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s/l GCS is 15 with normal gait on neuro exam. TIA nm

Posted By: tiff on 2008-02-08
In Reply to:

Subject: s/l GCS is 15 with normal gait on neuro exam. TIA nm

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Neuro exam: Weber lateralized to right ear, (s/l) Renee normal on both sides. (nm)
Subject: Neuro exam: Weber lateralized to right ear, (s/l) Renee normal on both sides. (nm)


Gait is normal "bitandem"? sm
Subject: Gait is normal "bitandem"? sm

My neuro, who is about 100 years old, used the word "bitandem" on the gait assessment of his patient. Anyone hear of this? "Bytandem"? "Bi-tandem"? I cannot find it. Thanks for any help.
Gait is slow but shows normal heel-toe pattern, base and s/l kagens. nm
Subject: Gait is slow but shows normal heel-toe pattern, base and s/l kagens. nm

nm
Throat exam is normal, as were the rest of her neck, face, and skull exam.
Subject: Throat exam is normal, as were the rest of her neck, face, and skull exam.


On gait exam..exhibits "marsha petty paw". nm
Subject: On gait exam..exhibits "marsha petty paw". nm


Neuro exam help
Subject: Neuro exam help

Patient with Huntington's chorea.  Neuro exam: The patient with s/l discoria ____hypertoid movements.


 


Thanks



 


Neuro exam
Subject: Neuro exam

s/l dis-dia-do-co-kinesia when discussing coordination.
neuro exam
Subject: neuro exam

biceps "spreads" to the brachioradialis and finger flexors? For a neuro motor exam
NEURO s/l 'key' exam (sm)
Subject: NEURO s/l 'key' exam (sm)

pt with a hx of numbness in hands and feet


The patient was unable to perform pronator drift exam secondary to inability to lift her arms above her breast level. "Key" exam: The patient could not perform secondary to weakness.  She did not appear to have postural instability.  Language is fluent.  Normal comprehension. Normal naming. No repitition. Coordination was unable to be done secondary to weakness...


Cranial nerve exam has already been dictated.  S/L 'Key', 'K.E.' or 'K.A.' exam.


tia!!!


Neuro exam link. sm
Subject: Neuro exam link. sm

http://www.neuroexam.com/content.php?p=2
normokinetic neuro exam?
Subject: normokinetic neuro exam?

Sounds like he is saying "normokinetic" neuro exam.  I can't find normokinetic anywhere. 
Neuro exam: Positive s/l minitiller
Subject: Neuro exam: Positive s/l minitiller

x


Neuro exam: Positive s/l minitiller.
Subject: Neuro exam: Positive s/l minitiller.

Can you give us any more to go on? What is the patient being seen for? What is the chief complaint?
neuro exam - negative ***col-coryx*** on each ear. TIA! nm
Subject: neuro exam - negative ***col-coryx*** on each ear. TIA! nm

x
neuro exam - says intact sensation, "V-one, V-two,
Subject: neuro exam - says intact sensation, "V-one, V-two,

and V-three" - would that be VI, VII, VIII or V1, V2, V3 ??
NEURO EXAM (s/l) dys-teri-arthritic posturing
Subject: NEURO EXAM (s/l) dys-teri-arthritic posturing

No focal weakness and moves spontaneously to pain but does have _______ posturing.


Thank you in advance.


Neuro exam..negative s/l traybostix sign...nm
Subject: Neuro exam..negative s/l traybostix sign...nm

nm
s/l negative saulstis test neuro exam-sm
Subject: s/l negative saulstis test neuro exam-sm

patient with subacromial impingement as well as rotator cuff tendinitis. In neuro exam, doctor states:

Cranial nerves II through XII are intact. Deep tendon reflexes 1/4, biceps, triceps, brachioradialis. He has 5/5 motor strength, bilateral upper extremities. Sensory examination demonstrates normal sensation to pinprick in C5 to T1. He has a positive impingement sign. Negative drop arm test. Negative ________ test. (s/l saulstus or saltsus test.


Yes, is this an xray or a scan? An exam? Neuro testing? nm
Subject: Yes, is this an xray or a scan? An exam? Neuro testing? nm

s
Neuro Exam: Shoulder shrug and s/l SEN strength
Subject: Neuro Exam: Shoulder shrug and s/l SEN strength

Is this correct?  Thanks!
On neuro exam...there is no evidence of "wish nodules". sm
Subject: On neuro exam...there is no evidence of "wish nodules". sm

Funduscopic exam showed sharp disc margins bilaterally. There is no evidence of “wish” nodules.
On neuro exam they do say RAM for rapid alternating movements? nm
Subject: On neuro exam they do say RAM for rapid alternating movements? nm


Neuro exam - patient had cervicothoracic laminectomy - sm
Subject: Neuro exam - patient had cervicothoracic laminectomy - sm

Exam: Her wound is healed. She has got mild paraspinal tenderness with some evidence of spasm. No **rubo or corlora delora** noted. She is awake. She is oriented x3.


I have no idea what I am hearing or if my spaces are correct in my s/l. I'd love any help!! Thanks.


Romberg test. Here is link for sample neuro exam etc. sm
Subject: Romberg test. Here is link for sample neuro exam etc. sm

Romberg sign



with feet approximated, the subject stands with eyes open and then closed; if closing the eyes increases the unsteadiness, a loss of proprioceptive control is indicated, and the sign is positive. Syn: rombergism, Romberg test, station test.


 


http://courses.washington.edu/medicm/icm2/0506/W06neurosamplewriteup.shtml


I think in neuro exam it is usually "essential tremor" that is noted, still thinking on other.
Subject: I think in neuro exam it is usually "essential tremor" that is noted, still thinking on other.....nm

nm
s/l bare/bear/bayer exam - infant neuro nm
Subject: s/l bare/bear/bayer exam - infant neuro nm


Neuro doc under sensory exam says s/l staring nosia's intact. TIA!!!
Subject: Neuro doc under sensory exam says s/l staring nosia's intact. TIA!!!


s/l pseudo acitosis in upper extremity (neuro exam)
Subject: s/l pseudo acitosis in upper extremity (neuro exam)

Thx
Neuro exam, pt able to puff cheecks w/o any "tapier bushon" sign. nm
Subject: Neuro exam, pt able to puff cheecks w/o any "tapier bushon" sign. nm


On neuro exam, s/l ball pearl test for retropulsion negative. nm
Subject: On neuro exam, s/l ball pearl test for retropulsion negative. nm


although there is intention tremor in neuro exam, and rapid alternating movements...nm
Subject: although there is intention tremor in neuro exam, and rapid alternating movements...nm

x
Pt with Parkinsons on Neuro exam: Speech was mildly hypophonic "every" phrenic. nm
Subject: Pt with Parkinsons on Neuro exam: Speech was mildly hypophonic "every" phrenic. nm


Breast exam: CMP or CMT normal bilaterally? nm
Subject: Breast exam: CMP or CMT normal bilaterally? nm

nm
On neuro exam, s/l "Lure EE ah" triangle, squares, and fist edge palm were intact. nm
Subject: On neuro exam, s/l "Lure EE ah" triangle, squares, and fist edge palm were intact. nm


on exam of newborn, S/L normal "roving" reflex......is this right....TIA
Subject: on exam of newborn, S/L normal "roving" reflex......is this right....TIA


breast exam normal no _____ ORANGE?
Subject: breast exam normal no _____ ORANGE?

PE report - Breast exam normal.  No (undetectable word) or S/L orange. 


Any help out there??? 


 


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?


Physical exam: Head is normalized normal.
Subject: Physical exam: Head is normalized normal.

Just a well-child check, no special diagnosis or medical history.


Female exam, s/l urethral pillars normal
Subject: Female exam, s/l urethral pillars normal


HEENT: exam normal with "elastic" membranes
Subject: HEENT: exam normal with "elastic" membranes

x
normal female ???? peak-- dictated in pelvic exam
Subject: normal female ???? peak-- dictated in pelvic exam

thanks
JUDE or JUTE exam. Patient has normal genitalia.
Subject: JUDE or JUTE exam. Patient has normal genitalia.

I've been listening and searching on this one - it's probably something simple.... Hope someone can help me - thanks in advance. 
Throat exam is normal (s/l) mal hempaty 2. Please help me as I have typed this before, just drawing
Subject: Throat exam is normal (s/l) mal hempaty 2. Please help me as I have typed this before, just drawing

a complete blank...TIA
Pelvic exam revealed normal external genitalia, s/l; *DUS*, clear vagina,... nm
Subject: Pelvic exam revealed normal external genitalia, s/l; *DUS*, clear vagina,... nm


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


NEURO - Cranial nerve II exam - s/l 'free clots' or 'free cuts' sm
Subject: NEURO - Cranial nerve II exam - s/l 'free clots' or 'free cuts' sm


Fundi with no hemorhages. Visual acuity 20/70 bilaterally. There were no 'free clots.'  Cranial nerves III, IV, and VI...


tia


s/l purpose - Neuro exam - Balance and purpose are shown intact? Is there such a thing?
Subject: s/l purpose - Neuro exam - Balance and purpose are shown intact? Is there such a thing?


no dont think so, the two line prior are LFTS normal and Chem-7 was normal
Subject: no dont think so, the two line prior are LFTS normal and Chem-7 was normal


I would use saline since it's the solution he's changing from half-normal to normal, not the
Subject: I would use saline since it's the solution he's changing from half-normal to normal, not the

s
normal Pap smear in there anywhere? Normal Pap in 2006?nm
Subject: normal Pap smear in there anywhere? Normal Pap in 2006?nm


normal motility? normal motilities? nm
Subject: normal motility? normal motilities? nm