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Neurosensory motor deficits,,,,nm

Posted By: Cyndiee on 2008-11-09
In Reply to: Not sure of right way to type this.. - Jami

Subject: Neurosensory motor deficits,,,,nm




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

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CNS: Materializing deficits
Subject: CNS: Materializing deficits

I'm doing an H&P and under CNS, the doctor dictates something that sound like "no materializing deficits." He most commonly uses no focal deficits or no focal neurological deficits if things are as they should be.
maybe lateralizing deficits? nm
Subject: maybe lateralizing deficits? nm


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


motor brace? sm
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?


? distal motor latency
Subject: ? distal motor latency


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
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


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

Motor exam shows her right tibialis anterior at grade IV- or is it grade -IV or grade -4 or...


Thanks!


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

nm