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position sense - as in sensory exam (I think) (NM)

Posted By: AgingMT on 2007-09-29
In Reply to: Ortho - patient has chronic cervical pain, numbness. sm - Thanks for help!

Subject: position sense - as in sensory exam (I think) (NM)

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position sense and vibratory sense is intact? Hear that a lot. nm
Subject: position sense and vibratory sense is intact? Hear that a lot. nm


Sensory exam
Subject: Sensory exam

Thinking about the first one.
DTRs were dictated in sensory exam. Thanks for your help! Still stumped!
Subject: DTRs were dictated in sensory exam. Thanks for your help! Still stumped!


Neuro doc under sensory exam says s/l staring nosia's intact. TIA!!!
Subject: Neuro doc under sensory exam says s/l staring nosia's intact. TIA!!!


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


yes preserved is correct, there is a joint position sense that is tested also.
Subject: yes preserved is correct, there is a joint position sense that is tested also.


Sensory radiculitis or sense of radiculitis or ??
Subject: Sensory radiculitis or sense of radiculitis or ??

not sure on this one but in preop diagnosis stating left S1 s/l sensory or sense of or sensi ??? radiculitis.  Probably so easy but cannot grasp it. 
sensory (as in sensory nerve)
Subject: sensory (as in sensory nerve)


During foot exam s/l fibratory sense.
Subject: During foot exam s/l fibratory sense.

There is decreased s/l fibratory sense on the right.
Makes sense in abdominal exam sm
Subject: Makes sense in abdominal exam sm

There is the Murphy's test, also called kidney punch etc.


 


College of Medicine - University of Illinois Urbana-Champaign




What is the significance of a Murphy's Test other than to diagnose RUQ pain? A. Murphy's test is a specific exam finding. The sign is for the diagnosis of ...
https://www-s.med.uiuc.edu/m1/ihd/cases/Gelb/Gelb0506.php - 34k -


 


listen for orthotopic position (meaning normal or usual position). nm
Subject: listen for orthotopic position (meaning normal or usual position). nm


is there a position s/l Dutch? left lateral decubitus position?
Subject: is there a position s/l Dutch? left lateral decubitus position?


Does it make sense that Dr would say under Phys Exam: Neurologic: physiologic ?
Subject: Does it make sense that Dr would say under Phys Exam: Neurologic: physiologic ?


Procto position probably short for proctoscopic position. nm
Subject: Procto position probably short for proctoscopic position. nm

s
semi-Fowler position one similar to Fowler's position but with the head less elevated
Subject: semi-Fowler position one similar to Fowler's position but with the head less elevated


sensory testing? nm
Subject: sensory testing? nm

nm
s/l triple sensory
Subject: s/l triple sensory

 It showed occasional frequent PVCs with triple accelerated idioventriclar rhythm.
sensory radiculitis
Subject: sensory radiculitis


Motor-sensory question

would this transcribed as Motor-sensory:  5/5 or as a clipped sentence Motor-sensory 5/5. 


Under the physical examination


palmar sensory studies? nm
Subject: palmar sensory studies? nm

nm
It is "pure" sensory neuropathy
Subject: It is "pure" sensory neuropathy


Clipped sentence. Motor/sensory 5/5. nm
Subject: Clipped sentence. Motor/sensory 5/5. nm

s
It's median sensory evoked potential....
Subject: It's median sensory evoked potential....

This test is dedicated to testing the median nerve.
motor and sensory s/l mentality intact
Subject: motor and sensory s/l mentality intact


Pt to physical therapy for presumed "saracalgia" and possible mild sensory radicular signs. sm
Subject: Pt to physical therapy for presumed "saracalgia" and possible mild sensory radicular signs. sm

The only other neurological complaint that he has had is some low-grade headache at the base of his skull in the left side of his neck that sometimes radiates to his shoulder, which has been going on since November. He is going to physical therapy for presumed saracalgia and possible mild sensory radicular signs.
total sensory absence *intesting* with a 10 gram Semes-Weinstein monofilament.-nm Thanks.
Subject: total sensory absence *intesting* with a 10 gram Semes-Weinstein monofilament.-nm Thanks.

nm
I am wondering if it is "tap sense". Does that make sense?
Subject: I am wondering if it is "tap sense". Does that make sense?


Throat exam is normal, as were the rest of her neck, face, and skull exam.
Subject: Throat exam is normal, as were the rest of her neck, face, and skull exam.


Eye exam: s/l "sub-lamp" exam shows left side has multiple small punctations in the cornea.(t
Subject: Eye exam: s/l "sub-lamp" exam shows left side has multiple small punctations in the cornea.(thanks)


Physical exam on eye exam, s/l Cardinal Welk's space?? noted.NM
Subject: Physical exam on eye exam, s/l Cardinal Welk's space?? noted.NM


Can you hear bunion for the first word? And the second can you hear symptomatic or sensory pain?
Subject: Can you hear bunion for the first word? And the second can you hear symptomatic or sensory pain?


What kind of doc is doing the exam? And where in the exam is this test mentioned? nm
Subject: What kind of doc is doing the exam? And where in the exam is this test mentioned? nm

s
Question about eye exam...when everting lids on eye exam (sm)
Subject: Question about eye exam...when everting lids on eye exam (sm)

It is EVERT, not AVERT, right? I have always typed it with an E but I have a PA who keeps insisting it is A.  I always thought Avert applied to gaze, as if to look away.  Just want to make sure everting the eyelid is the right term.  TIA. 
QA Position
Subject: QA Position

Does any one know of a full-time QA position that's open?


[Sorry Administrator , if this message is in the wrong forum; didn't know where to post this message.]


 


QA position
Subject: QA position

I have been transcribing over 10 years and am thinking of applying for QA.  Anybody have any similar experience and suggestions/comments on their experiences?  I work for MQ and get paid by the line -- have no idea how they pay their QA - is it by the report, hour or ??  Thanks so much!
or perhaps "W" position.
Subject: or perhaps "W" position.

I know that does not start with a P but that is usually what they say to avoid, the W position where they sit with knees folded back and feet to the sides. And they tell them to sit in the "indian" position to correct it.
POSITION
Subject: POSITION

Hi, thanks, that was one of my sounds like that I added to my comments when I sent it in. I guess they call the surgical table the "bed" now, maybe? I still think it is the same as reverse Trendelenburg (from the olden days when I worked in an OR), but I was not there now, right? Thanks and when I find out I'll let you know. Sometimes I feel so old and deaf! (But then again he was not the best "enunciator" on the block either).
Maybe one-position?
Subject: Maybe one-position?


Position
Subject: Position

Yes, it is a beach chair position.
Position
Subject: Position

Head upright recumbent position.  Just check this out.
s/l HS position?
Subject: s/l HS position?

spot of tenderness just outside anal verge on buttock at about 5'clock in an HS position. 
sensory stimulation and s/l fifth-ear stimulation produced no reaction from the pt. nm
Subject: sensory stimulation and s/l fifth-ear stimulation produced no reaction from the pt. nm

d
s/l pedrosal position for TAH

 Gotta get that Stedman's! 


The dorsal position.
Probably just saying "in the dorsal position."
No cap. It's just the way they position the patient. nm
Subject: No cap. It's just the way they position the patient. nm

x
maybe DISI position
Subject: maybe DISI position


Yes, Rose position. You got it.
Subject: Yes, Rose position. You got it.

xx

9 o'clock position
Subject: 9 o'clock position


? supine position
Subject: ? supine position

Young boy is having surgery on toe. Placed in s/l calva supine position. It almost sounds like he might be saying careful or covered or comfortable. Any ideas? Thanks
dependent position
Subject: dependent position

hanging down to the side
Surgical position
Subject: Surgical position

Lap chole and after the second set of trocars were placed he states, "The patient was then placed in the head upright _________ position." Sounds like beta,  Is this the same as reverse Trendelenburg?  He continues on with the rest of the case.  Somebody save me here.  I think I need a Miracle Ear.