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decreased s/l flying femur movements?

Posted By: Kelley on 2009-05-20
In Reply to:

Subject: decreased s/l flying femur movements?

Under neurologic exam, motor exam.  s/l decreased flying femur movements right vs. left.


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subtle motor movements or some clonic movements..nm
Subject: subtle motor movements or some clonic movements..nm

nm
Thx! This doc is just flying through. You are right. Thx again!
Subject: Thx! This doc is just flying through. You are right. Thx again!


teratoma? Please check, I was just flying thru. nm
Subject: teratoma? Please check, I was just flying thru. nm

x
that would be "do" a google search...really flying bye!
Subject: that would be "do" a google search...really flying bye!


Good info, but your docs aren't going to give a flying fig whether there's an 'a' or an
Subject: Good info, but your docs aren't going to give a flying fig whether there's an 'a' or an 'o'

s
Don't think it would be 5th. Femur maybe?
Subject: Don't think it would be 5th. Femur maybe?


amy arm? femur fx repair n/m
Subject: amy arm? femur fx repair n/m


A 10 femur and 11 tibia?
Subject: A 10 femur and 11 tibia?

nm
AND!!! There is no femur IN the canal
Subject: AND!!! There is no femur IN the canal


shaft of the femur. nm
Subject: shaft of the femur. nm


Medullary canal is in the femur
Subject: Medullary canal is in the femur


Center "proctation" of the femur?
Subject: Center "proctation" of the femur?

Should it be "rotation?" It sure sounds like a "p" word.

The center "proctation" of the femur was then established using the computer by flexing, extending, and rotating the hip.
s/l golision tolar prosthesis of the hip and femur??? TIA
Subject: s/l golision tolar prosthesis of the hip and femur??? TIA


Hip replacement system, S/L "Ka-RI" femur. TIA
Subject: Hip replacement system, S/L "Ka-RI" femur. TIA

xxx
It has to be femur if it's xray of the knee and is distal. nm
Subject: It has to be femur if it's xray of the knee and is distal. nm

nm
the medullary canals is in the femur or in the bone.
Subject: the medullary canals is in the femur or in the bone.


There is a lytic area on the lateral s/l *shamfur* of the femur. TIA nm
Subject: There is a lytic area on the lateral s/l *shamfur* of the femur. TIA nm


femur fracture: status post s/l gaminel placement. TIA
Subject: femur fracture: status post s/l gaminel placement. TIA


The straight s/l "gold" reamers were used to ream the proximal femur. NM
Subject: The straight s/l "gold" reamers were used to ream the proximal femur. 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
Penningfield(?) computer, used to calibrate measurements of femur (hip replacement surgery)
Subject: Penningfield(?) computer, used to calibrate measurements of femur (hip replacement surgery)

??

Thanks.
Surgery was complicated by a partial distal femur fracture which was stabilized using a sm
Subject: Surgery was complicated by a partial distal femur fracture which was stabilized using a sm

s/l dull millis cable. Thanks for any help

no, it s/l decreased
Subject: no, it s/l decreased

I have listened over and over. I know the term nuclear sclerotic, but he s/l he is saying decreased. Thanks for the help.
Duh by me - decreased rom!! thanks
Subject: Duh by me - decreased rom!! thanks


decreased? sm
Subject: decreased? sm

it's close to your s/l (IF you say it while yawning) and it fits with paresthesias... ?? =)
I also think it would be decreased, and
Subject: I also think it would be decreased, and

it sounds like the patient has meralgia paresthetica.

I was confused by the subject line because I thought the patient was having the problem while yawning, LOL.
He doesn't give it. He's flying, but doesn't s/l fentanyl.
Subject: He doesn't give it. He's flying, but doesn't s/l fentanyl.

nm
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


S/L: HEAD SHOT GUN MOVEMENTS
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


rapid alternating movements? nm
Subject: rapid alternating movements? nm

nm
"fine finger" movements, probably
Subject: "fine finger" movements, probably


fracture of the proximal left femur with segmented upper tip of the graded s/l turhunter
Subject: fracture of the proximal left femur with segmented upper tip of the graded s/l turhunter


decreased curves
Subject: decreased curves

The guy could be more organized but that's not your fault. That is fine the way it is.
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
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.


Neck: Decreased ROM in all "axies"
Subject: Neck: Decreased ROM in all "axies"


first thought is decreased expiratory or sm
Subject: first thought is decreased expiratory or sm

inspiratory phases bilaterally. 
Says...Reflexes were decreased at his ankles with... sm
Subject: Says...Reflexes were decreased at his ankles with... sm

s/l equivalent of toes bilaterally. 
decreased sclerotic cataract
Subject: decreased sclerotic cataract

Does this make sense? Doing a cataract surgery and it s/l the preop dx is descreased sclerotic cataract.