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WAG - wonder about the order of the words..."resting tremor"??

Posted By: Barb on 2008-03-12
In Reply to: Extremity Exam - ALH

Subject: WAG - wonder about the order of the words..."resting tremor"??




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  • Extremity Exam - ALH
    • WAG - wonder about the order of the words..."resting tremor"?? - Barb

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"A rest tremor frequency that was within the range of the classic parkinsonian tremor (3-5 Hz)
Subject: "A rest tremor frequency that was within the range of the classic parkinsonian tremor (3-5 Hz)"


tremor
Subject: tremor

is he saying essential tremor?
first-order
Subject: first-order


rapid tremor? nm
Subject: rapid tremor? nm


could it be *perioral* tremor? --sm
Subject: could it be *perioral* tremor? --sm

I found this....

Neuroleptic induced Parkinsonian occurs in 15% of patients. Symptoms include muscle stiffness, cogwheel rigidity, shuffling gait and perioral tremor. Treatment is anticholinergics.
Type of Tremor
Subject: Type of Tremor

Doctor is saying I have noticed a shuffling gait, s/l todalol tremor and some cogwheel rigidity.  It may just be a simple non-medical work, but I can't be sure. 


TIA


Delirium Tremor
Subject: Delirium Tremor

I believe the doctor is saying delirium tremor, but there's no mention of alcohol abuse and when I googled that's what I take it Delirium tremors are.  Just to make sure, though, is there another type of tremor that starts with a "D".  TIA.


 


 


resting tremor
Subject: resting tremor

Yes. 
cogwheeling and tremor perhaps (NM)
Subject: cogwheeling and tremor perhaps (NM)

x
familia tremor?
Subject: familia tremor?

Is that a type of tremor?
No links but the Stedman's GI & GU Words is great, and you'll need a Pathology/Lab Words book
Subject: No links but the Stedman's GI & GU Words is great, and you'll need a Pathology/Lab Words book or

s
onelook.com, Tessier's Surgical Words, and Sted's Ortho and Rehab Words. Great stuff! nm
,
Also, it is disorder, not order.
Subject: Also, it is disorder, not order.


Or you can reverse the order so that sm
Subject: Or you can reverse the order so that sm

a numeral does not begin the sentence, i.e., "Preservative-free methotrexate 12 mg was injected . . ."
question on name order
Subject: question on name order

This is probably a stupid question, but I have seen this both ways and am not sure which is right.  If the patient is a doctor I have seen the name written as LAST, First, M.D. or LAST, M.D., First.  I have also seen LAST, Dr. First.  Can anyone tell me which way is the best?
and putting it out of order - nm
Subject: and putting it out of order - nm


Not sure why they always reverse the order.
Subject: Not sure why they always reverse the order.

http://en.wikipedia.org/wiki/Gig_'em_Aggies
first order catheterization or
Subject: first order catheterization or

first row catheterization?


 


TIA


Slight sensual tremor
Subject: Slight sensual tremor

The doctor has this under neurological exam. Slight sensual tremor.


Help!!!


Thanks ahead of time.


There is a flapping AND flopping tremor. nm
Subject: There is a flapping AND flopping tremor. nm


Pill-rolling tic (tremor)
Subject: Pill-rolling tic (tremor)


? negative resting tremor ? -- nm
Subject: ? negative resting tremor ? -- nm


Patient has tremor, s/l peru-day
Subject: Patient has tremor, s/l peru-day


Yep means a tremor of the head
Subject: Yep means a tremor of the head


s/l *colisistent* parkinson tremor??? Thanks. nm
Subject: s/l *colisistent* parkinson tremor??? Thanks. nm

nm


sounds like saturated order? sm
Subject: sounds like saturated order? sm

...abdominal incision saturated?? order received....thanks


"in short order"
Subject: "in short order"


what about "on the order of" 170 systolic.
Subject: what about "on the order of" 170 systolic.

Meaning - for example
At our hospital doctors will order a
Subject: At our hospital doctors will order a

x
Order for sleep study
Subject: Order for sleep study

For her snoring and sleep dysfunction, ICD code 70 0.56, obtain sleep study at ******* Hospital.


My question is about the part in red.  He dictates this clearly but very fast.  Does this look right?  I've never seen this before.


Thanks.


familial,--- a tremor that runs in the family
Subject: familial,--- a tremor that runs in the family


medication help s/l cefadine (for either headache or tremor)
Subject: medication help s/l cefadine (for either headache or tremor)

n
Nystagmus is correct. Intention tremor is the other. sm
Subject: Nystagmus is correct. Intention tremor is the other. sm

A tremor which arises or which is intensified when a voluntary, coordinated movement is attempted.
We need MUCH more info in order to help you. Can't read minds! nm
Subject: We need MUCH more info in order to help you. Can't read minds! nm

s
given an order for 5HIAA 24 IUA.. is IUA altogether or spaces. thanks
Subject: given an order for 5HIAA 24 IUA.. is IUA altogether or spaces. thanks


need to change the order of word entry sometimes
Subject: need to change the order of word entry sometimes


interventional cardiology medical device industry, Abbott Vascular provides ... WHISPER (HI-TORQUE WHISPER Coronary Guide Wire) ...industry, Abbott Vascular provides ... WHISPER (HI-TORQUE WHISPER Coronary Guide Wire) ...
but still, did not find. Might google Guidant.com

Issue 2, May 2006, Pages 233-246 Interventional Cardiology .... In rare cases, a hydrophilic wire, such as the Pilot or Whisper (Guidant), ...
linkinghub.elsevier.com/retrieve/pii/S0733865106000099 - Similar pages


well, if not verbatim change order of sentence...
Subject: well, if not verbatim change order of sentence...





 


i just think saying when he *valsalvas* is wrong...


named after:


Antonio Maria Valsalva


Italian anatomist, born June 17, 1666, Imola, in Romagna; died February 2, 1723. Bologna

--------------------


so I think the order/structure of the sentence would need to be changed IF NOT VERBATIM....


JMO....


patient had to be "conjoled" in order to remember??? Thanks. nm
Subject: patient had to be "conjoled" in order to remember??? Thanks. nm

nm
s/l varuge in order to reduce fracture site
Subject: s/l varuge in order to reduce fracture site

nm


we used the varuge in order to reduce the fracture site-nm
Subject: we used the varuge in order to reduce the fracture site-nm


Extremity exam: "No astericks". No tremor noted. nm
Subject: Extremity exam: "No astericks". No tremor noted. nm


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

x
Performing a graft in order to 'effect' closure. Affect/effect? nm
Subject: Performing a graft in order to 'effect' closure. Affect/effect? nm

,,
Does this make sense...If her symptoms return "short order" then the next step would be surger
Subject: Does this make sense...If her symptoms return "short order" then the next step would be surgery.


In the meantime, I will order some s/l serum markers for carcinoid tumor in case it is carcinoid
Subject: In the meantime, I will order some s/l serum markers for carcinoid tumor in case it is carcinoid

Or is could be serial markers.  Any help is appreciated.  Thank you. 
Here's a general ROS in general order : sm
Subject: Here's a general ROS in general order : sm

(they go from head to toe):

Constitutional, HEENT, Respiratory, (sometimes they give lymphatics before respiratory), Gastrointestinal, Genitourinary, Musculoskeletal (sometimes they say Neuromuscular),
Neurologic,
Endocrinologic, Hematologic,
Psychiatric,
Immunologic/Allergies.

What's missing in your review?
attention deficit order or Attention Deficit Disorder? TIA
Subject: attention deficit order or Attention Deficit Disorder? TIA


need help with 2 words please
Subject: need help with 2 words please

Hi, I'm a semi-new transcriptionist who has had no formal training, and I'm having some problems figuring out a couple spellings.  One is a medication called *Inderon* (not sure how to spell).  The other is a phrase that I'm not sure what exactly the doctor is saying.  It sounds like *bill-raw-2 anastomoses*  Thanks SO much for any help!!!
two words
Subject: two words

Inderon? How about Enduron.
A few words... need help!
Subject: A few words... need help!

This doctor is slurring bad so I don't even know if my examples will be accurate!! It sounds like she hasn't gone to med school OR general english and doesn't know how to pronounce words. Ugh.

- Glypenitin? Some kind of medication. Don't know what it is for as this patient has many diseases.
- Sounds like "see-ko" syndrome... I think. I can't understand her!! Fecal syndrome? LOL Maybe it's sickle syndrome.. I don't know.
- Sounds like "smith". As in positive ANA, positive SSA and SSB (I can't tell if it's SSA and SSB or just one or the other GRR!!!!), positive RNP, positive __________, positive rheumatoid factor.

I'm going to try to finish this report. Wish me luck. :/

For the fun of it!! Hydroclomibmwlap... I don't expect anyone to look THAT up. ;) That one deserves a big fat blank. Yes, that is the exact way she pronounced it.

Enavaprovolil was actually Enalapril. How horrible is that? LOL javascript:editor_insertHTML('text','');

Also, if anyone has a 2x4 so I can go beat this doctor senseless, I'd appreciate it. ;)