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see if you hear tonic clonic movements

Posted By: ER MT on 2006-06-25
In Reply to: s/l acetonic movement...sm - Stuck

Subject: see if you hear tonic clonic movements

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subtle motor movements or some clonic movements..nm
Subject: subtle motor movements or some clonic movements..nm

nm
clonic seizures, may even be tonic-clonic seizures, listen close. nm
Subject: clonic seizures, may even be tonic-clonic seizures, listen close. nm

nm
tonic-clonic
Subject: tonic-clonic

x
tonic-clonic
Subject: tonic-clonic


Could it be tonic clonic seizures?
Subject: Could it be tonic clonic seizures?


I type tonic-clonic a lot, and that's not there. So, no one has heard of clinical or changing sm
Subject: I type tonic-clonic a lot, and that's not there. So, no one has heard of clinical or changing sm

Clonic to clonical?  Sigh. 
should be tonic/dystonic limb movements. nm
Subject: should be tonic/dystonic limb movements. nm

xx
tonic eye movements with a ___coria, dr yawning. TX
Subject: tonic eye movements with a ___coria, dr yawning. TX

x
clonic.
Subject: clonic.

x
or perhaps just clonic movement
Subject: or perhaps just clonic movement

xx
Stedman's has an alfalfa tonic. nm
Subject: Stedman's has an alfalfa tonic. nm

nm
generalized tonic s/l dysclonic??
Subject: generalized tonic s/l dysclonic??

Full sentence:


The patient had nocturnal generalized tonic-clonic seizures described as generalized tonic dysclonic limb jerking.


No not clonic...would athetotic sound right?...nm
Subject: No not clonic...would athetotic sound right?...nm

x
Could he perhaps be saying "tonic dash clonic?"
Subject: Could he perhaps be saying "tonic dash clonic?"


chest x-ray had shown some mild [ clonic ] changes
Subject: chest x-ray had shown some mild [ clonic ] changes

clonic?
Ferro-Sequels, timed-release iron tonic/supplement? nm
Subject: Ferro-Sequels, timed-release iron tonic/supplement? nm

s
dutery movements?
Subject: dutery movements?

I can't think anymore tonight...


The infant’s skin was pink/ruddy and no s/l doo-ter-ie movements were observed. 


Thanks.


? athetoid movements
Subject: ? athetoid movements


s/l secatic eye movements
Subject: s/l secatic eye movements


choreathetotic movements nm
Subject: choreathetotic movements nm


choreiform movements
Subject: choreiform movements

x
foreign bowel movements
Subject: foreign bowel movements

The pt is moving his bowels twice a day s/l foreign bowel movements.


He had constipation on Detrol. Now he is off it.


You sure it's not EOMs for extraocular eye movements?
Subject: You sure it's not EOMs for extraocular eye movements?


possibly rootery movements
Subject: possibly rootery movements

x
Re: Rapid repetitive movements....sm
Subject: Re: Rapid repetitive movements....sm

Gait and coordination are normal as are rapid repetitive movements (on or and) finger to nose. 


I cannot tell if this should be on finger to nose or and finger to nose. 


TIA


S/L: HEAD SHOT GUN MOVEMENTS
Subject: S/L: HEAD SHOT GUN MOVEMENTS

Under cranial nerve exam:


New doctor:


Reveals that her visual fields are full to confrontation S/L: HEAD SHOT GUN MOVEMENTS, full pupils equal, round, and reactive to light...


Thank you


rapid alternating movements? nm
Subject: rapid alternating movements? nm

nm
"fine finger" movements, probably
Subject: "fine finger" movements, probably


pain and bloody (bowel) movements
Subject: pain and bloody (bowel) movements

usually go under "complaints", and not generally under the physical exam. On the other hand, "tenderness" could go under PE.
Also dictated as rapid alternating movements...
Subject: Also dictated as rapid alternating movements...

.
just a wild guess: Try 'subtle' movements...? nm
Subject: just a wild guess: Try 'subtle' movements...? nm

nm
decreased s/l flying femur movements?
Subject: decreased s/l flying femur movements?

Under neurologic exam, motor exam.  s/l decreased flying femur movements right vs. left.
Myoclonic jerking and s/l chloriform movements?
Subject: Myoclonic jerking and s/l chloriform movements?

Patient has toxic encephalopathy, systolic congestive heart failure, pneumonia, diabetes.....


The patient had an episode of myoclonic jerking and s/l 'chloriform' movements.


On neuro exam they do say RAM for rapid alternating movements? nm
Subject: On neuro exam they do say RAM for rapid alternating movements? nm


Head: Extraocular movements full. Pupils ...
Subject: Head: Extraocular movements full. Pupils ...


I was just going to write back to say I finally heard it and you were right. extraocular movements.
Subject: I was just going to write back to say I finally heard it and you were right. extraocular movements.

thanks a bunch
Orthopedics: s/l "athetory"-type movements. (Shoulder exam)? Help???
Subject: Orthopedics: s/l "athetory"-type movements. (Shoulder exam)? Help???


although there is intention tremor in neuro exam, and rapid alternating movements...nm
Subject: although there is intention tremor in neuro exam, and rapid alternating movements...nm

x
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


Apokyn? used for treating loss of control of body movements such as muscle stiffness, slow movement
Subject: Apokyn? used for treating loss of control of body movements such as muscle stiffness, slow movements, or trouble moving associated with advanced Parkinson disease???


Can you hear bunion for the first word? And the second can you hear symptomatic or sensory pain?
Subject: Can you hear bunion for the first word? And the second can you hear symptomatic or sensory pain?


Cannot hear adenopathy. Clearly hear *pology. Thank you, though.
Subject: Cannot hear adenopathy. Clearly hear *pology. Thank you, though.


Can you hear "mild". Hear that a lot. nm
Subject: Can you hear "mild". Hear that a lot. nm


I do not hear that
Subject: I do not hear that

but I believe you are correct, there is mention of exposed cartilage. Thank you very much.
or can you hear..................nm
Subject: or can you hear..................nm


can you hear VRE - this has been associated
Subject: can you hear VRE - this has been associated

with C. difficile colitis as well - CD/VRE...also, resolved to the NVRA just doesn't make grammatical sense - you sure it's not "The C. difficile was treated with Flagyl, but resulted in VRE, then treated with Zyvox?" GOOD LUCK!
can you hear?
Subject: can you hear?

guaifenesin and Tessalon Perles
can you hear
Subject: can you hear

,,,
That's it. Can hear it clearly. Thanks so much!
Subject: That's it. Can hear it clearly. Thanks so much!


Thank you. I really could not hear...
Subject: Thank you. I really could not hear...

cortical; he was not an ESL and said it 5 or 6 times in the report.

Thanks for trying.
Usually hear this
Subject: Usually hear this

nerve root impingement