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No focal motor or neurological deficits

Posted By: Cardiology MT on 2007-04-10
In Reply to: does this make sense? - blabla

Subject: No focal motor or neurological deficits

nm


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Neurosensory motor deficits,,,,nm
Subject: Neurosensory motor deficits,,,,nm


focal bony activity or focal bony uptake?
Subject: focal bony activity or focal bony uptake?

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CNS: Materializing deficits
Subject: CNS: Materializing deficits

I'm doing an H&P and under CNS, the doctor dictates something that sound like "no materializing deficits." He most commonly uses no focal deficits or no focal neurological deficits if things are as they should be.
maybe lateralizing deficits? nm
Subject: maybe lateralizing deficits? nm


focal?
a
Focal?
Subject: Focal?


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Subject: Focal? nm

x
focal
Subject: focal

nm


 


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Subject: focal deficit?


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Subject: focal status

focal status as in Neuro
No. That is neurological and this is GI. Thanks.
Subject: No. That is neurological and this is GI. Thanks.


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Subject: neurological

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Neurological.
Subject: Neurological.

x
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Subject: Focal bacterial nephritis maybe?

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Subject: Maybe free of focal infiltrate?


neurological scale help
Subject: neurological scale help

This dictator is slurring - here is the sentence and is under Physical Examination


Motor strength, reflexes, gait and sensation are normal.  s/l leven scale zero. 


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Any suggestions you have would be most appreciated. 


neurologic or neurological
Subject: neurologic or neurological

doc always says, "from a neurologic standpoint."  Shouldn't it be from a neurological standpoint? 
CXR: Negative for focal s/l of-the-note infiltrate.
Subject: CXR: Negative for focal s/l of-the-note infiltrate.


cerebellar or possibly focal deficit (?)
Subject: cerebellar or possibly focal deficit (?)


You guys are awesome yes it is focal deficit thank you
Subject: You guys are awesome yes it is focal deficit thank you


Do you hear focal weakness and paresthesias? nm
Subject: Do you hear focal weakness and paresthesias? nm

nm
Neurological: Normal mero?
Subject: Neurological: Normal mero?

The patient is a 17-day-old infant


Neurological:  Normal ___.


Blank s/l normal ma-row perhaps mero?


tnx! any clue on the neurological part?
Subject: tnx! any clue on the neurological part?

Thanks I'm going to listen to it now.


Still in need of help with the neurological


Just gross and nonfocal


She says this in a nanosecond   Thanks again.


s/l ab-sant - neurological term. Thanks nm
Subject: s/l ab-sant - neurological term. Thanks nm


psych neurological insults
Subject: psych neurological insults

His difficulties with language are likely secondary to neurological insults sustained either prenatally and/or resulting from his early deprivation.


 


is insults the correct word?


Would CNS and Neurological exam be the same thing?
Subject: Would CNS and Neurological exam be the same thing?


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Subject: If neurological or back, maybe facet?

x
Neurological History and Physical
Subject: Neurological History and Physical

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neurological testing sign
Subject: neurological testing sign

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Neurologically intact with no focal or (s/l other-lyzing) deficit.
Subject: Neurologically intact with no focal or (s/l other-lyzing) deficit.


motor power 5/5 ;-) nm
Subject: motor power 5/5 ;-) nm


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Subject: motor brace? sm

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Subject: reversible ischemic neurological deficit. See ref.

Patients with reversible ischemic neurological deficit (RIND) have ...




Fifteen patients with amaurosis fugax (AF), 37 with hemispheric TIA and 35 with reversible ischemic ...
www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve& db=PubMed&list_uids=3290358&dopt=Abstract - Similar pages


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Subject: Not sure what you are typing about but there is myasthenia, a neurological dysfunction.


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Subject: Neurological test, s/l Belull sign

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Neurological History and Physical Exam
Subject: Neurological History and Physical Exam

Any help on this would be appreciated. This is a neurology history and physical and the doc is dictating the Assessment/Plan. She states, "This patient with a _________ imbalance. She did have normal imaging before, but did not get a MRA". My brain is mush and I just cannot understand what type of imbalance she is referring to. Thank you for any assistance.
Neurologic: No headaches or seizures. Focal weakness of all ??parathesis??
Subject: Neurologic: No headaches or seizures. Focal weakness of all ??parathesis??


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Subject: I keep hearing motor axenopathy

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Thanks.


Motor-sensory question

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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?


? distal motor latency
Subject: ? distal motor latency


Neurological: Moving all 4 extremities and s/l withdrawing to sensation.

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Subject: Yes, I think that would be part of neurological testing which would be nuchal rigidity.


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Subject: Maybe sclerae-gray test, that would be more for neurological, but maybe a possibility.


This was a high-grade intraductal carcinoma of the breast with focal s/l chromenonecrosis.
Subject: This was a high-grade intraductal carcinoma of the breast with focal s/l chromenonecrosis.


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
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...?? =(