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If neurological or back, maybe facet?

Posted By: nm on 2008-11-25
In Reply to: some kind of distribution - katie

Subject: If neurological or back, maybe facet?

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No. That is neurological and this is GI. Thanks.
Subject: No. That is neurological and this is GI. Thanks.


neurological
Subject: neurological

Neurologic:                  Her morrow is symmetric, and her tone is pretty good, although some *** ( “head-like"?)  and some mild *** (subster?) is noted.


Neurological.
Subject: Neurological.

x
back pain, given dura-back if needed for spasm. nm
Subject: back pain, given dura-back if needed for spasm. nm

s
neurological scale help
Subject: neurological scale help

This dictator is slurring - here is the sentence and is under Physical Examination


Motor strength, reflexes, gait and sensation are normal.  s/l leven scale zero. 


Diagnosis is gliobastoma multiforme


Any suggestions you have would be most appreciated. 


neurologic or neurological
Subject: neurologic or neurological

doc always says, "from a neurologic standpoint."  Shouldn't it be from a neurological standpoint? 
Neurological: Normal mero?
Subject: Neurological: Normal mero?

The patient is a 17-day-old infant


Neurological:  Normal ___.


Blank s/l normal ma-row perhaps mero?


tnx! any clue on the neurological part?
Subject: tnx! any clue on the neurological part?

Thanks I'm going to listen to it now.


Still in need of help with the neurological


Just gross and nonfocal


She says this in a nanosecond   Thanks again.


s/l ab-sant - neurological term. Thanks nm
Subject: s/l ab-sant - neurological term. Thanks nm


psych neurological insults
Subject: psych neurological insults

His difficulties with language are likely secondary to neurological insults sustained either prenatally and/or resulting from his early deprivation.


 


is insults the correct word?


Would CNS and Neurological exam be the same thing?
Subject: Would CNS and Neurological exam be the same thing?


Neurological History and Physical
Subject: Neurological History and Physical

This is going to probably sound crazy....but it s/l "whirring imbalance."
neurological testing sign
Subject: neurological testing sign

Fokudo's sign?  Anyone know the correct spelling?  That's what it sounds like phonetically but I can't find it...thanks in advance.
reversible ischemic neurological deficit. See ref.
Subject: reversible ischemic neurological deficit. See ref.

Patients with reversible ischemic neurological deficit (RIND) have ...




Fifteen patients with amaurosis fugax (AF), 37 with hemispheric TIA and 35 with reversible ischemic ...
www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve& db=PubMed&list_uids=3290358&dopt=Abstract - Similar pages


No focal motor or neurological deficits
Subject: No focal motor or neurological deficits

nm
Not sure what you are typing about but there is myasthenia, a neurological dysfunction.
Subject: Not sure what you are typing about but there is myasthenia, a neurological dysfunction.


Neurological test, s/l Belull sign
Subject: Neurological test, s/l Belull sign

Patient with tarsal tunnel. Positive Tinel sign. Negative *s/l Velull or Belull* sign. Says it twice and I'm still clueless. TIA.
Neurological History and Physical Exam
Subject: Neurological History and Physical Exam

Any help on this would be appreciated. This is a neurology history and physical and the doc is dictating the Assessment/Plan. She states, "This patient with a _________ imbalance. She did have normal imaging before, but did not get a MRA". My brain is mush and I just cannot understand what type of imbalance she is referring to. Thank you for any assistance.
facet joint
Subject: facet joint

thank you - I did not know about "post" ii greatly appreciate.
Maybe facet joint?
Subject: Maybe facet joint?

nm


Probably is facet joint. (sm)
Subject: Probably is facet joint. (sm)

I do a lot of transcriptions on patients who have had spinal fusions, and the term facet joint has been used a lot.
probably facet joint nm
Subject: probably facet joint nm

x
Facet screw
Subject: Facet screw

nm
Yikes, I do think he said facet.
Subject: Yikes, I do think he said facet.

Thank you, haven't turned work in yet, so appreciate your input. In listening back, it definitely sounds like locks, but facet is what he slurred. Just googled and that's what I found with lock. Thank you all so much, you saved me great embarrassment with new account.
facet arthropathy
Subject: facet arthropathy


facet arthropathy
Subject: facet arthropathy

Thank you Annabanana.


I thought it must be that, even though the word sounds different in the three places he uses it. I don't know another word it could be......


 


Bless you all on MT Stars!


facet injection help please
Subject: facet injection help please

22-gauge s/l fee needle  ...pt was injected with flusone with xylocaine and fosinocaine???


Thanks a BIG BUNCH!


lumbar facet changes? nm
Subject: lumbar facet changes? nm

nm
facet injury? sm
Subject: facet injury? sm

Spinal Injury Foundation Patient Resources - Diagnosis - Facet ...
Facet injury information and treatment options including prolotherapy and ... while the C6-C7 joint more commonly sends pain to the shoulder blade area. ...
www

Neurological: Moving all 4 extremities and s/l withdrawing to sensation.

Yes, I think that would be part of neurological testing which would be nuchal rigidity.
Subject: Yes, I think that would be part of neurological testing which would be nuchal rigidity.


Maybe sclerae-gray test, that would be more for neurological, but maybe a possibility.
Subject: Maybe sclerae-gray test, that would be more for neurological, but maybe a possibility.


Facet joints been atouche'???
Subject: Facet joints been atouche'???

Can someone help please?
It's facet nerve blocks - nm
Subject: It's facet nerve blocks - nm

nm
fascia or facet could be the first part of it.
Subject: fascia or facet could be the first part of it.


Cervical facet pain - s/m
Subject: Cervical facet pain - s/m

How would I type this?  I can't find helpful info anywhere!  The part I am wondering about is the A01 C2-3 - she is dictating as "A zero one C two three".


"Cervical facet pain, especially A01-C2-3 with potential cervicogenic headaches"


Thank you


"tredical" facet regions at L5-S1
Subject: "tredical" facet regions at L5-S1

...These tests showed degenerative changes of the shoulders and sternoclavicular joints as well as the left acetabulum consistent with arthritis. Mild increased activity was noted at the "tredical or predical" facet regions bilateraly at L5-S1.


 


"...and facet joint" spaces?
Subject: "...and facet joint" spaces?


I would say urogenic, unless the patient has other neurological/nerve associated diagnosis i.e. neur
Subject: I would say urogenic, unless the patient has other neurological/nerve associated diagnosis i.e. neurofibromatosis, etc. Just my opinion.


Ortho: Facet *tail* subluxation?
Subject: Ortho: Facet *tail* subluxation?

Context: A concomitant CT of the C-spine noted no vertebral fractures or facet *tail* subluxation.


Can't find much in my research, blush! Can provide more info if needed. Thanks... I don't do a lot of ortho.
Instrument to open facet joints
Subject: Instrument to open facet joints

Sounds like "combt" or "kong"

I know this is a stretch but any ideas would help. Thanks!
thanks- after I put in facet joint spaces but and it correct
Subject: thanks- after I put in facet joint spaces but and it correct


How about FAIRLY PROMINENT FACET CHANGES (GOOD CATCH!)? nm
Subject: How about FAIRLY PROMINENT FACET CHANGES (GOOD CATCH!)? nm


giant facet in cervical spine? correct

giant facet is correct? 


 


 


spinal stenosis and facet mass....s/l siset
Subject: spinal stenosis and facet mass....s/l siset

I know I've had it before but can't find it!  Frustrated!!  Anyway, it goes...spinal stenosis and a facet cystic mass from the right L5, S1 s/l siset. 


After re-establishing flow, there was excellent s/l thrill in the antecubital facet .... TIA
Subject: After re-establishing flow, there was excellent s/l thrill in the antecubital facet .... TIA


we will consider doing facet injections if the lumbar pain is facetogenic in nature. nm
Subject: we will consider doing facet injections if the lumbar pain is facetogenic in nature. nm

..
yeah! probably an "uh" in there.."uh, facet degenerative changes"
Subject: yeah! probably an "uh" in there.."uh, facet degenerative changes"


you should always try to back it up
Subject: you should always try to back it up

:)


Thx for the help. I just keep going back and forth on it. Now I know. nm
Subject: Thx for the help. I just keep going back and forth on it. Now I know. nm


X-ray of back
Subject: X-ray of back