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sensory stimulation and s/l fifth-ear stimulation produced no reaction from the pt. nm

Posted By: minmin on 2007-10-03
In Reply to:

Subject: sensory stimulation and s/l fifth-ear stimulation produced no reaction from the pt. nm

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s/l Isoelectrical stimulation
Subject: s/l Isoelectrical stimulation

Sounds like isoelectrical stimulation -- does that ring any bells?
maybe isometrical stimulation?
Subject: maybe isometrical stimulation?


hypocalvanic stimulation??
Subject: hypocalvanic stimulation??

Is there such a thing as hypoclvanic stimulation?

I also prescribed a physical therapy regimen. This included Hydrocollator heat, transcutaneous nerve stimulation, ultrasound, and s/l hypocalvanic stimulation.
Ontero stimulation?
Subject: Ontero stimulation?

Under neurologic, He is mildly lethargic, but easily aroused to s/l ontero stimulation.  TIA!
Spinal cord stimulation help
Subject: Spinal cord stimulation help

It sounds like she is saying insertion of "specify lead" and extension, but I can't find specify lead anywhere.  Is this right?
neostigmine? Used for bladder stimulation. nm
Subject: neostigmine? Used for bladder stimulation. nm

s
Could it be hepatobiliary scan and CCK stimulation?
Subject: Could it be hepatobiliary scan and CCK stimulation?

nm
Think you want E-stim for electrical stimulation. nm
Subject: Think you want E-stim for electrical stimulation. nm

s
hot or cold pack stimulation?
Subject: hot or cold pack stimulation?


ACTH (Cortrosyn) stimulation test NM
Subject: ACTH (Cortrosyn) stimulation test NM


Hepatic biliary scan with s/l cc air stimulation
Subject: Hepatic biliary scan with s/l cc air stimulation

I am typing a sonogram of the abdomen report.  Dr. says the patient has acalculous cholecystitis.  Clinical information with a hepatic biliary scan with (s/l) cc air stimulation scan?? should be considered.  Any ideas? 


NIPS - noninvasive programming stimulation
Subject: NIPS - noninvasive programming stimulation


I think you're looking for "e-stim" (electrical stimulation) nm
Subject: I think you're looking for "e-stim" (electrical stimulation) nm


Could it be Matrix spinal cord stimulation system (nm)
Subject: Could it be Matrix spinal cord stimulation system (nm)

x
If you google sacral nerve stimulation, bellows and
Subject: If you google sacral nerve stimulation, bellows and

toe, you will find out what he was talking about. 
Ever hear of dumb sole response on plantar stimulation? sm
Subject: Ever hear of dumb sole response on plantar stimulation? sm

The patient is brain dead. I can't document anywhere. TIA!
sensory (as in sensory nerve)
Subject: sensory (as in sensory nerve)


The natriuretic peptides are produced by the heart. See inside.
Subject: The natriuretic peptides are produced by the heart. See inside.

Definition of Natriuretic peptide

Natriuretic peptide: One of the peptides that causes natriuresis, the excretion of an excessively large amount of sodium in the urine. The natriuretic peptides are produced by the heart and vasculature:

* A-type natriuretic peptide is secreted largely by the atrial myocardium in response to dilatation.
* B-type natriuretic peptide is manufactured mainly by the ventricular myocardium.
* C-type natriuretic peptide is produced by endothelial cells that line the blood vessels.

B-type natriuretic peptide is useful in the diagnosis of heart failure. The finding of a low level of B-type natriuretic peptide tends to exclude heart failure.
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


Sensory exam
Subject: Sensory exam

Thinking about the first one.
OB/GYN - s/o sidwell reaction?
Subject: OB/GYN - s/o sidwell reaction?

Ruptured ectopic; needs to have D&C to avoid postop bleeding from s/l "sidwell reaction."  ESL doctor says this phrase a few times but I can't get it for the life of me!  TIA.


Allergic reaction.
Subject: Allergic reaction.

This patient is allergic to sounds like serapies or curapies?  Any ideas?
serious allergic reaction???
Subject: serious allergic reaction???

Could it be?
it was serotonergic reaction per QA. nm
Subject: it was serotonergic reaction per QA. nm


s/l aerocipolous reaction....sm
Subject: s/l aerocipolous reaction....sm

He has a large area that is pink that is going up over his hip and onto the buttock.  There is not a lot of induration and it doesn’t look like an (s/l aerocipolous) type reaction.      


 


TIA 


Spartal reaction?
Subject: Spartal reaction?

There is no signs of excessive "spartal" reaction?
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


Decidual reaction - found it
Subject: Decidual reaction - found it

xx
s/l affected grief reaction?
Subject: s/l affected grief reaction?

CHIEF COMPLAINT:  My sister-in-law is dying, and I need a note for work


ASSESSMENT:  (s/l affected) grief reaction, secondary to the situation.  I have given a note to the patient to allow him to be out of work until Monday, April 10. 


Need help.  THanks.


impacted grief reaction? sm
Subject: impacted grief reaction? sm

As per Sted's Psych. Or distorted/inhibited/prolonged/traumatic/unresolved are some others.
affective grief reaction
Subject: affective grief reaction

x
. Allergic reaction to s/l elsparginace.
Subject: . Allergic reaction to s/l elsparginace.

nm
What kind of reaction does this yield? nm
Subject: What kind of reaction does this yield? nm

s
s/l sertz anergic reaction
Subject: s/l sertz anergic reaction

The patient tried to increase her Lexapro 2 weeks ago but had a significant s/l sertz anergic reaction?


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

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

x
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


She has had an allergic reaction to sulfanureas in the past
Subject: She has had an allergic reaction to sulfanureas in the past


since it is a serious drug reaction, I would leave a blank. (nm)
Subject: since it is a serious drug reaction, I would leave a blank. (nm)


Hives is the reaction; morphine the drug. .. No, I don't think he wants both. /nm
Subject: Hives is the reaction; morphine the drug. .. No, I don't think he wants both. /nm


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

s
skin reaction, itching, using Benadryl as well
Subject: skin reaction, itching, using Benadryl as well

Thanks!
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!


urticaria (hives) sometimes sign of allergic reaction. sm
Subject: urticaria (hives) sometimes sign of allergic reaction. sm

urticaria


ercti-karci-^



An eruption of itching wheals, usually of systemic origin; it may be due to a state of hypersensitivity to foods or drugs, foci of infection, physical agents (heat, cold, light, friction), or psychic stimuli. Syn: hives (1), urtication (2).


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!!!


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.