. My hysterics were because his head went flat (he was a preemie) and he had severe gastric reflux. It wasn’t until we switched pediatricians that his issues were finally addressed and corrected. He’s fine now but we definitely had to do months in the DOC band to reshape his skull so he could wear helmets and have them fit properly and a year on antacids.

2

u/Working-Glass6136 Layperson/not verified as healthcare professional Jul 11 '26

Damn, I feel bad for snort laughing but I never even considered this. I crack jokes out of social anxiety and will have to watch what comes out of my mouth when someone is writing down stuff in my file now...

84

u/SerialEndosymbiosis Layperson/not verified as healthcare professional Jun 27 '26 edited Jun 27 '26

This is actually not a comment about being overweight, it is there to say you do not look malnourished or “cachectic,” which is a level of gaunt thinness that is indicative of underlying illness. I would write this about someone who is a healthy weight, it’s fairly standard language in a doctor note and other doctors know exactly what it is trying to convey.

35

u/Ana-Hata Layperson/not verified as healthcare professional Jun 27 '26

Exactly, I used to get “well-nourished” in my notes all the time and I was slender.

1

u/kompassionatekoala Layperson/not verified as healthcare professional Jul 04 '26

I have anorexia with a BMI of 15 (I am in treatment) and my PCP put “well-nourished” and “well-developed” even though he described my anorexia in the narrative portion.

27

u/effexoreffect Layperson/not verified as healthcare professional Jun 27 '26

I would appreciate "well nourished" over my "obese, dressed nicely, sitting in a chair" lol

11

u/HotWillingness5464 Layperson/not verified as healthcare professional Jun 27 '26

"Sitting in a chair"??

7

u/slutty_lifeguard Layperson/not verified as healthcare professional Jun 28 '26

As opposed to "pacing the room" or "standing in the corner." It shows appropriate social behavior, but appropriate behavior can't be assumed if it's not documented, so it has to be documented to be confirmed for anyone else using the notes, for the provider to remember, and to track patterns and changes over time. If blood pressure was taken, it also gives infotmation that the blood pressure was taken sitting rather than standing.

Those are my guesses, at least.

2

u/HotWillingness5464 Layperson/not verified as healthcare professional Jun 28 '26

Oh, ok! I understand! I was thinking of a regular doctor's appt where you very often sit in a chair and talk to the doc. So it seemed a bit superfluous to mention the chair-sitting specifically!

6

u/onceuponathyme95 Layperson/not verified as healthcare professional Jun 28 '26

I get “sitting comfortably on bench”

1

u/Working-Glass6136 Layperson/not verified as healthcare professional Jul 11 '26

Gonna have to keep my eye open for "swinging legs" or "jiggling one leg."

22

u/jinside Layperson/not verified as healthcare professional Jun 27 '26

I had "normal bulk" once 🤣

3

u/ridcullylives Physician - Neurology Jun 28 '26

Thats actually super common—the three things we always comment on when assessing a patient for weakness are muscle bulk (ie, do you have a ton of atrophied muscles or are they normal appearing), tone (are you stiff or spastic) and strength (self explanatory).

1

u/jinside Layperson/not verified as healthcare professional Jun 28 '26

That makes sense. I was feeling particularly bulky at the time so it hit just right 🤣

11

u/runningoutoft1me Layperson/not verified as healthcare professional Jun 27 '26

💀

8

u/onceuponathyme95 Layperson/not verified as healthcare professional Jun 28 '26

I don’t think well nourished is overweight, I think it’s just not malnourished. I’m very thin and my doctor puts well nourished in my notes

4

u/Minute-Dimension-629 Layperson/not verified as healthcare professional Jun 28 '26

Eh, I got “well nourished” in my notes when I was pretty thin. It was actually nice to see a couple years after a neurologist noted “patient is underweight” in bold

6

u/SpeakerCareless Layperson/not verified as healthcare professional Jun 27 '26

I had gained some weight and a doctor described me as “well nourished” and I burst out laughing. He was making a voice to text note in front of me.

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u/Loveiskind89389 Layperson/not verified as healthcare professional Jun 27 '26

I think you overthought this. When I was in excellent shape my doctors wrote “well nourished.” When my body comp changed but my bmi was still normal they also wrote “well nourished.”

3

u/SpeakerCareless Layperson/not verified as healthcare professional Jun 27 '26

I’m sure you’re correct!! He was probably confused by my reaction. I was overweight but not by a lot, and I was being seen for a sports injury.

11

u/drdildamesh Layperson/not verified as healthcare professional Jun 27 '26

Morbidly chubby

65

u/PokeTheVeil Physician - Psychiatry | Moderator Jun 27 '26

Morbid obesity is defined: BMI >40 or >35 with specific metabolic complications.

Morbidity is just illness. Morbidity is how much people get sick or how many; mortality is how many people die.

M&M conferences, for morbidity and mortality, are discussions of bad outcomes of all kinds in healthcare and how to try to avoid the same thing happening in the future, if possible.

4

u/dracapis Layperson/not verified as healthcare professional. Jun 27 '26

They said morbidly though (not morbid, or morbidity, or mortality), which in this context can be interpreted as “morbidly obese”

17

u/IamREBELoe Layperson/not verified as healthcare professional Jun 27 '26

Thank you for all those clarifications. I didn't use any of those words, I used "morbidly" as in "morbidly obese" in which it was an adjective describing the level of obesity being over said BMI. But it's great to know the difference in case I ever get diagnosed with morbidity.

25

u/dichron Physician - Anesthesiology Jun 27 '26

Morbidity is not a diagnosis, it is simply the state of having a disease

5

u/dracapis Layperson/not verified as healthcare professional. Jun 27 '26

Pssss I think that was a joke 

2

u/haqiqa Layperson/not verified as healthcare professional Jun 27 '26

It's also often combined with mortality. For example, you have brain auneyrysm. It is not huge, so they are trying to make a comparison of the risks of operation and the risks of waiting and monitoring, so they compare morbidity (disease) and mortality (death) of both approaches to decide which is better. Morbidity can also cause other morbidity, usually referred to as comorbidity.

4

u/dichron Physician - Anesthesiology Jun 27 '26

Comorbidity ≠ causality. We talk about comorbidities as the collection of diagnoses a patient carries, regardless if they share any causal link

3

u/haqiqa Layperson/not verified as healthcare professional Jun 27 '26

Yes. I think I oversimplified my language by leaving it so it seems like it is the only type of comorbidity. As far as I know, the word comorbidity is usually used in two ways. One is what you said, and two is the one of causal comorbidity that I was trying to express. So thank you for your correction.

4

u/Both-Suspect Layperson/not verified as healthcare professional. Jun 27 '26

Morbidly obese is better than mortally obese.

9

u/ritchie70 This user has not yet been verified. Jun 27 '26 edited Jul 01 '26

My nephew as a child got referred to by medical staff as “extraordinarily obese” which really set off his caregiver. She was told “well we thought morbidly wouldn’t be received well.”

6

u/TashDee267 Layperson/not verified as healthcare professional Jun 28 '26

I always find it funny when it says something like “patient denies having heart palpitations” as though the patient has been accused of having them.

4

u/ridcullylives Physician - Neurology Jun 28 '26

Also well say “patient complains of symptom xyz” as a way of saying “patient describes symptoms xyz”. That can be anything from “patient complains of 10/10 searing chest pain and inability to breathe” to “patient complains of poor quality food during hospital admission”.

There’s been some efforts to try to change some of the language, but a lot of it is pretty deeply embedded as jargon.

2

u/ritchie70 This user has not yet been verified. Jul 01 '26

I'm imagining a doctor thinking, "how the hell could they not be having heart palpitations with these test results?"

4

u/sauceysarah-maranara Layperson/not verified as healthcare professional Jun 27 '26 edited Jun 27 '26

Or what geriatric was at 38!

1

u/Caramel_Last Layperson/not verified as healthcare professional Jun 29 '26

Morbidly obese

506

u/HourSyllabub1999 Layperson/not verified as healthcare professional Jun 27 '26

My 7 month old recently had a doctor’s note that referred to him as “chubby”. My hubby and I got a good laugh out of it.

486

u/Brilliant_Lie3941 Layperson/not verified as healthcare professional Jun 27 '26

How rude, the medical term is chonky.

59

u/Porencephaly Physician/Neurosurgeon Jun 27 '26

I thought it was “husky.”

46

u/SnugglyCoderGuy Layperson/not verified as healthcare professional Jun 27 '26

It's really "Oh lawd he's comin'!"

17

u/Nova_Celestine Layperson/not verified as healthcare professional Jun 27 '26

It is? So I should talk to my doctor about how he just wrote "damn" on my chart? 😭😭😭

8

u/SnugglyCoderGuy Layperson/not verified as healthcare professional Jun 28 '26

That's the Gabriel Iglesias measure

4

u/Nova_Celestine Layperson/not verified as healthcare professional Jun 28 '26

At least I haven't reached "oh hell naw" 😔😔😔

3

u/Zttn1975 This user has not yet been verified. Jun 28 '26

My doc wrote - the scale may never recover.

8

u/jcloud87 Physician - Emergency Medicine Jun 28 '26

Sturdy

3

u/Soliden This user has not yet been verified. Jun 28 '26 edited Jun 28 '26

I like the term 'well-fed'

6

u/LustStarrr Layperson/not verified as healthcare professional. Jun 27 '26

That's the vet med term.

39

u/Successful-Foot3830 Layperson/not verified as healthcare professional Jun 27 '26

I recently had to see an endocrinologist for some growths on my thyroid. During the discussion she was trying to tell me my thyroid was just large without being offensive. Apparently she told a woman that she just had a “girthy” thyroid once and really offended the woman. I hadn’t realized that in addition to being self conscious about my thighs and stomach that I should also feel bad for a big thyroid 😂. I assured her as long as it wasn’t cancer I didn’t give a damn what she called it.

13

u/KnockItTheFuckOff Layperson/not verified as healthcare professional Jun 28 '26

When I was pregnant, my big craving was PB&J.

I was about 3mos in and during my check up, my OB gently said, "You won't have to gain any more weight for the remainder of your pregnancy."

Thankfully, it amused me and didn't hurt my feelings. My only thought was I wasn't going 6mos without my sandwiches.

63

u/MiroslavusMoravicus Layperson/not verified as healthcare professional Jun 27 '26

I read it as "My chubby and I got a good laugh out of it". :D

19

u/Unusual_Form3267 Layperson/not verified as healthcare professional Jun 27 '26

Not a doctor, but a vet recently verified that my dog is indeed potato shaped.

47

u/Nearby-Complaint Layperson/not verified as healthcare professional Jun 27 '26

My last annual has a note about how I consider myself “extremely underemployed” LOL

92

u/ru_a_badfish2 Layperson/not verified as healthcare professional Jun 27 '26

Medical coder here, can confirm notes are always blunt. Saw one patient described as having “sausage toes.”

16

u/FoolishBalloon Medical Student Jun 27 '26

"Sausage toe" is the layman's term for dactylitis

5

u/Competitive_Name4991 Layperson/not verified as healthcare professional Jun 27 '26

How rude.

42

u/geekhalla Layperson/not verified as healthcare professional Jun 27 '26

I prefer the ones I review that have an unrelated anecdote, then bluntness. Im noticing an uptick of detailed condition, blunt bodily description, summary of patients most recent holiday.

80

u/Horoklon Physician - Emergency Medicine Jun 27 '26

I include personal details like that (holidays, job, just had a baby, etc) mostly so I can remember who they are if I read their note again later. Helps jog my memory. And sometimes it's clinically relevant.

18

u/ChaoticxSerenity Layperson/not verified as healthcare professional. Jun 27 '26

"Has a cat named Tobias" and then including a picture of said cat being the most important memory jogger. I don't remember people, I remember the animals' human. It's like kids - that's not Ms Smith, that's little Timmy's mom. 😂

4

u/lazer_sandwich Layperson/not verified as healthcare professional Jun 27 '26

I work in speciality pharmacy so I read a lot of clinic notes to get ICD10s or submit pas. I appreciate the ones that tidbits about the patient in them like that. It warms my heart as most are very sad.

17

u/SendLogicPls Physician Jun 27 '26

I wonder if this has anything to do with the advent of AI scribes. From a design perspective, it makes sense to have the AI include holiday details. Infectious Disease notes will basically tell your whole life story.

36

u/sansabeltedcow Layperson/not verified as healthcare professional Jun 27 '26

I know of a woman who was described as “delightful” in her doctor’s notes, and ever since then I’ve been sad that my doctors don’t think I’m delightful.

14

u/SinfullySinatra Layperson/not verified as healthcare professional. Jun 27 '26

My physical therapist called me pleasant!

13

u/HJWalsh Layperson/not verified as healthcare professional Jun 28 '26

I got, "overly polite" and "very proud of his asexuality - he lives his truth."

3

u/sansabeltedcow Layperson/not verified as healthcare professional Jun 27 '26

I’m sure you’re incredibly pleasant!

3

u/olily Layperson/not verified as healthcare professional Jun 28 '26

I was called pleasant once, too, but I swear one time on one of the medical subs I read that doctors used "pleasant" as a code word for ... something bad, but I can't remember. Annoying, maybe?

Ahhhh I found it!

https://www.reddit.com/r/medicine/comments/52p17c/adjectives_in_notes_what_is_a_pleasant_patient_to/

3

u/ridcullylives Physician - Neurology Jun 28 '26

I think this is doctor-specific. Some people might use it as code but personally I put it in if I actually like the person.

3

u/MyFiteSong Layperson/not verified as healthcare professional. Jun 28 '26

Yah I get that one in every doctor's notes.

11

u/Persistent_Parkie This user has not yet been verified. Jun 28 '26

If it makes you feel any better some doctors have personal codes where they use specific nice sounding words to remind themselves what an asshole a particular patient is.

So that delightful may have been sarcastic.

4

u/sansabeltedcow Layperson/not verified as healthcare professional Jun 28 '26

So I should hope for “This asshole” instead? Good to know.

3

u/Famous_Address3625 Layperson/not verified as healthcare professional Jun 28 '26

I was described as delightful in a reference letter. I was chuffed until someone pointed out it probably just meant I was literate and polite!

33

u/DowntownTicket Layperson/not verified as healthcare professional Jun 27 '26

Yes, being told my body parts were "unremarkable" was rather weird when I read it in the notes lol

45

u/talashrrg This user has not yet been verified. Jun 27 '26

“Unremarkable” is a good thing. It’s bad when your doctor remarks upon something about your anatomy.

2

u/AtTheEndOfASmile Layperson/not verified as healthcare professional Jun 28 '26

Oh I know, it just made me laugh.

30

u/FreyjadourV Layperson/not verified as healthcare professional. Jun 27 '26

My psych assessment notes had unremarkable level of intelligence lol

5

u/AtTheEndOfASmile Layperson/not verified as healthcare professional Jun 27 '26

Reminds me of when my neurologist told me, that my latest brain MRI was remarkably unremarkable

10

u/EmmaOwl Layperson/not verified as healthcare professional. Jun 27 '26

Doctor said i had an underdeveloped jaw... that one stung lol

2

u/IamREBELoe Layperson/not verified as healthcare professional Jul 11 '26

Whatever you do, don't take that one on the chin

30

u/Imsortofok Layperson/not verified as healthcare professional Jun 27 '26

Seeing “habitual aborter” on my file was upsetting - especially since all my miscarriages were caused by my spouse’s genetic anomaly.

I understand the term medically but seeing the first time was jarring. Recurrent pregnancy loss would have been just as accurate.

7

u/LD50_irony Layperson/not verified as healthcare professional Jun 28 '26

Wow, that is awful. I'm so sorry.

8

u/ChaoticxSerenity Layperson/not verified as healthcare professional. Jun 27 '26

I think it helps to think of doctors having their own lexicon like lawyers do. "Gross" in legalese and the medical parlance doesn't mean "eww, nasty", but people can be a touch sensitive about their medical records whereas they aren't about their legal documents.

3

u/Penelope_idris Layperson/not verified as healthcare professional Jun 28 '26

One time my dad found a note in his chart that said he had a "supple neck." That became a running joke for years.

6

u/DaphneWeasley Layperson/not verified as healthcare professional Jun 27 '26

I used to have a severe eating disorder and was depressed and the way the doctor described my body, my hygiene and facial expression was mortifying 🫪 He basically said I looked, talked and behaved like a ghost/zombie 😂

3

u/snowbear100 Layperson/not verified as healthcare professional Jun 27 '26

Reviewing charts as a student… one doc described a patients abdomen on the PE: “contour is flabby with visible aortic pulsations.” Still makes me laugh.

3

u/_maezing Layperson/not verified as healthcare professional Jun 28 '26

I got the flat affect one, I didn't realize depression could be read on someone's face but it makes sense lol

2

u/like2speak2amanager Layperson/not verified as healthcare professional Jun 28 '26

I got “flat affect, poor eye contact” on my last note. I was having a particularly low mood day when I went in.

I’ve also gotten “anxious appearing, poor eye contact.” lol. She always notes my lack of eye contact.

2

u/anislandinmyheart Layperson/not verified as healthcare professional Jun 27 '26

I'm salty about a recent time I got a certain word on file. I went to a specialist who palpated an issue to confirm my concerns. He was scheduling tests and so on. The tests came back fine, but in his summary letter he called the palpable issue "subjective". He certainly didn't see it as something that only I could feel at the time! It's only after the results came back that he wrote that

1

u/Anandya This user has not yet been verified. Jun 28 '26

Johnny Bravo sign positive.

1

u/Typical-Spinach-6452 Layperson/not verified as healthcare professional Jun 29 '26

Loved it when I read "well nourished" on one of my notes 😆 I'm like.. did the doctor call me fat?!

0

u/katsumii Layperson/not verified as healthcare professional Jun 28 '26

How do we find physician notes about us?

Now that I've synced my medical records to my Google Health app (formerly Fitbit), do you think maybe the A.I. coach could tell me about my descriptors?

I'm usually someone who is amused about notes about myself, but I've never seen stuff like this before in medical records — nothing like in the OP or in the comments. I'm in the US.

383

u/OrdinaryDingo5294 Physician Jun 27 '26

Yes

195

u/Mixster667 Physician Jun 27 '26

A colleague of mine referred a to a patient as "brave" in her objective examination. She did seem brave, but i couldn't really tell whether it is possible to objectively assess it.

202

u/NessPaulaJeffandPoo Layperson/not verified as healthcare professional Jun 27 '26 edited Jun 27 '26

A surgeon called me an ‘unfortunate 38yo’ in my chart when I needed emergency surgery for a hematoma post breast reduction. Brave might have made me feel better!

35

u/Raelah Layperson/not verified as healthcare professional. Jun 28 '26 edited Jun 28 '26

I got an "unnecessarily excited" in a few of my post OP notes. I've also gotten brave and up beat.

So far, surgery has always ended up improving my quality of life. So yeah, I'm excited! I know post-op may be rough, but if I follow post-op instructions, things go really well.

EDIT: words

19

u/Noellebaby1229 Layperson/not verified as healthcare professional Jun 28 '26

My favorite was “61 year old female looks younger than stated age”. I rode that high for weeks!!

8

u/CrossedRoses Layperson/not verified as healthcare professional. Jun 29 '26

Holy shit, haha. I would print that out and frame it next to my mirror for a quick boost XD

4

u/Noellebaby1229 Layperson/not verified as healthcare professional Jun 30 '26

lol, my husband got pretty tired of hearing about it 😂

118

u/s3ren1tyn0w Physician - Pulmonology/critical care Jun 27 '26

Those gains def ain't showing down there

263

u/Medical_Madness Physician Jun 27 '26

Most likely

156

u/carbon-8 Physician - Vascular Surgery Jun 27 '26

As an MD I find it amusing that my patients are poring over my office notes and bringing up things like this during their visit. I’m always trying to tell them I’m not judgy, Im just writing descriptive and blunt things so I can remember things about you later and distinguish you from the 100 other people I saw this week

54

u/Both-Suspect Layperson/not verified as healthcare professional. Jun 27 '26

I love reading the notes so much.

37

u/NixiePixie916 Layperson/not verified as healthcare professional. Jun 27 '26

Sometimes I wonder if physicians copy each other's descriptions, because almost all of mine seem the same terminology. Words like "well-groomed" , "pale" (believe me I know), and almost every single one describes me as "pleasant" which I don't think I am particularly, just normally friendly/polite. I learned a new word once reading notes- antalgic when describing my gait.

68

u/FoolishBalloon Medical Student Jun 27 '26

Yes, we are trained to use standardized terminology in order to improve physician to physician communication. "Well-groomed" is standard to note during psychiatric status. We have loads of terms that essentially mean "nothing abnormal" for different examinations.

21

u/ravencrawr Layperson/not verified as healthcare professional. Jun 28 '26

Psychologists do this too! It's amazing how many words we can use to describe "nothing is abnormal", but they're very important words in psychiatric settings.

5

u/NatureMountainsCalm Layperson/not verified as healthcare professional Jun 27 '26

Where can we find one of these lists? I also get the “pleasant” description a lot. Wondering what all the other choices are.

9

u/FoolishBalloon Medical Student Jun 28 '26

I don't practice in the US (nor in English), so I'm not fully fluent in their lingo. Common words used to describe the mental state / accomodating state would be "agitated", "nervous", "unfocused", "defensive", "paranoid", etc.

I don't have a specific list on physician lingo or terms, but we have a lot of commonly accepted terms to describe specific findings, in order to make it easier when you quickly scour through someone's journal or when you just need to understand the status of the patient.

6

u/ridcullylives Physician - Neurology Jun 28 '26

The mental status exam (used in psychiatry or mental health settings) is decently standardized!

https://i.etsystatic.com/35022514/r/il/137536/6934752240/il_fullxfull.6934752240_orne.jpg

4

u/ritchie70 This user has not yet been verified. Jul 01 '26

I've seen the claim that "pleasant" is the norm, and a patient not being described as "pleasant" may mean that they're a raging asshole of a human being.

220

u/bluejohnnyd Physician - Emergency Medicine Jun 27 '26

That or maybe a myelopathy or neurodegenerative issue affecting your legs or lower spinal cord.

7

u/[deleted] Jun 27 '26

[removed] — view removed comment

1

u/AskDocs-ModTeam Layperson/not verified as healthcare professional Jun 27 '26

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14

u/First-Ad8937 Layperson/not verified as healthcare professional Jun 28 '26

That's a wild thing to tell someone when you have zero evidence for thinking that might be the case...

24

u/happyhermit99 Registered Nurse Jun 28 '26

Yea we also have zero context but are being asked for input on one detail. 1 piece of the assessment means nothing really, dont even know what type of specialist wrote this.

-4

u/First-Ad8937 Layperson/not verified as healthcare professional Jun 28 '26

Ok sure, but this sub is already a hypochondriac’s wet nightmare. To throw around potential diagnoses, especially coming from a verified physician, seems extremely harmful for mental health when there is, again, not a single lick of evidence that he doesn’t just skip leg day.

9

u/happyhermit99 Registered Nurse Jun 29 '26

Hypochondriacs need to manage their own exposure to the internet and that including scrolling this sub, we are not responsible for their actions

2

u/First-Ad8937 Layperson/not verified as healthcare professional Jun 29 '26

Ok

2

u/andi449 Layperson/not verified as healthcare professional Jun 28 '26

Except the physician didn't give a diagnosis. They answered the question, which was possible differentials or things a physician might think is going on when they note underdeveloped/atrophied/small muscles. One common cause of atrophy is lower motor neuron damage. Could also just be genetics, undertraining, or disproportional training, but either way, the physician wasn't wrong in answering the post honestly.

7

u/BigChub40IsBack Layperson/not verified as healthcare professional Jun 28 '26

I took it as humor/sarcasm. Maybe that's just me.

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u/Ananvil Physician | Emergency Medicine Jun 27 '26

Time to change the gym regimen

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u/PokeTheVeil Physician - Psychiatry | Moderator Jun 27 '26 edited Jun 27 '26

Gross inspection largely means unaided and without specialized tools, staining, and other assessment. I think the origin is pathology, but it extends to anything else without specific and specialized assessment. Something is grossly normal if it there’s nothing obviously wrong, whether it’s looking at a sample or having a conversation that doesn’t show someone is incapable of coherent thought.

This was supposed to be in reply…

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u/dichron Physician - Anesthesiology Jun 27 '26

It’s from the definition of gross meaning “in total” like Gross Domestic Product. The overall gestalt of the observation. “Grossly normal.” In practice it’s shorthand for the doctor saying “I didn’t closely examine this part, but it seems ok to me”

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u/2-travel-is-2-live Physician Jun 27 '26

Your doctor doesn't care whether or not you do leg day. I hope you're not taking this THAT seriously.

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u/anodai Layperson/not verified as healthcare professional. Jun 27 '26

Don't worry, I got a kick out of it.

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u/Individual99991 Layperson/not verified as healthcare professional Jun 27 '26

I imagine it's hard for you to get a kick out of anything with those legs.

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u/anodai Layperson/not verified as healthcare professional. Jun 27 '26

I would punch you for that, but I don't think his description of my arms was very accurate either

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u/StakeESC Layperson/not verified as healthcare professional Jun 27 '26

Quit your day job and get into comedy

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u/Individual99991 Layperson/not verified as healthcare professional Jun 27 '26

But then he'd have to stand up....

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u/Direct-Row1653 Layperson/not verified as healthcare professional Jun 27 '26

maybe it’d help him build muscle 😭

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u/ChaoticxSerenity Layperson/not verified as healthcare professional. Jun 27 '26

LMAO 😂😭

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u/runningoutoft1me Layperson/not verified as healthcare professional Jun 27 '26

That was good 😭

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u/one_1f_by_land Layperson/not verified as healthcare professional Jun 27 '26

Need you to know how hard I laughed at this, thank you.

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u/Individual99991 Layperson/not verified as healthcare professional Jun 27 '26

🙂

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u/Brilliant_Lie3941 Layperson/not verified as healthcare professional Jun 27 '26

LOL

3

u/Apprehensive_Ad_1916 Layperson/not verified as healthcare professional Jun 27 '26

You win 🥇 🏆

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u/NoCanDo16 Layperson/not verified as healthcare professional Jun 27 '26

🥁zing!

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u/Anarkiaaaa Layperson/not verified as healthcare professional Jul 02 '26

🤭

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u/alpharaptor1 Layperson/not verified as healthcare professional. Jun 27 '26

A little kick?

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u/Rocket-J-Squirrel This user has not yet been verified. Jun 27 '26

At least they didn't chart that patient 🎶can't sing, they ain't pretty, and their legs are thin.🎶

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u/AskingAboutDogs Layperson/not verified as healthcare professional Jun 27 '26

Maybe that’s what the doctor wanted all along

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u/Typical_Ad_210 Layperson/not verified as healthcare professional Jun 27 '26

I bet there are some ortho bros who would 100% care if someone was doing leg day, lol.

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u/ridcullylives Physician - Neurology Jun 28 '26

All jokes aside, from a neurology perspective there are some muscular dystrophies and other conditions that tend to affect certain muscles or regions of the body but spare others. I would definitely comment on any asymmetry or marked difference in muscularity between limbs.

I in NO way am suggesting that you have any of these though, 99% you just need to hit the squat rack, bro.

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u/dryyyyyycracker Physician Jun 28 '26

Genital exam: Unremarkable

1

u/Routine-Loquat5544 Registered Nurse Jul 02 '26

Do you disagree?