Fine motor skill?
Posted By: T on 2008-04-03
In Reply to: another one, please sm - tealight
Subject: Fine motor skill?
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Stedman's med trans skill builders has back-bled
Subject: Stedman's med trans skill builders has back-bled
Hope they are not paying her more than 2 cents a line, which is about what her skill level is worth!
Subject: Hope they are not paying her more than 2 cents a line, which is about what her skill level is worth!!
She is so obviously lacking the fundamentals...
yes and the only stupid question is to not ask a question, hang in there, this is not a skill...sm
Subject: yes and the only stupid question is to not ask a question, hang in there, this is not a skill...sm
you learn overnight. There are terms, abbreviations, words that sound so much alike, etc., etc. Give it some time, and then decide if this is right for you. Take criticism objectively not personally. Research and find sample reports of physical exams, operative reports, progress notes, whatever you can get. There is a lot of great help on this board, take note of helpful websites and study, study, study. This is not a job that you can jump into and expect to know everything, it does take excellent hearing, grammar, patience and persistence.
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.
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
guessing..associated diminution of motor strength? nm
Subject: guessing..associated diminution of motor strength? nm
.
motor and sensory s/l mentality intact
Subject: motor and sensory s/l mentality intact
5/5 sounds like normal motor strength...but sm
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...?? =(
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
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?
recruitment = ok. Also, could it be "normal motor unit waveforms"
Subject: recruitment = ok. Also, could it be "normal motor unit waveforms"
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
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%) |
denervated *frontentials* seen with normal motor unit potentials.(EMG) Thanks. nm
Subject: denervated *frontentials* seen with normal motor unit potentials.(EMG) Thanks. nm
nm
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?
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
Like he says it would be fine sm.
When in doubt, especially with something this insignificant, go verbatim.
To me, it looks fine nm
Subject: To me, it looks fine nm
.
Yes I would think that would be fine nm
Subject: Yes I would think that would be fine nm
nm
tib-fib is fine...
Subject: tib-fib is fine...
cccc
Yes, what you have is fine.
Subject: Yes, what you have is fine.
I would put a comma after soft.
maybe fine for you but not for many....nm
Subject: maybe fine for you but not for many....nm
x
I think it's fine.
Subject: I think it's fine.
.
Looks fine. nm
Subject: Looks fine. nm
.
looks fine see msg.
Subject: looks fine see msg.
I would just change the zero to 0 but it looks accurate.
I think it looks fine. :-)
Subject: I think it looks fine. :-)
That looks fine
Subject: That looks fine
Don't worry so much about format.
Motor exam shows her right tibialis anterior at grade –IV or is grade -4??
Subject: Motor exam shows her right tibialis anterior at grade –IV or is grade -4??
Motor exam shows her right tibialis anterior at grade IV- or is it grade -IV or grade -4 or...
Thanks!
That sounds fine nm
Subject: That sounds fine nm
xx
You're doing fine. nm
Subject: You're doing fine. nm
looks fine to me - what's your question?
Subject: looks fine to me - what's your question?
Nothing, sentence is fine the way it is :)
Subject: Nothing, sentence is fine the way it is :)
x
I think f'ing or f-ing would be fine. Gets it across! :) nm
Subject: I think f'ing or f-ing would be fine. Gets it across! :) nm
s
I think 1.3 square cm looks fine. I maybe would SM
Subject: I think 1.3 square cm looks fine. I maybe would SM
expand centimeter since square isn't abbreviated, i.e. "1.3 square centimeter"
probed is fine here nm
Subject: probed is fine here nm
x
you posted just fine - nm
Subject: you posted just fine - nm
xxx
sounds fine nm
Subject: sounds fine nm
nm
A1c (and) echocardiogram fine?
Subject: A1c (and) echocardiogram fine?
Sometimes it's the simplest thing ...
if says 1-teens then yours is fine
Subject: if says 1-teens then yours is fine
nm
It's fine. Bet it's in dorlands. besides - sm
Subject: It's fine. Bet it's in dorlands. besides - sm
I figure even if they made it up, if I can figure out what it means, and this one's obvious, then everyone else can too. Every single medical word is not in stedman's electronic dictionary. but this one's fine.
Yes, that is fine. You could probably use a good...sm
Subject: Yes, that is fine. You could probably use a good...sm
English grammar tutorial. Check on google, you can probably find something there.
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