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"fine finger" movements, probably

Posted By: vn on 2009-05-20
In Reply to: decreased s/l flying femur movements? - Kelley

Subject: "fine finger" movements, probably




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subtle motor movements or some clonic movements..nm
Subject: subtle motor movements or some clonic movements..nm

nm
camptodactyly --permanent flexion of finger, usually little finger etc. nm
Subject: camptodactyly --permanent flexion of finger, usually little finger etc. nm


doc is saying the patient has trigger finger of her right ring finger - sm
Subject: doc is saying the patient has trigger finger of her right ring finger - sm

right ring finger trigger finger
Yes that's right :) Trigger finger is a condition of the tendon in the finger - sm
Subject: Yes that's right :) Trigger finger is a condition of the tendon in the finger - sm

causing it to catch and lock in a "trigger" position. 
it seems that her ring finger is her trigger finger,
Subject: it seems that her ring finger is her trigger finger,

so it should read...
her right ring trigger finger, no comma.

Trigger finger is a painful condition, causing swelling.
it seems that her ring finger is her trigger finger,
Subject: it seems that her ring finger is her trigger finger,

so it should read...
her right ring trigger finger, no comma.

Trigger finger is a painful condition, causing swelling.
sometimes say finger-nose-finger. nm
Subject: sometimes say finger-nose-finger. nm

nm
Fingerstick, finger stick, or finger-stick?
Subject: Fingerstick, finger stick, or finger-stick?

Which way is most commonly used when in reference to blood sugar tests?
dutery movements?
Subject: dutery movements?

I can't think anymore tonight...


The infant’s skin was pink/ruddy and no s/l doo-ter-ie movements were observed. 


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? athetoid movements
Subject: ? athetoid movements


s/l secatic eye movements
Subject: s/l secatic eye movements


choreathetotic movements nm
Subject: choreathetotic movements nm


choreiform movements
Subject: choreiform movements

x
foreign bowel movements
Subject: foreign bowel movements

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He had constipation on Detrol. Now he is off it.


You sure it's not EOMs for extraocular eye movements?
Subject: You sure it's not EOMs for extraocular eye movements?


possibly rootery movements
Subject: possibly rootery movements

x
Re: Rapid repetitive movements....sm
Subject: Re: Rapid repetitive movements....sm

Gait and coordination are normal as are rapid repetitive movements (on or and) finger to nose. 


I cannot tell if this should be on finger to nose or and finger to nose. 


TIA


S/L: HEAD SHOT GUN MOVEMENTS
Subject: S/L: HEAD SHOT GUN MOVEMENTS

Under cranial nerve exam:


New doctor:


Reveals that her visual fields are full to confrontation S/L: HEAD SHOT GUN MOVEMENTS, full pupils equal, round, and reactive to light...


Thank you


rapid alternating movements? nm
Subject: rapid alternating movements? nm

nm
pain and bloody (bowel) movements
Subject: pain and bloody (bowel) movements

usually go under "complaints", and not generally under the physical exam. On the other hand, "tenderness" could go under PE.
see if you hear tonic clonic movements
Subject: see if you hear tonic clonic movements

x
Also dictated as rapid alternating movements...
Subject: Also dictated as rapid alternating movements...

.
just a wild guess: Try 'subtle' movements...? nm
Subject: just a wild guess: Try 'subtle' movements...? nm

nm
should be tonic/dystonic limb movements. nm
Subject: should be tonic/dystonic limb movements. nm

xx
tonic eye movements with a ___coria, dr yawning. TX
Subject: tonic eye movements with a ___coria, dr yawning. TX

x
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.
Myoclonic jerking and s/l chloriform movements?
Subject: Myoclonic jerking and s/l chloriform movements?

Patient has toxic encephalopathy, systolic congestive heart failure, pneumonia, diabetes.....


The patient had an episode of myoclonic jerking and s/l 'chloriform' movements.


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


Head: Extraocular movements full. Pupils ...
Subject: Head: Extraocular movements full. Pupils ...


I was just going to write back to say I finally heard it and you were right. extraocular movements.
Subject: I was just going to write back to say I finally heard it and you were right. extraocular movements.

thanks a bunch
Orthopedics: s/l "athetory"-type movements. (Shoulder exam)? Help???
Subject: Orthopedics: s/l "athetory"-type movements. (Shoulder exam)? Help???


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
Extraocular movements intact to "Six card holds" without nystagmus or dysconjugate gaze. nm
Subject: Extraocular movements intact to "Six card holds" without nystagmus or dysconjugate gaze. nm


Apokyn? used for treating loss of control of body movements such as muscle stiffness, slow movement
Subject: Apokyn? used for treating loss of control of body movements such as muscle stiffness, slow movements, or trouble moving associated with advanced Parkinson disease???


finger
Subject: finger

On examination, she has a well-healed carpal tunnel release, full range of motion of all of her fingers.  Negative Tinel's and Phalen’s and median nerve compression of the left wrist.  Positive elbow flexion test.  Negative Froment’s.  Negative Scotty Earle's and decreased sensation of the ring and small finger.  She does not have any subluxation of the ulnar nerve.


Thanks but this is for the tip of a finger...sm
Subject: Thanks but this is for the tip of a finger...sm

that was cut off. I also found the same link you gave but that is a foam to be placed in the rectum. I cannot find anywhere it it used for lacerations.
What is it an x-ray of? It could be 5th rib, finger, toe...
Subject: What is it an x-ray of? It could be 5th rib, finger, toe...


of the finger, btw :)
Subject: of the finger, btw :)

Thanks in advance


opposes another finger........nm
Subject: opposes another finger........nm


Should be on finger to nose.....nm
Subject: Should be on finger to nose.....nm


finger-stick?
Subject: finger-stick?


S/L 7th finger? up the RCA has about an 80% stenosis
Subject: S/L 7th finger? up the RCA has about an 80% stenosis


sonjury to finger?
Not injury, but "sonjury"?
Fickle finger??
Subject: Fickle finger??

" The anterior posterior nature of this was checked with the use of a "fickle finger"    New one for me.  Is this right???  TYIA!!!


digital finger?
Subject: digital finger?

nm


trigger finger ?
Subject: trigger finger ?

Trigger finger and trigger thumb are conditions affecting the movement of the tendons as they bend the fingers or thumb toward the palm of the hand. This movement is called flexion.

Trigger finger
Subject: Trigger finger

The dictation is referring to the "condition trigger finger". That condition is affecting the patient's right ring finger, meaning that that finger most like catches or locks down upon certain movement.
finger laceration "eppidiceum" ?
Subject: finger laceration "eppidiceum" ?

This is driving me crazy.  He has said it 4 times. 
"under the eppidiceum"  so maybe he is referring to the skin of the finger?  The laceration is near the nail bed.  I can't find it, have been looking and looking. 
middle finger s/l STS release
Subject: middle finger s/l STS release


part of the finger parenycheal or
Subject: part of the finger parenycheal or

something like that?  I have had the word before and can't remember.  I think it's near bed of the fingernail possibly, can't find it. 
Trigger finger surgery help, please...
Subject: Trigger finger surgery help, please...

Resected 2 mm of the central portion of A1 pulley tendon... Beneath this there were (s/l fibular or tubular) changes noted on the flexor digitorum superficialis.


TIA