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Pt with Parkinsons on Neuro exam: Speech was mildly hypophonic "every" phrenic. nm

Posted By: tracy on 2009-04-08
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Subject: Pt with Parkinsons on Neuro exam: Speech was mildly hypophonic "every" phrenic. nm




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In physical exam says: "The jaw is mildly s/l retrothmatic??? TIA
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Subject: NEURO s/l 'key' exam (sm)

pt with a hx of numbness in hands and feet


The patient was unable to perform pronator drift exam secondary to inability to lift her arms above her breast level. "Key" exam: The patient could not perform secondary to weakness.  She did not appear to have postural instability.  Language is fluent.  Normal comprehension. Normal naming. No repitition. Coordination was unable to be done secondary to weakness...


Cranial nerve exam has already been dictated.  S/L 'Key', 'K.E.' or 'K.A.' exam.


tia!!!


Neuro exam link. sm
Subject: Neuro exam link. sm

http://www.neuroexam.com/content.php?p=2
normokinetic neuro exam?
Subject: normokinetic neuro exam?

Sounds like he is saying "normokinetic" neuro exam.  I can't find normokinetic anywhere. 
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Subject: Neuro exam: Positive s/l minitiller

x


Neuro exam: Positive s/l minitiller.
Subject: Neuro exam: Positive s/l minitiller.

Can you give us any more to go on? What is the patient being seen for? What is the chief complaint?
s/l GCS is 15 with normal gait on neuro exam. TIA nm
Subject: s/l GCS is 15 with normal gait on neuro exam. TIA nm

x
neuro exam - negative ***col-coryx*** on each ear. TIA! nm
Subject: neuro exam - negative ***col-coryx*** on each ear. TIA! nm

x
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 EXAM (s/l) dys-teri-arthritic posturing
Subject: NEURO EXAM (s/l) dys-teri-arthritic posturing

No focal weakness and moves spontaneously to pain but does have _______ posturing.


Thank you in advance.


Neuro exam..negative s/l traybostix sign...nm
Subject: Neuro exam..negative s/l traybostix sign...nm

nm
s/l negative saulstis test neuro exam-sm
Subject: s/l negative saulstis test neuro exam-sm

patient with subacromial impingement as well as rotator cuff tendinitis. In neuro exam, doctor states:

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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
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Subject: Neuro Exam: Shoulder shrug and s/l SEN strength

Is this correct?  Thanks!
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Subject: On neuro exam...there is no evidence of "wish nodules". sm

Funduscopic exam showed sharp disc margins bilaterally. There is no evidence of “wish” nodules.
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Subject: On neuro exam they do say RAM for rapid alternating movements? nm


Neuro exam - patient had cervicothoracic laminectomy - sm
Subject: Neuro exam - patient had cervicothoracic laminectomy - sm

Exam: Her wound is healed. She has got mild paraspinal tenderness with some evidence of spasm. No **rubo or corlora delora** noted. She is awake. She is oriented x3.


I have no idea what I am hearing or if my spaces are correct in my s/l. I'd love any help!! Thanks.


Romberg test. Here is link for sample neuro exam etc. sm
Subject: Romberg test. Here is link for sample neuro exam etc. sm

Romberg sign



with feet approximated, the subject stands with eyes open and then closed; if closing the eyes increases the unsteadiness, a loss of proprioceptive control is indicated, and the sign is positive. Syn: rombergism, Romberg test, station test.


 


http://courses.washington.edu/medicm/icm2/0506/W06neurosamplewriteup.shtml


I think in neuro exam it is usually "essential tremor" that is noted, still thinking on other.
Subject: I think in neuro exam it is usually "essential tremor" that is noted, still thinking on other.....nm

nm
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Subject: s/l bare/bear/bayer exam - infant neuro nm


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Subject: Neuro doc under sensory exam says s/l staring nosia's intact. TIA!!!


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Subject: s/l pseudo acitosis in upper extremity (neuro exam)

Thx
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Subject: Neuro exam, pt able to puff cheecks w/o any "tapier bushon" sign. nm


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Subject: On neuro exam, s/l ball pearl test for retropulsion negative. nm


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Subject: Neuro exam: Weber lateralized to right ear, (s/l) Renee normal on both sides. (nm)


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Subject: although there is intention tremor in neuro exam, and rapid alternating movements...nm

x
On neuro exam, s/l "Lure EE ah" triangle, squares, and fist edge palm were intact. nm
Subject: On neuro exam, s/l "Lure EE ah" triangle, squares, and fist edge palm were intact. nm


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Subject: Pt with Parkinsons and talking about eating. Her "mack" is essentially unchanged at 23.5 cm.. sm

Her "mack" is essentially unchanged at 23.5 cm, and her weight is 121 pounds.
NEURO - Cranial nerve II exam - s/l 'free clots' or 'free cuts' sm
Subject: NEURO - Cranial nerve II exam - s/l 'free clots' or 'free cuts' sm


Fundi with no hemorhages. Visual acuity 20/70 bilaterally. There were no 'free clots.'  Cranial nerves III, IV, and VI...


tia


s/l purpose - Neuro exam - Balance and purpose are shown intact? Is there such a thing?
Subject: s/l purpose - Neuro exam - Balance and purpose are shown intact? Is there such a thing?


Yes, that is correct. actually phrenic nerve lesion.
Subject: Yes, that is correct. actually phrenic nerve lesion.

x
An EGD would NOT detect a phrenic nerve lesion. nm
Subject: An EGD would NOT detect a phrenic nerve lesion. nm

.
I don't use either anymore - "every 6 hours..."
Subject: I don't use either anymore - "every 6 hours..."


yes - it just means "every" shift, so it does make
Subject: yes - it just means "every" shift, so it does make

sense - it is a term that is used.
It does s/l phrenic lesions, could that be correct in terms of anatomy, relating to diaphragm?
Subject: It does s/l phrenic lesions, could that be correct in terms of anatomy, relating to diaphragm?


I type "every Monday/Wednesday/Friday."
Subject: I type "every Monday/Wednesday/Friday."

x
I was taught that q. should not stand alone, therefore, I would transcribe it "every Monday, Wedn
Subject: I was taught that q. should not stand alone, therefore, I would transcribe it "every Monday, Wednesday and Friday x6 weeks." (sm)

No space after the x per AAMT-BOS2.
mildly cushingoid
Subject: mildly cushingoid


Not saying mildly? If it is indeed "minorly" then sm
Subject: Not saying mildly? If it is indeed "minorly" then sm

I would type "she had minor irritation" ?
mildly "injected. Do you want me to send you some
Subject: mildly "injected. Do you want me to send you some

samples of typical SOAP IM/GM notes?
Were any labs mildly out of whack?
Subject: Were any labs mildly out of whack?

That would be the necessary clue to check.
Partial answer: ventricles and sulci are ____ prominent (mildly, moderately, severely?) nm
Subject: Partial answer: ventricles and sulci are ____ prominent (mildly, moderately, severely?) nm

.


So, g is for gut and s is for speech?
Subject: So, g is for gut and s is for speech?

Would that be a rule of thumb? 


Thanks Anon!


s/l pausity of speech
Subject: s/l pausity of speech

in mental status exam
Speech is s/l "aligraphic"?
Subject: Speech is s/l "aligraphic"?


Psych eval - speech?
Subject: Psych eval - speech?

Speech, attention shows s/l circumstantially evasive and guarded. circumstantially?
yes, dysphagia and I think speech therapists SM
Subject: yes, dysphagia and I think speech therapists SM

do help with swallowing difficulties...