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? distal motor latency

Posted By: mp on 2009-06-01
In Reply to: Her EMG/NCV showed she has severe CTS on the right with a distal s/l mo-lank-c-see-a of 6.69. - Just Looking

Subject: ? distal motor latency




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The MRI did show a very small amount of fluid edema along the distal radius and distal ulnar *fices*
Subject: The MRI did show a very small amount of fluid edema along the distal radius and distal ulnar *fices*

nm
distal translation across the epiphysis of distal fragment
Subject: distal translation across the epiphysis of distal fragment


motor power 5/5 ;-) nm
Subject: motor power 5/5 ;-) nm


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Subject: motor brace? sm

She finally got fitted for her s/l motor brace and is learning how to get this on and attached in a reasonable fashion. She is having to try to negotiate both wheelchair and a walker in order to fill all of her needs.
I keep hearing motor axenopathy
Subject: I keep hearing motor axenopathy

which is related to motor neuron disease.  What comes up when I do a search is adenopathy but that "x" keeps being used.  Could it be one word instead of the two words that I seem to hear?


Thanks.


Motor-sensory question

would this transcribed as Motor-sensory:  5/5 or as a clipped sentence Motor-sensory 5/5. 


Under the physical examination


not sure about motor. I keep hearing moni uni. Thanks anyway.
Subject: not sure about motor. I keep hearing moni uni. Thanks anyway.

It could be motor unit but he is slurring and this is my first EMG so I better send with blanks. Better safe than sorry.
Fine motor skill?
Subject: Fine motor skill?


Neurosensory motor deficits,,,,nm
Subject: Neurosensory motor deficits,,,,nm


Probably MOSIs...motor sign...check it first though...nm
Subject: Probably MOSIs...motor sign...check it first though...nm

nm


Clipped sentence. Motor/sensory 5/5. nm
Subject: Clipped sentence. Motor/sensory 5/5. nm

s
No focal motor or neurological deficits
Subject: No focal motor or neurological deficits

nm
guessing..associated diminution of motor strength? nm
Subject: guessing..associated diminution of motor strength? nm

.
motor and sensory s/l mentality intact
Subject: motor and sensory s/l mentality intact


5/5 sounds like normal motor strength...but sm
Subject: 5/5 sounds like normal motor strength...but sm

...i have no idea about your s/l... "overall motor strength"? there's also an OMA score (or OMAS)=Olerud & Molander Ankle Score but 5/5 power doesn't match that...?? =(
Patient in a motor vehicle accident with her tractor
Subject: Patient in a motor vehicle accident with her tractor

HEENT: There is no pain on palpation of her calvarial bones. Furthermore, there is no *s/l* "pain crepidence" or depression on palpation of the posterior spinous processes.
No hyphen in motor vehicle. Maybe driving a 4 x 4 with a roll bar
Subject: No hyphen in motor vehicle. Maybe driving a 4 x 4 with a roll bar

s
Motor Exam: s/l diminished tone, normal (sm)
Subject: Motor Exam: s/l diminished tone, normal (sm)

no atrophy.


the patient had a stroke and has no residual except for dysarthria. Can a motor exam show diminished tone and still be considered normal?


recruitment = ok. Also, could it be "normal motor unit waveforms"
Subject: recruitment = ok. Also, could it be "normal motor unit waveforms"


Is this correct- motor strength is 4+/5-. The more I read the BOS the more confused I am. TIA nm
Subject: Is this correct- motor strength is 4+/5-. The more I read the BOS the more confused I am. TIA nm

nm
I found a Bromage scale used for nerve/motor blocks. Maybe that's it.
Subject: I found a Bromage scale used for nerve/motor blocks. Maybe that's it.

Description of the Bromage score

























Grade


Criteria


Degree of block


I


Free movement of legs and feet


Nil (0%)


II


Just able to flex knees with free movement of feet


Partial (33%)


III


Unable to flex knees, but with free movement of feet


Almost complete (66%)


IV


Unable to move legs or feet


Complete (100%)













 


denervated *frontentials* seen with normal motor unit potentials.(EMG) Thanks. nm
Subject: denervated *frontentials* seen with normal motor unit potentials.(EMG) Thanks. nm

nm
Motor nerve study with "lace" dependent pattern. see message plz :)
Subject: Motor nerve study with "lace" dependent pattern. see message plz :)

 


Motor nerve conduction studies were notable for decreased amplitude in both upper and lower extremities in a lace dependent pattern.


Probably talking about report physicians file with Motor Vehicle Dept - sm
Subject: Probably talking about report physicians file with Motor Vehicle Dept - sm

When patient's have seizure disorder or passing out episodes, etc. most states want physicians to fill out a "Confidential Morbidity Report" (or name similar to that) and send to the DMV letting them know the patient has been diagnosed with condition that can cause loss of control of the vehicle -- did doctor say he counseled patient on not driving until seizures under control for x-amount of months or something like that?


CNS physical exam, cranial nerve???, motor, cerebellum??? and sensory were normal...thanks.ASAP
Subject: CNS physical exam, cranial nerve???, motor, cerebellum??? and sensory were normal...thanks.ASAP


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Subject: distal one third

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Distal
Subject: Distal

could refer to the farthest point of any body part. If talking about the leg, probably saying distal tib-tibial.
Distal herniation
distal herniation
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Subject: distal Galeazzi maybe? - nm


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Subject: distal arthralgias?


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Subject: Distal embolization?


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Subject: distal vessels?


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Subject: DIP (distal interphalangeal)


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Subject: Maybe DIP? Distal interphalangeal


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Subject: distal phalanges????


may just be saying distal fibula..nm
Subject: may just be saying distal fibula..nm

x
distal neurocirc
Subject: distal neurocirc

distal neurocirc is intact. Should this be transcribed:


Distal neurocirculatory is intact


Distal neurocirc is intact


Distal neuro and circ is intact


or what??? I'm lost! Any help is greatly appreciated!


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Subject: Could he be saying distal before syndesmosis?


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Subject: widening of the distal clavicle

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clouding of the distal esophagus? (nm)
Subject: clouding of the distal esophagus? (nm)

...


Should it be...distal comma bilateral or distal no comma bilateral? nm
nm
distal ulnar physis
Subject: distal ulnar physis


Try "faint distal collaterals". nm
Subject: Try "faint distal collaterals". nm

.
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Subject: distal radius ORIF

The patient was given s/l cephanicol for muscle relaxation.


sulfanicol? cefanical?  Can't find anything that s/l these.


Thank you!


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Subject: oscial and distal cuff

I am still trying to figure out this one dictation that I "tabled" for a while. In relistening to it it sounds like "Native coronary artery disease with both "oscial" and distal cuff by left main disease"  Interpretation anyone? 
oscial and distal cuff
Subject: oscial and distal cuff

I tried googling this combination and did not come up with any relevant matches.  Does this ring a bell with anyone?  I am really striking out.
DIP (distal interphalangeal joint)
Subject: DIP (distal interphalangeal joint)


distal radius crinkle? nm
Subject: distal radius crinkle? nm

nm
distal femoral metaphysis. sm
Subject: distal femoral metaphysis. sm

They also sometimes use metaphyseal


 


metaphysis, pl. metaphyses


 



[TA]; A conical section of bone between the epiphysis and diaphysis of long bones.


distal anterior. Where in the body are we? nm
Subject: distal anterior. Where in the body are we? nm