Possibly decerebrating, as in decerebrate posturing. Stroke/head trauma victim? (nm)

• s/l desevrating to deep pain - N.Gratham
  • Possibly decerebrating, as in decerebrate posturing. Stroke/head trauma victim? (nm) - me
  • perseverating ? - pc

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The patient had head trauma and a few months later was found to have a s/l flabomorphit adenoma.

This is an Asian dictator who is very difficult to understand.  Any help would be appreciated.

Dysarthria

Definition

Dysarthria is a speech diagnostic term that can be used to classify various types of neuromuscular speech disturbances. Dysarthria results from notable degrees of one or more abnormalities involving speech musculature, including weakness, paralysis, incoordination, sensory deprivation, exaggerated reflex patterns, uncontrollable movement activities, and excess or reduced tone. Generally speaking, the dysarthrias are considered motor speech disorders because speaking difficulties are largely due to breakdowns in movement control of one or more muscle groups that compose the speech mechanism. The name of each dysarthria subtype is partially derived from the basic characteristics of the overlying movement disturbances. Notably, normal speech production involves the integration and coordination of five primary physiological subsystems: respiration (breath support); phonation (voice production); articulation (pronunciation of words); resonation (nasal versus oral voice quality); and prosody (rate, rhythm, and inflection patterns of speech).

Description

Dysarthria

Definition

Dysarthria is a speech diagnostic term that can be used to classify various types of neuromuscular speech disturbances. Dysarthria results from notable degrees of one or more abnormalities involving speech musculature, including weakness, paralysis, incoordination, sensory deprivation, exaggerated reflex patterns, uncontrollable movement activities, and excess or reduced tone. Generally speaking, the dysarthrias are considered motor speech disorders because speaking difficulties are largely due to breakdowns in movement control of one or more muscle groups that compose the speech mechanism. The name of each dysarthria subtype is partially derived from the basic characteristics of the overlying movement disturbances. Notably, normal speech production involves the integration and coordination of five primary physiological subsystems: respiration (breath support); phonation (voice production); articulation (pronunciation of words); resonation (nasal versus oral voice quality); and prosody (rate, rhythm, and inflection patterns of speech).

Description

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

Thank you in advance.

Is this patient on a vent?

I am not sure if he stumbles or if he actually says track trauma.  The entire line is ...No track trauma.

The patient has hamstring pain from injuring himself playing a baseball.

Focused Assessment with Sonography for Trauma (FAST) is a limited ultrasound examination directed solely at identifying the presence of free intraperitoneal or pericardial fluid. In the context of traumatic injury, free fluid is usually due to haemorrhage and contributes to the assessment of the circulation.

Unsure if this sounds correct or not.  She is speaking fast and not sure if I am missing it.

She has a history of cerebellar infarct, (s/l might have been the embolic) and she has been on a combination of Coumadin and Plavix

TIA 

The patient was out of the __________ time window as this was greater than 3 to 5 hours.  The patient was transferred by ambulance and was admitted for a possible stroke workup.

s/l TVA.  Would make sense if CVA, I guess, but really sounds like a "T" -- is there such a thing?

Thanks.

Discontinued his ??max in the hospital.  He has never had an episode of TIA or stroke in the past. 

I can only hear the max and just wondering if anyone could help with a medication for stroke or TIA that ends in max. Thanks!!

Doc is dictating patient is not a candidate for s/l altaplace or TPA therapy. 

Altaplace?

Diagnosis of acute right middle cerebral artery ischemic cerebral infarction and acute right internal carotid artery and right middle cerebral artery occlusion.

In exam, he says:

He has flaccid left hemiplegia of the left upper and lower extremities that does ______ (rep/rub) on the left on plantar response.

In view of the ___________ (rep/rub cuff/calf) it was felt that the patient would benefit from full anticoagulation for a short term.

Any help on this would be appreciated.  Thanks.