Home     Contact Us    
Main Board Job Seeker's Board Job Wanted Board Resume Bank Company Board Word Help Medquist New MTs Classifieds Offshore Concerns VR/Speech Recognition Tech Help Coding/Medical Billing
Gab Board Politics Comedy Stop Health Issues
ADVERTISEMENT




Serving Over 20,000 US Medical Transcriptionists

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

Posted By: LE on 2009-06-18
In Reply to:

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.


Complete Discussion Below: marks the location of current message within thread

The messages you are viewing are archived/old.
To view latest messages and participate in discussions, select the boards given in left menu


Other related messages found in our database

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

x
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.
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
Neuro...sounds like negative red string testing
Subject: Neuro...sounds like negative red string testing

Not grip strength testing, maybe red strain testing or red strength testing? Anyone heard of anything like this before?
Is it diabetic neuropathy or diabetic nephropathy?
Subject: Is it diabetic neuropathy or diabetic nephropathy?

Any help appreciated
posterior drawer testing nor with valgus or varus stress testing
Subject: posterior drawer testing nor with valgus or varus stress testing


Faber testing or Fabere testing?
Subject: Faber testing or Fabere testing?

Is the correct way Faber testing or Fabere testing?  I'm finding it both ways.  *sigh* 


quad/string testing in reference to the quad/hamstring torque ratio testing?
Subject: quad/string testing in reference to the quad/hamstring torque ratio testing?

I'm just guessing.
Sensation ?
Subject: Sensation ?


? sensation
Subject: ? sensation


? sensation
Subject: ? sensation


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
gross sensation? sm
Subject: gross sensation? sm

PDF]

RN.com’s Assessment Series: Focused Neurological Assessment


File Format: PDF/Adobe Acrobat - View as HTML
Next, test gross sensation of Cranial Nerve V. Tell the patient to close their .... locations bilaterally to test for temperature sensation. Light touch ...

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." 


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

is how I would do it.
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)?


sensation and strength intact. (nm)
Subject: sensation and strength intact. (nm)

.
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!!!


Diabetic med s/l cap-in-foe?
Subject: Diabetic med s/l cap-in-foe?


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 ??.


diabetic drug
Subject: diabetic drug

Symlin
diabetic teaching ? nm
Subject: diabetic teaching ? nm

nm
Are they diabetic? Maybe Humulin. nm
Subject: Are they diabetic? Maybe Humulin. nm

s
if she happens to be diabetic, it may have been Amaryl
Subject: if she happens to be diabetic, it may have been Amaryl


Could it be diabetic polyneuropathy?
Subject: Could it be diabetic polyneuropathy?


Is patient diabetic?
Subject: Is patient diabetic?

My first thought is DKA.
Is he diabetic??? ADA diet maybe??
Subject: Is he diabetic??? ADA diet maybe??

x
diabetic s/l keyostosis
Subject: diabetic s/l keyostosis

anyone have a correct spelling for keyostosis?  thanks


diabetic key ostosis ......nm
Subject: diabetic key ostosis ......nm

nm
Maybe, it's just diabetic ketosis.
Subject: Maybe, it's just diabetic ketosis.


diabetic acidosis? nm
Subject: diabetic acidosis? nm

xx
Diabetic term: s/l ar-a-non-ic neuropathy
Subject: Diabetic term: s/l ar-a-non-ic neuropathy

Thanks!
s/l nonprolific diabetic retinopathy. TIA sm
Subject: s/l nonprolific diabetic retinopathy. TIA sm

Doc makes it s/l nonprolific


ASR types it as nonproliferative


 


TIA


diabetic eye exam s/l sign-ick-e-a
Subject: diabetic eye exam s/l sign-ick-e-a


Slit lamp: Cornea shows endothelial pigment bilaterally. It is not in a pattern but it is just uniformly pigmented on the endothelium of the cornea. Anterior chamber quiet. No cells or flare. Lenses are clear. No sign of any s/l sign-ick-e-a.


diabetic - RMEG? RMAG?
Subject: diabetic - RMEG? RMAG?

RMEG?  RMAG?


Anyone know what is correct and if this stands for anything?  It is mentioned in a list of other labs and says it is for diabetes.


It is also used for diabetic peripheral neuropathy
Subject: It is also used for diabetic peripheral neuropathy

nm