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Neuro exam help

Posted By: MLF on 2008-04-14
In Reply to:

Subject: Neuro exam help

Patient with Huntington's chorea.  Neuro exam: The patient with s/l discoria ____hypertoid movements.


 


Thanks



 




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Neuro exam
Subject: Neuro exam

s/l dis-dia-do-co-kinesia when discussing coordination.
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biceps "spreads" to the brachioradialis and finger flexors? For a neuro motor exam
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Subject: NEURO s/l 'key' exam (sm)

pt with a hx of numbness in hands and feet


The patient was unable to perform pronator drift exam secondary to inability to lift her arms above her breast level. "Key" exam: The patient could not perform secondary to weakness.  She did not appear to have postural instability.  Language is fluent.  Normal comprehension. Normal naming. No repitition. Coordination was unable to be done secondary to weakness...


Cranial nerve exam has already been dictated.  S/L 'Key', 'K.E.' or 'K.A.' exam.


tia!!!


Neuro exam link. sm
Subject: Neuro exam link. sm

http://www.neuroexam.com/content.php?p=2
normokinetic neuro exam?
Subject: normokinetic neuro exam?

Sounds like he is saying "normokinetic" neuro exam.  I can't find normokinetic anywhere. 
Neuro exam: Positive s/l minitiller
Subject: Neuro exam: Positive s/l minitiller

x


Neuro exam: Positive s/l minitiller.
Subject: Neuro exam: Positive s/l minitiller.

Can you give us any more to go on? What is the patient being seen for? What is the chief complaint?
s/l GCS is 15 with normal gait on neuro exam. TIA nm
Subject: s/l GCS is 15 with normal gait on neuro exam. TIA nm

x
neuro exam - negative ***col-coryx*** on each ear. TIA! nm
Subject: neuro exam - negative ***col-coryx*** on each ear. TIA! nm

x
neuro exam - says intact sensation, "V-one, V-two,
Subject: neuro exam - says intact sensation, "V-one, V-two,

and V-three" - would that be VI, VII, VIII or V1, V2, V3 ??
NEURO EXAM (s/l) dys-teri-arthritic posturing
Subject: NEURO EXAM (s/l) dys-teri-arthritic posturing

No focal weakness and moves spontaneously to pain but does have _______ posturing.


Thank you in advance.


Neuro exam..negative s/l traybostix sign...nm
Subject: Neuro exam..negative s/l traybostix sign...nm

nm
s/l negative saulstis test neuro exam-sm
Subject: s/l negative saulstis test neuro exam-sm

patient with subacromial impingement as well as rotator cuff tendinitis. In neuro exam, doctor states:

Cranial nerves II through XII are intact. Deep tendon reflexes 1/4, biceps, triceps, brachioradialis. He has 5/5 motor strength, bilateral upper extremities. Sensory examination demonstrates normal sensation to pinprick in C5 to T1. He has a positive impingement sign. Negative drop arm test. Negative ________ test. (s/l saulstus or saltsus test.


Yes, is this an xray or a scan? An exam? Neuro testing? nm
Subject: Yes, is this an xray or a scan? An exam? Neuro testing? nm

s
Neuro Exam: Shoulder shrug and s/l SEN strength
Subject: Neuro Exam: Shoulder shrug and s/l SEN strength

Is this correct?  Thanks!
On neuro exam...there is no evidence of "wish nodules". sm
Subject: On neuro exam...there is no evidence of "wish nodules". sm

Funduscopic exam showed sharp disc margins bilaterally. There is no evidence of “wish” nodules.
On neuro exam they do say RAM for rapid alternating movements? nm
Subject: On neuro exam they do say RAM for rapid alternating movements? nm


Neuro exam - patient had cervicothoracic laminectomy - sm
Subject: Neuro exam - patient had cervicothoracic laminectomy - sm

Exam: Her wound is healed. She has got mild paraspinal tenderness with some evidence of spasm. No **rubo or corlora delora** noted. She is awake. She is oriented x3.


I have no idea what I am hearing or if my spaces are correct in my s/l. I'd love any help!! Thanks.


Romberg test. Here is link for sample neuro exam etc. sm
Subject: Romberg test. Here is link for sample neuro exam etc. sm

Romberg sign



with feet approximated, the subject stands with eyes open and then closed; if closing the eyes increases the unsteadiness, a loss of proprioceptive control is indicated, and the sign is positive. Syn: rombergism, Romberg test, station test.


 


http://courses.washington.edu/medicm/icm2/0506/W06neurosamplewriteup.shtml


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Subject: I think in neuro exam it is usually "essential tremor" that is noted, still thinking on other.....nm

nm
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Subject: s/l bare/bear/bayer exam - infant neuro nm


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Subject: Neuro doc under sensory exam says s/l staring nosia's intact. TIA!!!


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Subject: s/l pseudo acitosis in upper extremity (neuro exam)

Thx
Neuro exam, pt able to puff cheecks w/o any "tapier bushon" sign. nm
Subject: Neuro exam, pt able to puff cheecks w/o any "tapier bushon" sign. nm


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Subject: On neuro exam, s/l ball pearl test for retropulsion negative. nm


Neuro exam: Weber lateralized to right ear, (s/l) Renee normal on both sides. (nm)
Subject: Neuro exam: Weber lateralized to right ear, (s/l) Renee normal on both sides. (nm)


although there is intention tremor in neuro exam, and rapid alternating movements...nm
Subject: although there is intention tremor in neuro exam, and rapid alternating movements...nm

x
Pt with Parkinsons on Neuro exam: Speech was mildly hypophonic "every" phrenic. nm
Subject: Pt with Parkinsons on Neuro exam: Speech was mildly hypophonic "every" phrenic. nm


On neuro exam, s/l "Lure EE ah" triangle, squares, and fist edge palm were intact. nm
Subject: On neuro exam, s/l "Lure EE ah" triangle, squares, and fist edge palm were intact. nm


NEURO - Cranial nerve II exam - s/l 'free clots' or 'free cuts' sm
Subject: NEURO - Cranial nerve II exam - s/l 'free clots' or 'free cuts' sm


Fundi with no hemorhages. Visual acuity 20/70 bilaterally. There were no 'free clots.'  Cranial nerves III, IV, and VI...


tia


s/l purpose - Neuro exam - Balance and purpose are shown intact? Is there such a thing?
Subject: s/l purpose - Neuro exam - Balance and purpose are shown intact? Is there such a thing?


Throat exam is normal, as were the rest of her neck, face, and skull exam.
Subject: Throat exam is normal, as were the rest of her neck, face, and skull exam.


Eye exam: s/l "sub-lamp" exam shows left side has multiple small punctations in the cornea.(t
Subject: Eye exam: s/l "sub-lamp" exam shows left side has multiple small punctations in the cornea.(thanks)


Physical exam on eye exam, s/l Cardinal Welk's space?? noted.NM
Subject: Physical exam on eye exam, s/l Cardinal Welk's space?? noted.NM


What kind of doc is doing the exam? And where in the exam is this test mentioned? nm
Subject: What kind of doc is doing the exam? And where in the exam is this test mentioned? nm

s
Question about eye exam...when everting lids on eye exam (sm)
Subject: Question about eye exam...when everting lids on eye exam (sm)

It is EVERT, not AVERT, right? I have always typed it with an E but I have a PA who keeps insisting it is A.  I always thought Avert applied to gaze, as if to look away.  Just want to make sure everting the eyelid is the right term.  TIA. 
Always been under neuro for me, too. nm
Subject: Always been under neuro for me, too. nm

s
Neuro
Subject: Neuro

Thanks so much!!
NEURO
Subject: NEURO

Clinical trial drug for ALS s/l talwopinol


Thank you


 


neuro
Subject: neuro

Cerebellar was fine... No pronator drift? does that sound about right
Neuro
Subject: Neuro

No cerebellar signs, just got a job with it...If you add in the mumbling factor that may be what you are looking for
neuro
Subject: neuro

Can you hear "field cuts" as in no visual field cuts?
Neuro
Subject: Neuro

Not my day. Sorry to post two in a row here.

Context: Final interpretation of CT head done on 03/28/07 noted small parenchymal hematoma or hemorrhagic contusion in the posterior *MLS* within the right frontal lobe.

sounds like... mialis, MLS, malice.

And this isn't even an ESL guy. I'm having an off day I guess. Thank you again.
neuro help, please
Subject: neuro help, please


Only the upper cervical spinal cord is visualized, but there is no  s/l  spherinx.  Can't figure out that last word.  


maybe neuro changes. nm,
Subject: maybe neuro changes. nm,

x
Neuro help please!!!! sm
Subject: Neuro help please!!!! sm

Dictator states:  We are checking s/l "curdle santin" EEG as stated.   TIA


Neuro
Subject: Neuro

Could it be cranial nerves II-XII intact ?
neuro help
Subject: neuro help

Her sensory examination shows no decrease pin appreciation over the right side but she does have a (S/L mad - can that be right?)peripheral sensory neuropathy in the lower extremities with decreased pin and vibration up to the mid calf region.


 


Thanks


neuro help
Subject: neuro help

CT scan of the head reveals some dimunition___correct? and contrast between the sulci and s/l dry rye_____ of the right occipital lobe reminiscent of ischemia. 


 


There is no phonemic or S/L semantic paraphrase garus however.


 


Thanks!


 


Neuro, PE
Subject: Neuro, PE

reflexes are 2+ in all other extremities. No notable muscle wasting. Gait is normal. No __________ s/l clu-nos


this is under CNS under physical exam.


Neuro help pls
Subject: Neuro help pls

status post L4/5 s/l "hard" lateral disk excision