Motor-sensory question
Posted By: LG on 2006-08-14
In Reply to:
would this transcribed as Motor-sensory: 5/5 or as a clipped sentence Motor-sensory 5/5.
Under the physical examination
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Clipped sentence. Motor/sensory 5/5. nm
Subject: Clipped sentence. Motor/sensory 5/5. nm
s
motor and sensory s/l mentality intact
Subject: motor and sensory s/l mentality intact
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
sensory (as in sensory nerve)
Subject: sensory (as in sensory nerve)
sensory testing? nm
Subject: sensory testing? nm
nm
s/l triple sensory
Subject: s/l triple sensory
It showed occasional frequent PVCs with triple accelerated idioventriclar rhythm.
sensory radiculitis
Subject: sensory radiculitis
Sensory exam
Subject: Sensory exam
Thinking about the first one.
palmar sensory studies? nm
Subject: palmar sensory studies? nm
nm
It is "pure" sensory neuropathy
Subject: It is "pure" sensory neuropathy
position sense - as in sensory exam (I think) (NM)
Subject: position sense - as in sensory exam (I think) (NM)
x
It's median sensory evoked potential....
Subject: It's median sensory evoked potential....
This test is dedicated to testing the median nerve.
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.
DTRs were dictated in sensory exam. Thanks for your help! Still stumped!
Subject: DTRs were dictated in sensory exam. Thanks for your help! Still stumped!
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.
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
Neuro doc under sensory exam says s/l staring nosia's intact. TIA!!!
Subject: Neuro doc under sensory exam says s/l staring nosia's intact. TIA!!!
Probably MOSIs...motor sign...check it first though...nm
Subject: Probably MOSIs...motor sign...check it first though...nm
nm
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
.
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
Pt to physical therapy for presumed "saracalgia" and possible mild sensory radicular signs. sm
Subject: Pt to physical therapy for presumed "saracalgia" and possible mild sensory radicular signs. sm
The only other neurological complaint that he has had is some low-grade headache at the base of his skull in the left side of his neck that sometimes radiates to his shoulder, which has been going on since November. He is going to physical therapy for presumed saracalgia and possible mild sensory radicular signs.
total sensory absence *intesting* with a 10 gram Semes-Weinstein monofilament.-nm Thanks.
Subject: total sensory absence *intesting* with a 10 gram Semes-Weinstein monofilament.-nm Thanks.
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?
Can you hear bunion for the first word? And the second can you hear symptomatic or sensory pain?
Subject: Can you hear bunion for the first word? And the second can you hear symptomatic or sensory pain?
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!
sensory stimulation and s/l fifth-ear stimulation produced no reaction from the pt. nm
Subject: sensory stimulation and s/l fifth-ear stimulation produced no reaction from the pt. nm
d
subtle motor movements or some clonic movements..nm
Subject: subtle motor movements or some clonic movements..nm
nm
Sensory radiculitis or sense of radiculitis or ??
Subject: Sensory radiculitis or sense of radiculitis or ??
not sure on this one but in preop diagnosis stating left S1 s/l sensory or sense of or sensi ??? radiculitis. Probably so easy but cannot grasp it.
x-ray phase/sensory phase?
Subject: x-ray phase/sensory phase?
OBJECTIVE: The neck is otherwise supple. Chest is clear. X-ray (s/l phase is equal to sensory phase) consistent with her COPD. CVS is regular. Abdomen tender in the left lower quadrant without guarding, rebound or organomegaly. The lower extremities without edema.
ASSESSMENT/PLAN
- Painful area in the left posterior lateral neck. We will recheck in the next 2 weeks.
- COPD, stable.
Does that make sense? (x-ray phase equal to sensory phase?)
Thanks in advance for any help on this one.
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