Patient in a motor vehicle accident with her tractor
Posted By: Jackie on 2006-06-16
In Reply to:
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.
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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
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?
Found Leyla self-retracting tractor bar sm
Subject: Found Leyla self-retracting tractor bar sm
Listed in Sted's Psych/Neuro/Neurosurgery 2nd edition.
Found Leyla self-retracting tractor bar sm
Subject: Found Leyla self-retracting tractor bar sm
Leyla is a self-retaining tractor bar.
accident??? bronchoscopy - sm
Subject: accident??? bronchoscopy - sm
thanks
Accident prone? nm
Subject: Accident prone? nm
nm
think it could be ph is 0.96 and the doctor said "s" on accident?
Subject: think it could be ph is 0.96 and the doctor said "s" on accident?
MVA accident examination- sm
Subject: MVA accident examination- sm
doc doing an examination on 14=year-old female and says, Her pelvis is stable to compression. She has negative, sounds like body roll bilaterally?? Has anybody every heard of that. Thanks!!!
cerebrovascular accident--maybe it happend with a
Subject: cerebrovascular accident--maybe it happend with a
saw????
That was the sentence . . . accident report
Subject: That was the sentence . . . accident report
The DW 25 shoot, dated 07/13/2006
auto accident word help
Subject: auto accident word help
s/l "Carined" off the road.
privately-owned vehicle nm
Subject: privately-owned vehicle nm
nm
buccal vehicle route
Subject: buccal vehicle route
meaning absorbed through the oral mucosa
how about privately owned vehicle
Subject: how about privately owned vehicle
s/l *street* sleeping vehicle. Is this just another name for a trailor? nm Thanks
Subject: s/l *street* sleeping vehicle. Is this just another name for a trailor? nm Thanks
posted new message by accident. It is listed in medication list.
Subject: posted new message by accident. It is listed in medication list.
Procedures: s/l can present my vehicle of venous doppler
Subject: Procedures: s/l can present my vehicle of venous doppler
Oxycodone sublingual or s/l bugle or vehicle route? Thanks. nm
Subject: Oxycodone sublingual or s/l bugle or vehicle route? Thanks. nm
x
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?
Neurosensory motor deficits,,,,nm
Subject: Neurosensory motor deficits,,,,nm
? 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
No focal motor or neurological deficits
Subject: No focal motor or neurological deficits
nm
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...?? =(
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.
street sweeping vehicle? (that cleans the street?)
Subject: street sweeping vehicle? (that cleans the street?)
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
doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???
Subject: doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???? NM
Patient is here for an s/l eflex injection. Patient previously had Orthovisc.
Subject: Patient is here for an s/l eflex injection. Patient previously had Orthovisc.
nm
OB patient - s/l The patient has a 'null' sign.
Subject: OB patient - s/l The patient has a 'null' sign.
A1c; patient is to follow up in 2 weeks; patient has a followup in 2 weeks.
Subject: A1c; patient is to follow up in 2 weeks; patient has a followup in 2 weeks.
nm
Patient given PPD - sm pls
Subject: Patient given PPD - sm pls
Patient given PPD S/L "agreed" or "read" within the next 72 hours.
Patient does have a UTI but would it
Subject: Patient does have a UTI but would it
same doc. same patient
Subject: same doc. same patient
the lesion was vascular in natureand most likely _____ malformation.
S/L avio-lymphatic
HIV patient. Please sm.
Subject: HIV patient. Please sm.
Doc is dictating a test in relationship to patient's HIV. He states s/l "firal row"is negative and T-cell count has actually risen since last visit.
Thanks for any/all help!
do you have a Dx on this patient, and
Subject: do you have a Dx on this patient, and
if not, what is the chief complaint?
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