Neuro help - postural hypotension
Posted By: jss on 2008-10-05
In Reply to:
Subject: Neuro help - postural hypotension
The diagnosis is postural hypotension and during the exam the physician states
She has no post head shake nystagmus and she has no catch up s/l sick-ons that are noted after performing head thrust maneuvers.
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postural? nm
Subject: postural? nm
postural
Subject: postural
dd
could be postural variation. sm
Subject: could be postural variation. sm
In other words, the blood pressure doesn't change when the patient stands up or lies down.
Never mind. He's just stuttering at the end of saying postural.
Subject: Never mind. He's just stuttering at the end of saying postural.
Patient had 30 mm postural bp drop. Is that how it's typed?
Subject: Patient had 30 mm postural bp drop. Is that how it's typed?
nm
Hypotension
Subject: Hypotension
Could they be saying orthostatic hypotension?
Hypotension? Often associated with these.
Subject: Hypotension? Often associated with these.
Doesn't really sound like your s/l though.
sorry, s/l ru-static HYPOtension
Subject: sorry, s/l ru-static HYPOtension
Thank you
it's orthostatic hypotension
Subject: it's orthostatic hypotension
s/l mild derm and hypotension
Subject: s/l mild derm and hypotension
The patient has been doing well in rehab except for some s/l mild derm and hypotension.
TIA!
Hear positional hypotension often...nm
Subject: Hear positional hypotension often...nm
s
yes, but also used to treat orthostatic hypotension sm
Subject: yes, but also used to treat orthostatic hypotension sm
Beta Blockers
Beta blockers have also been studied for the treatment of orthostatic hypotension.9 The three agents most widely studied are propranolol, piûdolol, and xamoterol. Propranolol’s mechanism of action is believed to be antagonism of beta-controlled vasodilator effects of catecholamines. Pindolol is a nonselective beta blocker with intrinsic sympathomimetic activity. Patients with orthostatic hypotension may have reduced sympathomimetic activity, and the agonist properties of pindolol account for its usefulness in these patients. Xamoterol, a partial beta1-selective agonist, has been shown to be useful in patients unable to tolerate pindolol. Because xamaterol is an investigational agent, its usefulness is limited. Nevertheless, a New Drug Application has been filed with the FDA.
perhaps iatrogenic orthostatic hypOtension? nm
Subject: perhaps iatrogenic orthostatic hypOtension? nm
treatment for persistent hypotension--sm
Subject: treatment for persistent hypotension--sm
what I found for treating this was *vial of adenosine* or a vial of *sodium bicarbonate*.
would not list anything related to hypotension in there
Subject: would not list anything related to hypotension in there
Is the doctor perhaps trying a variation of no suicidal ideation or homicidal ideation as an abbreviation? (suicidal ideation/homicidal) That is what I hear mostly in that context.
orthostatic hypotension (blush!)
Subject: orthostatic hypotension (blush!)
I heard that orthostatic hypotension can cause urinary urgency
Subject: I heard that orthostatic hypotension can cause urinary urgency
Always been under neuro for me, too. nm
Subject: Always been under neuro for me, too. nm
s
Neuro
Subject: Neuro
Thanks so much!!
NEURO
Subject: NEURO
Clinical trial drug for ALS s/l talwopinol
Thank you
neuro
Subject: neuro
Cerebellar was fine... No pronator drift? does that sound about right
Neuro
Subject: Neuro
No cerebellar signs, just got a job with it...If you add in the mumbling factor that may be what you are looking for
neuro
Subject: neuro
Can you hear "field cuts" as in no visual field cuts?
Neuro
Subject: Neuro
Not my day. Sorry to post two in a row here.
Context: Final interpretation of CT head done on 03/28/07 noted small parenchymal hematoma or hemorrhagic contusion in the posterior *MLS* within the right frontal lobe.
sounds like... mialis, MLS, malice.
And this isn't even an ESL guy. I'm having an off day I guess. Thank you again.
neuro help, please
Subject: neuro help, please
Only the upper cervical spinal cord is visualized, but there is no s/l spherinx. Can't figure out that last word.
maybe neuro changes. nm,
Subject: maybe neuro changes. nm,
x
Neuro help please!!!! sm
Subject: Neuro help please!!!! sm
Dictator states: We are checking s/l "curdle santin" EEG as stated. TIA
Neuro
Subject: Neuro
Could it be cranial nerves II-XII intact ?
neuro help
Subject: neuro help
Her sensory examination shows no decrease pin appreciation over the right side but she does have a (S/L mad - can that be right?)peripheral sensory neuropathy in the lower extremities with decreased pin and vibration up to the mid calf region.
Thanks
neuro help
Subject: neuro help
CT scan of the head reveals some dimunition___correct? and contrast between the sulci and s/l dry rye_____ of the right occipital lobe reminiscent of ischemia.
There is no phonemic or S/L semantic paraphrase garus however.
Thanks!
Neuro, PE
Subject: Neuro, PE
reflexes are 2+ in all other extremities. No notable muscle wasting. Gait is normal. No __________ s/l clu-nos
this is under CNS under physical exam.
Neuro help pls
Subject: Neuro help pls
status post L4/5 s/l "hard" lateral disk excision
neuro help
Subject: neuro help
Neurological sign - s/l Shadrook or possibly De Shadrook ??
neuro
Subject: neuro
What does it mean when a neuro doc dictates, "Patient denies any meal in her eyes."? He does this on many reports.
Neuro H & P
Subject: Neuro H & P
I'm still stuck on this one. Have listened countless times and can't get it. It's in the ASSESSMENT/PLAN. Doc states This patient has a ....s/l whirring imbalance. I have checked every reference I can think of and I can;t find anyth ing even close. She talks about pt. feeling like she is swaying when standing or even sitting for long periods. Numbness and tingling on her right side. I hope someone can help me on this one. Thanks.
Neuro H & P
Subject: Neuro H & P
After listening again....it could possible be worrying i mbalance. Is there such a thing? I kept trying to find something much more "medical". Thanks so much for your help.
Neuro
Subject: Neuro
Can someone tell me if Orientation and Language should go under HEENT or NEUROLOGICAL?
neuro question
Subject: neuro question
The patient fell and apparently there was some loss of consciousness with this event. The patient, however, stated that he rather immediately was able to get up and get back to the house. His wife did not witness the event, but states that his sensorium was s/l "relbably" intact. 
I tried to give as much information. The patient had severe brain trauma. TIA!
neuro-ophthalmology
Subject: neuro-ophthalmology
Webster's Medical Speller
neuro term
Subject: neuro term
vertebro-basilar dolichoectasia - according to Google
Neuro word help
Subject: Neuro word help
I am doing a neuro consult dictation, and the MD dictated this: "She is noted to have curling up of her fingers since birth, which was recently diagnosed as (s/l) campter dectoi."
Would anyone be familiar with this diagnosis? I have searched both my neuro and ortho word books, and have not found anything similar. Thanks.
Neuro word
Subject: Neuro word
Camptodactyly is the word you are looking for. I worked for a hand surgeon who was very hard to understand and this was a word he used often! In fact, he had a son who had this! Hope this helps!
Neuro word
Subject: Neuro word
Hand surgery is a little repetitious, I think, but not difficult. Frankly, I prefer neuro, much more interesting!! Good Luck!
s/l neuro foramina...sm
Subject: s/l neuro foramina...sm
The MRI is back and does not show any significant compromise of the central spinal canal and _____ s/l neuro foramina.
TIA
Neuro/oncology (?) help sm
Subject: Neuro/oncology (?) help sm
Pt. with cervical cancer, mets to brain.
"The patient was on Decadron and Celebrex to decrease the S/L *interferal* pressure and seizure prophylaxis respectively."
Have tried everything I know of. I do not hear intracranial in this. It is decidedly interferal, intrafural, interfural, etc. I've tried antero, entero, inter, intra, you name it.
HORRIBLE ESL dictator, you know the kind... the one everyone else skips in the queue.
Thanks all.
neuro word help
Subject: neuro word help
dictated: L4-5 diskectomy and s/l sec-lo-strec-tomy ??
neuro word help
Subject: neuro word help
Please help. I've got a new dictator.
Here's the sentence: "Those headaches were profound with nausea, vomiting and positive visual phenomena with s/l sin-u-lations." (or sid-u-lations or sent-u-lations?
Thanks in advance!
By the way, what's your favorite neuro terms website?
neuro question
Subject: neuro question
sounds like "circle epidural steroid injection"
Neuro meds
Subject: Neuro meds
The best I can do/hear is "some of the s/l tri-mer-es/est type drugs"
Neuro assistance please -- s/m
Subject: Neuro assistance please -- s/m
Patient experienced respiratory arrest/code blue/ventilator management.
Neurological Exam: S/L "painted on" doll's eye sign.
Thank you so very much!!
s/l soft neuro PND
Subject: s/l soft neuro PND
Denies chest pain, shortness of breath or "soft neuro PND."
Any thoughts?!
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