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Would CNS and Neurological exam be the same thing?

Posted By: beNice on 2008-11-14
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Subject: Would CNS and Neurological exam be the same thing?




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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.
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?


No. That is neurological and this is GI. Thanks.
Subject: No. That is neurological and this is GI. Thanks.


neurological
Subject: neurological

Neurologic:                  Her morrow is symmetric, and her tone is pretty good, although some *** ( “head-like"?)  and some mild *** (subster?) is noted.


Neurological.
Subject: Neurological.

x
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. 


Diagnosis is gliobastoma multiforme


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? 
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?


If neurological or back, maybe facet?
Subject: If neurological or back, maybe facet?

x
Neurological History and Physical
Subject: Neurological History and Physical

This is going to probably sound crazy....but it s/l "whirring imbalance."
neurological testing sign
Subject: neurological testing sign

Fokudo's sign?  Anyone know the correct spelling?  That's what it sounds like phonetically but I can't find it...thanks in advance.
reversible ischemic neurological deficit. See ref.
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


No focal motor or neurological deficits
Subject: No focal motor or neurological deficits

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


Neurological test, s/l Belull sign
Subject: Neurological test, s/l Belull sign

Patient with tarsal tunnel. Positive Tinel sign. Negative *s/l Velull or Belull* sign. Says it twice and I'm still clueless. TIA.
Neurological: Moving all 4 extremities and s/l withdrawing to sensation.

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


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


I would say urogenic, unless the patient has other neurological/nerve associated diagnosis i.e. neur
Subject: I would say urogenic, unless the patient has other neurological/nerve associated diagnosis i.e. neurofibromatosis, etc. Just my opinion.


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. 
Which is correct? self-breast exam or breast self-exam (nm)
Subject: Which is correct? self-breast exam or breast self-exam (nm)

xx
Sure thing...


Only thing I can think of is (sm)
Subject: Only thing I can think of is (sm)

thalassemia. Listen for that and see what you come up with.
yep, there is such a thing. sm
Subject: yep, there is such a thing. sm

can google.com and enter your word or phrase and up come articles - info.


Charcot's pseudoarthropathy of the knee treated by means of a ...
[Charcot's pseudoarthropathy of the knee treated by means of a total prosthesis (a
complication of intra-articular glucocorticoids)] [Article in Spanish] ...
www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve& db=PubMed&list_uids=4458000&dopt=Abstract - Similar pages


[PDF] REPORT to the SUPREME COUNCIL OF ANTIQUITIES on the 2000/2001 ...
File Format: PDF/Adobe Acrobat - View as HTML
The pseudoarthropathy is eburnated (polished). indicating considerable use after
the fracture. The flat pattern of wear suggests her gait was ...
www.arts.monash.edu.au/archaeology/ excavations/dakhleh/dakhleh-report-2000-2001.pdf - Similar pages

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Is there such a thing as a lab
Subject: Is there such a thing as a lab


one more thing......sm
Subject: one more thing......sm

I never put post before bilateral - I put postsurgery, postinflammatory, postmastectomy, postprostatectomy, but I never put postbilateral - that just looks incorrect, to me........just my take.....
The only thing I can see it could be
Subject: The only thing I can see it could be

would be vera, as in color -- measuring it by rubra vera.

one more thing
Subject: one more thing

Forgot to mention this is listed under past surgical history.
Is there such a thing as a
Subject: Is there such a thing as a

I asked this on another board, s/l pla-say gaze,and someone said plessy gaze, but I cannot find it in any of my books, so wondered if this is correct?  No one else answered when I asked about it later.  Thank you.
the only thing I can think of
Subject: the only thing I can think of

is the doc is saying something like "reductase" (inhibitor) maybe?? can you hear anything before the "regis rice" part?
Is there such a thing as a .....
Subject: Is there such a thing as a .....

MacGyver or McGyver retractor?  I have heard this several times, but I can't find it.  The current report is "s/l Macgyver was used for oral exposure."  TIA!
Is there such thing as a bio 7? The Dr. says
Subject: Is there such thing as a bio 7? The Dr. says

CBC, s/l bio 7 and UA are within normal limits.  I have heard of a chem-7, but bio 7?  Are these the same thing, and if so, how do I type bio 7?  Thanks!
the only thing I could think would be that
Subject: the only thing I could think would be that

the doc is leaving off the second ideation to be understand that it exists.

suicidal ideation/homicidal (intented ideation)

But still, I'm not entirely sure that is what he intends. Do you absolutely need to expand it or can you send it through as you hear it and flag it for clarification?
sure thing! is that what was being said nm
Subject: sure thing! is that what was being said nm


there is such thing as.....see msg
Subject: there is such thing as.....see msg

superior capital artery and lateral capital artery, so superficial capital artery might be right.
That's the only thing I
Subject: That's the only thing I

know of too, but it does not sound like that is what he is saying! Thought maybe there was something else
Thanks - only thing I could think of. nm
Subject: Thanks - only thing I could think of. nm

nm
Yes, there is a such thing
Subject: Yes, there is a such thing

as a seeker needle.  Sometimes they will say a finder needle too.
Sure thing.
Subject: Sure thing.


Sure thing.
Subject: Sure thing.


Sure thing! nm
Subject: Sure thing! nm

x
Sure thing!
Subject: Sure thing!


I think it looks okay, but then again, I'm an old thing who
Subject: I think it looks okay, but then again, I'm an old thing who

s
Sure thing.
Subject: Sure thing.