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neuro op report: The area was then isolated with the "thousand" drapes. ?? (Thank you!)

Posted By: slr on 2008-12-10
In Reply to:

Subject: neuro op report: The area was then isolated with the "thousand" drapes. ?? (Thank you!)




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Neuro report word help PLEASE!!!

The doctor is giving the results of an MR scan and states there is a posity of results.  Is posity really a word? 


Estrivanlobins? Neuro report!?
Subject: Estrivanlobins? Neuro report!?


This is under PHYSICAL EXAMINATION


Bilaterally 'orintician?' lineburrs? are normal.


Heart: regular rate and rhythm. Carotid, no bruits.Bilaterally 'orintician?' lineburrs? are normal.


Then


Grinner 3, 4, 6 . estrivanlobins are intact??


estry? an lobins?


This dictation is driving me crazy!! I can't figure it out for nothing? It's a neurology report under physcial examination. All of it... (big SIGH)


Here's a big chunk of the paragraph.


PHYSICAL EXAMINATION


Blood Pressure: 112/80


Weight: 155 lbs


Height: 5 foot 6 inches


General: Her appearance is well developed, well nourished. No apparent distress.


Heart: regular rate and rhythm. Carotid, no bruits.


Bilaterally 'orintician?' lineburrs? are normal.


Fundi with sharp discs bilaterally front of two full visual fields


GRINNERS 3,4,6 S DRIVES and lobins? are in tact. No nystagmus. Pupils are equal and active to light. The patient walks to the right occasionally. She has trouble getting started because of discomfort. She can walk on heels and toes briefly, however; on tandem walk she really has difficulty with that. She does not line up her toes easily.


 


yes, isolated with sterile towels, is a phrase
Subject: yes, isolated with sterile towels, is a phrase

nm
drapes
Subject: drapes

I know this is far-fetched, but is he by chance saying, sterile drapes?
towels and drapes?
Subject: towels and drapes?


hmmm....towels and drapes might be it - - Thanks!!!
Subject: hmmm....towels and drapes might be it - - Thanks!!!


of shooting pain into the left radial wrist and thumb area and over the intercuginous area of the-sm
Subject: of shooting pain into the left radial wrist and thumb area and over the intercuginous area of the-sm

first and second digit of the left hand.  Thanks. 
the patient was draped out with s/l Plastidrapes ??? not plastic drapes
Subject: the patient was draped out with s/l Plastidrapes ??? not plastic drapes

xx
No idea, but 3M does make paper tape and towel drapes?
Subject: No idea, but 3M does make paper tape and towel drapes?


that's all I could think of as well..but isn't that the chest area and not the neck area? nm
Subject: that's all I could think of as well..but isn't that the chest area and not the neck area? nm

d
Little area. Same as Kiesselbach area.
Subject: Little area. Same as Kiesselbach area.

I found it in my Sted's Electronic Dictionary. Really good source for everything.


 


Little area



Syn: Kiesselbach area.


Kiesselbach area



an area on the anterior portion of the nasal septum rich in capillaries (Kiesselbach plexus) and often the seat of epistaxis. Syn: Little area.


interscapular area or inter scapular area or inner scapular?
Subject: interscapular area or inter scapular area or inner scapular?

Physical examination today of the shoulder shows some soreness primarily over the posterior aspect of the shoulder in the *interscapular* area. tia.
Always been under neuro for me, too. nm
Subject: Always been under neuro for me, too. nm

s
Neuro
Subject: Neuro

Thanks so much!!
NEURO
Subject: NEURO

Clinical trial drug for ALS s/l talwopinol


Thank you


 


neuro
Subject: neuro

Cerebellar was fine... No pronator drift? does that sound about right
Neuro
Subject: Neuro

No cerebellar signs, just got a job with it...If you add in the mumbling factor that may be what you are looking for
neuro
Subject: neuro

Can you hear "field cuts" as in no visual field cuts?
Neuro
Subject: Neuro

Not my day. Sorry to post two in a row here.

Context: Final interpretation of CT head done on 03/28/07 noted small parenchymal hematoma or hemorrhagic contusion in the posterior *MLS* within the right frontal lobe.

sounds like... mialis, MLS, malice.

And this isn't even an ESL guy. I'm having an off day I guess. Thank you again.
neuro help, please
Subject: neuro help, please


Only the upper cervical spinal cord is visualized, but there is no  s/l  spherinx.  Can't figure out that last word.  


maybe neuro changes. nm,
Subject: maybe neuro changes. nm,

x
Neuro help please!!!! sm
Subject: Neuro help please!!!! sm

Dictator states:  We are checking s/l "curdle santin" EEG as stated.   TIA


Neuro
Subject: Neuro

Could it be cranial nerves II-XII intact ?
neuro help
Subject: neuro help

Her sensory examination shows no decrease pin appreciation over the right side but she does have a (S/L mad - can that be right?)peripheral sensory neuropathy in the lower extremities with decreased pin and vibration up to the mid calf region.


 


Thanks


neuro help
Subject: neuro help

CT scan of the head reveals some dimunition___correct? and contrast between the sulci and s/l dry rye_____ of the right occipital lobe reminiscent of ischemia. 


 


There is no phonemic or S/L semantic paraphrase garus however.


 


Thanks!


 


Neuro, PE
Subject: Neuro, PE

reflexes are 2+ in all other extremities. No notable muscle wasting. Gait is normal. No __________ s/l clu-nos


this is under CNS under physical exam.


Neuro help pls
Subject: Neuro help pls

status post L4/5 s/l "hard" lateral disk excision
neuro help
Subject: neuro help

Neurological sign - s/l Shadrook or possibly De Shadrook ??
neuro
Subject: neuro

What does it mean when a neuro doc dictates, "Patient denies any meal in her eyes."? He does this on many reports.
Neuro H & P
Subject: Neuro H & P

I'm still stuck on this one. Have listened countless times and can't get it. It's in the ASSESSMENT/PLAN. Doc states This patient has a ....s/l whirring imbalance. I have checked every reference I can think of and I can;t find anyth ing even close. She talks about pt. feeling like she is swaying when standing or even sitting for long periods. Numbness and tingling on her right side. I hope someone can help me on this one. Thanks.
Neuro H & P
Subject: Neuro H & P

After listening again....it could possible be worrying i mbalance. Is there such a thing? I kept trying to find something much more "medical". Thanks so much for your help.
Neuro
Subject: Neuro

Can someone tell me if Orientation and Language should go under HEENT or NEUROLOGICAL? 
neuro question
Subject: neuro question

The patient fell and apparently there was some loss of consciousness with this event.  The patient, however, stated that he rather immediately was able to get up and get back to the house.  His wife did not witness the event, but states that his sensorium was s/l "relbably" intact.  


 


I tried to give as much information.  The patient had severe brain trauma.  TIA! 


neuro-ophthalmology
Subject: neuro-ophthalmology

Webster's Medical Speller
neuro term
Subject: neuro term

vertebro-basilar dolichoectasia - according to Google
Neuro word help
Subject: Neuro word help

I am doing a neuro consult dictation, and the MD dictated this:  "She is noted to have curling up of her fingers since birth, which was recently diagnosed as (s/l)  campter dectoi."


Would anyone be familiar with this diagnosis?  I have searched both my neuro and ortho word books, and have not found anything similar.  Thanks.


 


Neuro word
Subject: Neuro word

Camptodactyly is the word you are looking for. I worked for a hand surgeon who was very hard to understand and this was a word he used often! In fact, he had a son who had this! Hope this helps!
Neuro word
Subject: Neuro word

Hand surgery is a little repetitious, I think, but not difficult. Frankly, I prefer neuro, much more interesting!! Good Luck!
s/l neuro foramina...sm
Subject: s/l neuro foramina...sm

The MRI is back and does not show any significant compromise of the central spinal canal and _____ s/l neuro foramina.


TIA


Neuro/oncology (?) help sm
Subject: Neuro/oncology (?) help sm

Pt. with cervical cancer, mets to brain.

"The patient was on Decadron and Celebrex to decrease the S/L *interferal* pressure and seizure prophylaxis respectively."

Have tried everything I know of. I do not hear intracranial in this. It is decidedly interferal, intrafural, interfural, etc. I've tried antero, entero, inter, intra, you name it.

HORRIBLE ESL dictator, you know the kind... the one everyone else skips in the queue.

Thanks all.
neuro word help
Subject: neuro word help

dictated: L4-5 diskectomy and s/l sec-lo-strec-tomy ??
neuro word help
Subject: neuro word help

Please help. I've got a new dictator.

Here's the sentence: "Those headaches were profound with nausea, vomiting and positive visual phenomena with s/l sin-u-lations." (or sid-u-lations or sent-u-lations?

Thanks in advance!

By the way, what's your favorite neuro terms website?
neuro question
Subject: neuro question

sounds like "circle epidural steroid injection" 


Neuro meds
Subject: Neuro meds

The best I can do/hear is "some of the   s/l tri-mer-es/est   type drugs"


Neuro assistance please -- s/m
Subject: Neuro assistance please -- s/m

Patient experienced respiratory arrest/code blue/ventilator management.

Neurological Exam: S/L "painted on" doll's eye sign.

Thank you so very much!!
s/l soft neuro PND
Subject: s/l soft neuro PND

Denies chest pain, shortness of breath or "soft neuro PND."

Any thoughts?!
Could it just be something like neuro-degenerative?
Subject: Could it just be something like neuro-degenerative?


Neuro word
Subject: Neuro word

Patient with Parkinsons, vision loss.  In PE, "Motor exam revealed no cogwheel rigidity, but some (s/l mild mitgay) and paratonia throughout."  Any ideas? Thank you in advance.
Neuro exam help
Subject: Neuro exam help

Patient with Huntington's chorea.  Neuro exam: The patient with s/l discoria ____hypertoid movements.


 


Thanks



 


Neuro exam
Subject: Neuro exam

s/l dis-dia-do-co-kinesia when discussing coordination.
neuro maneuver
Subject: neuro maneuver

Epley?  Apley?