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Motor-sensory question

Posted By: LG on 2006-08-14
In Reply to:

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


Under the physical examination




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

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Subject: position sense - as in sensory exam (I think) (NM)

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Subject: motor power 5/5 ;-) nm


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Subject: motor brace? sm

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Subject: DTRs were dictated in sensory exam. Thanks for your help! Still stumped!


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Subject: I keep hearing motor axenopathy

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Thanks.


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

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Subject: Neuro doc under sensory exam says s/l staring nosia's intact. TIA!!!


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

nm


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Subject: No focal motor or neurological deficits

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

.
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...?? =(
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Subject: Patient in a motor vehicle accident with her tractor

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Subject: No hyphen in motor vehicle. Maybe driving a 4 x 4 with a roll bar

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

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


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

nm
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Subject: total sensory absence *intesting* with a 10 gram Semes-Weinstein monofilament.-nm Thanks.

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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%)













 


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

nm
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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.


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

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Subject: Can you hear bunion for the first word? And the second can you hear symptomatic or sensory pain?


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Subject: Motor exam shows her right tibialis anterior at grade –IV or is grade -4??

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Thanks!


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Subject: sensory stimulation and s/l fifth-ear stimulation produced no reaction from the pt. nm

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subtle motor movements or some clonic movements..nm
Subject: subtle motor movements or some clonic movements..nm

nm
Sensory radiculitis or sense of radiculitis or ??
Subject: Sensory radiculitis or sense of radiculitis or ??

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x-ray phase/sensory phase?
Subject: x-ray phase/sensory phase?

OBJECTIVE:  The neck is otherwise supple.  Chest is clear.  X-ray (s/l phase is equal to sensory phase) consistent with her COPD.  CVS is regular.  Abdomen tender in the left lower quadrant without guarding, rebound or organomegaly.  The lower extremities without edema.


 


ASSESSMENT/PLAN



  1. Painful area in the left posterior lateral neck.  We will recheck in the next 2 weeks.

  2. COPD, stable.

Does that make sense? (x-ray phase equal to sensory phase?)


 


Thanks in advance for any help on this one.