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H&P Neurology Report, lots of help needed - Mary triplet mommy

Posted: Aug 06, 2010

I have been on this report for 2 days now. I have managed to figure most of it out but I am really lost on one paragraph. After she dictates all the information under Physical Examination she goes into another paragraph describing more of the patient's symptoms. Is there supposed to be heading before that paragraph? Also, below is a few sentences from that paragraph that I just cant make out. Any help would be great. Thanks again.

Tone is normal no clog whealing. Degenerative reflexes are equal. Blanches are down going bilaterally. Coordination is slow but intact on finger to nose bilaterally. She has no poinate or drift however her left arm bobs quite a lot on outstretched hands.

Neuro report - MT67

[ In Reply To ..]
2 days? That's long TAT; is this for school?

Hope this helps - no1joe

[ In Reply To ..]
Tone is normal no clog whealing.
Tone is normal. No cogwheeling.

Degenerative reflexes are equal.
__________ reflexes are normal. (I have never heard of degenerative reflexes).

Blanches are down going bilaterally.
Babinski downgoing bilaterally.

Coordination is slow but intact on finger to nose bilaterally.
Coordination is slow but intact on finger-to-nose bilaterally.

She has no poinate or drift however her left arm bobs quite a lot on outstretched hands.
She has no pronator drift; however, her left arm...

Check your Stedman's Neuro words under "reflexes" for something that s/l degenerative. I've never heard that term before, but I could be wrong. I don't have my reference materials available right now. : )

I would guess degenerative = deep tendon - Yoda nee Oracle nm

[ In Reply To ..]
x

oops - no1joe

[ In Reply To ..]
Made a mistake up there. It should be __________ reflexes are equal. Sorry about that. And the blank might be "deep tendon."

Thank you once again! - Mary triplet mommy

[ In Reply To ..]
I will check out the "degenerative" reflexes again. Looks like everything else you posted was dead on. You have replied before to my post and are always so helpful. How did you get so good at this. ;0) Thanks again!!

H&P Neurology Report - amneid

[ In Reply To ..]
clog whealing = cogwheeling
Blanches = Babinski's
poinate or drift = pronator drift

H&P Neurology report - razorwinch

[ In Reply To ..]
I am on this same report now. Chapter 14. I am having the same problem you had. Someone told me it may be babinski's are down going bilaterally. But it does sound like blanches.
My biggest problem is in the HPI section ...I cannot figure out.... She has never had electromyogram (EMG), but did have work-up for lumbar stenosis, she has had an operation to release a tethered cord and also fusion ________. could you help me with this?

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