Says...Reflexes were decreased at his ankles with... sm
Posted By: TIA on 2007-02-01
In Reply to:
Subject: Says...Reflexes were decreased at his ankles with... sm
s/l equivalent of toes bilaterally. 
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Probably means that the patient's ankles are sm
Subject: Probably means that the patient's ankles are sm
so swollen that the skin hangs (drapes) down over the ankles.
DTR exam for reflexes? nm
Subject: DTR exam for reflexes? nm
There are palmar reflexes.
Subject: There are palmar reflexes.
x
Deep tendon reflexes. nm
Subject: Deep tendon reflexes. nm
"dumb" plantar reflexes. SM
Subject: "dumb" plantar reflexes. SM
Please excuse the extra words in my post, the antihyperglycemic and Amaryl. I did not type those words, and I can't understand how I "messed up" such that they ended up in my answer. (??)
Deep tendon reflexes?
Subject: Deep tendon reflexes?
deep tendon reflexes are L1+ ? (NM)
Subject: deep tendon reflexes are L1+ ? (NM)
nm
Intact reflexes. Pulses 2+ and symmetric.
Subject: Intact reflexes. Pulses 2+ and symmetric.
deep tendon reflexes are euthyroid?
Subject: deep tendon reflexes are euthyroid?
does this make sense because that is what the doctor says?
Corneals, meaning corneal reflexes.
Subject: Corneals, meaning corneal reflexes.
Deep tendon reflexes possbily...
Subject: Deep tendon reflexes possbily...
ENT report - elevated S/L Ry-op-sin ipsilateral acoustic reflexes
Subject: ENT report - elevated S/L Ry-op-sin ipsilateral acoustic reflexes
Impedance testing for the left ear revealed type A tympanograms and elevated __Ryopsin__ ipsilateral acoustic reflexes. Impedance testing for the right ear revealed a type A tympanograms and absent ipsilateral acoustic reflexes.
no cogwheeling. Deep tendon reflexes are equal. nm
Subject: no cogwheeling. Deep tendon reflexes are equal. nm
xx
or maybe just the word "pathologic" - missed the reflexes on the end of the sentence. - nm
Subject: or maybe just the word "pathologic" - missed the reflexes on the end of the sentence. - nm
How to type this. Deep tendon reflexes plus 2 plus 2. Also, abdomen has half plus tenderness-sm
Subject: How to type this. Deep tendon reflexes plus 2 plus 2. Also, abdomen has half plus tenderness-sm
I have been typing: Deep tendon reflexes +2/+2. Does that seem correct?
For half plus tenderness of abdomen, I have been typing: Abdomen with ½+ tenderness. I make sure it changes from 1/2+ to ½+ so that it doesn't look like one over two plus. Does this seem right?
Thanks.
no, it s/l decreased
Subject: no, it s/l decreased
I have listened over and over. I know the term nuclear sclerotic, but he s/l he is saying decreased. Thanks for the help.
Duh by me - decreased rom!! thanks
Subject: Duh by me - decreased rom!! thanks
decreased? sm
Subject: decreased? sm
it's close to your s/l (IF you say it while yawning) and it fits with paresthesias... ?? =)
I also think it would be decreased, and
Subject: I also think it would be decreased, and
it sounds like the patient has meralgia paresthetica.
I was confused by the subject line because I thought the patient was having the problem while yawning, LOL.
decreased curves
Subject: decreased curves
The guy could be more organized but that's not your fault. That is fine the way it is.
Neck: Decreased ROM in all "axies"
Subject: Neck: Decreased ROM in all "axies"
first thought is decreased expiratory or sm
Subject: first thought is decreased expiratory or sm
inspiratory phases bilaterally.
decreased sclerotic cataract
Subject: decreased sclerotic cataract
Does this make sense? Doing a cataract surgery and it s/l the preop dx is descreased sclerotic cataract.
decreased renal function. His *EFR* was 49 ml
Subject: decreased renal function. His *EFR* was 49 ml
decreased auditory acuity s/l AS ?
Subject: decreased auditory acuity s/l AS ?
xx
Doc says AC joint with decreased "scapitation" ?
Subject: Doc says AC joint with decreased "scapitation" ?
nm
decreased s/l nimblization of the mastoids
Subject: decreased s/l nimblization of the mastoids
decreased voluntary movement?
Subject: decreased voluntary movement?
not to mention, decreased range of motion
Subject: not to mention, decreased range of motion
not emotion. geez.
decreased air entry over the apices bilaterally. nm
Subject: decreased air entry over the apices bilaterally. nm
nm
RUE has functional ROM but there is decreased s/l proprius synchronius sm
Subject: RUE has functional ROM but there is decreased s/l proprius synchronius sm
mechanics of the shoulder girdle.
Pain decreased with "solumpus" patch
Subject: Pain decreased with "solumpus" patch
I have no clue what this could be ... sounds like sul-um-pus patch??Doctor says the patient's pain is decreased with heat and ____ patches. Thanks.
Pt with MS, s/; "Tatense" is decreased over the right upper extremity.
Subject: Pt with MS, s/; "Tatense" is decreased over the right upper extremity.
This is on Neurologic exam: Dorsiflexor 2/5 and the remainder at 4/5. DTRs are 3+ throughout, except for 2+ at the ankles. Tatense is decreased over the right upper extremity but intact throughout on the remaining three extremities.
large areas of decreased attenuation
Subject: large areas of decreased attenuation
decreased s/l flying femur movements?
Subject: decreased s/l flying femur movements?
Under neurologic exam, motor exam. s/l decreased flying femur movements right vs. left.
The patient has decreased skin s/l tuther. Help???
Subject: The patient has decreased skin s/l tuther. Help???
Decreased visual field on the right s/l 2 threat or throughout?
Subject: Decreased visual field on the right s/l 2 threat or throughout?
I don't know if this makes sense.
Decreased visual field on the right s/l 2 threat or 2 throughout. Do either of these make sense, or something else?
hypovolemia is a state of decreased blood volume
Subject: hypovolemia is a state of decreased blood volume
decreased breath sounds at the bilateral s/l faces? nm
Subject: decreased breath sounds at the bilateral s/l faces? nm
WILD GUESS maybe decreased vision, sclerotic cataract, although...
Subject: WILD GUESS maybe decreased vision, sclerotic cataract, although...
usually the dictator does not lump these together like this? Any other words around diagnosis? This is when I wish we could listen to each other's reports.
Ortho help. Would this make sense: Posture s/l has decreased on the lordosis?
Subject: Ortho help. Would this make sense: Posture s/l has decreased on the lordosis?
Aerodynia can relate to "swallowing" of excessive air, so flow decreased, less pressure. NM
Subject: Aerodynia can relate to "swallowing" of excessive air, so flow decreased, less pressure. NM
nm
Decreased pinpric sensation to the bilateral lower extremities but areas of s/l passhiveness -sm-
Subject: Decreased pinpric sensation to the bilateral lower extremities but areas of s/l passhiveness -sm-
with increased sensation. Would passiveness fit here? Help is appreciated. Thanks!
STRESS: Images reveal decreased uptake of radioisotope in the inferior wall and BASAL septum.
Subject: STRESS: Images reveal decreased uptake of radioisotope in the inferior wall and BASAL septum.
S/L * Rea * for peripheral smear shows slightly decreased platelets. No clumps. Normal white cells
Subject: S/L * Rea * for peripheral smear shows slightly decreased platelets. No clumps. Normal white cells and red cells.
The patient has idiopathic thrombocytopenic purpura. Thanks again.
I hear lumbar. So would it make sense as: Posture has decreased lumbar lordosis
Subject: I hear lumbar. So would it make sense as: Posture has decreased lumbar lordosis
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