Pt with stroke...multiple tests... s/l fibriginals within normal range. sm :(
Posted By: tracy on 2008-08-27
In Reply to:
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.
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may be normal values or normal range? nm
Subject: may be normal values or normal range? nm
nm
Maybe there were multiple tests done, and one was over a million.
Subject: Maybe there were multiple tests done, and one was over a million.
Just an idea.
In some way, he's giving the normal range
Subject: In some way, he's giving the normal range
The normal range for ionized calcium would be 1.12 to 1.32.
I also found in Stedman's that EN can mean "external normal", as in external range of motio
Subject: I also found in Stedman's that EN can mean "external normal", as in external range of motion,,,,,,nm
nm
lab tests are not capitalized. 0.5 L normal saline nm
Subject: lab tests are not capitalized. 0.5 L normal saline nm
x
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..."
Range of motion of his lower extremities was full in range accompanied by mild ____ sign
Subject: Range of motion of his lower extremities was full in range accompanied by mild ____ sign
.
Is it general range of motion or gentle range of motion?
Subject: Is it general range of motion or gentle range of motion?
Pls help me on this.
no dont think so, the two line prior are LFTS normal and Chem-7 was normal
Subject: no dont think so, the two line prior are LFTS normal and Chem-7 was normal
I would use saline since it's the solution he's changing from half-normal to normal, not the
Subject: I would use saline since it's the solution he's changing from half-normal to normal, not the
s
normal Pap smear in there anywhere? Normal Pap in 2006?nm
Subject: normal Pap smear in there anywhere? Normal Pap in 2006?nm
normal motility? normal motilities? nm
Subject: normal motility? normal motilities? nm
You are probably hearing normal BUS or normal BUSV. sm
Subject: You are probably hearing normal BUS or normal BUSV. sm
BUS Bartholins/Urethra/Skene’s
BUSV Bartholins/Urethra/Skene’s/vagina.
Here is abbrev link for you.
http://www.healthsystem.virginia.edu/internet/obgyn-clerkship/UVA/Abbreviations.cfm
In LD says UA normal and then what sounds like C-MENT T is normal (maybe CMT)? nm
Subject: In LD says UA normal and then what sounds like C-MENT T is normal (maybe CMT)? nm
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
Nevermind, got it. NIH Stroke Scale
Subject: Nevermind, got it. NIH Stroke Scale
x
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.
It was RANGE... nm
Subject: It was RANGE... nm
nm
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
Maybe percentile range?? nm
Subject: Maybe percentile range?? nm
s
range of motion
Subject: range of motion
How should this be typed: range-of-motion
OR
range of motion
range of motion
Subject: range of motion
range and stability nm
Subject: range and stability nm
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