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motor and sensory s/l mentality intact

Posted By: PRiddy on 2008-10-03
In Reply to:

Subject: motor and sensory s/l mentality intact




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Motor-sensory question

would this transcribed as Motor-sensory:  5/5 or as a clipped sentence Motor-sensory 5/5. 


Under the physical examination


Clipped sentence. Motor/sensory 5/5. nm
Subject: Clipped sentence. Motor/sensory 5/5. nm

s
CNS physical exam, cranial nerve???, motor, cerebellum??? and sensory were normal...thanks.ASAP
Subject: CNS physical exam, cranial nerve???, motor, cerebellum??? and sensory were normal...thanks.ASAP


Neuro doc under sensory exam says s/l staring nosia's intact. TIA!!!
Subject: Neuro doc under sensory exam says s/l staring nosia's intact. TIA!!!


sensory (as in sensory nerve)
Subject: sensory (as in sensory nerve)


sensory testing? nm
Subject: sensory testing? nm

nm
s/l triple sensory
Subject: s/l triple sensory

 It showed occasional frequent PVCs with triple accelerated idioventriclar rhythm.
sensory radiculitis
Subject: sensory radiculitis


Sensory exam
Subject: Sensory exam

Thinking about the first one.
palmar sensory studies? nm
Subject: palmar sensory studies? nm

nm
It is "pure" sensory neuropathy
Subject: It is "pure" sensory neuropathy


position sense - as in sensory exam (I think) (NM)
Subject: position sense - as in sensory exam (I think) (NM)

x
It's median sensory evoked potential....
Subject: It's median sensory evoked potential....

This test is dedicated to testing the median nerve.
motor power 5/5 ;-) nm
Subject: motor power 5/5 ;-) nm


motor brace? sm
Subject: motor brace? sm

She finally got fitted for her s/l motor brace and is learning how to get this on and attached in a reasonable fashion. She is having to try to negotiate both wheelchair and a walker in order to fill all of her needs.
DTRs were dictated in sensory exam. Thanks for your help! Still stumped!
Subject: DTRs were dictated in sensory exam. Thanks for your help! Still stumped!


I keep hearing motor axenopathy
Subject: I keep hearing motor axenopathy

which is related to motor neuron disease.  What comes up when I do a search is adenopathy but that "x" keeps being used.  Could it be one word instead of the two words that I seem to hear?


Thanks.


not sure about motor. I keep hearing moni uni. Thanks anyway.
Subject: not sure about motor. I keep hearing moni uni. Thanks anyway.

It could be motor unit but he is slurring and this is my first EMG so I better send with blanks. Better safe than sorry.
Fine motor skill?
Subject: Fine motor skill?


Neurosensory motor deficits,,,,nm
Subject: Neurosensory motor deficits,,,,nm


? distal motor latency
Subject: ? distal motor latency


Probably MOSIs...motor sign...check it first though...nm
Subject: Probably MOSIs...motor sign...check it first though...nm

nm


No focal motor or neurological deficits
Subject: No focal motor or neurological deficits

nm
guessing..associated diminution of motor strength? nm
Subject: guessing..associated diminution of motor strength? nm

.
5/5 sounds like normal motor strength...but sm
Subject: 5/5 sounds like normal motor strength...but sm

...i have no idea about your s/l... "overall motor strength"? there's also an OMA score (or OMAS)=Olerud & Molander Ankle Score but 5/5 power doesn't match that...?? =(
Patient in a motor vehicle accident with her tractor
Subject: Patient in a motor vehicle accident with her tractor

HEENT: There is no pain on palpation of her calvarial bones. Furthermore, there is no *s/l* "pain crepidence" or depression on palpation of the posterior spinous processes.
No hyphen in motor vehicle. Maybe driving a 4 x 4 with a roll bar
Subject: No hyphen in motor vehicle. Maybe driving a 4 x 4 with a roll bar

s
Motor Exam: s/l diminished tone, normal (sm)
Subject: Motor Exam: s/l diminished tone, normal (sm)

no atrophy.


the patient had a stroke and has no residual except for dysarthria. Can a motor exam show diminished tone and still be considered normal?


recruitment = ok. Also, could it be "normal motor unit waveforms"
Subject: recruitment = ok. Also, could it be "normal motor unit waveforms"


Is this correct- motor strength is 4+/5-. The more I read the BOS the more confused I am. TIA nm
Subject: Is this correct- motor strength is 4+/5-. The more I read the BOS the more confused I am. TIA nm

nm
Pt to physical therapy for presumed "saracalgia" and possible mild sensory radicular signs. sm
Subject: Pt to physical therapy for presumed "saracalgia" and possible mild sensory radicular signs. sm

The only other neurological complaint that he has had is some low-grade headache at the base of his skull in the left side of his neck that sometimes radiates to his shoulder, which has been going on since November. He is going to physical therapy for presumed saracalgia and possible mild sensory radicular signs.
total sensory absence *intesting* with a 10 gram Semes-Weinstein monofilament.-nm Thanks.
Subject: total sensory absence *intesting* with a 10 gram Semes-Weinstein monofilament.-nm Thanks.

nm
I found a Bromage scale used for nerve/motor blocks. Maybe that's it.
Subject: I found a Bromage scale used for nerve/motor blocks. Maybe that's it.

Description of the Bromage score

























Grade


Criteria


Degree of block


I


Free movement of legs and feet


Nil (0%)


II


Just able to flex knees with free movement of feet


Partial (33%)


III


Unable to flex knees, but with free movement of feet


Almost complete (66%)


IV


Unable to move legs or feet


Complete (100%)













 


denervated *frontentials* seen with normal motor unit potentials.(EMG) Thanks. nm
Subject: denervated *frontentials* seen with normal motor unit potentials.(EMG) Thanks. nm

nm
Motor nerve study with "lace" dependent pattern. see message plz :)
Subject: Motor nerve study with "lace" dependent pattern. see message plz :)

 


Motor nerve conduction studies were notable for decreased amplitude in both upper and lower extremities in a lace dependent pattern.


Probably talking about report physicians file with Motor Vehicle Dept - sm
Subject: Probably talking about report physicians file with Motor Vehicle Dept - sm

When patient's have seizure disorder or passing out episodes, etc. most states want physicians to fill out a "Confidential Morbidity Report" (or name similar to that) and send to the DMV letting them know the patient has been diagnosed with condition that can cause loss of control of the vehicle -- did doctor say he counseled patient on not driving until seizures under control for x-amount of months or something like that?


relatively intact?
Subject: relatively intact?


lab is probably intact PTH
Subject: lab is probably intact PTH

nm
Intact PTH
Subject: Intact PTH

.
usually they say EOM intact
Subject: usually they say EOM intact

extraocular muscles. Could that be it?
I would say an intact-PTH. - NM
Subject: I would say an intact-PTH. - NM

NM
Sometimes they say CN II-XII intact after that. nm
Subject: Sometimes they say CN II-XII intact after that. nm


may be intact PTH ? nm
Subject: may be intact PTH ? nm

nm
could it be ŗ, 4, 6, 7, 9 and 11" are intact? sm
Subject: could it be ŗ, 4, 6, 7, 9 and 11" are intact? sm

and yes,cranial nerves are usually roman numerals.

I feel your pain!
S/L intact chain PTH
Subject: S/L intact chain PTH


not intent though... intact. thanks!!! =) NM
Subject: not intent though... intact. thanks!!! =) NM

x
s/l earms intact
Subject: s/l earms intact

s/l
PERRLA earms are intact
EOMs intact.
Subject: EOMs intact.

x
"DOMs are intact." -what does DOM stand for? -tia! -nm
Subject: "DOMs are intact." -what does DOM stand for? -tia! -nm


intact parathyroid hormone
Subject: intact parathyroid hormone

xx
intact to light touch perhaps?
Subject: intact to light touch perhaps?

 ?