5/5 sounds like normal motor strength...but sm
Posted By: flybye on 2008-10-24
In Reply to: Ortho, ankle, ESL s/l olmoosh rib score sm - Elderberry
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...?? =(
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guessing..associated diminution of motor strength? nm
Subject: guessing..associated diminution of motor strength? nm
.
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
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?
normal muscle strength
Subject: normal muscle strength
Can you hear this?
denervated *frontentials* seen with normal motor unit potentials.(EMG) Thanks. nm
Subject: denervated *frontentials* seen with normal motor unit potentials.(EMG) Thanks. nm
nm
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
In LD says UA normal and then what sounds like C-MENT T is normal (maybe CMT)? nm
Subject: In LD says UA normal and then what sounds like C-MENT T is normal (maybe CMT)? nm
sounds like a normal "CS troponin" value to me... nm
Subject: sounds like a normal "CS troponin" value to me... nm
Sounds like "chiller" venous veins appear normal. sm
Subject: Sounds like "chiller" venous veins appear normal. sm
The patient is moribund. She is unable to speak at the current time and does not respond to sternal rub. "Chiller" venous veins appear normal. Site of the PEG tube is normal without any evidence of exudates.
She is 92 years old and comfort-care only. Here is some past history:
Past medical history is significant for progressive dysphagia leading to frequent bouts of aspiration secondary to a prior cerebrovascular accident in 1997, recent admission for probable aspiration bronchitis/pneumonia, history of hypertension, history of thyroid replacement therapy, history of possible dehydration. She has a prior history of cataract, prior history of gallbladder surgery, recent PEG placement in 11/2005, status post TAH-BSO at age 40 and eyelid surgery in January 2002, history of chest pain admission in February 1996, history of cerebrovascular accident of the right internal capsule in June 1997, and history of TIA in August 2003.
Heart sounds were normal intensity 1 and 2. *No S3 or S3 heard.* sm
Subject: Heart sounds were normal intensity 1 and 2. *No S3 or S3 heard.* sm
Could one of these S3s be F3? or something with a similar s/l? I can't document F3 though. New doc, but clearly states above.
Thanks for any help.
Heart sounds were normal in intensity, S1 and S2. No S3 or S4 heard.
Subject: Heart sounds were normal in intensity, S1 and S2. No S3 or S4 heard.
Heart sounds "when to heard" normal
Subject: Heart sounds "when to heard" normal
S/l Pulses are regular; heart sounds "when to" heard normal. No murmurs, "droops" or gallops. "droops is said very unclearly.
sounds like "car po mace a peen" level was normal.
Subject: sounds like "car po mace a peen" level was normal.
PE normal breath sounds in s/l in excursion, in discursion...I know it's something easy, thanks
Subject: PE normal breath sounds in s/l in excursion, in discursion...I know it's something easy, thanks
Tylenol arthritis strength. Should arthritis strength be caps? nm
Subject: Tylenol arthritis strength. Should arthritis strength be caps? nm
no dont think so, the two line prior are LFTS normal and Chem-7 was normal
Subject: no dont think so, the two line prior are LFTS normal and Chem-7 was normal
I would use saline since it's the solution he's changing from half-normal to normal, not the
Subject: I would use saline since it's the solution he's changing from half-normal to normal, not the
s
normal Pap smear in there anywhere? Normal Pap in 2006?nm
Subject: normal Pap smear in there anywhere? Normal Pap in 2006?nm
normal motility? normal motilities? nm
Subject: normal motility? normal motilities? nm
You are probably hearing normal BUS or normal BUSV. sm
Subject: You are probably hearing normal BUS or normal BUSV. sm
BUS Bartholins/Urethra/Skene’s
BUSV Bartholins/Urethra/Skene’s/vagina.
Here is abbrev link for you.
http://www.healthsystem.virginia.edu/internet/obgyn-clerkship/UVA/Abbreviations.cfm
may be normal values or normal range? nm
Subject: may be normal values or normal range? nm
nm
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.
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
Clipped sentence. Motor/sensory 5/5. nm
Subject: Clipped sentence. Motor/sensory 5/5. nm
s
No focal motor or neurological deficits
Subject: No focal motor or neurological deficits
nm
motor and sensory s/l mentality intact
Subject: motor and sensory s/l mentality intact
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
recruitment = ok. Also, could it be "normal motor unit waveforms"
Subject: recruitment = ok. Also, could it be "normal motor unit waveforms"
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%) |
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?
could the ES be extra strength?
Subject: could the ES be extra strength?
.
palmar strength-nm
Subject: palmar strength-nm
x
no, definitely es, so I am sure extra strength?
Subject: no, definitely es, so I am sure extra strength?
he just could say that could he. LOL.
? about strength testing
Subject: ? about strength testing
After giving values for grip and pinch, this sounds like "3 jod chuck" values are 11, 11, 11. Appreciate any help. Thanks!
sometimes hear strength is 5/5
Subject: sometimes hear strength is 5/5
could it be "U"pper "L"ower "E"xtremity strength at 5/5? I know, biiiig stretch.
grip strength?
Subject: grip strength?
opponens strength
Subject: opponens strength
BACTRDOL STRENGTH to take 1 b.i.d. for three days.
Subject: BACTRDOL STRENGTH to take 1 b.i.d. for three days.
grip strength test s/l
Subject: grip strength test s/l
He completely accelerates speed and mumbles through this, help!!!
Strength is 5/5 throughout. Sensation is intact.
Subject: Strength is 5/5 throughout. Sensation is intact.
is how I would do it.
strength testing of the hands?
Subject: strength testing of the hands?
Pt has numbness in neck and forearm. Dr. states that "patient has normal apposition of thumb and fingers. Normal S/L "aller or almer" strength testing of the hands.
I thought of over all but there is not "V" sound and I can't seem to find any "test" for hand strengthing online.
THANKS
Gross strength with (s/l jammer)
Subject: Gross strength with (s/l jammer)
"Gross strength with a (s/l jammer) on the third notch..."
Anyone know what this is?
TIA
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