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Do you hear focal weakness and paresthesias? nm

Posted By: An Iowan on 2008-11-07
In Reply to: Neurologic: No headaches or seizures. Focal weakness of all ??parathesis?? - PRiddy

Subject: Do you hear focal weakness and paresthesias? nm

nm


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Neurologic: No headaches or seizures. Focal weakness of all ??parathesis??
Subject: Neurologic: No headaches or seizures. Focal weakness of all ??parathesis??


perineal paresthesias or peroneal paresthesias..
Subject: perineal paresthesias or peroneal paresthesias..

He always says this and it seems it could be one or the other.  Talking about lumbar problems.  Says,"No bowel or bladder dysfunction.  No peroneal/perineal? paresthesia is noted."
focal bony activity or focal bony uptake?
Subject: focal bony activity or focal bony uptake?

dd
paresthesias
Subject: paresthesias


posterior paresthesias?
Subject: posterior paresthesias?

Just a guess.
s/l *aqua* paresthesias??? Thanks. nm
Subject: s/l *aqua* paresthesias??? Thanks. nm

nm
I figured it out. He was saying acral paresthesias. Thanks. nm
Subject: I figured it out. He was saying acral paresthesias. Thanks. nm

nm
AIDS-related complex.....paresthesias
Subject: AIDS-related complex.....paresthesias

Dictated: 'Patient was in his usual state of good health until six weeks PTA when he developed progressive weakness and ??po-stay or pa-state?? paresthesias of the lower extremities.'


This is a patient with transfusion acquired AIDS-related complex.  Doctor is Japanese.


Saddle paresthesias or radicular pain.
Subject: Saddle paresthesias or radicular pain.

Saddle as in where you sit. So likely buttocks, thighs, etc.
s/l "ulni tardi" syndrome - arm paresthesias NM
Subject: s/l "ulni tardi" syndrome - arm paresthesias NM

nm
sorry weakness...
Subject: sorry weakness...

just a typo, late in the day (don't tell QA :)
focal?
a
Focal?
Subject: Focal?


Focal? nm
Subject: Focal? nm

x
focal
Subject: focal

nm


 


I type it as weakness of
Subject: I type it as weakness of

3.5/5 of the bilateral lower extremities. susan
s/l balgar weakness?
Subject: s/l balgar weakness?


Give-way weakness or give-away weakness? Tks!
Subject: Give-way weakness or give-away weakness? Tks!

nm
Could it be no giving way or weakness? sm
Subject: Could it be no giving way or weakness? sm

This is something my ortho docs dictate a lot, usually in a series, i.e., no giving way, weakness, swelling, patellar pain, etc.

It could also be as you have it - give-way or giving-away weakness, just depending on the doc.
or chorioretinal weakness? nm
Subject: or chorioretinal weakness? nm


focal deficit?
Subject: focal deficit?


focal status
Subject: focal status

focal status as in Neuro
There was no history of s/l kinitis? or weakness. nm
Subject: There was no history of s/l kinitis? or weakness. nm


A significant relative weakness?
Subject: A significant relative weakness?

He has a significant relative weakness with executive functioning...


Is 'significant relative' correct?


I agree - I think it might be bulbar weakness nm
Subject: I agree - I think it might be bulbar weakness nm


bilateral caloric weakness
Subject: bilateral caloric weakness

The caloric test is a part of the ENG. It reflects an attempt to discover the degree to which the vestibular system is responsive and also how symmetric the responses are, between left and right. It is a test of the lateral semicircular canals alone -- it does not assess vertical canal function or otolithic function. While not as good as we would like, the caloric test is the best that we have.
Focal bacterial nephritis maybe?
Subject: Focal bacterial nephritis maybe?

or early renal failure or early renal disease? 
Maybe free of focal infiltrate?
Subject: Maybe free of focal infiltrate?


weakness, fatigue, anorexia and malaise
Subject: weakness, fatigue, anorexia and malaise


systo/assisto weakness or numbness???
Subject: systo/assisto weakness or numbness???

Ortho file:


She denies ____(systo) weakness or numbness.


TIA


might be caloric weakness. Found this site. sm
Subject: might be caloric weakness. Found this site. sm


  • Evaluation of Vestibular Function


    This test should be abnormal in patients with bilateral vestibular weakness ... Eye movements – When testing cranial nerve function, the examiner should evaluate ... Patients with vestibular weakness will rotate to the side of the weak ... Electronystagmography (ENG) – ENG is the most widely used vestibular tests ...
    www.utmb.edu/otoref/grnds/Vestibular-051214/Vestibular-051214.htm - 55k - Cached - Similar pages

  • [PDF]

    ICS May


    File Format: PDF/Adobe Acrobat - View as HTML
    abnormality was bilateral caloric weakness (that is, the sum of peak ... BPPV – simply not available with ENG. • Eye movements can be taped for later review

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

    nm
    CXR: Negative for focal s/l of-the-note infiltrate.
    Subject: CXR: Negative for focal s/l of-the-note infiltrate.


    cerebellar or possibly focal deficit (?)
    Subject: cerebellar or possibly focal deficit (?)


    You guys are awesome yes it is focal deficit thank you
    Subject: You guys are awesome yes it is focal deficit thank you


    Abdomen with midline s/l rafay weakness without hernia
    Subject: Abdomen with midline s/l rafay weakness without hernia

    Thanks!
    weakness in both *palmers* related to shoulder injuries. Thanks. nm
    Subject: weakness in both *palmers* related to shoulder injuries. Thanks. nm

    nm
    Neurologically intact with no focal or (s/l other-lyzing) deficit.
    Subject: Neurologically intact with no focal or (s/l other-lyzing) deficit.


    pt. does not have HIV/AIDS, admitted with gen weakness, has hypertension, dementia with Parkinson&#
    Subject: pt. does not have HIV/AIDS, admitted with gen weakness, has hypertension, dementia with Parkinson's


    This was a high-grade intraductal carcinoma of the breast with focal s/l chromenonecrosis.
    Subject: This was a high-grade intraductal carcinoma of the breast with focal s/l chromenonecrosis.


    osteonecrosis- pt had "a bone scan significant for area of intense focal [s/l bony labeling]"?
    Subject: osteonecrosis- pt had "a bone scan significant for area of intense focal [s/l bony labeling]"?

    The whole sentence reads thusly:

    The patient also underwent bone scan, this being significant for an area of intense [s/l focal bony labeling] involving the lateral epicondyle of the right femur in an individual without history of trauma, and given his history of aseptic necrosis of the femoral head, it was felt that this might be reflective of osteonecrosis including "osteochondritis desiccans."

    Thanks in advance for any help.
    Can you hear bunion for the first word? And the second can you hear symptomatic or sensory pain?
    Subject: Can you hear bunion for the first word? And the second can you hear symptomatic or sensory pain?


    Cannot hear adenopathy. Clearly hear *pology. Thank you, though.
    Subject: Cannot hear adenopathy. Clearly hear *pology. Thank you, though.


    Can you hear "mild". Hear that a lot. nm
    Subject: Can you hear "mild". Hear that a lot. nm


    Spot view (or compression mammogram, spot view, cone view, or focal compression view? sm
    Subject: Spot view (or compression mammogram, spot view, cone view, or focal compression view? sm

    Here is great mammogram link. Views are on page 2.


     


    http://imaginis.com/breasthealth/mammogram_report.asp


    I do not hear that
    Subject: I do not hear that

    but I believe you are correct, there is mention of exposed cartilage. Thank you very much.
    or can you hear..................nm
    Subject: or can you hear..................nm


    can you hear VRE - this has been associated
    Subject: can you hear VRE - this has been associated

    with C. difficile colitis as well - CD/VRE...also, resolved to the NVRA just doesn't make grammatical sense - you sure it's not "The C. difficile was treated with Flagyl, but resulted in VRE, then treated with Zyvox?" GOOD LUCK!
    can you hear?
    Subject: can you hear?

    guaifenesin and Tessalon Perles
    can you hear
    Subject: can you hear

    ,,,
    That's it. Can hear it clearly. Thanks so much!
    Subject: That's it. Can hear it clearly. Thanks so much!