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Could it just be something like neuro-degenerative?

Posted By: MT50 on 2008-01-30
In Reply to: patient is a 15-year-old girl with history of significant - charlie

Subject: Could it just be something like neuro-degenerative?




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degenerative? nm
Subject: degenerative? nm

x
could it be degenerative changes? nm
Subject: could it be degenerative changes? nm

x
Maybe degenerative
Subject: Maybe degenerative


I would say either degenerative arthritis or...
Subject: I would say either degenerative arthritis or...

has developed some arthritis.


degenerative scoliosis? nm
Subject: degenerative scoliosis? nm

x
Nope -- not degenerative.
Subject: Nope -- not degenerative.

He says degenerative all the time, this is not the same at all.
DJD - Degenerative Joint Disease
Subject: DJD - Degenerative Joint Disease

nm
degenerative/degenerating? narrowing? just a guess...NM
Subject: degenerative/degenerating? narrowing? just a guess...NM


cervical degenerative disk disease?
Subject: cervical degenerative disk disease?

x
s/l Norwood degenerative type disorder (sm)
Subject: s/l Norwood degenerative type disorder (sm)

doc has very strong accent.  patient being treated for urology services at clinic - catheterization.  patient is trach dependent and G-tube dependent.


Thanks for any help on this!


also, where ever it is it showed degenerative disk disease
Subject: also, where ever it is it showed degenerative disk disease


super imposed on degenerative arthritis and
Subject: super imposed on degenerative arthritis and

? scoliosis of the lumbar region.
CT L-spine: he says "small amount of degenerative s/l AIR
Subject: CT L-spine: he says "small amount of degenerative s/l AIR

"Small amount of degenerative s/l AIR collection demonstrated within the L3-4 facet joint."  Have never heard of this before and cannot document.  Help?


orhopedic word help degenerative change at s/l asicrominally?
Subject: orhopedic word help degenerative change at s/l asicrominally?


degenerative changes of the acetabular cercele/sir-seal region. Tx.
Subject: degenerative changes of the acetabular cercele/sir-seal region. Tx.


Ever heard of chronic degenerative chair of the supraspinatus
Subject: Ever heard of chronic degenerative chair of the supraspinatus

I tried to get change out of it, but just can't. Would tear make sense? 


Working on new ortho doc and he is giving me fits. Also, in the x-ray, he says:


Left shoulder, three views, supraspinatus s/l mantaplee demonstrates type 3 acromion.


Thanks!  About ready to pull out my hair.


Knee MRI: Degenerative signal s/l impress? Can't find this anywhere.
Subject: Knee MRI: Degenerative signal s/l impress? Can't find this anywhere.


Lumbar spine MRI. He says: Impression - ?quiet? degenerative changes.
Subject: Lumbar spine MRI. He says: Impression - ?quiet? degenerative changes.


Ankle degenerative joint disease with a s/l *loose spotty*
Subject: Ankle degenerative joint disease with a s/l *loose spotty*

This is a preoperative and postoperative diagnosis.  The procedure done was an ankle arthroscopy, debridement of anterior tibial spur, removal of *loose spotties*, and debridement of medial and lateral gutter.
MRI shows that he has got degenerative disk disease, L5S1, with s/l mode of change
Subject: MRI shows that he has got degenerative disk disease, L5S1, with s/l mode of change


Discharge Diagnosis: Degenerative Disk Disease, and s/l monalosis??
Subject: Discharge Diagnosis: Degenerative Disk Disease, and s/l monalosis??


The x-ray does show some degenerative joint disease with some "chondromaletic" patella. sm
Subject: The x-ray does show some degenerative joint disease with some "chondromaletic" patella. sm

is she making this word up? Thanks!
Left wrist sprain with probable TFCC degenerative tear and s/l bore bursitis?
Subject: Left wrist sprain with probable TFCC degenerative tear and s/l bore bursitis?

could be volar, does that make sense????
yeah! probably an "uh" in there.."uh, facet degenerative changes"
Subject: yeah! probably an "uh" in there.."uh, facet degenerative changes"


Always been under neuro for me, too. nm
Subject: Always been under neuro for me, too. nm

s
Neuro
Subject: Neuro

Thanks so much!!
NEURO
Subject: NEURO

Clinical trial drug for ALS s/l talwopinol


Thank you


 


neuro
Subject: neuro

Cerebellar was fine... No pronator drift? does that sound about right
Neuro
Subject: Neuro

No cerebellar signs, just got a job with it...If you add in the mumbling factor that may be what you are looking for
neuro
Subject: neuro

Can you hear "field cuts" as in no visual field cuts?
Neuro
Subject: Neuro

Not my day. Sorry to post two in a row here.

Context: Final interpretation of CT head done on 03/28/07 noted small parenchymal hematoma or hemorrhagic contusion in the posterior *MLS* within the right frontal lobe.

sounds like... mialis, MLS, malice.

And this isn't even an ESL guy. I'm having an off day I guess. Thank you again.
neuro help, please
Subject: neuro help, please


Only the upper cervical spinal cord is visualized, but there is no  s/l  spherinx.  Can't figure out that last word.  


maybe neuro changes. nm,
Subject: maybe neuro changes. nm,

x
Neuro help please!!!! sm
Subject: Neuro help please!!!! sm

Dictator states:  We are checking s/l "curdle santin" EEG as stated.   TIA


Neuro
Subject: Neuro

Could it be cranial nerves II-XII intact ?
neuro help
Subject: neuro help

Her sensory examination shows no decrease pin appreciation over the right side but she does have a (S/L mad - can that be right?)peripheral sensory neuropathy in the lower extremities with decreased pin and vibration up to the mid calf region.


 


Thanks


neuro help
Subject: neuro help

CT scan of the head reveals some dimunition___correct? and contrast between the sulci and s/l dry rye_____ of the right occipital lobe reminiscent of ischemia. 


 


There is no phonemic or S/L semantic paraphrase garus however.


 


Thanks!


 


Neuro, PE
Subject: Neuro, PE

reflexes are 2+ in all other extremities. No notable muscle wasting. Gait is normal. No __________ s/l clu-nos


this is under CNS under physical exam.


Neuro help pls
Subject: Neuro help pls

status post L4/5 s/l "hard" lateral disk excision
neuro help
Subject: neuro help

Neurological sign - s/l Shadrook or possibly De Shadrook ??
neuro
Subject: neuro

What does it mean when a neuro doc dictates, "Patient denies any meal in her eyes."? He does this on many reports.
Neuro H & P
Subject: Neuro H & P

I'm still stuck on this one. Have listened countless times and can't get it. It's in the ASSESSMENT/PLAN. Doc states This patient has a ....s/l whirring imbalance. I have checked every reference I can think of and I can;t find anyth ing even close. She talks about pt. feeling like she is swaying when standing or even sitting for long periods. Numbness and tingling on her right side. I hope someone can help me on this one. Thanks.
Neuro H & P
Subject: Neuro H & P

After listening again....it could possible be worrying i mbalance. Is there such a thing? I kept trying to find something much more "medical". Thanks so much for your help.
Neuro
Subject: Neuro

Can someone tell me if Orientation and Language should go under HEENT or NEUROLOGICAL? 
neuro question
Subject: neuro question

The patient fell and apparently there was some loss of consciousness with this event.  The patient, however, stated that he rather immediately was able to get up and get back to the house.  His wife did not witness the event, but states that his sensorium was s/l "relbably" intact.  


 


I tried to give as much information.  The patient had severe brain trauma.  TIA! 


neuro-ophthalmology
Subject: neuro-ophthalmology

Webster's Medical Speller
neuro term
Subject: neuro term

vertebro-basilar dolichoectasia - according to Google
Neuro word help
Subject: Neuro word help

I am doing a neuro consult dictation, and the MD dictated this:  "She is noted to have curling up of her fingers since birth, which was recently diagnosed as (s/l)  campter dectoi."


Would anyone be familiar with this diagnosis?  I have searched both my neuro and ortho word books, and have not found anything similar.  Thanks.


 


Neuro word
Subject: Neuro word

Camptodactyly is the word you are looking for. I worked for a hand surgeon who was very hard to understand and this was a word he used often! In fact, he had a son who had this! Hope this helps!
Neuro word
Subject: Neuro word

Hand surgery is a little repetitious, I think, but not difficult. Frankly, I prefer neuro, much more interesting!! Good Luck!
s/l neuro foramina...sm
Subject: s/l neuro foramina...sm

The MRI is back and does not show any significant compromise of the central spinal canal and _____ s/l neuro foramina.


TIA