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Head: Extraocular movements full. Pupils ...

Posted By: MT50 on 2008-02-20
In Reply to: S/L: HEAD SHOT GUN MOVEMENTS - Neurology

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




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


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
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


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


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

nm
he has full extension of the s/l elbow box at full flexion. nm
Subject: he has full extension of the s/l elbow box at full flexion. nm

nm
Pupils reactive 4 to 3 ????
Subject: Pupils reactive 4 to 3 ????

4-3?  4:3?  New one to me!
I don't think so. PERL is pupils are equal
Subject: I don't think so. PERL is pupils are equal

and reactive to light. What type of surgery is he referring to??
could he be talking about left and right pupils?
Subject: could he be talking about left and right pupils?

n/m
it was the extraocular muscles thank you
Subject: it was the extraocular muscles thank you


Normal pupils, s/l skills, disks.
Subject: Normal pupils, s/l skills, disks.

na
Extraocular ? dilatation of the adjacent
Subject: Extraocular ? dilatation of the adjacent

lateral ventricle, the doctor states I believe.   But, this does not make sense to me.  However, I am feeling rather stupid today so am probably wrong.  Anyone know if extraocular dilation makes sense?  It is not extraaxial I am fairly certain after listening to him 100 times.


EOMs? (Extraocular muscles)
Subject: EOMs? (Extraocular muscles)


Could the doc be trying to say radiant light as in using a little flashlight to check pupils.
Subject: Could the doc be trying to say radiant light as in using a little flashlight to check pupils.

xx
phrase is usually normal pupils, visual fields and disks. nm
Subject: phrase is usually normal pupils, visual fields and disks. nm


extraocular muscles/movementsmotors/motions are intact
Subject: extraocular muscles/movementsmotors/motions are intact

nm
maybe "EOM" strong - extraocular eye movement/motion
Subject: maybe "EOM" strong - extraocular eye movement/motion


Pupils equally reactive to light, they do not always dictate the whole exam abbreviation, they ..sm
Subject: Pupils equally reactive to light, they do not always dictate the whole exam abbreviation, they ..sm

do not always examine all aspects on PE.  Hope this helps!
Maybe EOMs (extraocular motions) intact centrally? Are eyes mentioned before or after your s/l? nm
Subject: Maybe EOMs (extraocular motions) intact centrally? Are eyes mentioned before or after your s/l? nm

s
HEENT: Pupils Equal, round, reactive to light and accomendation and ______ intact. thank you
Subject: HEENT: Pupils Equal, round, reactive to light and accomendation and ______ intact. thank you


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. 


Thanks.


? 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

The pt is moving his bowels twice a day s/l foreign bowel movements.


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


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


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

nm
"fine finger" movements, probably
Subject: "fine finger" movements, probably


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


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
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???


full?
Subject: full?

Sometimes they say "full bag of waters."
Maybe full?
Subject: Maybe full?


full lesion

I have an extremely difficult dictator with a thick accent.  Sound like:  "Full" lesion of actinic keratosis.  Is there some other word that starts with an F that precedes lesion commonly because I am not sure if that is what he is saying?


ROS: S/L Riska full (?) sm
Subject: ROS: S/L Riska full (?) sm

Elderly male with diarrhea, weight loss, ulcerative colitis, anemia.  Thanks!
full fluid WBC
Subject: full fluid WBC

Urinalysis:  Positive nitrite with large leukocytes, "full fluid" WBC.


full field WBC /nm
Subject: full field WBC /nm

.
Full sentence
Subject: Full sentence

EEG Interpretation: This is a normal low-voltage fast EEG with ?densodishapena? effect. No epileptiform or focal abnormalities are seen. Thanks for your help!
Could we have a full sentence or 2 to try to help you???!!!! nm
Subject: Could we have a full sentence or 2 to try to help you???!!!! nm

s
need full sentence . .. but
Subject: need full sentence . .. but

perhaps "this represents" a pathologic fracture