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Neurological: Moving all 4 extremities and s/l withdrawing to sensation.

Posted By: nn on 2005-07-13
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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!
I'd say entry point and on withdrawing of the plunger...nm
Subject: I'd say entry point and on withdrawing of the plunger...nm

s
Moving on.....nm
Subject: Moving on.....nm

/
Don't think she will be moving on.
Subject: Don't think she will be moving on.

She says she does QA all day, so that is her job and I think she is here to stay.

If she keeps giving crazy answers, may be more and more will soon realize what we have.
Could he be moving on to LUNGS: Clear to auscultation?
Subject: Could he be moving on to LUNGS: Clear to auscultation?


he got a blank tonight - whew - I am moving on to my other rads now :)
Subject: he got a blank tonight - whew - I am moving on to my other rads now :)


I'd give him what he's spelling in quotes and keep moving. They'll drive ya nutz! nm
Subject: I'd give him what he's spelling in quotes and keep moving. They'll drive ya nutz! nm

s
There's a Gaenslen's sign for lumbar/sacroiliac inflammation pain by moving the hip, etc.
Subject: There's a Gaenslen's sign for lumbar/sacroiliac inflammation pain by moving the hip, etc.

x
No. That is neurological and this is GI. Thanks.
Subject: No. That is neurological and this is GI. Thanks.


neurological
Subject: neurological

Neurologic:                  Her morrow is symmetric, and her tone is pretty good, although some *** ( “head-like"?)  and some mild *** (subster?) is noted.


Neurological.
Subject: Neurological.

x
neurological scale help
Subject: neurological scale help

This dictator is slurring - here is the sentence and is under Physical Examination


Motor strength, reflexes, gait and sensation are normal.  s/l leven scale zero. 


Diagnosis is gliobastoma multiforme


Any suggestions you have would be most appreciated. 


neurologic or neurological
Subject: neurologic or neurological

doc always says, "from a neurologic standpoint."  Shouldn't it be from a neurological standpoint? 
Neurological: Normal mero?
Subject: Neurological: Normal mero?

The patient is a 17-day-old infant


Neurological:  Normal ___.


Blank s/l normal ma-row perhaps mero?


tnx! any clue on the neurological part?
Subject: tnx! any clue on the neurological part?

Thanks I'm going to listen to it now.


Still in need of help with the neurological


Just gross and nonfocal


She says this in a nanosecond   Thanks again.


s/l ab-sant - neurological term. Thanks nm
Subject: s/l ab-sant - neurological term. Thanks nm


psych neurological insults
Subject: psych neurological insults

His difficulties with language are likely secondary to neurological insults sustained either prenatally and/or resulting from his early deprivation.


 


is insults the correct word?


Would CNS and Neurological exam be the same thing?
Subject: Would CNS and Neurological exam be the same thing?


If neurological or back, maybe facet?
Subject: If neurological or back, maybe facet?

x
Neurological History and Physical
Subject: Neurological History and Physical

This is going to probably sound crazy....but it s/l "whirring imbalance."
neurological testing sign
Subject: neurological testing sign

Fokudo's sign?  Anyone know the correct spelling?  That's what it sounds like phonetically but I can't find it...thanks in advance.
reversible ischemic neurological deficit. See ref.
Subject: reversible ischemic neurological deficit. See ref.

Patients with reversible ischemic neurological deficit (RIND) have ...




Fifteen patients with amaurosis fugax (AF), 37 with hemispheric TIA and 35 with reversible ischemic ...
www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve& db=PubMed&list_uids=3290358&dopt=Abstract - Similar pages


No focal motor or neurological deficits
Subject: No focal motor or neurological deficits

nm
Not sure what you are typing about but there is myasthenia, a neurological dysfunction.
Subject: Not sure what you are typing about but there is myasthenia, a neurological dysfunction.


Neurological test, s/l Belull sign
Subject: Neurological test, s/l Belull sign

Patient with tarsal tunnel. Positive Tinel sign. Negative *s/l Velull or Belull* sign. Says it twice and I'm still clueless. TIA.
Neurological History and Physical Exam
Subject: Neurological History and Physical Exam

Any help on this would be appreciated. This is a neurology history and physical and the doc is dictating the Assessment/Plan. She states, "This patient with a _________ imbalance. She did have normal imaging before, but did not get a MRA". My brain is mush and I just cannot understand what type of imbalance she is referring to. Thank you for any assistance.
Sensation ?
Subject: Sensation ?


? sensation
Subject: ? sensation


? sensation
Subject: ? sensation


Yes, I think that would be part of neurological testing which would be nuchal rigidity.
Subject: Yes, I think that would be part of neurological testing which would be nuchal rigidity.


Maybe sclerae-gray test, that would be more for neurological, but maybe a possibility.
Subject: Maybe sclerae-gray test, that would be more for neurological, but maybe a possibility.


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." 


I would say urogenic, unless the patient has other neurological/nerve associated diagnosis i.e. neur
Subject: I would say urogenic, unless the patient has other neurological/nerve associated diagnosis i.e. neurofibromatosis, etc. Just my opinion.


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!!!


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.
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 - 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.