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Neuro Exam: Shoulder shrug and s/l SEN strength

Posted By: sm on 2007-10-07
In Reply to:

Subject: Neuro Exam: Shoulder shrug and s/l SEN strength

Is this correct?  Thanks!


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shoulder shrug symmetric? nm
Subject: shoulder shrug symmetric? nm


yes, strength testing would go under neuro section..
Subject: yes, strength testing would go under neuro section..

some docs dictate it under "extremities," but usually under neuro exam.
ortho exam: some kind of strength ... sm
Subject: ortho exam: some kind of strength ... sm

Sentence is..." Grip strength was 50-55 pounds on the left and 35-40 pounds on the right..."-----" strength was 11-12 pounds bilaterally."


It starts with a T and is a very short word, may be like Tip but really not sure. That would be a total guess. Thanks for any suggestions!!


(This is the doc who uses microcassettes, while listening to a ball game on the radio and apparently dictating on a bus or something nice and quiet like that!)


Shoulder exam help
Subject: Shoulder exam help

Negative s/l Meetnere's. Negative s/l cross arm. She has good strength and open s/l kin as well as external rotation bilaterally.

Neuro exam help
Subject: Neuro exam help

Patient with Huntington's chorea.  Neuro exam: The patient with s/l discoria ____hypertoid movements.


 


Thanks



 


Neuro exam
Subject: Neuro exam

s/l dis-dia-do-co-kinesia when discussing coordination.
neuro exam
Subject: neuro exam

biceps "spreads" to the brachioradialis and finger flexors? For a neuro motor exam
Best shoulder exam link I know of. sm
Subject: Best shoulder exam link I know of. sm

http://www.shoulderdoc.co.uk/article.asp?section=497&article=614
NEURO s/l 'key' exam (sm)
Subject: NEURO s/l 'key' exam (sm)

pt with a hx of numbness in hands and feet


The patient was unable to perform pronator drift exam secondary to inability to lift her arms above her breast level. "Key" exam: The patient could not perform secondary to weakness.  She did not appear to have postural instability.  Language is fluent.  Normal comprehension. Normal naming. No repitition. Coordination was unable to be done secondary to weakness...


Cranial nerve exam has already been dictated.  S/L 'Key', 'K.E.' or 'K.A.' exam.


tia!!!


Neuro exam link. sm
Subject: Neuro exam link. sm

http://www.neuroexam.com/content.php?p=2
normokinetic neuro exam?
Subject: normokinetic neuro exam?

Sounds like he is saying "normokinetic" neuro exam.  I can't find normokinetic anywhere. 
Occ health--shoulder exam (2 blanks) Pls help. SM
Subject: Occ health--shoulder exam (2 blanks) Pls help. SM

Adson maneuver is negative.  *_________ (s/l controse) about the right
shoulder appear normal and symmetric with the left side.  There is no
*___________ (s/l spinatahoss) atrophy and no focal tenderness to the suprascapular notch.


Whew!  This was a LOOONG report.  Thanks for your help.


Chickadee


Link for shoulder exam/signs. sm
Subject: Link for shoulder exam/signs. sm

http://www.shoulderdoc.co.uk/education/article.asp?article=497
Neuro exam: Positive s/l minitiller
Subject: Neuro exam: Positive s/l minitiller

x


Neuro exam: Positive s/l minitiller.
Subject: Neuro exam: Positive s/l minitiller.

Can you give us any more to go on? What is the patient being seen for? What is the chief complaint?
s/l GCS is 15 with normal gait on neuro exam. TIA nm
Subject: s/l GCS is 15 with normal gait on neuro exam. TIA nm

x
neuro exam - negative ***col-coryx*** on each ear. TIA! nm
Subject: neuro exam - negative ***col-coryx*** on each ear. TIA! nm

x
neuro exam - says intact sensation, "V-one, V-two,
Subject: neuro exam - says intact sensation, "V-one, V-two,

and V-three" - would that be VI, VII, VIII or V1, V2, V3 ??
Sounds like "empty can test"...shoulder exam. nm
Subject: Sounds like "empty can test"...shoulder exam. nm


ortho - knee exam, blank s/l shoulder
Subject: ortho - knee exam, blank s/l shoulder

He is now 4 days out from his left arthroscopic partial medial meniscectomy, where had probably had a bucket handle tear and debridement of loose cartilage in the trochlea, where he had a 2 cm x 1 cm lesion in the midportion with good _______ s/l shoulders, and an area where he had undoubtedly impacted the bucket handle tear tear anteriorly and had a few loose flaps of cartilage that we debrided.


I'm too tired of typing to try to think of what this word really should be.  any suggestions?


NEURO EXAM (s/l) dys-teri-arthritic posturing
Subject: NEURO EXAM (s/l) dys-teri-arthritic posturing

No focal weakness and moves spontaneously to pain but does have _______ posturing.


Thank you in advance.


Neuro exam..negative s/l traybostix sign...nm
Subject: Neuro exam..negative s/l traybostix sign...nm

nm
s/l negative saulstis test neuro exam-sm
Subject: s/l negative saulstis test neuro exam-sm

patient with subacromial impingement as well as rotator cuff tendinitis. In neuro exam, doctor states:

Cranial nerves II through XII are intact. Deep tendon reflexes 1/4, biceps, triceps, brachioradialis. He has 5/5 motor strength, bilateral upper extremities. Sensory examination demonstrates normal sensation to pinprick in C5 to T1. He has a positive impingement sign. Negative drop arm test. Negative ________ test. (s/l saulstus or saltsus test.


Yes, is this an xray or a scan? An exam? Neuro testing? nm
Subject: Yes, is this an xray or a scan? An exam? Neuro testing? nm

s
On neuro exam...there is no evidence of "wish nodules". sm
Subject: On neuro exam...there is no evidence of "wish nodules". sm

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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


Neuro exam - patient had cervicothoracic laminectomy - sm
Subject: Neuro exam - patient had cervicothoracic laminectomy - sm

Exam: Her wound is healed. She has got mild paraspinal tenderness with some evidence of spasm. No **rubo or corlora delora** noted. She is awake. She is oriented x3.


I have no idea what I am hearing or if my spaces are correct in my s/l. I'd love any help!! Thanks.


shoulder exam: A mildly positive s/l apitkon's sign
Subject: shoulder exam: A mildly positive s/l apitkon's sign

Thank you!
Orthopedics: s/l "athetory"-type movements. (Shoulder exam)? Help???
Subject: Orthopedics: s/l "athetory"-type movements. (Shoulder exam)? Help???


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Subject: Pt has shoulder pain. On exam has positive s/l scarf sign.


Romberg test. Here is link for sample neuro exam etc. sm
Subject: Romberg test. Here is link for sample neuro exam etc. sm

Romberg sign



with feet approximated, the subject stands with eyes open and then closed; if closing the eyes increases the unsteadiness, a loss of proprioceptive control is indicated, and the sign is positive. Syn: rombergism, Romberg test, station test.


 


http://courses.washington.edu/medicm/icm2/0506/W06neurosamplewriteup.shtml


I think in neuro exam it is usually "essential tremor" that is noted, still thinking on other.
Subject: I think in neuro exam it is usually "essential tremor" that is noted, still thinking on other.....nm

nm
s/l bare/bear/bayer exam - infant neuro nm
Subject: s/l bare/bear/bayer exam - infant neuro nm


Neuro doc under sensory exam says s/l staring nosia's intact. TIA!!!
Subject: Neuro doc under sensory exam says s/l staring nosia's intact. TIA!!!


s/l pseudo acitosis in upper extremity (neuro exam)
Subject: s/l pseudo acitosis in upper extremity (neuro exam)

Thx
patient has shoulder pain. On exam no cerva-chromal crepitus. nm
Subject: patient has shoulder pain. On exam no cerva-chromal crepitus. nm

thanks.
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Subject: Neuro exam, pt able to puff cheecks w/o any "tapier bushon" sign. nm


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Subject: On neuro exam, s/l ball pearl test for retropulsion negative. nm


Neuro exam: Weber lateralized to right ear, (s/l) Renee normal on both sides. (nm)
Subject: Neuro exam: Weber lateralized to right ear, (s/l) Renee normal on both sides. (nm)


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Subject: although there is intention tremor in neuro exam, and rapid alternating movements...nm

x
Pt with Parkinsons on Neuro exam: Speech was mildly hypophonic "every" phrenic. nm
Subject: Pt with Parkinsons on Neuro exam: Speech was mildly hypophonic "every" phrenic. nm


On neuro exam, s/l "Lure EE ah" triangle, squares, and fist edge palm were intact. nm
Subject: On neuro exam, s/l "Lure EE ah" triangle, squares, and fist edge palm were intact. nm


Shrug it off!
Subject: Shrug it off!

ER MT, it's a shame when we come to the WORD HELP board for help and get bashed for asking. I've been doing this for 30 years and still come across words on a daily basis I don't know. It is a constant learning process. There is no MT out there that knows everything, which is why it is nice to come here for everyone's input. There really is no need for anyone to be nasty about it, but sometimes they are. We all have those days where we've had a long day, can't think anymore, are doing a report type or specialty we are not familiar with or maybe are drawing a blank, so just shrug it off and remember to ask for help on the WORD HELP board any time, regardless of what others may say, that's why it is there. Hope you enjoy the rest of your day!
NEURO - Cranial nerve II exam - s/l 'free clots' or 'free cuts' sm
Subject: NEURO - Cranial nerve II exam - s/l 'free clots' or 'free cuts' sm


Fundi with no hemorhages. Visual acuity 20/70 bilaterally. There were no 'free clots.'  Cranial nerves III, IV, and VI...


tia


s/l purpose - Neuro exam - Balance and purpose are shown intact? Is there such a thing?
Subject: s/l purpose - Neuro exam - Balance and purpose are shown intact? Is there such a thing?


Tylenol arthritis strength. Should arthritis strength be caps? nm
Subject: Tylenol arthritis strength. Should arthritis strength be caps? nm


could the ES be extra strength?
Subject: could the ES be extra strength?

.
palmar strength-nm
Subject: palmar strength-nm

x
no, definitely es, so I am sure extra strength?
Subject: no, definitely es, so I am sure extra strength?

he just could say that could he. LOL.
? about strength testing
Subject: ? about strength testing

After giving values for grip and pinch, this sounds like "3 jod chuck" values are 11, 11, 11.  Appreciate any help. Thanks!


sometimes hear strength is 5/5
Subject: sometimes hear strength is 5/5

could it be "U"pper "L"ower "E"xtremity strength at 5/5? I know, biiiig stretch.