not sure about motor. I keep hearing moni uni. Thanks anyway.
Posted By: ss on 2008-01-12
In Reply to: recruitment = ok. Also, could it be "normal motor unit waveforms" - ltt
Subject: not sure about motor. I keep hearing moni uni. Thanks anyway.
It could be motor unit but he is slurring and this is my first EMG so I better send with blanks. Better safe than sorry.
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I keep hearing motor axenopathy
Subject: I keep hearing motor axenopathy
which is related to motor neuron disease. What comes up when I do a search is adenopathy but that "x" keeps being used. Could it be one word instead of the two words that I seem to hear?
Thanks.
EMG study moni uniwave forms?
Subject: EMG study moni uniwave forms?
EMG study revealed normal extertional activity, absence of abnormal spontaneous activity, normal moni uniwave forms.??? First time doing EMG. I was doing okay up until this point.
motor power 5/5 ;-) nm
Subject: motor power 5/5 ;-) nm
motor brace? sm
Subject: motor brace? sm
She finally got fitted for her s/l motor brace and is learning how to get this on and attached in a reasonable fashion. She is having to try to negotiate both wheelchair and a walker in order to fill all of her needs.
Motor-sensory question
would this transcribed as Motor-sensory: 5/5 or as a clipped sentence Motor-sensory 5/5.
Under the physical examination
Fine motor skill?
Subject: Fine motor skill?
Neurosensory motor deficits,,,,nm
Subject: Neurosensory motor deficits,,,,nm
? distal motor latency
Subject: ? distal motor latency
Probably MOSIs...motor sign...check it first though...nm
Subject: Probably MOSIs...motor sign...check it first though...nm
nm
Clipped sentence. Motor/sensory 5/5. nm
Subject: Clipped sentence. Motor/sensory 5/5. nm
s
No focal motor or neurological deficits
Subject: No focal motor or neurological deficits
nm
guessing..associated diminution of motor strength? nm
Subject: guessing..associated diminution of motor strength? nm
.
motor and sensory s/l mentality intact
Subject: motor and sensory s/l mentality intact
5/5 sounds like normal motor strength...but sm
Subject: 5/5 sounds like normal motor strength...but sm
...i have no idea about your s/l... "overall motor strength"? there's also an OMA score (or OMAS)=Olerud & Molander Ankle Score but 5/5 power doesn't match that...?? =(
Patient in a motor vehicle accident with her tractor
Subject: Patient in a motor vehicle accident with her tractor
HEENT: There is no pain on palpation of her calvarial bones. Furthermore, there is no *s/l* "pain crepidence" or depression on palpation of the posterior spinous processes.
No hyphen in motor vehicle. Maybe driving a 4 x 4 with a roll bar
Subject: No hyphen in motor vehicle. Maybe driving a 4 x 4 with a roll bar
s
Motor Exam: s/l diminished tone, normal (sm)
Subject: Motor Exam: s/l diminished tone, normal (sm)
no atrophy.
the patient had a stroke and has no residual except for dysarthria. Can a motor exam show diminished tone and still be considered normal?
recruitment = ok. Also, could it be "normal motor unit waveforms"
Subject: recruitment = ok. Also, could it be "normal motor unit waveforms"
Is this correct- motor strength is 4+/5-. The more I read the BOS the more confused I am. TIA nm
Subject: Is this correct- motor strength is 4+/5-. The more I read the BOS the more confused I am. TIA nm
nm
I found a Bromage scale used for nerve/motor blocks. Maybe that's it.
Subject: I found a Bromage scale used for nerve/motor blocks. Maybe that's it.
Description of the Bromage score
Grade |
Criteria |
Degree of block |
I |
Free movement of legs and feet |
Nil (0%) |
II |
Just able to flex knees with free movement of feet |
Partial (33%) |
III |
Unable to flex knees, but with free movement of feet |
Almost complete (66%) |
IV |
Unable to move legs or feet |
Complete (100%) |
denervated *frontentials* seen with normal motor unit potentials.(EMG) Thanks. nm
Subject: denervated *frontentials* seen with normal motor unit potentials.(EMG) Thanks. nm
nm
Motor nerve study with "lace" dependent pattern. see message plz :)
Subject: Motor nerve study with "lace" dependent pattern. see message plz :)
Motor nerve conduction studies were notable for decreased amplitude in both upper and lower extremities in a lace dependent pattern.
Probably talking about report physicians file with Motor Vehicle Dept - sm
Subject: Probably talking about report physicians file with Motor Vehicle Dept - sm
When patient's have seizure disorder or passing out episodes, etc. most states want physicians to fill out a "Confidential Morbidity Report" (or name similar to that) and send to the DMV letting them know the patient has been diagnosed with condition that can cause loss of control of the vehicle -- did doctor say he counseled patient on not driving until seizures under control for x-amount of months or something like that?
CNS physical exam, cranial nerve???, motor, cerebellum??? and sensory were normal...thanks.ASAP
Subject: CNS physical exam, cranial nerve???, motor, cerebellum??? and sensory were normal...thanks.ASAP
Motor exam shows her right tibialis anterior at grade –IV or is grade -4??
Subject: Motor exam shows her right tibialis anterior at grade –IV or is grade -4??
Motor exam shows her right tibialis anterior at grade IV- or is it grade -IV or grade -4 or...
Thanks!
subtle motor movements or some clonic movements..nm
Subject: subtle motor movements or some clonic movements..nm
nm
Yep, You are hearing one over four
Subject: Yep, You are hearing one over four
or 1/4. Could listen to see if there are any pluses in there though.
is it possible you are mis-hearing,
Subject: is it possible you are mis-hearing,
and he/she is saying 'MRCP'?,
ie, mental retardation/cerebral palsy...
?
could I be hearing this right?
Subject: could I be hearing this right?
Patient found to be hypotensive upon entry to the operating room. "Mass trousers" were placed. CPR was resumed.
This patient was in a car accident. Thank you
Re: could I be hearing this right?
Subject: Re: could I be hearing this right?
MAST trousers (Military and/or Medical Antishock Trousers).
you sure you are not hearing O2 sat 92%?
Subject: you sure you are not hearing O2 sat 92%?
n/m
not sure if I'm hearing this right?
Subject: not sure if I'm hearing this right?
CT scan of the abdomen and pelvis showed a small s/l fat containing umbilical hernia.
s/l fat ?
OB..I do not know if I am hearing this even..
Subject: OB..I do not know if I am hearing this even..
to put it on here...
the cervix was prepped with acetic acid and s/l a few or a-sea-a white changes were noted in multiple areas int the 11:00 region..etc. thank you
Are you hearing this as boy-yay or boy-ett? nm
Subject: Are you hearing this as boy-yay or boy-ett? nm
s
WAG but could be you be hearing sm
Subject: WAG but could be you be hearing sm
Decadron 8 mg IM? Commonly given in our office for insect sting reactions etc. along with the other meds mentioned.
not hearing this right please help :)
Subject: not hearing this right please help :)
1. Status post CVA.
2. Hypertension.
3. Coronary artery disease.
4. Obesity
5. Parasystole S/L a-? relation
Are you hearing
Subject: Are you hearing
flumethasone?
Could you be hearing CVP for DVT there? No
Subject: Could you be hearing CVP for DVT there? No
s
thanks. i'm not hearing the "c" though.
Subject: thanks. i'm not hearing the "c" though.
tia
Thanks to both. Yes, I am hearing that now
Subject: Thanks to both. Yes, I am hearing that now
as it goes, never had this word before, believe or not.
Not sure if I am hearing this right.
Subject: Not sure if I am hearing this right.
she does have some s/l hemi -actric' fracture blisters that are in that area.
???
Wow. I was not sure what I was hearing
Subject: Wow. I was not sure what I was hearing
to begin with and never heard of that before. Thanks so much.
this is what im hearing now... please sm
Subject: this is what im hearing now... please sm
after listening to it a couple of times i think i can clearly hear **shrug shoulder**, tho i dont think "midline" (which is what the MD said) is the right term to use for it.
Now I'm hearing it, but...
Subject: Now I'm hearing it, but...
- nose erythematous mucosa with enlarged turbinates.
Does that make sense?
This is probably something I'm just not hearing right, but need help with s/l
Subject: This is probably something I'm just not hearing right, but need help with s/l
Patient has lupus, asthma, peptic ulcer disease, and depression. Complaining of dizziness,lightheadedness, feeling of about to collapse.
HEENT is negative. s/l dix-ell-pock is negative.
I'm totally stumped and appreciate any help. Thanks!
Are you maybe hearing...
Subject: Are you maybe hearing...
...phonophoresis?
Are you hearing
Subject: Are you hearing
pannus spondyloarthropathy?
Thanks, but just not sure. I am definitely hearing a T in there. Hopefully he will say it again.
Subject: Thanks, but just not sure. I am definitely hearing a T in there. Hopefully he will say it again.
Just go with it if that is what you are hearing. nm
Subject: Just go with it if that is what you are hearing. nm
x
second hearing...
Subject: second hearing...
If this works, she may benefit from ___ or ___(dASO) brace-type orthotic....
Now hearing as USBL or Arizona brace-type orthotic....found USBL in google but not Arizona
Am I hearing this right??? (sm)
Subject: Am I hearing this right??? (sm)
Patient is in for osteoarthritis of the hip. Doctor states- actually rather clearly for her- "Earlier this year he developed a left inguinal adenitis following some deep (s/l dental) cleaning procedure."
Since teeth seem to have nothing to do with your groin, I'm confused... that can't really be right- But I'm also stuck on not being able to hear anything else. :P Ideas?
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