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PMH s/l spa-la-mic stroke, no neurologic sequella. nm

Posted By: minmin on 2008-01-30
In Reply to:

Subject: PMH s/l spa-la-mic stroke, no neurologic sequella. nm

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Subject: neurologic insults? neurologic lateralization? nm


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Subject: Regarding stroke....sm

 


Unsure if this sounds correct or not.  She is speaking fast and not sure if I am missing it.


She has a history of cerebellar infarct, (s/l might have been the embolic) and she has been on a combination of Coumadin and Plavix


TIA 


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Subject: stroke

almost 100% sure she is saying pontile stroke but all I can find is pontine stroke.  Is pontile correct?  TIA
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Subject: possible stroke (sm)

The patient was out of the __________ time window as this was greater than 3 to 5 hours.  The patient was transferred by ambulance and was admitted for a possible stroke workup.


 


s/l TVA.  Would make sense if CVA, I guess, but really sounds like a "T" -- is there such a thing?


 


Thanks.


Neurologic:
Subject: Neurologic:

Neurologic:  Cranial nerves II through XII are intact. Deep tendon reflexes are 2+. Strength is 5 out of 5. Sensation is grossly intact. Toes are downgoing. Gait is normal. *s/l* bramburg test is normal....


 


thanks in advance.


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Subject: neurologic

The word you are looking for is Romberg.
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Subject: neurologic help please!!

NEUROLOGIC:  A full neurologic examination was performed.  Cranial nerves II-XII were grossly intact.  ***cerebelli was fine.  No *** or drift.   Patient’s muscle strength was 5/5 throughout.  Patient’s reflexes were +3 upper extremity and also +3 patellar.  Toes:  The patient had withdrawal response bilaterally.    S/L MILL CEREBELLI WAS FINE.  S/L NO POR OR DRIFT...


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Subject: Neurologic help please, please, please!

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pontine stroke? (nm)
Subject: pontine stroke? (nm)

xx
medication for TIA and stroke
Subject: medication for TIA and stroke

Discontinued his ??max in the hospital.  He has never had an episode of TIA or stroke in the past. 


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Subject: s/l subthalamic stroke

Would this be correct?

Thanks for your time!
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On neurologic testing he reported diffuse s/l illness to pinprick in both hands. It doesn't sound like numbness at all.


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Subject: neurologic examination

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Altaplace?


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Subject: Extremity exam after stroke (sm)

Diagnosis of acute right middle cerebral artery ischemic cerebral infarction and acute right internal carotid artery and right middle cerebral artery occlusion.


 


In exam, he says:


He has flaccid left hemiplegia of the left upper and lower extremities that does ______ (rep/rub) on the left on plantar response.


 


 


In view of the ___________ (rep/rub cuff/calf) it was felt that the patient would benefit from full anticoagulation for a short term.


 


Any help on this would be appreciated.  Thanks.


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Subject: I think it's related to the phrase cam stroke. (sm)


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