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Neurologic: No headaches or seizures. Focal weakness of all ??parathesis??

Posted By: PRiddy on 2008-11-07
In Reply to:

Subject: Neurologic: No headaches or seizures. Focal weakness of all ??parathesis??




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Do you hear focal weakness and paresthesias? nm
Subject: Do you hear focal weakness and paresthesias? nm

nm
s/l gastric parathesis
Subject: s/l gastric parathesis

s/l gastric perithis or gastric partheis?
neurologic insults? neurologic lateralization? nm
Subject: neurologic insults? neurologic lateralization? nm


focal bony activity or focal bony uptake?
Subject: focal bony activity or focal bony uptake?

dd
clonic seizures, may even be tonic-clonic seizures, listen close. nm
Subject: clonic seizures, may even be tonic-clonic seizures, listen close. nm

nm
sorry weakness...
Subject: sorry weakness...

just a typo, late in the day (don't tell QA :)
focal?
a
Focal?
Subject: Focal?


Focal? nm
Subject: Focal? nm

x
focal
Subject: focal

nm


 


I type it as weakness of
Subject: I type it as weakness of

3.5/5 of the bilateral lower extremities. susan
s/l balgar weakness?
Subject: s/l balgar weakness?


Give-way weakness or give-away weakness? Tks!
Subject: Give-way weakness or give-away weakness? Tks!

nm
Could it be no giving way or weakness? sm
Subject: Could it be no giving way or weakness? sm

This is something my ortho docs dictate a lot, usually in a series, i.e., no giving way, weakness, swelling, patellar pain, etc.

It could also be as you have it - give-way or giving-away weakness, just depending on the doc.
or chorioretinal weakness? nm
Subject: or chorioretinal weakness? nm


focal deficit?
Subject: focal deficit?


focal status
Subject: focal status

focal status as in Neuro
There was no history of s/l kinitis? or weakness. nm
Subject: There was no history of s/l kinitis? or weakness. nm


A significant relative weakness?
Subject: A significant relative weakness?

He has a significant relative weakness with executive functioning...


Is 'significant relative' correct?


I agree - I think it might be bulbar weakness nm
Subject: I agree - I think it might be bulbar weakness nm


bilateral caloric weakness
Subject: bilateral caloric weakness

The caloric test is a part of the ENG. It reflects an attempt to discover the degree to which the vestibular system is responsive and also how symmetric the responses are, between left and right. It is a test of the lateral semicircular canals alone -- it does not assess vertical canal function or otolithic function. While not as good as we would like, the caloric test is the best that we have.
Focal bacterial nephritis maybe?
Subject: Focal bacterial nephritis maybe?

or early renal failure or early renal disease? 
Maybe free of focal infiltrate?
Subject: Maybe free of focal infiltrate?


weakness, fatigue, anorexia and malaise
Subject: weakness, fatigue, anorexia and malaise


systo/assisto weakness or numbness???
Subject: systo/assisto weakness or numbness???

Ortho file:


She denies ____(systo) weakness or numbness.


TIA


might be caloric weakness. Found this site. sm
Subject: might be caloric weakness. Found this site. sm


  • Evaluation of Vestibular Function


    This test should be abnormal in patients with bilateral vestibular weakness ... Eye movements – When testing cranial nerve function, the examiner should evaluate ... Patients with vestibular weakness will rotate to the side of the weak ... Electronystagmography (ENG) – ENG is the most widely used vestibular tests ...
    www.utmb.edu/otoref/grnds/Vestibular-051214/Vestibular-051214.htm - 55k - Cached - Similar pages

  • [PDF]

    ICS May


    File Format: PDF/Adobe Acrobat - View as HTML
    abnormality was bilateral caloric weakness (that is, the sum of peak ... BPPV – simply not available with ENG. • Eye movements can be taped for later review

  • headaches
    Subject: headaches

    Admission diagnoses: headache, dizziness, nausea, vomiting.


    Discharge Diagnosis: Event of  **s/l status mag-no-sis"


    Any clue? Thank you


    headaches
    Subject: headaches

    chronic and trackable atypical headahes? 
    headaches
    Subject: headaches

    intractable
    Pt with headaches sm
    Subject: Pt with headaches sm

    I stressed the importance that she be weaned off Vicodin because it can cause desensitization syndrome in the brain when taken regularly and other meds for s/l neurvatic? neurbotic? pain will not be effective. TIA
    No focal motor or neurological deficits
    Subject: No focal motor or neurological deficits

    nm
    CXR: Negative for focal s/l of-the-note infiltrate.
    Subject: CXR: Negative for focal s/l of-the-note infiltrate.


    cerebellar or possibly focal deficit (?)
    Subject: cerebellar or possibly focal deficit (?)


    You guys are awesome yes it is focal deficit thank you
    Subject: You guys are awesome yes it is focal deficit thank you


    Abdomen with midline s/l rafay weakness without hernia
    Subject: Abdomen with midline s/l rafay weakness without hernia

    Thanks!
    weakness in both *palmers* related to shoulder injuries. Thanks. nm
    Subject: weakness in both *palmers* related to shoulder injuries. Thanks. nm

    nm
    Phrenilin? is used for headaches
    Subject: Phrenilin? is used for headaches


    postcoital headaches - nm
    Subject: postcoital headaches - nm


    Pt with headaches..s/l Die Em or Thy em 10 mg prn rarely used. sm
    Subject: Pt with headaches..s/l Die Em or Thy em 10 mg prn rarely used. sm

    medications of omeprazole 20 q. day; potassium chloride 10 mEq q. day; furosemide 80 q. day; methadone 10 mg b.i.d.; trazodone 100 q.h.s.; "Diam" 10 mg p.r.n. rarely used; Ritalin 10 mg q. day.
    Neurologically intact with no focal or (s/l other-lyzing) deficit.
    Subject: Neurologically intact with no focal or (s/l other-lyzing) deficit.


    pt. does not have HIV/AIDS, admitted with gen weakness, has hypertension, dementia with Parkinson&#
    Subject: pt. does not have HIV/AIDS, admitted with gen weakness, has hypertension, dementia with Parkinson's


    Fioricet is used for migraine headaches....nm
    Subject: Fioricet is used for migraine headaches....nm


    cephalgia (headaches)? Not sure without more context.
    Subject: cephalgia (headaches)? Not sure without more context.


    s/l post ball headaches
    Subject: s/l post ball headaches

    Status post injury (type not specified) now with chronic pain in lateral ribs and headaches.  Normal C-spine, head CT, rib x-ray, etc.  Impression sounds like post ball headaches
    Help....doc says "He denies any headaches...
    Subject: Help....doc says "He denies any headaches...

    change in vision, genital "s/l troma"..(not trauma) and does not have morning erections. 
    This was a high-grade intraductal carcinoma of the breast with focal s/l chromenonecrosis.
    Subject: This was a high-grade intraductal carcinoma of the breast with focal s/l chromenonecrosis.


    Wigraine is a drug for migraine headaches.
    Subject: Wigraine is a drug for migraine headaches.

    .
    Looks like Fioricet (acetaminophen butalbital ) given for headaches? nm
    Subject: Looks like Fioricet (acetaminophen butalbital ) given for headaches? nm


    Pt with headaches could use s/l "proganolin", Keppra, and Zanaflex
    Subject: Pt with headaches could use s/l "proganolin", Keppra, and Zanaflex

    Other medications that have recently been described with new daily persistent headache include Namenda, Singulair, Keppra, Proganolin, and Zanaflex. 
    Dictator says MVI for s/l "over appearing" headaches.
    Subject: Dictator says MVI for s/l "over appearing" headaches.

    Thanks for the help!!

    :)

    Abby
    Drug s/l "probaparine" for migraine headaches
    Subject: Drug s/l "probaparine" for migraine headaches

    or "probaperine" or something like that for migraines.


    Thanks a million!


     


    Abby