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no cogwheeling. Deep tendon reflexes are equal. nm

Posted By: NYMT2 on 2009-01-19
In Reply to: Cogrearing? - A

Subject: no cogwheeling. Deep tendon reflexes are equal. nm

xx


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Deep tendon reflexes. nm
Subject: Deep tendon reflexes. nm


Deep tendon reflexes?
Subject: Deep tendon reflexes?


deep tendon reflexes are L1+ ? (NM)
Subject: deep tendon reflexes are L1+ ? (NM)

nm
deep tendon reflexes are euthyroid?
Subject: deep tendon reflexes are euthyroid?

does this make sense because that is what the doctor says?
Deep tendon reflexes possbily...
Subject: Deep tendon reflexes possbily...


How to type this. Deep tendon reflexes plus 2 plus 2. Also, abdomen has half plus tenderness-sm
Subject: How to type this. Deep tendon reflexes plus 2 plus 2. Also, abdomen has half plus tenderness-sm

I have been typing: Deep tendon reflexes +2/+2. Does that seem correct?

For half plus tenderness of abdomen, I have been typing: Abdomen with ˝+ tenderness. I make sure it changes from 1/2+ to ˝+ so that it doesn't look like one over two plus. Does this seem right?

Thanks.
deep tendon...nm
Subject: deep tendon...nm

x
Fancy way to type this? Zoloft 20 mg per cc equal to 100 mg equal 5 cc p.o. q.a.m.
Subject: Fancy way to type this? Zoloft 20 mg per cc equal to 100 mg equal 5 cc p.o. q.a.m.


Is it a deep-seeded, or deep-seated infection? (of hip prosthesis)
Subject: Is it a deep-seeded, or deep-seated infection? (of hip prosthesis)

x
deep vein or deep venous or pulmonary, and emboli
Subject: deep vein or deep venous or pulmonary, and emboli


I disagree re: deep-seated versus deep-seeded
Subject: I disagree re: deep-seated versus deep-seeded

I believe deep-seeded may be correct.  It is a term frequently used in oncology and dermatology.  "Deep-seeded" means that something has been "seeded" from another site (primary), as in metastasis.  Please do a Google search and form your own opinion on this. 


But - is it a deep-SEEDED or deep-SEATED infection?
Subject: But - is it a deep-SEEDED or deep-SEATED infection?

x
deep seeded or deep seated keratoma
Subject: deep seeded or deep seated keratoma

Help please - which one deep seated keratoma or deep seeded keratoma. 


Silly question - is it conjoined tendon or conjoint tendon? NM
Subject: Silly question - is it conjoined tendon or conjoint tendon? NM

 Doh!  NM
I think bowstrung tendon is an anomaly/problem, and not a tendon
Subject: I think bowstrung tendon is an anomaly/problem, and not a tendon

s
cogwheeling
Subject: cogwheeling

Cogwheeling
A jerky or ratchet-like sensation felt by a physician when a patient's limb is moved around a joint


sorry it's cogwheeling.........
Subject: sorry it's cogwheeling.........


cogwheeling
Subject: cogwheeling

x
cogwheeling is correct......
Subject: cogwheeling is correct......

xx
cogwheeling (one-word)
Subject: cogwheeling (one-word)


cogwheeling and tremor perhaps (NM)
Subject: cogwheeling and tremor perhaps (NM)

x
DTR exam for reflexes? nm
Subject: DTR exam for reflexes? nm


There are palmar reflexes.
Subject: There are palmar reflexes.

x
S equal Z
Subject: S equal Z

This would be the way I would type is as if: S was the "set score" and Z was the "score equal to the normal mean"...per American Heart Association journal
"dumb" plantar reflexes. SM
Subject: "dumb" plantar reflexes. SM

Please excuse the extra words in my post, the antihyperglycemic and Amaryl.  I did not type those words, and I can't understand how I "messed up" such that they ended up in my answer.  (??) 
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. 
yes it is equal to 1.5 liters but.....sm
Subject: yes it is equal to 1.5 liters but.....sm

if dictator said *a liter and a half* that's what you give the dictator........
symmetrical and equal
Subject: symmetrical and equal

Possibly symmetrical and equal
Intact reflexes. Pulses 2+ and symmetric.
Subject: Intact reflexes. Pulses 2+ and symmetric.


Corneals, meaning corneal reflexes.
Subject: Corneals, meaning corneal reflexes.


Cardio pulses are equal.
Subject: Cardio pulses are equal.

It sounds like she is saying cardio pulses are equal bilaterally.  Could this be right.  Is the 'cardio pulses' correct?
Would this be correct? A2 is equal to P2 in intensity?
Subject: Would this be correct? A2 is equal to P2 in intensity?


If you are talking about right/left equal use it is
Subject: If you are talking about right/left equal use it is

x
I don't think so. PERL is pupils are equal
Subject: I don't think so. PERL is pupils are equal

and reactive to light. What type of surgery is he referring to??
"as well as" does not equal "and"
Subject: "as well as" does not equal "and"

i.e., the phrase isn't a conjunction and doesn't get treated the same way in a sentence. So your first choice is correct. I find that a lot of docs dictate w, x, y as well as z. I always change this to w, x and y as well as z.

Good catch.
"as well as" does not equal "and"
Subject: "as well as" does not equal "and"

i.e., the phrase isn't a conjunction and doesn't get treated the same way in a sentence. So your first choice is correct. I find that a lot of docs dictate "w, x, y as well as z." I always change this to w, x and y as well as z.

Good catch.
ENT report - elevated S/L Ry-op-sin ipsilateral acoustic reflexes
Subject: ENT report - elevated S/L Ry-op-sin ipsilateral acoustic reflexes

Impedance testing for the left ear revealed type A tympanograms and elevated __Ryopsin__ ipsilateral acoustic reflexes. Impedance testing for the right ear revealed a type A tympanograms  and absent ipsilateral acoustic reflexes.
or maybe just the word "pathologic" - missed the reflexes on the end of the sentence. - nm
Subject: or maybe just the word "pathologic" - missed the reflexes on the end of the sentence. - nm


could be generic and would use Ŗ:2:2 solution, equal parts...."
Subject: could be generic and would use Ŗ:2:2 solution, equal parts...."

x
Peripheral pulses are 1-2 (s/l with one) symmetrically equal. sm
Subject: Peripheral pulses are 1-2 (s/l with one) symmetrically equal. sm

Does that make sense.  It doesn't sound like it, but I have listened to it over and over.
Heart size equal. Lungs are clear.
Subject: Heart size equal. Lungs are clear.


equal distribution? If you can't get even a sound alike, I would leave a blank. nm
Subject: equal distribution? If you can't get even a sound alike, I would leave a blank. nm

.
Sure, they probably did blood pressure in both arms and it was equal and there was good capillary re
Subject: Sure, they probably did blood pressure in both arms and it was equal and there was good capillary refill upon release of the cuff.


There is nothing before Deep...sm
Subject: There is nothing before Deep...sm

A.D.: Deep nucleations, right, x3, second, fifth and DIPJ of the right hallux.

C.S.: The patient returns for a followup check and is much improved. He still has deep nucleations present.

Treatment/Plan: Today I débrided all lesions. I advised him to continue applying the Duofilm on a daily basis. PTR in three months.

HEENT: Pupils Equal, round, reactive to light and accomendation and ______ intact. thank you
Subject: HEENT: Pupils Equal, round, reactive to light and accomendation and ______ intact. thank you


It is deep-seated. nm
Subject: It is deep-seated. nm

:)
Meds: Am I looking to deep into this?
Subject: Meds: Am I looking to deep into this?

MEDICATIONS:  He takes Crestor, Diovan, 'lowest' aspirin, Toprol, Flomax, and Trileptal.


Make sense or is there any such other term that would fit there?  I am at a loss with this one and of course there is no hesitation between meds, so I am thinking it belongs together. = )


deep-seated
Subject: deep-seated

Keratosis is described as "deep-seated", so I would think that would be proper for keratoma as well. 
DVT - deep venous thrombosis
Subject: DVT - deep venous thrombosis

Depends on the preferences of your company. I just put DVT myself, but my account allows for that.

What is this "plamery cemal"?
DVT? deep venous thrombosis ? nm
Subject: DVT? deep venous thrombosis ? nm

xx
s/l desevrating to deep pain
Subject: s/l desevrating to deep pain

"He was s/l "desevrating" bilaterally to deep pain." Gentleman had suffered massive subdural hematoma, had decreasing level of consciousness, etc. I know what it must mean, but the word eludes me...