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doing facial exam rule out stroke

Posted By: mdlfcrs on 2007-12-14
In Reply to:

Subject: doing facial exam rule out stroke

got brow, smile, tongue - says SEM strong?  Is is SEM - he is mush mouthed.


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Facial nerve exam...
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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.


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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..."


facial
Subject: facial

States no facial s/l hypogesia, hypergesia?
facial palsy
Subject: facial palsy

They often given antivirals along with the steroid for this.


 


May be Valtrex, Valcyte, Viramune? These are just some of them.


 


See ref below.


 


eMedicine - Bell Palsy : Article by Michael Lambert, MD




Bell palsy is certainly the most common cause of facial paralysis worldwide. ... Drug Category: Antiviral -- Herpes simplex infections may be a common cause ...
www.emedicine.com/emerg/topic56.htm - 82k - Cached - Similar pages


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don't think so..sounds like facial but with a "p"??
Subject: don't think so..sounds like facial but with a "p"??


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Subject: Facial skin rash

Hi all,


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Subject: oops! Forgot it was facial. Sorry! nm

s
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Unsure if this sounds correct or not.  She is speaking fast and not sure if I am missing it.


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TIA 


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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.


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Subject: makes facial expressions to that effect. sm

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Thanks for your time!
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Subject: Facial droop resolve lasting 10 minutes??


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Subject: meant to add that it just means normal face/facial

expression.
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Subject: A book: When every key stroke counts. sm

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Subject: I think it's related to the phrase cam stroke. (sm)


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Subject: "Depilatory" possibly - ladies get together to remove facial hair.

dd