Nevermind, got it. NIH Stroke Scale
Posted By: nm on 2008-02-23
In Reply to: Migraine headache s/l eleshev Brooks scale? (ESL doc) - nm
Subject: Nevermind, got it. NIH Stroke Scale
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Apparently also with stroke testing..."Alterations in reaching after stroke and their relation to
Subject: Apparently also with stroke testing..."Alterations in reaching after stroke and their relation to movement direction and impairment severity latitude and longitude; footing, standing, standpoint, post; stage..."
s/l insulin sliding scale using ?mild? scale. nm
Subject: s/l insulin sliding scale using ?mild? scale. nm
nm
Might be "the faces" pain scale, where the show the faces going from happy to sad on a scale.
Subject: Might be "the faces" pain scale, where the show the faces going from happy to sad on a scale. nm
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Help...pain is 0 on a 0-to-10 scale or zero on a 0-to-10 scale?
Subject: Help...pain is 0 on a 0-to-10 scale or zero on a 0-to-10 scale?
..
Anything before or after this? Numbers? Maybe 'sliding scale' or 'sliding scale regimen?
Subject: Anything before or after this? Numbers? Maybe 'sliding scale' or 'sliding scale regimen?' nm
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Regarding stroke....sm
Subject: Regarding stroke....sm
Unsure if this sounds correct or not. She is speaking fast and not sure if I am missing it. 
She has a history of cerebellar infarct, (s/l might have been the embolic) and she has been on a combination of Coumadin and Plavix
TIA
stroke
Subject: stroke
almost 100% sure she is saying pontile stroke but all I can find is pontine stroke. Is pontile correct? TIA
possible stroke (sm)
Subject: possible stroke (sm)
The patient was out of the __________ time window as this was greater than 3 to 5 hours. The patient was transferred by ambulance and was admitted for a possible stroke workup.
s/l TVA. Would make sense if CVA, I guess, but really sounds like a "T" -- is there such a thing?
Thanks.
heart stroke?
Subject: heart stroke?
Under family history... heart stroke
granomal stroke - ???
Subject: granomal stroke - ???
thalamic stroke
Subject: thalamic stroke
thalamic stroke - sm
Subject: thalamic stroke - sm
Also, it is "sequelae".
pontine stroke? (nm)
Subject: pontine stroke? (nm)
xx
medication for TIA and stroke
Subject: medication for TIA and stroke
Discontinued his ??max in the hospital. He has never had an episode of TIA or stroke in the past.
I can only hear the max and just wondering if anyone could help with a medication for stroke or TIA that ends in max. Thanks!!
s/l subthalamic stroke
Subject: s/l subthalamic stroke
Would this be correct?
Thanks for your time!
Stroke victim?
Subject: Stroke victim?
Vertebrobasilar stroke
Subject: Vertebrobasilar stroke
Vertebrobasilar stroke
possibly an old stroke??
Subject: possibly an old stroke??
embolic stroke
Subject: embolic stroke
A book: When every key stroke counts. sm
Subject: A book: When every key stroke counts. sm
There used to be a book by the above title. I cannot find it on google. I have several 1,000 macros, but I know I could do better, because some MTs on my team are smoking me, and I am fast. Anyone know where I can get that book?
? stroke guide wire
Subject: ? stroke guide wire
Therefore, at this time I decided to attempt at recanalizing the distal superficial femoral artery and popliteal artery to see if I can find any of the tibial vessels by increasing flow down to the tibioperoneal trunk. Therefore, a _____ guide wire was inserted and the straight catheter was removed. S/L stroke?
s/l Altaplace therapy for stroke
Subject: s/l Altaplace therapy for stroke
Doc is dictating patient is not a candidate for s/l altaplace or TPA therapy.
Altaplace?
PMH s/l spa-la-mic stroke, no neurologic sequella. nm
Subject: PMH s/l spa-la-mic stroke, no neurologic sequella. nm
d
Extremity exam after stroke (sm)
Subject: Extremity exam after stroke (sm)
Diagnosis of acute right middle cerebral artery ischemic cerebral infarction and acute right internal carotid artery and right middle cerebral artery occlusion.
In exam, he says:
He has flaccid left hemiplegia of the left upper and lower extremities that does ______ (rep/rub) on the left on plantar response.
In view of the ___________ (rep/rub cuff/calf) it was felt that the patient would benefit from full anticoagulation for a short term.
Any help on this would be appreciated. Thanks.
I think it's related to the phrase cam stroke. (sm)
Subject: I think it's related to the phrase cam stroke. (sm)
Noun: cam stroke
The maximum movement available to a pivoted or reciprocating piece by a cam
- throw, stroke
Derived forms: cam strokes
Type of: motion, movement
some lab data for stroke victim
Subject: some lab data for stroke victim
Her _____________ (he spells "anto-xaunf") was 0. Factor VIII was elevated at 273. Cardiolipin IgG was elevated at 18. Cardiolipin IgM was less than 10. Protein C antigen was low at 41. Protein S antigen was high at 143.
vertebral basilar stroke?
Subject: vertebral basilar stroke?
Polamic lacunar stroke
Subject: Polamic lacunar stroke
Am I hearing the first word correctly? A polamic lacunar stroke?
lacuna -lacunar infarct is a stroke nm
Subject: lacuna -lacunar infarct is a stroke nm
I need to know how to write.. one in a thousand of having a stroke or an MI.. or is it 1 in a 1000.
Subject: I need to know how to write.. one in a thousand of having a stroke or an MI.. or is it 1 in a 1000.
Thank you
doing facial exam rule out stroke
Subject: doing facial exam rule out stroke
got brow, smile, tongue - says SEM strong? Is is SEM - he is mush mouthed.
The last part is vertebral-basilar stroke.
Subject: The last part is vertebral-basilar stroke.
HIstory of stroke pt with s/l iii ace pupil and cataract surgery. nm
Subject: HIstory of stroke pt with s/l iii ace pupil and cataract surgery. nm
status post s/l fatebral basal stroke??
Subject: status post s/l fatebral basal stroke??
Pt with stroke taken to interventional radiology for a "mare see" device". nm
Subject: Pt with stroke taken to interventional radiology for a "mare see" device". nm
there is a sniff test for Alzheimer's, maybe using for stroke testing too...nm
Subject: there is a sniff test for Alzheimer's, maybe using for stroke testing too...nm
x
Pt with stroke...multiple tests... s/l fibriginals within normal range. sm :(
Subject: Pt with stroke...multiple tests... s/l fibriginals within normal range. sm :(
anticardiolipin antibodies, which were negative, and ANA, which was negative, CRP, which was less than 0.1, antithrombin 3 mutation, which was negative, and heterozygote MTHFR:A1298C. Lupus anticoagulate was not detected. Prothrombin gene mutation was negative. "Fibriginals" in normal range.
atrial fibrillation was a fluke ? an aberration or stroke of luck (bad in this case) ? nm
Subject: atrial fibrillation was a fluke ? an aberration or stroke of luck (bad in this case) ? nm
Possibly decerebrating, as in decerebrate posturing. Stroke/head trauma victim? (nm)
Subject: Possibly decerebrating, as in decerebrate posturing. Stroke/head trauma victim? (nm)
x
MRI with white matter disease and division restriction consistent w/ "Handball" stroke. sm
Subject: MRI with white matter disease and division restriction consistent w/ "Handball" stroke. sm
The MRI of her brain was significant for white matter disease and an area of division restriction consistent with a handball stroke.
scale help
Subject: scale help
Sounds like BEAN scale 2 out of 10 but only with coughing.
s/l binating scale....
Subject: s/l binating scale....
doc says, 's/l binating scale is 0.' Patient has thrombocytopenia and this was dictated in vital signs part of physical exam. TIA.
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. 
S/l ashworth scale
Subject: S/l ashworth scale
Or possibly Ashford. Doctor dictates Hand intrinsics were s/l Ashworth 2 on a modified s/l Ashworth scale.
Thanks!
s/l don mike-a-like scale (sm)
Subject: s/l don mike-a-like scale (sm)
Has ezcema and also scales and dandruff on scalp.
Within the groove in the ear, there is an erythematous scaly plaque with fine s/l done mica-like scale.
There really is mica-like scale...
Subject: There really is mica-like scale...
as far as skin oogies go, that "don" word though, dunno about that. 
Need help with a type of scale
Subject: Need help with a type of scale
This is an ESL doctor so I'm stumped. It has to do with a breathing/coughing problem in the patient. Sounds like she is saying BEAN scale???? BEM scale?? I have no clue. Any help would be great. I have googled everything I can think of. This one has me completely confused.
depression scale
Subject: depression scale
Zung score.
s/l Seewa scale
Subject: s/l Seewa scale
Patient was placed on a low-risk s/l Seewa scale (alcoholic patient).
Thanks for any help
Pain scale
Subject: Pain scale
Do you think the doc is saying "a 7" as in pain is a 7 out of 10? Just an idea.
PEC table as in PEC scale??
Subject: PEC table as in PEC scale??
Could it be..I found a PEC scale written just that way
...PEC scale, and if you hear table clearly that should fit..
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