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heart stroke?

Posted By: lola on 2006-03-17
In Reply to:

Subject: heart stroke?

Under family history... heart stroke


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Apparently also with stroke testing..."Alterations in reaching after stroke and their relation to
Subject: Apparently also with stroke testing..."Alterations in reaching after stroke and their relation to movement direction and impairment severity latitude and longitude; footing, standing, standpoint, post; stage..."


Regarding stroke....sm
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 


stroke
Subject: stroke

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


granomal stroke - ???
Subject: granomal stroke - ???


thalamic stroke
Subject: thalamic stroke


thalamic stroke - sm
Subject: thalamic stroke - sm

Also, it is "sequelae".
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. 


I can only hear the max and just wondering if anyone could help with a medication for stroke or TIA that ends in max. Thanks!!


s/l subthalamic stroke
Subject: s/l subthalamic stroke

Would this be correct?

Thanks for your time!
Stroke victim?
Subject: Stroke victim?


Vertebrobasilar stroke
Subject: Vertebrobasilar stroke

Vertebrobasilar stroke
possibly an old stroke??
Subject: possibly an old stroke??


embolic stroke
Subject: embolic stroke


A book: When every key stroke counts. sm
Subject: A book: When every key stroke counts. sm

There used to be a book by the above title.  I cannot find it on google.  I have several 1,000 macros, but I know I could do better, because some MTs on my team are smoking me, and I am fast.  Anyone know where I can get that book?
? stroke guide wire
Subject: ? stroke guide wire

Therefore, at this time I decided to attempt at recanalizing the distal superficial femoral artery and popliteal artery to see if I can find any of the tibial vessels by increasing flow down to the tibioperoneal trunk. Therefore, a _____ guide wire was inserted and the straight catheter was removed. S/L stroke?

s/l Altaplace therapy for stroke
Subject: s/l Altaplace therapy for stroke

Doc is dictating patient is not a candidate for s/l altaplace or TPA therapy. 


 


Altaplace?


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

d
Nevermind, got it. NIH Stroke Scale
Subject: Nevermind, got it. NIH Stroke Scale

x
Extremity exam after stroke (sm)
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.


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


Noun: cam stroke
The maximum movement available to a pivoted or reciprocating piece by a cam
- throw, stroke
Derived forms: cam strokes

Type of: motion, movement

some lab data for stroke victim
Subject: some lab data for stroke victim

Her _____________ (he spells "anto-xaunf") was 0.  Factor VIII was elevated at 273.  Cardiolipin IgG was elevated at 18.  Cardiolipin IgM was less than 10.  Protein C antigen was low at 41.  Protein S antigen was high at 143. 
vertebral basilar stroke?
Subject: vertebral basilar stroke?


Polamic lacunar stroke
Subject: Polamic lacunar stroke

Am I hearing the first word correctly? A polamic lacunar stroke?
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Subject: lacuna -lacunar infarct is a stroke nm


I need to know how to write.. one in a thousand of having a stroke or an MI.. or is it 1 in a 1000.
Subject: I need to know how to write.. one in a thousand of having a stroke or an MI.. or is it 1 in a 1000.

Thank you
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Subject: doing facial exam rule out stroke

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The last part is vertebral-basilar stroke.
Subject: The last part is vertebral-basilar stroke.


HIstory of stroke pt with s/l iii ace pupil and cataract surgery. nm
Subject: HIstory of stroke pt with s/l iii ace pupil and cataract surgery. nm


status post s/l fatebral basal stroke??
Subject: status post s/l fatebral basal stroke??


Pt with stroke taken to interventional radiology for a "mare see" device". nm
Subject: Pt with stroke taken to interventional radiology for a "mare see" device". nm


there is a sniff test for Alzheimer's, maybe using for stroke testing too...nm
Subject: there is a sniff test for Alzheimer's, maybe using for stroke testing too...nm

x
Pt with stroke...multiple tests... s/l fibriginals within normal range. sm :(
Subject: Pt with stroke...multiple tests... s/l fibriginals within normal range. sm :(

anticardiolipin antibodies, which were negative, and ANA, which was negative, CRP, which was less than 0.1, antithrombin 3 mutation, which was negative, and heterozygote MTHFR:A1298C.  Lupus anticoagulate was not detected. Prothrombin gene mutation was negative. "Fibriginals" in normal range. 
atrial fibrillation was a fluke ? an aberration or stroke of luck (bad in this case) ? nm
Subject: atrial fibrillation was a fluke ? an aberration or stroke of luck (bad in this case) ? nm


Possibly decerebrating, as in decerebrate posturing. Stroke/head trauma victim? (nm)
Subject: Possibly decerebrating, as in decerebrate posturing. Stroke/head trauma victim? (nm)

x
MRI with white matter disease and division restriction consistent w/ "Handball" stroke. sm
Subject: MRI with white matter disease and division restriction consistent w/ "Handball" stroke. sm

The MRI of her brain was significant for white matter disease and an area of division restriction consistent with a handball stroke.
On MRI...stroke in left "crickle" frontal lobe and parietal lobe. nm
Subject: On MRI...stroke in left "crickle" frontal lobe and parietal lobe. nm


HEART:
Subject: HEART:

Sounds like, "The PMI 2L SV."  Is this correct?  Thank you. 


Heart
Subject: Heart

Both heart tones present without murmurs, lifts, heels or gallops.


Is that right?


Heart
Subject: Heart

Heart: Irregular rhythm with normal S1-S2 without murmurs, gallops or friction rubs.


I'm not sure if he said " a regular rhythm or irregular rhythm."


I figured I'd come to the you guys for the answer. You always come through for me. Thanks.


PE heart
Subject: PE heart

She states Heart: Adynamic s/l re-cor-gum


I know I have heard this before, but I am not finding it thanks


COR: ... (heart)
Subject: COR: ... (heart)


heart
Subject: heart

possibly ascending aorta (AA ?)
Heart
Subject: Heart

New account today.  Heart:  Trigger rates ______ (sounds like trigger rates "in general" without murmur?"  General MD doing basic physical exam.  Help please!!!
heart
Subject: heart

He has said that on previous patients on this tape.  However, for whatever reason he definately starts with "trigger" on this one!  Thanks.
Cor is heart.
Subject: Cor is heart.


heart.
Subject: heart.

x
heart
Subject: heart

There were (s/l mershersher gallops)

TIA!
Heart technique
Subject: Heart technique

s/l Poponey
heart murmur
Subject: heart murmur

San Felipo type A?
heart murmur
Subject: heart murmur

thanks so much -- saved me about 4 blanks in 1 report!!