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Neuro help please... gross 'epocrate' sensation is intact. Thanks! nm

Posted By: keep on learning on 2008-02-26
In Reply to:

Subject: Neuro help please... gross 'epocrate' sensation is intact. Thanks! nm

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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 ??
gross sensation? sm
Subject: gross sensation? sm

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RN.com’s Assessment Series: Focused Neurological Assessment


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Next, test gross sensation of Cranial Nerve V. Tell the patient to close their .... locations bilaterally to test for temperature sensation. Light touch ...

Strength is 5/5 throughout. Sensation is intact.
Subject: Strength is 5/5 throughout. Sensation is intact.

is how I would do it.
sensation and strength intact. (nm)
Subject: sensation and strength intact. (nm)

.
PE: Visual acuity and s/l gross/growth fields intact.
Subject: PE: Visual acuity and s/l gross/growth fields intact.

x
Neuro - not sure if I have this right - sensation testing of diabetic sm
Subject: Neuro - not sure if I have this right - sensation testing of diabetic sm

Usually this doc says something along the lines of monofilament testing is intact, which is also how the other docs have dictated it to one degree or another.

However, this time he says, "a nylon string test reveals s/l 5 point of sensation on both feet."

Don't know if it should be 5 points of sensation, 5-point sensation, or if it's simply 5.0 sensation. Is anyone aware of how to type this?

Thanks for any help with this.
Neuro - not sure if I have this right - sensation testing of diabetic sm
Subject: Neuro - not sure if I have this right - sensation testing of diabetic sm

Usually this doc says something along the lines of monofilament testing is intact, which is also how the other docs have dictated it to one degree or another.

However, this time he says, "a nylon string test reveals s/l 5 point of sensation on both feet."

Don't know if it should be 5 points of sensation, 5-point sensation, or if it's simply 5.0 sensation.

Is anyone aware of how to type this?

Thanks for any help with this.
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!!!


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


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?


Gross
Subject: Gross

MT50  -- You have NEVER failed to give me a laugh....


Thanks so much!!! 


gross SROM (sm)
Subject: gross SROM (sm)

Pronounced "es-rahm," Spontaneous Rupture Of Membranes. He probably just slurred it.
s/l gross schrom???
Subject: s/l gross schrom???

regarding pregnancy....the patient presented to Labor and Delivery with gross schrom and meconium....
Gross's solution?
Subject: Gross's solution?

Am I right on that?  Used for decongesting the nose......


 


Thanks!


How about gross impaction?
Subject: How about gross impaction?

That would make sense.


Gross strength with (s/l jammer)
Subject: Gross strength with (s/l jammer)

"Gross strength with a (s/l jammer) on the third notch..."


Anyone know what this is?


TIA


Sorry, I was wondering whether it was gross or growth...
Subject: Sorry, I was wondering whether it was gross or growth...

x
s/l gross pitting edema
Subject: s/l gross pitting edema

n/t
gross testing? what comes after your phrase? nm
Subject: gross testing? what comes after your phrase? nm


Gross makes more sense.
Subject: Gross makes more sense.

Voice fades on this word but more likely gross as he does use that one other place. Some days I'm so duh!

Thanks :-)
placenta, gross exam word
Subject: placenta, gross exam word

The maternal surface is composed of the usual (sounds like caudalidens).  I can't seem to do a successful Google on this. Thanks in advance for your help. 


Oh dear Dr. Holeman sounds just gross
Subject: Oh dear Dr. Holeman sounds just gross

with my apologies to the good doc. I began my career working for Dr. Hamburger. gives a whole new meaning to "you want fries with that?"
Sensation ?
Subject: Sensation ?


? sensation
Subject: ? sensation


? sensation
Subject: ? sensation


well I had one sucking snot yesterday. talk about gross! nm
Subject: well I had one sucking snot yesterday. talk about gross! nm

.
My opinion: Unless it is a product name that I cannot locate, I would say gross reservoir as in "
Subject: My opinion: Unless it is a product name that I cannot locate, I would say gross reservoir as in "overall"


Maybe gross reservoir, just identifying it w/o any special characteristics? nm
Subject: Maybe gross reservoir, just identifying it w/o any special characteristics? nm

s
ok - I hear impaction now but not sure about gross it still s/l govis/gauvis
Subject: ok - I hear impaction now but not sure about gross it still s/l govis/gauvis


pin prick sensation.
Subject: pin prick sensation.

We also checked 2 point and 1 point pin sensation discrimination and this was intact.   (I am questioning discrimination have not heard it this way before I may be hearing discrimination incorrectly, any tips?)


Usually a *fluttering* sensation. (nm)
Subject: Usually a *fluttering* sensation. (nm)

x
discomfortable sensation?
Subject: discomfortable sensation?

xx
gas/gaseous sensation?
Subject: gas/gaseous sensation?

.
ahh-voo-cartic sensation??sm
Subject: ahh-voo-cartic sensation??sm

s/l "ah-voo-cartic" sensation is intact bilateral lower extremities, retrograde sensation for sharp, dull, vibratory and proprioception." 


in general, would not put an 's after word ending in S. Saw one ref. Gross' solution preserv
Subject: in general, would not put an 's after word ending in S. Saw one ref. Gross' solution preservative.


pinprick sensation #1...patchiness #2....
Subject: pinprick sensation #1...patchiness #2....

but it's pinprick sensation (with a k)....*S*


not passiveness - rather patchiness.....


so...dull, aching sensation... but your QA may
Subject: so...dull, aching sensation... but your QA may

s
hypesthesia (loss of sensation)?
Subject: hypesthesia (loss of sensation)?


dr says s/l "grass" sensation while yawning
Subject: dr says s/l "grass" sensation while yawning

The working diagnosis at this point in time is paresthesias of the right thigh.

There is a s/l grass or glass sensation to light touch on the anterior and anteromedial aspect of the right thigh from the suprapatellar region to the proximal thigh region.
You're right, it's sensation. Thanks sooooo much!!!
Subject: You're right, it's sensation. Thanks sooooo much!!!


Maybe an anesthetic reaction? Dulling of sensation? nm
Subject: Maybe an anesthetic reaction? Dulling of sensation? nm

s
GOT IT!!! EDG patient has choking sensation when swallowing.
Subject: GOT IT!!! EDG patient has choking sensation when swallowing.

Thanks.
patient had a ***clupping*** sensation in the chest SM
Subject: patient had a ***clupping*** sensation in the chest SM

he has been diagnosed with atrial fibrillation in the past and presents with palpitations.
Neurological: Moving all 4 extremities and s/l withdrawing to sensation.

Found it! LOPS (loss of protective sensation). TXS! NM
Subject: Found it! LOPS (loss of protective sensation). TXS! NM

loss of protective sensation (LOPS)
She has poor facial sensation bilaterally in "VI, II, and III". Is this right?
Subject: She has poor facial sensation bilaterally in "VI, II, and III". Is this right?


There is insensate meanng devoid of sensation or feeling.
Subject: There is insensate meanng devoid of sensation or feeling.


After reading all of it, would change my answer to distally going with sensation. Not sure about th
Subject: After reading all of it, would change my answer to distally going with sensation. Not sure about the second ??.


No melena, hematochezia, heartburn, “or rerlash gorba sensation’ or dysphagia.
Subject: No melena, hematochezia, heartburn, “or rerlash gorba sensation’ or dysphagia.

If someone gets this...you get a gold star! 
Decreased pinpric sensation to the bilateral lower extremities but areas of s/l passhiveness -sm-
Subject: Decreased pinpric sensation to the bilateral lower extremities but areas of s/l passhiveness -sm-

with increased sensation.  Would passiveness fit here?  Help is appreciated.  Thanks!
relatively intact?
Subject: relatively intact?