Extremity exam after stroke (sm)
Posted By: nymt on 2008-05-07
In Reply to:
Subject: Extremity exam after stroke (sm)
Diagnosis of acute right middle cerebral artery ischemic cerebral infarction and acute right internal carotid artery and right middle cerebral artery occlusion.
In exam, he says:
He has flaccid left hemiplegia of the left upper and lower extremities that does ______ (rep/rub) on the left on plantar response.
In view of the ___________ (rep/rub cuff/calf) it was felt that the patient would benefit from full anticoagulation for a short term.
Any help on this would be appreciated. Thanks.
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Please look at my extremity exam ...
Subject: Please look at my extremity exam ...
This is what I am hearing. Does this make sense/look correct? This MD likes to make every word short and sweet.... but I get so confused where to put it all. Thank you.
EXTREMITIES: There is edema of the right ankle at the site of fracture times two. Trace to 1+ on the left, significantly diminished pulses equal 0-1 DP and PT lower extremities bilaterally. Normal upper.
Extremity exam:
Subject: Extremity exam:
Dr is saying Extremities: No cyanosis, clubbing or edema. S/L" SETs" or SVTs are in fact in place.
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Extremity exam:
Subject: Extremity exam:
In the extremities exam: There is a notable s/L leglang discrepency and a positive external rotation.
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Extremity Exam
Subject: Extremity Exam
Extremity exam
Subject: Extremity exam
The finger is swollen with a small opening on the s/l fulmer aspect of the ring finger at the DIP joint area. He is not saying volar or palmar aspect. It sounds like "fulmer." I'm stumped. Any help is appreciated.
Extremity exam
Subject: Extremity exam
She has 1-2+ edema bilaterally in the ankle and s/l kalai region. TIA.
No don't think so . . in the extremity exam, he says . . .
Subject: No don't think so . . in the extremity exam, he says . . .
The right lower extremity has this marked amoutn of heat and "resider endeposation" in the anterior aspect of the right leg.
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Lower extremity exam sm
Subject: Lower extremity exam sm
Patient has bilateral feet ulcers, poor or nonexistent pulses. Dr. says her skin is thin and atrophic with s/l "zarosis planoy". I can find "xerosis" which does not seem to apply here. Any ideas would be appreciated. TIA.
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Subject: Physical exam of extremity
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Subject: lower extremity exam
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Subject: Extremity exam after surgery - see inside
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Exam of hand and upper extremity - please sm
Subject: Exam of hand and upper extremity - please sm
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Subject: doing facial exam rule out stroke
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Subject: Apparently also with stroke testing..."Alterations in reaching after stroke and their relation to movement direction and impairment severity latitude and longitude; footing, standing, standpoint, post; stage..."
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Subject: CT Lower extremity
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Subject: Modeling of extremity? NM
xx
mottling of extremity..nm
Subject: mottling of extremity..nm
Regarding stroke....sm
Subject: Regarding stroke....sm
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TIA
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Subject: possible stroke (sm)
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Subject: heart stroke?
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Subject: thalamic stroke - sm
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Subject: pontine stroke? (nm)
xx
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Subject: medication for TIA and stroke
Discontinued his ??max in the hospital. He has never had an episode of TIA or stroke in the past.
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s/l subthalamic stroke
Subject: s/l subthalamic stroke
Would this be correct?
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Subject: possibly an old stroke??
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Subject: 350 mmHg is correct for a lower extremity. nm
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Subject: lower extremity neuro under back?
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Subject: Pt with MS, s/; "Tatense" is decreased over the right upper extremity.
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A book: When every key stroke counts. sm
Subject: A book: When every key stroke counts. sm
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Subject: ? stroke guide wire
Therefore, at this time I decided to attempt at recanalizing the distal superficial femoral artery and popliteal artery to see if I can find any of the tibial vessels by increasing flow down to the tibioperoneal trunk. Therefore, a _____ guide wire was inserted and the straight catheter was removed. S/L stroke?
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Subject: I think it's related to the phrase cam stroke. (sm)
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