Motor nerve study with "lace" dependent pattern. see message plz :)
Posted By: grace on 2007-07-13
In Reply to:
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.
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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%) |
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
nerve study
Subject: nerve study
A s/l marcid left ulnar neuropathy at the elbow characterized by conduction velocity slowing, axon loss, and associated denervation.
I think you mean EMG Nerve Conduction Study
Subject: I think you mean EMG Nerve Conduction Study
nm
Could it be NCS (nerve conduction study)?
Subject: Could it be NCS (nerve conduction study)?
Could he possibly be saying ENG/nerve conduction study?
Subject: Could he possibly be saying ENG/nerve conduction study?
ENG is electroneurography
angiogram and nerve conduction study
Subject: angiogram and nerve conduction study
xx
nerve conduction study shows s/l speed ? reduction to 1/3 of normal.
Subject: nerve conduction study shows s/l speed ? reduction to 1/3 of normal.
I've heard EMG/NC (electromyogram/nerve conduction study). Wonder if he is maybe saying EMNC?
Subject: I've heard EMG/NC (electromyogram/nerve conduction study). Wonder if he is maybe saying EMNC?
It certainly could be "flow pattern". See link in message.
Subject: It certainly could be "flow pattern". See link in message.
http://ajrccm.atsjournals.org/cgi/reprint/167/5/702
"lace" fever lymphadenopathy
Subject: "lace" fever lymphadenopathy
Could it be Lassa fever
lymphadenopathy? Just curious...
Lassa fever is a nasty viral infection that can be quite fatal. Lymphadenpathy might be another symptom to that...
breast cancer study - Veridex versus "Gupta-Didert-Nath study"
Subject: breast cancer study - Veridex versus "Gupta-Didert-Nath study"
No, definitely dependent
Subject: No, definitely dependent
trace dependent
Subject: trace dependent
Yes, but without the dash. Trace means "slightly"
dependent rubor......................nm
Subject: dependent rubor......................nm
could it be length dependent
Subject: could it be length dependent
xx
Yes - non-insulin-dependent
Subject: Yes - non-insulin-dependent
nm
dependent position
Subject: dependent position
hanging down to the side
could demyelinating be in there instead of dependent?
Subject: could demyelinating be in there instead of dependent?
Maybe transient, dependent edema..
could that possibly be dependent rubor? --sm
Subject: could that possibly be dependent rubor? --sm
just a long shot on that one. just a thought.
yes, "trace dependent edema." nm
Subject: yes, "trace dependent edema." nm
xx
can you hear "length" dependent? nm
Subject: can you hear "length" dependent? nm
insulin dependent diabetes mellitus? nm
Subject: insulin dependent diabetes mellitus? nm
s
non-insulin-dependent diabetes mellitus
Subject: non-insulin-dependent diabetes mellitus
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.
hemoglobin is lees than 9 or is becoming trans _____________ dependent. Thanks. nm
Subject: hemoglobin is lees than 9 or is becoming trans _____________ dependent. Thanks. nm
nm
s/l 'morinon' dependent end stage heart failure
Subject: s/l 'morinon' dependent end stage heart failure
Patient is here for f/up of his 'norinon' dependent end stage heart failure.
Also lists this medication as a dose of 0.5 mcg/kg per minute. What is it?
catecholamine-dependent end-stage heart failure? nm
Subject: catecholamine-dependent end-stage heart failure? nm
nerve preservation procedure or nerve sparing procedure?
Subject: nerve preservation procedure or nerve sparing procedure?
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
advanced inotrope-dependent end-stage heart failure ? nm
Subject: advanced inotrope-dependent end-stage heart failure ? nm
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
Ecchymosis tracking into the s/l dependent areas of the foot and the proximal aspect of the toes. sm
Subject: Ecchymosis tracking into the s/l dependent areas of the foot and the proximal aspect of the toes. sm
Patient fell and twisted his ankle. He has bruising that has tracked down into the distal foot.
yes, QS pattern
Subject: yes, QS pattern
documented under pattern in the stedman's cardiology, 4th ed.
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