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discomfortable sensation?

Posted By: nm on 2008-07-12
In Reply to: . She describes minimal pain, more a discomfort and "versasation", as well as feeling unstabl - tracy

Subject: discomfortable sensation?

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s/l discomfortable compression.
Subject: s/l discomfortable compression.

Mild bony enlargement of her PIPs, DIPs and first CMC associated with mild tenderness.  Sparing of her wrists, elbows, and shoulders.  Bilateral patellofemoral crepitance left greater than right with s/l "discomfortable" compression.  Tender points present. 
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Subject: ? sensation


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Subject: pin prick sensation.

We also checked 2 point and 1 point pin sensation discrimination and this was intact.   (I am questioning discrimination have not heard it this way before I may be hearing discrimination incorrectly, any tips?)


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Subject: Usually a *fluttering* sensation. (nm)

x
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Subject: gross sensation? sm

PDF]

RN.com’s Assessment Series: Focused Neurological Assessment


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Next, test gross sensation of Cranial Nerve V. Tell the patient to close their .... locations bilaterally to test for temperature sensation. Light touch ...

gas/gaseous sensation?
Subject: gas/gaseous sensation?

.
ahh-voo-cartic sensation??sm
Subject: ahh-voo-cartic sensation??sm

s/l "ah-voo-cartic" sensation is intact bilateral lower extremities, retrograde sensation for sharp, dull, vibratory and proprioception." 


Strength is 5/5 throughout. Sensation is intact.
Subject: Strength is 5/5 throughout. Sensation is intact.

is how I would do it.
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Subject: pinprick sensation #1...patchiness #2....

but it's pinprick sensation (with a k)....*S*


not passiveness - rather patchiness.....


so...dull, aching sensation... but your QA may
Subject: so...dull, aching sensation... but your QA may

s
hypesthesia (loss of sensation)?
Subject: hypesthesia (loss of sensation)?


sensation and strength intact. (nm)
Subject: sensation and strength intact. (nm)

.
dr says s/l "grass" sensation while yawning
Subject: dr says s/l "grass" sensation while yawning

The working diagnosis at this point in time is paresthesias of the right thigh.

There is a s/l grass or glass sensation to light touch on the anterior and anteromedial aspect of the right thigh from the suprapatellar region to the proximal thigh region.
You're right, it's sensation. Thanks sooooo much!!!
Subject: You're right, it's sensation. Thanks sooooo much!!!


Maybe an anesthetic reaction? Dulling of sensation? nm
Subject: Maybe an anesthetic reaction? Dulling of sensation? nm

s
GOT IT!!! EDG patient has choking sensation when swallowing.
Subject: GOT IT!!! EDG patient has choking sensation when swallowing.

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Subject: patient had a ***clupping*** sensation in the chest SM

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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 - not sure if I have this right - sensation testing of diabetic sm
Subject: Neuro - not sure if I have this right - sensation testing of diabetic sm

Usually this doc says something along the lines of monofilament testing is intact, which is also how the other docs have dictated it to one degree or another.

However, this time he says, "a nylon string test reveals s/l 5 point of sensation on both feet."

Don't know if it should be 5 points of sensation, 5-point sensation, or if it's simply 5.0 sensation. Is anyone aware of how to type this?

Thanks for any help with this.
Neuro - not sure if I have this right - sensation testing of diabetic sm
Subject: Neuro - not sure if I have this right - sensation testing of diabetic sm

Usually this doc says something along the lines of monofilament testing is intact, which is also how the other docs have dictated it to one degree or another.

However, this time he says, "a nylon string test reveals s/l 5 point of sensation on both feet."

Don't know if it should be 5 points of sensation, 5-point sensation, or if it's simply 5.0 sensation.

Is anyone aware of how to type this?

Thanks for any help with this.
Neurological: Moving all 4 extremities and s/l withdrawing to sensation.

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Subject: Found it! LOPS (loss of protective sensation). TXS! NM

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Subject: She has poor facial sensation bilaterally in "VI, II, and III". Is this right?


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Subject: There is insensate meanng devoid of sensation or feeling.


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Subject: Neuro help please... gross 'epocrate' sensation is intact. Thanks! nm

x
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Subject: After reading all of it, would change my answer to distally going with sensation. Not sure about the second ??.


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Subject: No melena, hematochezia, heartburn, “or rerlash gorba sensation’ or dysphagia.

If someone gets this...you get a gold star! 
Decreased pinpric sensation to the bilateral lower extremities but areas of s/l passhiveness -sm-
Subject: Decreased pinpric sensation to the bilateral lower extremities but areas of s/l passhiveness -sm-

with increased sensation.  Would passiveness fit here?  Help is appreciated.  Thanks!