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Deep tendon reflexes?

Posted By: Hayseed on 2007-02-12
In Reply to: Physical Examination - Stacy

Subject: Deep tendon reflexes?




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Deep tendon reflexes. nm
Subject: Deep tendon reflexes. nm


deep tendon reflexes are L1+ ? (NM)
Subject: deep tendon reflexes are L1+ ? (NM)

nm
deep tendon reflexes are euthyroid?
Subject: deep tendon reflexes are euthyroid?

does this make sense because that is what the doctor says?
Deep tendon reflexes possbily...
Subject: Deep tendon reflexes possbily...


no cogwheeling. Deep tendon reflexes are equal. nm
Subject: no cogwheeling. Deep tendon reflexes are equal. nm

xx
How to type this. Deep tendon reflexes plus 2 plus 2. Also, abdomen has half plus tenderness-sm
Subject: How to type this. Deep tendon reflexes plus 2 plus 2. Also, abdomen has half plus tenderness-sm

I have been typing: Deep tendon reflexes +2/+2. Does that seem correct?

For half plus tenderness of abdomen, I have been typing: Abdomen with ˝+ tenderness. I make sure it changes from 1/2+ to ˝+ so that it doesn't look like one over two plus. Does this seem right?

Thanks.
deep tendon...nm
Subject: deep tendon...nm

x
Is it a deep-seeded, or deep-seated infection? (of hip prosthesis)
Subject: Is it a deep-seeded, or deep-seated infection? (of hip prosthesis)

x
deep vein or deep venous or pulmonary, and emboli
Subject: deep vein or deep venous or pulmonary, and emboli


I disagree re: deep-seated versus deep-seeded
Subject: I disagree re: deep-seated versus deep-seeded

I believe deep-seeded may be correct.  It is a term frequently used in oncology and dermatology.  "Deep-seeded" means that something has been "seeded" from another site (primary), as in metastasis.  Please do a Google search and form your own opinion on this. 


But - is it a deep-SEEDED or deep-SEATED infection?
Subject: But - is it a deep-SEEDED or deep-SEATED infection?

x
deep seeded or deep seated keratoma
Subject: deep seeded or deep seated keratoma

Help please - which one deep seated keratoma or deep seeded keratoma. 


Silly question - is it conjoined tendon or conjoint tendon? NM
Subject: Silly question - is it conjoined tendon or conjoint tendon? NM

 Doh!  NM
I think bowstrung tendon is an anomaly/problem, and not a tendon
Subject: I think bowstrung tendon is an anomaly/problem, and not a tendon

s
DTR exam for reflexes? nm
Subject: DTR exam for reflexes? nm


There are palmar reflexes.
Subject: There are palmar reflexes.

x
"dumb" plantar reflexes. SM
Subject: "dumb" plantar reflexes. SM

Please excuse the extra words in my post, the antihyperglycemic and Amaryl.  I did not type those words, and I can't understand how I "messed up" such that they ended up in my answer.  (??) 
Says...Reflexes were decreased at his ankles with... sm
Subject: Says...Reflexes were decreased at his ankles with... sm

s/l equivalent of toes bilaterally. 
Intact reflexes. Pulses 2+ and symmetric.
Subject: Intact reflexes. Pulses 2+ and symmetric.


Corneals, meaning corneal reflexes.
Subject: Corneals, meaning corneal reflexes.


ENT report - elevated S/L Ry-op-sin ipsilateral acoustic reflexes
Subject: ENT report - elevated S/L Ry-op-sin ipsilateral acoustic reflexes

Impedance testing for the left ear revealed type A tympanograms and elevated __Ryopsin__ ipsilateral acoustic reflexes. Impedance testing for the right ear revealed a type A tympanograms  and absent ipsilateral acoustic reflexes.
or maybe just the word "pathologic" - missed the reflexes on the end of the sentence. - nm
Subject: or maybe just the word "pathologic" - missed the reflexes on the end of the sentence. - nm


There is nothing before Deep...sm
Subject: There is nothing before Deep...sm

A.D.: Deep nucleations, right, x3, second, fifth and DIPJ of the right hallux.

C.S.: The patient returns for a followup check and is much improved. He still has deep nucleations present.

Treatment/Plan: Today I débrided all lesions. I advised him to continue applying the Duofilm on a daily basis. PTR in three months.

It is deep-seated. nm
Subject: It is deep-seated. nm

:)
Meds: Am I looking to deep into this?
Subject: Meds: Am I looking to deep into this?

MEDICATIONS:  He takes Crestor, Diovan, 'lowest' aspirin, Toprol, Flomax, and Trileptal.


Make sense or is there any such other term that would fit there?  I am at a loss with this one and of course there is no hesitation between meds, so I am thinking it belongs together. = )


deep-seated
Subject: deep-seated

Keratosis is described as "deep-seated", so I would think that would be proper for keratoma as well. 
DVT - deep venous thrombosis
Subject: DVT - deep venous thrombosis

Depends on the preferences of your company. I just put DVT myself, but my account allows for that.

What is this "plamery cemal"?
DVT? deep venous thrombosis ? nm
Subject: DVT? deep venous thrombosis ? nm

xx
s/l desevrating to deep pain
Subject: s/l desevrating to deep pain

"He was s/l "desevrating" bilaterally to deep pain." Gentleman had suffered massive subdural hematoma, had decreasing level of consciousness, etc. I know what it must mean, but the word eludes me...
how about ... deep vein ultrasound for DVT
Subject: how about ... deep vein ultrasound for DVT


? deep radial nerve - nm
Subject: ? deep radial nerve - nm


patient going to PT for deep scar massage and
Subject: patient going to PT for deep scar massage and

TIA!
Deep nucleations, right, x3, second, fifth and DIPJ of the right hallux.
Subject: Deep nucleations, right, x3, second, fifth and DIPJ of the right hallux.

Deep nucleations, right, x3, second, fifth and DIPJ of the right hallux.

Not sure if I should re-word or exactly where the punctuation goes.

Any ideas?
Yep - crypts - deep pits in tonsils
Subject: Yep - crypts - deep pits in tonsils

Tonsillar crypts are deep recesses found on the surface of the tonsils. Chronic tonsillitis often results from the accumulation of partially digested food debris in the depths of these crypts. When the crypts are particularly deep, the debris may actually form concretions known as tonsilloliths. Chronic tonsil inflammation associated with such debris in the crypts in most cases can be successfully managed by relatively simple oral hygiene measures designed to mechanically cleanse or irrigate the tonsils. Scheduled and regular gargling with antiseptic rinses such as Cepacol or saline-soda solutions (1/4 tsp salt, 1/4 tsp baking soda in 6-8 oz water) are helpful in many. For more difficult cases, the use of a Water-Pik device with pulsating jets of solution directed at the tonsil crypts is advised. Antibiotics may be occasionally recommended for acute exacerbations associated with bacterial colonization of the crypts, however, antibiotics are often not particularly helpful. Ultimately, if these measures fail, and if the individual is sufficiently syptomatic, tonsil removal may be recommended.


s/l SADs for Deep Vein Thrombosis
Subject: s/l SADs for Deep Vein Thrombosis

Doctor is recommending *SADs* or *SEDs* for DVT prophylactics.  Can't figure out what it is???  Any help would be appreciated.
Never mind. He said deep Hemovac drains. nm
Subject: Never mind. He said deep Hemovac drains. nm

x
deep s/l Joker retractor/total hip replacement
Subject: deep s/l Joker retractor/total hip replacement

x
Says Few mild expiratory wheezing rales on deep
Subject: Says Few mild expiratory wheezing rales on deep

expiration only but no retracting??  Not sure if sentence is acceptable?  Heavy ESL dictator. 
DVT (deep venous thrombosis) and PE (pulmonary emboli
Subject: DVT (deep venous thrombosis) and PE (pulmonary emboli


Yes...It's Deep sighing hyperventilation (kussmaul breathing) (sm)
Subject: Yes...It's Deep sighing hyperventilation (kussmaul breathing) (sm)

a symptom of diabetic ketoacidosis (DKA).
"There was no evidence of a deep vein thromposis"
How do these RN's get out of HIGH SCHOOL without being able to read?
two-tendon - that's how I would do it
Subject: two-tendon - that's how I would do it


It is tendon. nm
Subject: It is tendon. nm


second one was FCR tendon...
Subject: second one was FCR tendon...

still need the first one.
FCR tendon
Subject: FCR tendon

nm
S/L suprastenitis tendon (sm)
Subject: S/L suprastenitis tendon (sm)

...underlying s/l suprastenitis tendon and myotendinous junction.


TIA!


s/l sulous tendon - nm
Subject: s/l sulous tendon - nm


interosseous tendon
Subject: interosseous tendon


Help! Tendant or tendon? sm
Subject: Help! Tendant or tendon? sm

Here are a couple of sentences (from op report on basal joint arthritis) where it really s/l he is saying "tendent" rather than tendon.  ???  Anyone have ideas for me?  The whole sentence really doesn't make much sense to me. 


Using the tendent passer it was placed into the distal incision on top of the FCR tendent and then was used to grab the proximal aspect of the tendent and half of the FCR was then harvested this way.


All through this section of the report he is saying "tendent" and normally when he says 'tendon' it does sound like tendon. 


 


 


Yes, it is peroneal tendon. nm
Subject: Yes, it is peroneal tendon. nm

.
yes I got that but does that have anything to do with the peroneal tendon? nm
Subject: yes I got that but does that have anything to do with the peroneal tendon? nm

nm