S/L: HEAD SHOT GUN MOVEMENTS
Posted By: Neurology on 2008-02-20
In Reply to:
Subject: S/L: HEAD SHOT GUN MOVEMENTS
Under cranial nerve exam:
New doctor:
Reveals that her visual fields are full to confrontation S/L: HEAD SHOT GUN MOVEMENTS, full pupils equal, round, and reactive to light...
Thank you
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Head: Extraocular movements full. Pupils ...
Subject: Head: Extraocular movements full. Pupils ...
subtle motor movements or some clonic movements..nm
Subject: subtle motor movements or some clonic movements..nm
nm
dutery movements?
Subject: dutery movements?
I can't think anymore tonight...
The infant’s skin was pink/ruddy and no s/l doo-ter-ie movements were observed.
Thanks.
? athetoid movements
Subject: ? athetoid movements
s/l secatic eye movements
Subject: s/l secatic eye movements
choreathetotic movements nm
Subject: choreathetotic movements nm
choreiform movements
Subject: choreiform movements
x
foreign bowel movements
Subject: foreign bowel movements
The pt is moving his bowels twice a day s/l foreign bowel movements.
He had constipation on Detrol. Now he is off it.
You sure it's not EOMs for extraocular eye movements?
Subject: You sure it's not EOMs for extraocular eye movements?
possibly rootery movements
Subject: possibly rootery movements
x
Re: Rapid repetitive movements....sm
Subject: Re: Rapid repetitive movements....sm
Gait and coordination are normal as are rapid repetitive movements (on or and) finger to nose.
I cannot tell if this should be on finger to nose or and finger to nose.
TIA
rapid alternating movements? nm
Subject: rapid alternating movements? nm
nm
"fine finger" movements, probably
Subject: "fine finger" movements, probably
pain and bloody (bowel) movements
Subject: pain and bloody (bowel) movements
usually go under "complaints", and not generally under the physical exam. On the other hand, "tenderness" could go under PE.
see if you hear tonic clonic movements
Subject: see if you hear tonic clonic movements
x
Also dictated as rapid alternating movements...
Subject: Also dictated as rapid alternating movements...
.
just a wild guess: Try 'subtle' movements...? nm
Subject: just a wild guess: Try 'subtle' movements...? nm
nm
should be tonic/dystonic limb movements. nm
Subject: should be tonic/dystonic limb movements. nm
xx
tonic eye movements with a ___coria, dr yawning. TX
Subject: tonic eye movements with a ___coria, dr yawning. TX
x
decreased s/l flying femur movements?
Subject: decreased s/l flying femur movements?
Under neurologic exam, motor exam. s/l decreased flying femur movements right vs. left.
Myoclonic jerking and s/l chloriform movements?
Subject: Myoclonic jerking and s/l chloriform movements?
Patient has toxic encephalopathy, systolic congestive heart failure, pneumonia, diabetes.....
The patient had an episode of myoclonic jerking and s/l 'chloriform' movements.
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
I was just going to write back to say I finally heard it and you were right. extraocular movements.
Subject: I was just going to write back to say I finally heard it and you were right. extraocular movements.
thanks a bunch
Orthopedics: s/l "athetory"-type movements. (Shoulder exam)? Help???
Subject: Orthopedics: s/l "athetory"-type movements. (Shoulder exam)? Help???
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
Extraocular movements intact to "Six card holds" without nystagmus or dysconjugate gaze. nm
Subject: Extraocular movements intact to "Six card holds" without nystagmus or dysconjugate gaze. nm
Apokyn? used for treating loss of control of body movements such as muscle stiffness, slow movement
Subject: Apokyn? used for treating loss of control of body movements such as muscle stiffness, slow movements, or trouble moving associated with advanced Parkinson disease???
Ok, one more shot at this....sm
Subject: Ok, one more shot at this....sm
could it be..joint space narrowing, or JSN of the medial compartment of the knee??? (I hope, I hope, I hope) let me know what cha think,
is there any way you can get 20 mg/ml shot
Subject: is there any way you can get 20 mg/ml shot
derms use Kenalog or similar injections, typical concentration is 20 mg/ml
just a shot..sm
Subject: just a shot..sm
"At that juncture she would, despite her young age, be a candidate for supportive care only."
Another shot...
Subject: Another shot...
chelation agent?
Here's a shot...
Subject: Here's a shot...
mucociliary papilla--mucociliary referring to mucus and ciliary in the airways and papilla referring to protuberances or elevations. Makes sense to me in your context. :-)
Another shot...
Subject: Another shot...
venous saphenous ??
Shot in the dark
Subject: Shot in the dark
Could it be patent foramen ovale? Just a thougt...
Long shot...
Subject: Long shot...
Maybe it is Tazorac cream. It is used for psoriasis and acne.
it's a long shot from your s/l, but -- sm
Subject: it's a long shot from your s/l, but -- sm
"component of inadequate nutritional intake" might fit -- as albumin can be low in malnutrition.
That was too obvious - I should be shot!!! Thanks for your help .
Subject: That was too obvious - I should be shot!!! Thanks for your help .
Long shot, but...
Subject: Long shot, but...
this sounds like it's psych work, so it could be Pokemon. They're little creatures created by Nintendo, I think. Google Pokemon and see if that fits.
Long shot...
Subject: Long shot...
I found Hyserp which I also saw as hydroserp. Any way the other could be Lopressor?
this might be a long shot...
Subject: this might be a long shot...
Caduet for HTN.
Rocephin antibiotic.
A long shot, maybe not. Could it be, sm
Subject: A long shot, maybe not. Could it be, sm
"did not want to do anticoagulation at this point."
This is a long shot but
Subject: This is a long shot but
I was able to find "floor" of acetabulum and obturator "groove". Perhaps doc is saying "floor and groove"? Hope this helps. Good luck!
Shot in the dark...
Subject: Shot in the dark...
Could they be saying small villus?
this is a loooonnnnggg shot, but could it be--sm
Subject: this is a loooonnnnggg shot, but could it be--sm
*parents* or *relatives*?? good luck!!
long shot, but could be --sm
Subject: long shot, but could be --sm
pterygium?
long shot perhaps
Subject: long shot perhaps
phlebitis? Is this an ESL?
This is a long shot...sm
Subject: This is a long shot...sm
but the first thought that went through my head when I read your sentence was *hepatic*. I did a search and there is such a thing as hepatic leg swelling--your sound alike may even by HP meaning hepatitis. Just a thought.
This is a long shot, but try --sm
Subject: This is a long shot, but try --sm
He appears to have *absence of* crepitation of the joint.
Long shot
Subject: Long shot
Here's a list of meds I found used for intravesical instillation: Adriamycin, doxorubicin, epirubicin, mitomycin C, valrubicin, pirarubicin and gemcitabine gemzar. Don't know if you can hear any of those, but good luck to you and let us know if you find out for sure what it is.
long shot
Subject: long shot
nonsteroidal?
a long shot, i do not even know what she is saying...but
Subject: a long shot, i do not even know what she is saying...but
HEENT: Pupils equal, round, reactive to light; accomodation, s/l like something beginning with an m ________ are intact.
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