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Neck is not stiff [s/l with the DP to nystagmus]??

Posted By: nmt on 2009-02-24
In Reply to:

Subject: Neck is not stiff [s/l with the DP to nystagmus]??

Does this sound right: Neck is not stiff [s/l with the DP to nystagmus]


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Stiff neck ? Im thinking "crepitus"
Subject: Stiff neck ? Im thinking "crepitus"


Neck is not stiff (s/l with a few pieces of stagnus)
Subject: Neck is not stiff (s/l with a few pieces of stagnus)

This is part of the physical examination of a guy with alcohol poisoning.  There is an entire phrase that I can not figure out though.


Neck is not stiff (s/l with a few pieces of stagnus)


headache? stiff neck? Symptoms of Lyme's etc. nm
Subject: headache? stiff neck? Symptoms of Lyme's etc. nm


Nystagmus is noted in the eyes, not neck.
Subject: Nystagmus is noted in the eyes, not neck.

x
true...but both neck stiffness and nystagmus can be signs of alcohol poisoning...nm
Subject: true...but both neck stiffness and nystagmus can be signs of alcohol poisoning...nm


physical exam: neck shows no s/l N-S-E? looking for a standard abbrev. used for neck. nm
Subject: physical exam: neck shows no s/l N-S-E? looking for a standard abbrev. used for neck. nm

d
There is neck dystonia (neurologic condition affecting the muscles of the neck)?
Subject: There is neck dystonia (neurologic condition affecting the muscles of the neck)?


Stiff is appropriate.nm
Subject: Stiff is appropriate.nm

..
Yes, gel or gelling effect, getting stiff after period of inactivity
Subject: Yes, gel or gelling effect, getting stiff after period of inactivity


Pt's gait was stiff due to "turnus" in her left foot. nm
Subject: Pt's gait was stiff due to "turnus" in her left foot. nm


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Subject: Wear stiff-soled shoes to reduce the aerobic activity to allow for bone healing. Sound right?nm

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nystagmus
Subject: nystagmus

This is not the first time I have been stumped by this word and I failed to list it for quick look up.  The term is possibly "gaze of OPEN nystagmus"  Can anyone verify that for me?
nystagmus - again
Subject: nystagmus - again

I'm new at this message board so perhaps I should have chosen "Quick Reply"
S/L MIL-IAS nystagmus???
Subject: S/L MIL-IAS nystagmus???

It sounds like the doctor says MIL-IAS nystagmus were my blank is can't verify any suggestions?---. In general, the patient is a very pleasant 60-year-old white female in no apparent distress.  Pupils are equal and reactive to light bilaterally.  Extraocular movements are intact.  ___ patients oropharynx which appears to be within normal limits.
nystagmus /nm
Subject: nystagmus /nm


nystagmus
Subject: nystagmus


DB to nystagmus?
Subject: DB to nystagmus?

I can't tell what this guy is saying!  The first sentence...Neck was not stiff....is very clear.  Can't tell if a period goes after stiff because then I hear jumbled words something about...to the stagmus...but stagmus isn't a real word.


Looking around there is stuff about stiff neck and nystagmus. 


Does anyone have a suggestion as to what this guy might be saying.  It sound somewhat like the sentence below...what would DB possible be?



Neck was not stiff as a DB to nystagmus


I'm stumped.


 


without nystagmus or lid lag? sm
Subject: without nystagmus or lid lag? sm

or without (ocular) stare or lid lag?


DP nystagmus
Subject: DP nystagmus

Hard to hear, do either of these sound right?


There is a DP to the nystagmus.


There is a DP to nystagmus.


 


Nystagmus?
Subject: Nystagmus?

Nystagmus? Can you kind of sound it out? That would help a lotl
Nystagmus
Subject: Nystagmus

Continuing to listen, maybe she is saying nystagmus (ny instead of no at the beginning of the word). I will try that and flag it.
TP to the nystagmus.
Subject: TP to the nystagmus.

Does this make sense and can anyone tell me what TP stands for? or is it DP. I can't seem to find anything on this.
vestibular nystagmus
Subject: vestibular nystagmus

There's also a vestibular nystagmus, occurs when inner ear is irritated or diseased.
Negative nystagmus?nm
Subject: Negative nystagmus?nm


"a few beats of nystagmus..." ? nm
Subject: "a few beats of nystagmus..." ? nm


doc is slurring s/l fastigal nystagmus.
Subject: doc is slurring s/l fastigal nystagmus.


directional preponderance (DP) to nystagmus
Subject: directional preponderance (DP) to nystagmus


Left beating nystagmus?
Subject: Left beating nystagmus?


Thanks everyone!! Possibly downbeating nystagmus
Subject: Thanks everyone!! Possibly downbeating nystagmus


possibly gaze-evoked nystagmus.
Subject: possibly gaze-evoked nystagmus.

x
There is a cardinal field's test for nystagmus.
Subject: There is a cardinal field's test for nystagmus.


Nystagmus is correct. Intention tremor is the other. sm
Subject: Nystagmus is correct. Intention tremor is the other. sm

A tremor which arises or which is intensified when a voluntary, coordinated movement is attempted.
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


V neck
Subject: V neck

Is this correct V neck, v neck, or V-neck??? Help appreciated.


Thanks 


Neck: Supple, no LAD. What's the LAD mean?
Subject: Neck: Supple, no LAD. What's the LAD mean?

: Supple, no LAD, no jugular venous distention, no thyromegaly


I'm sorry, what does this have to do with a neck exam?
Subject: I'm sorry, what does this have to do with a neck exam?

nm
The area was the neck...sm
Subject: The area was the neck...sm

I have already turned in the report. Even QA could not figure out what she was saying. They asked that a blank be left. Thank you for trying though. I appreciate it.
how about "torticollis of her neck."
Subject: how about "torticollis of her neck."


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Subject: Could he be saying "area of his neck" or even C8?

x
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Subject: Abdomen: tip of the neck?

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Subject: medication gel for neck

Medication S/l pi'a'low- gel on the back of her neck with amitriptyline Neurontin and lidocaine.


Thanks


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Subject: neck rigidity

That is what I was thinking.  Can this been seen in the neuro exam because that is where she is next?
Under Neck Exam
Subject: Under Neck Exam

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Subject: s/l "tech-ib" neck? sm

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Subject: neck length


Neck Tenderness
Subject: Neck Tenderness

I'm typing a report and this it what it sounds like..


NECK:  Supple, no overtechial?? tenderness or paraoverchevial??? tenderness at this time.


Does anyone know these types of tenderness in the neck?? Thank you!!


Neck Exam
Subject: Neck Exam

Neck: No jugular venous pressure; no s/l 'hepatoreflux'.


Need help with the term hepatoreflux!


I would put it under a heading of NECK. sm
Subject: I would put it under a heading of NECK. sm

One of the tests for meningitis is to bend your chin to your chest or to your shoulders. So if the pateint can to this, they have no meningeal signs or meningismus.
s/l Neck retid
Subject: s/l Neck retid

Anyone have an idea what my doc might be saying? It s/l "retid." Here it is in context: 


"A No. 15 blade was employed to make a curvilinear incision along a neck retid"


Thanks!


 


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Subject: s/l nava-neck

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Subject: Neck muscles?

Needing help with this sentence please.

'The medial aspect of the (s/l longest cola) muscles (s/l colorized) bilaterally at this level.'

Thanks in advance.