In medicine and nursing, gross and grossly have distinct meanings. Imprecisely, it means "very much", "so much", "definitely", "absolutely", "positively", "very noticeably", etc.
Patient records often contain these kind of examples:
NOTE: Doctor's notes are not written as complete sentences. Please do not edit these examples.
Any area of examination could include the adjectives of gross or grossly. In fact, sometimes if a patient's chief complaint is about one thing in particular, but the exam shows absolutely no reason for the symptom, the doctor will be more inclined to use gross or grossly as the adjective to describe "absolutely nothing found" or "absolutely normal".
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