Glossary entry

Spanish term or phrase:

PPFL: (-); PPRU A Y P (-).

English translation:

No costovertebral angle tenderness; No tenderness over kidneys or ureters.

Added to glossary by Thomas Walker
Sep 29, 2017 17:12
6 yrs ago
33 viewers *
Spanish term

PPFL: (-); PPRU A Y P (-).

Spanish to English Medical Medical (general) Emergency Room report
Again, from a report on a patient seen in the emergency department of a clinic in Mahón, Menorca. Another string of ER doctor shorthand that I haven't been able to track down, Cosnautas, Internet searches, or any of my other resources.
This is the complete line on this topic:
"RENAL: ***PPFL: (-); PPRU A Y P (-).***"
Upper case as in the ST.
Any help greatly appreciated - thanks in advance.

Discussion

Helena Chavarria Oct 8, 2017:
@Tom First of all, thank you for the points. You're right, it would have been easier to translate each term separately because a) only one of the terms has an equivalent translation in English (Costovertebral angle tenderness [CVAT]) and b) by the time I'd finished, I had mixed up both terms!

Because we can't edit our answers and I didn't want to confuse you even more by adding information, I just hoped that you would be able to work out how you wanted to translate the terms!
Leda Roche Sep 29, 2017:
I agree with the explanation for PPRU. About PPFL: PP could be palpación y percusión and FL could be fosas lumbares.

Proposed translations

+1
5 hrs
Selected

puño percusión en fosas lumbares; puntos pielorrenoureterales anteriores y posteriores

I only a low confidence level because I'm not sure of the translation of 'puntos pielorrenoureterales'.

puño percusión en fosas lumbares (negativo); puntos pielorrenoureterales anteriores y posteriores (negativo)

Costovertebral angle tenderness (CVAT), also known as CVA tenderness, Murphy's punch sign, Pasternacki's sign, or Goldflam's sign (Latin: succusio renalis), is a medical test in which pain is elicited by percussion of the area of the back overlying the kidney (the costovertebral angle, an angle made by the vertebral column and the costal margin).

https://en.wikipedia.org/wiki/Costovertebral_angle_tendernes...

Palpation

The last part of the abdominal assessment is palpation, during which you use your fingertips to feel all over the abdomen systematically for rigidity, masses, and tenderness. Light palpation is done to determine how soft or hard the abdomen is. To perform light palpation, use one hand to depress the abdomen slightly. Deep palpation is done to feel for masses and identify any tenderness. To perform deep palpation, use one or both hands and the fingertips to depress the abdomen more deeply. Before palpating the abdomen, try to help your patient relax. If her abdominal muscles are contracted, her abdomen will be very firm and you will palpate little more than the rectus muscle. As part of the abdominal assessment, palpate the inguinal area for changes in contour or enlarged lymph nodes or masses.

http://www.atitesting.com/ati_next_gen/skillsmodules/content...



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Note added at 1 day3 hrs (2017-09-30 20:23:15 GMT)
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I wish I could edit my answer but after further thought I think I would translate the terms as 'percussion and palpation of lumbar fossae' and 'percussion and palpation of renal-unrinary tract'.

Sorry about the confusion, but it was difficult having to find the translation of two terms.
Peer comment(s):

agree Leda Roche
18 hrs
I've edited my answer to make it clearer. Thank you, Denise :-)
Something went wrong...
4 KudoZ points awarded for this answer. Comment: "Thanks for your hard work on this, Helena. But you didn't really, formally, propose English answers, except in your comments. This was a two-step process - first figure out what the acronyms stand for, then translate into English. You did great on Step 1 for both terms, & also great on Step 2 for PPFL. I had an offline response by email from a medical interpreter in Spain, who proposed an English equivalent for "PPRU A Y P" of "No tenderness over kidneys or ureters.", which sounds reasonable to me. Anyway, I'm awarding points to you - thanks again - I was desperate. (I probably should have broken this up into 2 questions...)"

Reference comments

1 hr
Reference:

PPRU

puntos pielorrenoureterales (PPRU)

http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0...

puntos renoureterales

https://esl.proz.com/kudoz/spanish_to_english/medical_genera...

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Note added at 1 hr (2017-09-29 18:14:03 GMT)
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There might be two 'Ps' because it's plural: puntos

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Note added at 3 hrs (2017-09-29 20:45:55 GMT)
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22. PERCUSIÓN La percusión digital, o más comúnmente la puño-percusión, a nivel de la fosa lumbar, despierta o intensifica el dolor lumbar de origen capsular

https://es.slideshare.net/PriscillaCruz/exploracin-fsica-del...

I think it might be Costovertebral angle tenderness (CVAT).

https://en.wikipedia.org/wiki/Costovertebral_angle_tendernes...

41. Inspección: No tumoraciones en flancos ni en hipocondrios, Palpación Puntos no palpables ni peloteables. Puntos pielorrenoureterales anteriores y posteriores no dolorosos. Percusión Maniobra puño percusión negativa en ambas fosas lumbares. Auscultación No soplos de la arteria renal.

https://es.slideshare.net/sennid/semiologia-del-sistema-rena...

https://www.proz.com/kudoz/spanish_to_english/medical_genera...

I'll post an answer if I can find the translation of 'puntos pielorrenoureterales'.

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Note added at 3 hrs (2017-09-29 20:46:50 GMT)
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PPFL = 'puño percusión en fosas lumbares'.

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Note added at 5 hrs (2017-09-29 22:52:40 GMT)
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17. Inspección: No tumoraciones en flancos ni en hipocondrios, Palpación Puntos no palpables ni peloteables. Puntos pielorrenoureterales anteriores y posteriores no dolorosos. Percusión Maniobra puño percusión negativa en ambas fosas lumbares. Auscultación No soplos de la arteria renal.

https://www.slideshare.net/marthitasanchezrojas/13-semiologa...

Chapter 93 Inspection, Auscultation, Palpation, and Percussion of the Abdomen

https://www.ncbi.nlm.nih.gov/books/NBK420/

The major components of the abdominal exam include: observation, auscultation, percussion, and palpation. While these are the same elements which make up the pulmonary and cardiac exams, they are performed here in a slightly different order (i.e. auscultation before percussion) and carry different degrees of importance. Pelvic, genital, and rectal exams, all part of the abdominal evaluation, are discussed elsewhere.

https://meded.ucsd.edu/clinicalmed/abdomen.htm

The nearest equivalent I can find is 'palpation of the abdomen'.
Peer comments on this reference comment:

agree Marie Wilson : And A Y P could be anteriores y posteriores Examen Físico Del Sistema Urinario - Scribd https://www.scribd.com/.../Examen-Fisico-Del-Sistema-Urinari... Puntos pielorrenoureterales anteriores y posteriores no dolorosos.
24 mins
I think you're right about 'A' and 'P'. Thank you, Marie :-)
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