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lacuna -lacunar infarct is a stroke nm

Posted By: Amy on 2006-07-17
In Reply to: CT of head shows a lacune? - Sophie

Subject: lacuna -lacunar infarct is a stroke nm




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lacunar? lacunar infarct?
Subject: lacunar? lacunar infarct?

You didn't post what comes after that, so hard to say exactly but that would be my best guess.
I believe lacunar infarct - NM
Subject: I believe lacunar infarct - NM

NM
lacunar infarct?
Subject: lacunar infarct?

x
Polamic lacunar stroke
Subject: Polamic lacunar stroke

Am I hearing the first word correctly? A polamic lacunar stroke?
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..."


LACUNA/LACUNAE
Subject: LACUNA/LACUNAE

Lacuna means an empty space in Latin. Often heard as "lacunar" memory loss. Also means a pit or hollowness. Plural is lacunae. So dictation means there are hollow spaces seen on the CT; in order words, abnormalities. Rosie

lacunar
Subject: lacunar


try lacunes or lacunar infarcts
Subject: try lacunes or lacunar infarcts


But is the infarct
Subject: But is the infarct

IN the canal?
Try this infarct!
Subject: Try this infarct!

capsuloputaminal infarct
regarding the infarct
Subject: regarding the infarct

Could be temporal or fronto-temporal perhaps?
s/l luquere infarct?
Subject: s/l luquere infarct?

There was evidence of a luquere infarct noted on the CAT scan.
Type of infarct?
Subject: Type of infarct?

The doc says the patient had either a carotid event or a s/l "Borgisone" infarct due to decreased cerebral blood flow, generally to the brain or, more particularly, to the right internal carotid artery.  Any ideas?  Thanks in advance.
'pertaminal infarct'
Subject: 'pertaminal infarct'

How about intracranial infarct?
Infarct and fasciculations..nm.
Subject: Infarct and fasciculations..nm.

x
Discrete or discreet infarct?
Subject: Discrete or discreet infarct?

Why don't I write this down so I can remember it?  Thanks for any help!
apical fixed infarct?
Subject: apical fixed infarct?


possibly pericapsular infarct...nm
Subject: possibly pericapsular infarct...nm

x
s/l acute 'pertaminal' infarct? CVA
Subject: s/l acute 'pertaminal' infarct? CVA

Context: Acute cerebrovascular accident (CVA), secondary to acute small right ?? infarct.

No, it's not even close to anything related to 'pontine.'
frontotemproal infarct with s/l jar-form hemorrhage
Subject: frontotemproal infarct with s/l jar-form hemorrhage

x
Neuro s/l "stuttering" or "...ring" infarct (sm)
Subject: Neuro s/l "stuttering" or "...ring" infarct (sm)

The neurologist says the patient has facial droop suggestive of a _______ infarct.  All I hear is "ring," "tring," or wing."  Please help.


Have heard of *peri-infarct ischemia"
Subject: Have heard of *peri-infarct ischemia"

x
MRI of the brain: s/l frontal *periapercular* infarct? Thanks. nm
Subject: MRI of the brain: s/l frontal *periapercular* infarct? Thanks. nm

nm
I think it might be inferotemporal infarct with star-form hemorrhage.
Subject: I think it might be inferotemporal infarct with star-form hemorrhage.


I personally use multi-infarct dementia, but YMMV. NM
Subject: I personally use multi-infarct dementia, but YMMV. NM


An easier way to look at is, white matter isn't a type of infarct... SM
Subject: An easier way to look at is, white matter isn't a type of infarct... SM

it is where the infarct took place.  So you would not hyphenate.
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?


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.