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

Posted By: Ashlee on 2009-06-17
In Reply to:

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

Thx


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Exam of hand and upper extremity - please sm
Subject: Exam of hand and upper extremity - please sm

Regarding her hands and upper extremities, there is notable thenar atrophy at the right hand with APB weakness. s/l Apponing strength was good bilaterally. She does have a positive CMC grind test.
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.
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Subject: s/l Perdidity ? noted in the left upper extremity


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Subject: lower extremity neuro under back?

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Please look at my extremity exam ...
Subject: Please look at my extremity exam ...

This is what I am hearing.  Does this make sense/look correct?  This MD likes to make every word short and sweet.... but I get so confused where to put it all.  Thank you.


 


EXTREMITIES:  There is edema of the right ankle at the site of fracture times two.  Trace to 1+ on the left, significantly diminished pulses equal 0-1 DP and PT lower extremities bilaterally.  Normal upper. 


Extremity exam:
Subject: Extremity exam:

Dr is saying Extremities: No cyanosis, clubbing or edema.  S/L" SETs" or SVTs are in fact in place.


 


Thank you



Extremity exam:
Subject: Extremity exam:

In the extremities exam: There is a notable s/L leglang discrepency and a positive external rotation.


 


thanks


 


Extremity Exam
Subject: Extremity Exam

Extremities:  Full range of motion.  No s/l testing, rash or tremor. 


Extremity exam
Subject: Extremity exam

The finger is swollen with a small opening on the s/l fulmer aspect of the ring finger at the DIP joint area.  He is not saying volar or palmar aspect.  It sounds like "fulmer."  I'm stumped.  Any help is appreciated.
Extremity exam
Subject: Extremity exam

She has 1-2+ edema bilaterally in the ankle and s/l kalai region.  TIA.


 


 


No don't think so . . in the extremity exam, he says . . .
Subject: No don't think so . . in the extremity exam, he says . . .

The right lower extremity has this marked amoutn of heat and "resider endeposation" in the anterior aspect of the right leg.


Again, any help please . . . .


 


Lower extremity exam sm
Subject: Lower extremity exam sm

Patient has bilateral feet ulcers, poor or nonexistent pulses. Dr. says her skin is thin and atrophic with s/l "zarosis planoy".  I can find "xerosis" which does not seem to apply here.  Any ideas would be appreciated.  TIA.
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.


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Subject: Physical exam of extremity

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Subject: lower extremity exam

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Thanks



 


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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!!!


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Subject: Neuro exam link. sm

http://www.neuroexam.com/content.php?p=2
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Subject: Neuro exam: Positive s/l minitiller.

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Subject: NEURO EXAM (s/l) dys-teri-arthritic posturing

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

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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


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Subject: upper limb, upper leg?