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subtle motor movements or some clonic movements..nm

Posted By: () on 2009-06-18
In Reply to: patient with tic has *sinusoto* movement of the head?? Thanks. nm - Wilson

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

nm


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see if you hear tonic clonic movements
Subject: see if you hear tonic clonic movements

x
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


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Subject: s/l secatic eye movements


choreathetotic movements nm
Subject: choreathetotic movements nm


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Subject: choreiform movements

x
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Subject: foreign bowel movements

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


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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

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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
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
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???


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

nm
It is probably subtle. nm
Subject: It is probably subtle. nm


maybe subtle rib metastases (pleural)
Subject: maybe subtle rib metastases (pleural)


EEG subtle slowing disorganization??
Subject: EEG subtle slowing disorganization??

oh my i'm having a hard time today.
On EEG:
"bisynchronous and independent left hemispheric spike activity as well as ____s/l___subtle slowing disorganization."

subtle slowing?
subtle slow in/and?
subtle flowing?
subtle flow in/and?

I dont know.
can you hear "some subtle" movement...??
Subject: can you hear "some subtle" movement...??


Lots of newbies here not aware of these subtle spelling/area
Subject: Lots of newbies here not aware of these subtle spelling/area

s
clonic.
Subject: clonic.

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

xx
tonic-clonic
Subject: tonic-clonic

x
tonic-clonic
Subject: tonic-clonic


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

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


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?
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. 
motor power 5/5 ;-) nm
Subject: motor power 5/5 ;-) nm


motor brace? sm
Subject: motor brace? sm

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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.


Motor-sensory question

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


Under the physical examination


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