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doc is slurring s/l fastigal nystagmus.

Posted By: Any ideas on 2006-02-27
In Reply to:

Subject: doc is slurring s/l fastigal nystagmus.




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It could be either - is the doc slurring so much you can't tell?
Subject: It could be either - is the doc slurring so much you can't tell?

Abduction is movement AWAY from the center of the body (like abducting someone - you take them away).


Adduction is movement TOWARD the center of the body.


So unless you can see the patient or the x-rays or whatever, you may just have to listen carefully.


Thanks to both. He was slurring and
Subject: Thanks to both. He was slurring and

now is saying it better. Yes, sensory. Just wanted to be sure.
Maybe slurring
Subject: Maybe slurring

*A/C* junction?
MD says D5, not D50. Is he just slurring? See mssg
Subject: MD says D5, not D50. Is he just slurring? See mssg

The patient was started on Avelox 400 mg IV; D5 half normal saline 75 cc/hour
Perhaps he was slurring through it, but it was sure two syllables. Thank you!
Subject: Perhaps he was slurring through it, but it was sure two syllables. Thank you!

x
Could it be that doc is slurring and means
Subject: Could it be that doc is slurring and means

C4 and C3 paraplegia?
not slurring, C4 s/l HID or ash-a-dee paraplegia.nm
Subject: not slurring, C4 s/l HID or ash-a-dee paraplegia.nm

xx
slurring low sodium?
Subject: slurring low sodium?

x
Taking into account any possible slurring...
Subject: Taking into account any possible slurring...

or stumbling over the word....could it possibly be "oblique" ?  (pronounced by the doc as "o-bleek" instead of "o-blike")


That's the only alternative knee view I can think of other than a sunrise view, but sunrise couldn't be mistaken for your sound-alike description at all. 


Hope that helps


Thanks. I can hear the "on" now. He is slurring this together. NM
Subject: Thanks. I can hear the "on" now. He is slurring this together. NM

ss
Maybe slurring thoracic junction
Subject: Maybe slurring thoracic junction


Any chance they are slurring flex/extend?
Subject: Any chance they are slurring flex/extend?

However, according to a google search, if this is an g-tube then it should Not be flex/extend
Hope this helps
Found about 200 refs to upslurring and slurring. sm
Subject: Found about 200 refs to upslurring and slurring. sm

on EKG.


 


Google "EKG" and then go down to the SEARCH WITHIN RESULTS and put QRS slurring. Lots of info.


Might be slurring some kind of study, but nothing's ringing
Subject: Might be slurring some kind of study, but nothing's ringing

s
slurring/missing first half of word- sm
Subject: slurring/missing first half of word- sm

thoracic 1 distribution
nystagmus
Subject: nystagmus

This is not the first time I have been stumped by this word and I failed to list it for quick look up.  The term is possibly "gaze of OPEN nystagmus"  Can anyone verify that for me?
nystagmus - again
Subject: nystagmus - again

I'm new at this message board so perhaps I should have chosen "Quick Reply"
S/L MIL-IAS nystagmus???
Subject: S/L MIL-IAS nystagmus???

It sounds like the doctor says MIL-IAS nystagmus were my blank is can't verify any suggestions?---. In general, the patient is a very pleasant 60-year-old white female in no apparent distress.  Pupils are equal and reactive to light bilaterally.  Extraocular movements are intact.  ___ patients oropharynx which appears to be within normal limits.
nystagmus /nm
Subject: nystagmus /nm


nystagmus
Subject: nystagmus


DB to nystagmus?
Subject: DB to nystagmus?

I can't tell what this guy is saying!  The first sentence...Neck was not stiff....is very clear.  Can't tell if a period goes after stiff because then I hear jumbled words something about...to the stagmus...but stagmus isn't a real word.


Looking around there is stuff about stiff neck and nystagmus. 


Does anyone have a suggestion as to what this guy might be saying.  It sound somewhat like the sentence below...what would DB possible be?



Neck was not stiff as a DB to nystagmus


I'm stumped.


 


without nystagmus or lid lag? sm
Subject: without nystagmus or lid lag? sm

or without (ocular) stare or lid lag?


DP nystagmus
Subject: DP nystagmus

Hard to hear, do either of these sound right?


There is a DP to the nystagmus.


There is a DP to nystagmus.


 


Nystagmus?
Subject: Nystagmus?

Nystagmus? Can you kind of sound it out? That would help a lotl
Nystagmus
Subject: Nystagmus

Continuing to listen, maybe she is saying nystagmus (ny instead of no at the beginning of the word). I will try that and flag it.
TP to the nystagmus.
Subject: TP to the nystagmus.

Does this make sense and can anyone tell me what TP stands for? or is it DP. I can't seem to find anything on this.
vestibular nystagmus
Subject: vestibular nystagmus

There's also a vestibular nystagmus, occurs when inner ear is irritated or diseased.
Negative nystagmus?nm
Subject: Negative nystagmus?nm


"a few beats of nystagmus..." ? nm
Subject: "a few beats of nystagmus..." ? nm


directional preponderance (DP) to nystagmus
Subject: directional preponderance (DP) to nystagmus


Neck is not stiff [s/l with the DP to nystagmus]??
Subject: Neck is not stiff [s/l with the DP to nystagmus]??

Does this sound right: Neck is not stiff [s/l with the DP to nystagmus]
Left beating nystagmus?
Subject: Left beating nystagmus?


Thanks everyone!! Possibly downbeating nystagmus
Subject: Thanks everyone!! Possibly downbeating nystagmus


possibly gaze-evoked nystagmus.
Subject: possibly gaze-evoked nystagmus.

x
There is a cardinal field's test for nystagmus.
Subject: There is a cardinal field's test for nystagmus.


Nystagmus is noted in the eyes, not neck.
Subject: Nystagmus is noted in the eyes, not neck.

x
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.
true...but both neck stiffness and nystagmus can be signs of alcohol poisoning...nm
Subject: true...but both neck stiffness and nystagmus can be signs of alcohol poisoning...nm


Extraocular movements intact to "Six card holds" without nystagmus or dysconjugate gaze. nm
Subject: Extraocular movements intact to "Six card holds" without nystagmus or dysconjugate gaze. nm


Could they be slurring cerebral artery stenosis or some other stenosis? nm
Subject: Could they be slurring cerebral artery stenosis or some other stenosis? nm

s
With nystagmus, the eyeball might "jump." It beats from side to side, or middle to side, etc.
Subject: With nystagmus, the eyeball might "jump." It beats from side to side, or middle to side, etc. sm

Doubt antistigmatic--not a word. Astigmatism is something entirely different. There is no reference in Stedman's ophth for antistigmatic, but do believe they mean nystagmus for "eyes jump." Can you leave a blank? The author apparently doesn't know the correct word to use. Maybe the context of the sentence will help you.
"horizontal" or "horizontal gaze" nystagmus? nm
Subject: "horizontal" or "horizontal gaze" nystagmus? nm