any chance it's cogwheel rigidity?
Posted By: bonjeanjo on 2008-05-26
In Reply to: S/L coll-er-well rigidity - Ima Stuck
Subject: any chance it's cogwheel rigidity?
Stedmans says its "a type of rigidity seen in parkinsonism in which the muscles respond with cogwheellike jerks to the use of constant force in bending the limb."
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how about cogwheel-like .....
Subject: how about cogwheel-like .....
according to how it is used in the sentence.
cogwheel-like
Subject: cogwheel-like
The way he has dictated the sentence I could not type it that way -- and it is a verbatim account. He is saying cogwheeled not cogwheeling as another MT suggested but thanks anyway. I may just flag it to cover my buttock. :D
ever heard of what s/l Cogwheel and entremor
Subject: ever heard of what s/l Cogwheel and entremor
cogwhel and entremor?
s/l rigidity
Subject: s/l rigidity
maybe good "elasticity and turgor"??
rigidity
Subject: rigidity
cogwheel rigidity
rigidity?
Subject: rigidity?
?no rigidity??
Subject: ?no rigidity??
...
nuchal rigidity
Subject: nuchal rigidity
nm
neck rigidity
Subject: neck rigidity
That is what I was thinking. Can this been seen in the neuro exam because that is where she is next?
S/L coll-er-well rigidity
Subject: S/L coll-er-well rigidity
The doctor is going over the neurologic exam.
"the patient has no resting tremor, no (s/l coll-er-well) rigidity, no Parkinsonian facies, and no shuffling gait."
oops rigidity is PE, acidity is ROS, sorry!
Subject: oops rigidity is PE, acidity is ROS, sorry!
nuchal rigidity? In neck region...
Subject: nuchal rigidity? In neck region...
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.
Brudzinski's sign. Also, it's *nuchal* rigidity. (nomsg)
Subject: Brudzinski's sign. Also, it's *nuchal* rigidity. (nomsg)
xx
would doc say skin with good s/l rigidity??? and turgor for elderly patient?
Subject: would doc say skin with good s/l rigidity??? and turgor for elderly patient?
no rebound, guarding, or rigidity. Common to hear no guarding on abdominal exam.
Subject: no rebound, guarding, or rigidity. Common to hear no guarding on abdominal exam.
Any chance pt may have had
Subject: Any chance pt may have had
a tear of carotid? Not much to go on, but CARE doesn't get any hits for me.
I say just take a chance and go for it
Subject: I say just take a chance and go for it
Has a chance?
Subject: Has a chance?
xx
Any chance...
Subject: Any chance...
He's backtracking and saying "A UA was within normal limits", rather than, "The patient's UA"?
Just an idea...gosh, wish I could be more helpful!
any chance it's mesh? nm
Subject: any chance it's mesh? nm
Any chance it could be Widex?
Subject: Any chance it could be Widex?
Any chance this could be "hysterical?" nm
Subject: Any chance this could be "hysterical?" nm
x
Any chance your hearing
Subject: Any chance your hearing
asbestosis?
not really your s/l but any chance it is accupuncture?
Subject: not really your s/l but any chance it is accupuncture?
Any chance you hear TVT (as in sm
Subject: Any chance you hear TVT (as in sm
tension vaginal tape)? BTW, it's sacrospinOus.
if they by chance are testing to be CMT.....
Subject: if they by chance are testing to be CMT.....
cannot use the internet or anything while testing for your CMT....we don't know what these people might be testing for, eh?
If they are allowed to use references, well fine - coming to the word board here is not using a reference, but using ALL OF US to supply the answer(s).
jes my nickel's worth.....*S*
chance it could be "decelerations"?
Subject: chance it could be "decelerations"?
No chance it could be Celebrex is there?
Subject: No chance it could be Celebrex is there?
That one is for arthritis (NSAID).
Any chance you can hear
Subject: Any chance you can hear
sewing ring?
Still looking.
any chance he is saying Lanoxin? (nm)
Subject: any chance he is saying Lanoxin? (nm)
x
No chance in Haides it's this is it? (sm)
Subject: No chance in Haides it's this is it? (sm)
His patient history is notable for pulmonary emboli (or embolus) and right lower extremity DVT.
Chance fracture
Subject: Chance fracture
Could it be Lodine by chance? sm
Subject: Could it be Lodine by chance? sm
This is used for pain management a lot of times. Just a guess.
Any chance it could be bupropion?
Subject: Any chance it could be bupropion?
OMG -- LMAO -- ESL by chance?
Subject: OMG -- LMAO -- ESL by chance?
any chance it could be trigone?
Subject: any chance it could be trigone?
Any chance it's "dorsal"?
Subject: Any chance it's "dorsal"?
xx
Does he have cancer by chance? sm
Subject: Does he have cancer by chance? sm
I found this in my Stedman's Abbreviations and Acronyms book:
methyl-CCNU (semustine, 5-fluorouracil, and Adriamycin (docorubicin)
Hope this helps.
By any chance, is she having a repeat
Subject: By any chance, is she having a repeat
C-section? If so, maybe spurning active labor, i.e. scheduled C-section.
Does it sound like these by any chance?
Subject: Does it sound like these by any chance?
(cefotaxime, ceftriaxone)? Just a guess...
any chance he's saying miotics?
Subject: any chance he's saying miotics?
those are the drugs that constrict the pupil.
Is that a long E by any chance?
Subject: Is that a long E by any chance?
.
Thanks; never got a chance to reply last night.
Subject: Thanks; never got a chance to reply last night.
will put it on my new terms (for me) list.
Tam, any possible chance this could be "serum iron?" nm
Subject: Tam, any possible chance this could be "serum iron?" nm
x
Do you by chance hear neurolytic?
Subject: Do you by chance hear neurolytic?
/
well,if it means several things, you have a chance of
Subject: well,if it means several things, you have a chance of
Per BOS, it is acceptable to use standard abbreviations in body text (like I&D'd) but not in diagnosis, impression, plan, recommendation, operative header, etc.
Hmmm. He's not saying "denudations" by any chance? sm
Subject: Hmmm. He's not saying "denudations" by any chance? sm
I'm thinking it might read:
Denudations x3, right second and fifth DIPJ, and right hallux.
I could be way off. I don't know what nucleations could be unless he has his own meaning for the term. Denudations would make sense if the patient had injured his foot (degloving) or if it were ulcers denuding the epithelium.
You can always just leave it and flag it "as dictated." That would cover you.
Wish I could be of more help.
any chance he's saying GI tract suspects?
Subject: any chance he's saying GI tract suspects?
.
any chance he slurred give away in there?
Subject: any chance he slurred give away in there?
x
Any chance it's Methylin or Metadate?
Subject: Any chance it's Methylin or Metadate?
Those are the only other methylphenidate products I can find other than the ones already mentioned.
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