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hypesthesia (loss of sensation)?

Posted By: MT50 on 2008-02-22
In Reply to: s/l use of hipatholger for allergies...nm - eaji13

Subject: hypesthesia (loss of sensation)?




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Found it! LOPS (loss of protective sensation). TXS! NM
Subject: Found it! LOPS (loss of protective sensation). TXS! NM

loss of protective sensation (LOPS)
Sensation ?
Subject: Sensation ?


? sensation
Subject: ? sensation


? sensation
Subject: ? sensation


pin prick sensation.
Subject: pin prick sensation.

We also checked 2 point and 1 point pin sensation discrimination and this was intact.   (I am questioning discrimination have not heard it this way before I may be hearing discrimination incorrectly, any tips?)


Usually a *fluttering* sensation. (nm)
Subject: Usually a *fluttering* sensation. (nm)

x
discomfortable sensation?
Subject: discomfortable sensation?

xx
gross sensation? sm
Subject: gross sensation? sm

PDF]

RN.com’s Assessment Series: Focused Neurological Assessment


File Format: PDF/Adobe Acrobat - View as HTML
Next, test gross sensation of Cranial Nerve V. Tell the patient to close their .... locations bilaterally to test for temperature sensation. Light touch ...

gas/gaseous sensation?
Subject: gas/gaseous sensation?

.
ahh-voo-cartic sensation??sm
Subject: ahh-voo-cartic sensation??sm

s/l "ah-voo-cartic" sensation is intact bilateral lower extremities, retrograde sensation for sharp, dull, vibratory and proprioception." 


Strength is 5/5 throughout. Sensation is intact.
Subject: Strength is 5/5 throughout. Sensation is intact.

is how I would do it.
pinprick sensation #1...patchiness #2....
Subject: pinprick sensation #1...patchiness #2....

but it's pinprick sensation (with a k)....*S*


not passiveness - rather patchiness.....


so...dull, aching sensation... but your QA may
Subject: so...dull, aching sensation... but your QA may

s
sensation and strength intact. (nm)
Subject: sensation and strength intact. (nm)

.
dr says s/l "grass" sensation while yawning
Subject: dr says s/l "grass" sensation while yawning

The working diagnosis at this point in time is paresthesias of the right thigh.

There is a s/l grass or glass sensation to light touch on the anterior and anteromedial aspect of the right thigh from the suprapatellar region to the proximal thigh region.
You're right, it's sensation. Thanks sooooo much!!!
Subject: You're right, it's sensation. Thanks sooooo much!!!


Maybe an anesthetic reaction? Dulling of sensation? nm
Subject: Maybe an anesthetic reaction? Dulling of sensation? nm

s
GOT IT!!! EDG patient has choking sensation when swallowing.
Subject: GOT IT!!! EDG patient has choking sensation when swallowing.

Thanks.
patient had a ***clupping*** sensation in the chest SM
Subject: patient had a ***clupping*** sensation in the chest SM

he has been diagnosed with atrial fibrillation in the past and presents with palpitations.
neuro exam - says intact sensation, "V-one, V-two,
Subject: neuro exam - says intact sensation, "V-one, V-two,

and V-three" - would that be VI, VII, VIII or V1, V2, V3 ??
Neuro - not sure if I have this right - sensation testing of diabetic sm
Subject: Neuro - not sure if I have this right - sensation testing of diabetic sm

Usually this doc says something along the lines of monofilament testing is intact, which is also how the other docs have dictated it to one degree or another.

However, this time he says, "a nylon string test reveals s/l 5 point of sensation on both feet."

Don't know if it should be 5 points of sensation, 5-point sensation, or if it's simply 5.0 sensation. Is anyone aware of how to type this?

Thanks for any help with this.
Neuro - not sure if I have this right - sensation testing of diabetic sm
Subject: Neuro - not sure if I have this right - sensation testing of diabetic sm

Usually this doc says something along the lines of monofilament testing is intact, which is also how the other docs have dictated it to one degree or another.

However, this time he says, "a nylon string test reveals s/l 5 point of sensation on both feet."

Don't know if it should be 5 points of sensation, 5-point sensation, or if it's simply 5.0 sensation.

Is anyone aware of how to type this?

Thanks for any help with this.
Neurological: Moving all 4 extremities and s/l withdrawing to sensation.

She has poor facial sensation bilaterally in "VI, II, and III". Is this right?
Subject: She has poor facial sensation bilaterally in "VI, II, and III". Is this right?


There is insensate meanng devoid of sensation or feeling.
Subject: There is insensate meanng devoid of sensation or feeling.


Neuro help please... gross 'epocrate' sensation is intact. Thanks! nm
Subject: Neuro help please... gross 'epocrate' sensation is intact. Thanks! nm

x
After reading all of it, would change my answer to distally going with sensation. Not sure about th
Subject: After reading all of it, would change my answer to distally going with sensation. Not sure about the second ??.


No melena, hematochezia, heartburn, “or rerlash gorba sensation’ or dysphagia.
Subject: No melena, hematochezia, heartburn, “or rerlash gorba sensation’ or dysphagia.

If someone gets this...you get a gold star! 
At a loss!!
Subject: At a loss!!

Jeez!  Doc is usually very clear, but this I just can't figure out, but I'm looking to you guys for some help, because I might just be fried...


"She was seen in the emergency room on Thursday for severe headache and possible preictal aura.  She had a brain CT that was unremarkable per report which patient S/L: HAN-DE-LE-RIS today.  Also was given Ativan and Toradol."


I thought maybe "handed to us", but it just doesn't sound like that - at any speed.  If anyone has an idea of what this might be, I would be most appreciative!!  Thanks in advance.


 


Still at a loss
Subject: Still at a loss

It still makes no sense to me ~ if she was already on Flagyl, how could she be switched?  Neither of the drugs you listed (or variations thereof) exist.  There are many antibiotics that sound very similar.  See if you can slow the voice way down.
Decreased pinpric sensation to the bilateral lower extremities but areas of s/l passhiveness -sm-
Subject: Decreased pinpric sensation to the bilateral lower extremities but areas of s/l passhiveness -sm-

with increased sensation.  Would passiveness fit here?  Help is appreciated.  Thanks!
GI "blood loss" perhaps? nm
Subject: GI "blood loss" perhaps? nm


weight loss
Subject: weight loss

Weight loss. She is visibly __________s/l ti-kek-tic as compared to her last visit. I suspect she has lost at least 20 pounds


 


I'd say "job loss" :) (nm)
Subject: I'd say "job loss" :) (nm)

XX
how about loss of a denture ? NM
Subject: how about loss of a denture ? NM


Rash/Weight loss
Subject: Rash/Weight loss

Could be a rash or weight loss - two other symptoms of lupus.
I think you mean bariatrics (weight loss), not
Subject: I think you mean bariatrics (weight loss), not

nm
"some loss"? a guess but all I can think of NM
Subject: "some loss"? a guess but all I can think of NM

/
insensible ?? blood loss
Subject: insensible ?? blood loss

EBL: 50-100 mL plus s/l insensuable losses in the uterus. Does insensible loss make sense? Sound quality is very poor.
Akinesthesia is loss of movement, so maybe an
Subject: Akinesthesia is loss of movement, so maybe an

s
sensorineural hearing loss?
Subject: sensorineural hearing loss?

sometimes associated with dialysis..
trochlear? loss of motion (nm)
Subject: trochlear? loss of motion (nm)


nuclear motion loss?
Subject: nuclear motion loss?

Could it be? 
1. Tympanic. 2. ??? 3. hearing loss? sm
Subject: 1. Tympanic. 2. ??? 3. hearing loss? sm

Could be sensorineural hearing loss, conductive hearing loss, mixed.
Pt with 5 pound weight loss. sm
Subject: Pt with 5 pound weight loss. sm

It appears to be secondary to loss of "adentia"??   which was lost during the transfers and admission to different hospital.
Word help - s/l mee-loss syndrome
Subject: Word help - s/l mee-loss syndrome


Dx is hair loss, possible s/l tulogenifludium.
Subject: Dx is hair loss, possible s/l tulogenifludium.


Patellofemoral cartilage loss
Subject: Patellofemoral cartilage loss


Gakesia weight loss?

.


maybe "hematochezia, weight loss.." as in ROS or something??
Subject: maybe "hematochezia, weight loss.." as in ROS or something??


loss of s/l hosture was noted in a colonoscopy. TIA
Subject: loss of s/l hosture was noted in a colonoscopy. TIA