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On neurologic examinations if they are doing cognitive performance studies such as mood, sleep, memo

Posted By: MT50 on 2008-01-02
In Reply to: neurologic examination - bma

Subject: On neurologic examinations if they are doing cognitive performance studies such as mood, sleep, memory, reasoning and vigilance then it would be higher critical function being examined.




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Brief Neuropsychological Cognitive Examination (BNCE) ... evaluate the cognitive status of patients
Subject: Brief Neuropsychological Cognitive Examination (BNCE) ... evaluate the cognitive status of patients with psychiatric disorders or psychiatric manifestations ...


s/l ostrosynographic examinations
Subject: s/l ostrosynographic examinations

My brain just doesn't want to cooperate anymore. Sounds like she's saying "ostrosynographic examinations". Help... this is the last thing I need to do before I can finally get some sleep.
neurologic insults? neurologic lateralization? nm
Subject: neurologic insults? neurologic lateralization? nm


Then just write a memo and ask! That stuff will drive you crazy. nm
Subject: Then just write a memo and ask! That stuff will drive you crazy. nm


That should be s/l NOT medical sleep (I need sleep)
Subject: That should be s/l NOT medical sleep (I need sleep)


It is cognitive disturbance.
Subject: It is cognitive disturbance.


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Subject: These are also used in cognitive impairment...

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something like cognitive intent?WAG here. nm
Subject: something like cognitive intent?WAG here. nm


Cognitive testing help
Subject: Cognitive testing help

tests s/l Fragile X and cadeotype, in bone airs?? of metabolism and TSH. 
Only thing that comes to mind is cognitive
Subject: Only thing that comes to mind is cognitive

.
don't know but flat effect is also a cognitive....nm
Subject: don't know but flat effect is also a cognitive....nm


Cognitive impairment medication
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Doctor say: she has intermittent cognitive impairment. He suggested that she check with her neurologist to see if she is a candidate for ________es type drug to improve her cognitive function.


Thank you


 


 


euthymic mood
Subject: euthymic mood


Mood is s/l "diswatching."
Subject: Mood is s/l "diswatching."

MENTAL STATUS EXAMINATION:  His speech is irregular.  Thought processes are tangential.  Thought content is positive for hallucinations and paranoia, suicidal thoughts.  Mood is s/l "diswatching."
Can a mood be distrusting??? nm
Subject: Can a mood be distrusting??? nm

s
got it! MOOD SWINGS. thanks anyway nm
Subject: got it! MOOD SWINGS. thanks anyway nm

nm
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Subject: flat affect, mood congruent.......nm

nm
maybe mood disorder and anxiety and depression
Subject: maybe mood disorder and anxiety and depression


Psych term for mood: stablaphic?
Subject: Psych term for mood: stablaphic?

Psychiatrist doing mental health exam is descibing patient's mood as (sounds like) stablaughic, stablaphic, or something? Anyone have any suggestions?


Could it be performance? nm
Subject: Could it be performance? nm

nm
History of mood disorder OF/AND, anxiety, and depression. PSM
Subject: History of mood disorder OF/AND, anxiety, and depression. PSM

History of mood disorder OF/AND, anxiety, and depression.

Shouldn't it be mood disorder of anxiety and depression

rather than

mood disorder, anxiety, and depression?

Thanks!


clonidine to treat panic and mood instability?
Subject: clonidine to treat panic and mood instability?

x
mood stabilizing agent such as s/l dilaparac sodium
Subject: mood stabilizing agent such as s/l dilaparac sodium

xx
Performance protocol
Subject: Performance protocol

Have you heard of Alimta poor performance protocol?
performance status
Subject: performance status

he presented to my office with s/l; decreasing performance status nausea, diarrhea


If this is decreasing performance status is there any punctuation following?


This is also an ESL


Thanks


Performance status
Subject: Performance status

Since the word "status" means "with" the sentence would read, decreasing performance with nausea, diarrhea.... You wouldn't put a comma before with. It would be bad grammar, IMHO. :-)
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Subject: reaching here - performance scale? nm

x
ACOG performance status?
Subject: ACOG performance status?

Doc is saying ECOG performance status 1 and s/l ACOG performance status 1.  I do not think he is repeating the ECOG again.  Not sure what ACOG means if there is such a thing.  Patient has non-Hodgkin's lymphoma and AIDS and is admitted for chemotherapy.


Duh. Might be performance index in this case. nm
Subject: Duh. Might be performance index in this case. nm

 


Common sense says it goes with performance.
Subject: Common sense says it goes with performance.

x
or ECOG Performance status score
Subject: or ECOG Performance status score


ECOG (performance status) see inside
Subject: ECOG (performance status) see inside

http://www.ecog.org/general/perf_stat.html

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ECOG (performance status) see inside
Subject: ECOG (performance status) see inside

I think you're absolutely right. Thank you so much! I appreciate your time and efforts very much!
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Subject: performance status, nausea, vomiting.

x
Patty, please see link re performance status
Subject: Patty, please see link re performance status

http://en.wikipedia.org/wiki/Performance_status
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xx
There are hits on Google for Operational Performance Management. Would that fit into the dictation?
Subject: There are hits on Google for Operational Performance Management. Would that fit into the dictation?


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IV INCREMENTAL


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Subject: Sorry. All I can think of is vascular studies etc. nm


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===


http://www.emedicine.com/emerg/topic122.htm======


http://www.merck.com/mmpe/sec07/ch081/ch081b.html


 


 


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Subject: We us coagulation studies as we are not

allowed to use slang. However, if typing it verbatim it would be coags as it is not an acronym for anything.
That's what it is, she's says "EP studies". Thank you!!
Subject: That's what it is, she's says "EP studies". Thank you!!


Neurologic:
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thanks in advance.


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The word you are looking for is Romberg.
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NEUROLOGIC:  A full neurologic examination was performed.  Cranial nerves II-XII were grossly intact.  ***cerebelli was fine.  No *** or drift.   Patient’s muscle strength was 5/5 throughout.  Patient’s reflexes were +3 upper extremity and also +3 patellar.  Toes:  The patient had withdrawal response bilaterally.    S/L MILL CEREBELLI WAS FINE.  S/L NO POR OR DRIFT...