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Negative nystagmus?nm

Posted By: DermMT on 2006-11-21
In Reply to: S/L MIL-IAS nystagmus??? - bev

Subject: Negative nystagmus?nm




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Wet-prep shows negative whiff, 10-20 WBCs, negative clue, few s/l "LB's". Is LB's right?
Subject: Wet-prep shows negative whiff, 10-20 WBCs, negative clue, few s/l "LB's". Is LB's right? nm


gram-negative, lactose-negative rods is correct. I found a couple of interesting websites SM
Subject: gram-negative, lactose-negative rods is correct. I found a couple of interesting websites SM

after doing a google search for gram-negative, lactose-negative rods.  Basically testing organisms to see if they ferment lactose (positive) or not (negative).


Also, just FYI, gram-negative is not capitalized.


Probably too late, I'm sure.  Better late than never, I guess. 


Ortho - negative straight leg raise and negative s/l Lasek??
Subject: Ortho - negative straight leg raise and negative s/l Lasek??


She had a negative s/l clasp thumb test and a negative Finkelstein's.
Subject: She had a negative s/l clasp thumb test and a negative Finkelstein's.

:-)
McMurray's negative. Lachman's negative. nm
Subject: McMurray's negative. Lachman's negative. nm


McMurray negative. Lachman negative. No 's at end
Subject: McMurray negative. Lachman negative. No 's at end

x
Patient has a negative wrist extension sign on the right and a negative s/l 3rd finger sign on the R
Subject: Patient has a negative wrist extension sign on the right and a negative s/l 3rd finger sign on the R


nystagmus
Subject: nystagmus

This is not the first time I have been stumped by this word and I failed to list it for quick look up.  The term is possibly "gaze of OPEN nystagmus"  Can anyone verify that for me?
nystagmus - again
Subject: nystagmus - again

I'm new at this message board so perhaps I should have chosen "Quick Reply"
S/L MIL-IAS nystagmus???
Subject: S/L MIL-IAS nystagmus???

It sounds like the doctor says MIL-IAS nystagmus were my blank is can't verify any suggestions?---. In general, the patient is a very pleasant 60-year-old white female in no apparent distress.  Pupils are equal and reactive to light bilaterally.  Extraocular movements are intact.  ___ patients oropharynx which appears to be within normal limits.
nystagmus /nm
Subject: nystagmus /nm


nystagmus
Subject: nystagmus


DB to nystagmus?
Subject: DB to nystagmus?

I can't tell what this guy is saying!  The first sentence...Neck was not stiff....is very clear.  Can't tell if a period goes after stiff because then I hear jumbled words something about...to the stagmus...but stagmus isn't a real word.


Looking around there is stuff about stiff neck and nystagmus. 


Does anyone have a suggestion as to what this guy might be saying.  It sound somewhat like the sentence below...what would DB possible be?



Neck was not stiff as a DB to nystagmus


I'm stumped.


 


without nystagmus or lid lag? sm
Subject: without nystagmus or lid lag? sm

or without (ocular) stare or lid lag?


DP nystagmus
Subject: DP nystagmus

Hard to hear, do either of these sound right?


There is a DP to the nystagmus.


There is a DP to nystagmus.


 


Nystagmus?
Subject: Nystagmus?

Nystagmus? Can you kind of sound it out? That would help a lotl
Nystagmus
Subject: Nystagmus

Continuing to listen, maybe she is saying nystagmus (ny instead of no at the beginning of the word). I will try that and flag it.
TP to the nystagmus.
Subject: TP to the nystagmus.

Does this make sense and can anyone tell me what TP stands for? or is it DP. I can't seem to find anything on this.
vestibular nystagmus
Subject: vestibular nystagmus

There's also a vestibular nystagmus, occurs when inner ear is irritated or diseased.
"a few beats of nystagmus..." ? nm
Subject: "a few beats of nystagmus..." ? nm


doc is slurring s/l fastigal nystagmus.
Subject: doc is slurring s/l fastigal nystagmus.


directional preponderance (DP) to nystagmus
Subject: directional preponderance (DP) to nystagmus


Neck is not stiff [s/l with the DP to nystagmus]??
Subject: Neck is not stiff [s/l with the DP to nystagmus]??

Does this sound right: Neck is not stiff [s/l with the DP to nystagmus]
Left beating nystagmus?
Subject: Left beating nystagmus?


Thanks everyone!! Possibly downbeating nystagmus
Subject: Thanks everyone!! Possibly downbeating nystagmus


possibly gaze-evoked nystagmus.
Subject: possibly gaze-evoked nystagmus.

x
There is a cardinal field's test for nystagmus.
Subject: There is a cardinal field's test for nystagmus.


Nystagmus is noted in the eyes, not neck.
Subject: Nystagmus is noted in the eyes, not neck.

x
Nystagmus is correct. Intention tremor is the other. sm
Subject: Nystagmus is correct. Intention tremor is the other. sm

A tremor which arises or which is intensified when a voluntary, coordinated movement is attempted.
true...but both neck stiffness and nystagmus can be signs of alcohol poisoning...nm
Subject: true...but both neck stiffness and nystagmus can be signs of alcohol poisoning...nm


Extraocular movements intact to "Six card holds" without nystagmus or dysconjugate gaze. nm
Subject: Extraocular movements intact to "Six card holds" without nystagmus or dysconjugate gaze. nm


With nystagmus, the eyeball might "jump." It beats from side to side, or middle to side, etc.
Subject: With nystagmus, the eyeball might "jump." It beats from side to side, or middle to side, etc. sm

Doubt antistigmatic--not a word. Astigmatism is something entirely different. There is no reference in Stedman's ophth for antistigmatic, but do believe they mean nystagmus for "eyes jump." Can you leave a blank? The author apparently doesn't know the correct word to use. Maybe the context of the sentence will help you.
"horizontal" or "horizontal gaze" nystagmus? nm
Subject: "horizontal" or "horizontal gaze" nystagmus? nm


HER negative
Subject: HER negative

Flybye is correct because he definitely said HER negative, not HER2/neu.  Thanks!
With a negative WBC? nm
Subject: With a negative WBC? nm


negative CT?
Subject: negative CT?

nm
O negative
Subject: O negative

j
ER/PR-, HER-2/neu- or can use HER-2 negative...sm
Subject: ER/PR-, HER-2/neu- or can use HER-2 negative...sm

stands for estrogen receptor, progesterone receptor and HER-2/neu gene. 


URI, RSS negative
Subject: URI, RSS negative

Can anyone tell me what the RSS stands for or did I mishear it? 
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Subject: Seidel negative

http://www.mrcophth.com/ophthalmologyhalloffame/seidel.html
s/l nobee negative?
Subject: s/l nobee negative?

Dr. Says:


Palpation of the uterus and adnexal areas are negative for any kind of masses or tenderness.  Did do a rectal exam.  She does have some positive external hemorrhoids.  The rectal exam was negative and the stool was (s/l nobee) negative today.


s/l nobee?


negative clonus??? which is
Subject: negative clonus??? which is

a spasm or twitching. 
HER2/neu negative..........nm
Subject: HER2/neu negative..........nm


What negative staph?
Subject: What negative staph?

It SOUNDS like guaiac negative staph, but I know that is not right. Any ideas? The patient had a reexcision of left chronic draining fistula from periductal mastitis and completion ductectomy.
Negative "look-see" ?
Subject: Negative "look-see" ?

x
negative/positive
Subject: negative/positive

I don't know what to say about that if you are sure she is saying negative and posistive.  Maybe someone else can help you.
how about negative log roll?
Subject: how about negative log roll?

X
gram-negative/Gram-negative
Subject: gram-negative/Gram-negative

I have an email in to my supe to clarify this, but how do you transcribe "gram-negative" in a report?


Capitalized or not?


I have done it both ways and have been counted off each time for it, so I am looking for a little clarity here!


TIA!


Negative McMurray - nm
Subject: Negative McMurray - nm

nm
negative by immunohistochemistry
Subject: negative by immunohistochemistry

for s/l keratin. Would that make sense? TIA
lactose negative....
Subject: lactose negative....

Me neither. Evidently, it is some kind of subculture they test for when going through sensitivity protocols. I think we don't hear this because ususally Gram-positive cultures sensitive to whatever is as far as an MD typically documents this with the possible exception of ID MDs.
http://www.google.com/search?hl=en&q=lactose-negative+rods

from National Institute of Health

www.pubmedcentral.nih.gov/articlerender.fcgi?artid=516322