A community of 30,000 US Transcriptionist serving Medical Transcription Industry


cranial exam help please sm - Thanks


Posted: Aug 18, 2010

Cranial nerves intact.  Motor power symmetrical.  Normal gait.  Negative Romberg's test.  Normal cerebellar testing without dysmetria and dysdiadochokinesia.  

 

Doc says "template neurologic normal.  Cranial nerves intact except for the hearing loss"  What part of this template would you take out.  

 

This is a new doc for me.  Thanks

He probably has a template and is telling you - ht

[ In Reply To ..]
to insert it here. Blank it and send it to QA and tell them you do not yet have his template.


Similar Messages:


In Cranial Nerve Exam Patient Has *cysgingeal* Hyperplasia?? Thanks. Nm
Apr 01, 2011

nm ...


Spanish Dictator. Cranial Nerves Exam - Smaller Right Pupil, No Ptosis, No Change In "sweating
Aug 15, 2014

x ...


Cranial Nerve Exam- No Abnormal "sigh-cat-ick" Movement
Jun 08, 2010

nm ...


Cranial Nerves.....
Nov 10, 2009

I'm thinking the BOS says that both ways are acceptable.... am I wrong?   Cranial nerves II through XII. Cranial nerves 2-12.     ...


Maybe I'm Having Cranial Flatus....Retro-ly
Aug 04, 2011

I am doing an OP report that is not a strict verbatim and is able to be corrected to best English.  The dictator says:  Tibial guide retrocut was placed, drilled, and then reamed "retro-ly".  He stumbled around a bit before settling on "retro-ly" because he, too, knew that couldn't be correct, but he, like me, has blanked on what the heck it should be.  Plantar is plantarly, lateral is laterally....what does retro become?  Does it just get stretched out to retrograd ...


Basal Versus Basilar Cistern In Cranial CT
Nov 17, 2009

In a cranial CT I have always transcribed "basal" cistern, but in the report I have, the doctor clearly is stating "basilar" cistern.  The Stedman's electronic dictionary I have shows "basal" cistern also.  Can someone tell me which is correct, or are they interchangeable?  Thank you. ...


Cranial Nerves - Arabic Or Roman #s - ADHI?
May 20, 2010

I need documentation about cranial nerves.  Got QA edited from using roman numerals, i.e. cranial nerves II through XII versus cranial nerves 2 through 12.  According to my notes, either is okay, but QA said preferred way is 2 through 12, and I got "edited" for it.  Ugh. Anybody?  Thanks.  ...


Are Cranial Nerves No Longer Roman Numerals?
Feb 25, 2015

xx ...


Pt Iwth Brain Cancer, Dictated, "he Had Deficits In Cranial Nerves II, III, IV, VI V2"
May 23, 2011

he had deficits in cranial nerves II, III, IV, VI V2.  In previous dictation, by a different doctor, it was dictated "cranial nerves II, III, IV, VI, and V branch 2" ...


Bladder Tumor, "cranial/clanial" To The Rt Orifice Sm
Jun 18, 2015

There were two small areas of recurrence, each less than 1 cm, one in the right bladder wall, s/l "cranial/clanial" to the right orifice.  He is stuttering/changing his mind, which makes it even worse. My first thought was clinging, but I hear "ial or eal" at the end.  Thanks!  ...


S/l "Yeoman's 7th Cranial Nerve Palsy."
Oct 21, 2009

I have a doc who sounds like he is saying "YEOMAN'S 7th cranial nerve palsy."  He has used it before.  I cannot figure it out or find it (all I come up with is Bell's, and that is not what he is saying) and it has never been corrected on feedback, so apparently the editors don't know it, either.  He has a strong middle eastern accent so this may be throwing me off.  Any suggestions  would be much appreciated.  Thank you. ...


AIIMS Exam Or AMES Exam
Sep 15, 2011

Doing a report for a counseling and recovery center. Dr. says.... AIIMS exam showed mild involuntary movement of upper extremities and t____ assessment. Is it AIMS exam or Ames exam. I am also unsure of the blank, it sounds like it starts with the letter T. Thank you Thank you in advance! ...


S/l Cranial "fullsub" Mass
Feb 22, 2011

TIA for any help! ...


Eye Exam - Help, Please And Thanks!
Nov 11, 2009

External exam, pupillary exam, and slitlamp examination of the anterior segment are normal both eyes intact, all tension is normal both eyes.  Undilated funduscopic examination with a 90-diopter revealed a question of mild nerve s/l "fiber alla" edema.  ...


Help In MSK Exam
Nov 20, 2009

Lasègue sign is negative bilaterally, flare sign negative bilaterally, Rayberg maneuver negative.  I cannot find flare, so not sure if it is flare or flair.  Have no clue has to Rayberg maneuver.  Thanks. ...


Eye Exam Help And Thanks
Jan 05, 2010

Slitlamp exam is normal.  Intraocular pressure by tactile is normal.  On dilated funduscopic exam, cup-to-disc ratio is 0.15 with sharp margins in both eyes (s/l maculo splat).  Dilated funduscopic exam is within normal limits both eyes.    ...


Can Anyone Take The RMT Exam?
Mar 23, 2010

...or are there pre-reqs?  I've looked at the main ahdi website, I just wasn't sure if when they say that you have to "apply" if that means they will look at your experience and either accept or deny you or whether applying is simply a formality so they know you want to take the test.Also, if you've already taken the test, what were some of the toughest sections (for you personally)?  Any advice would be greatly appreciated. ...


Exam Help
Apr 07, 2010

In the physical exam, the doctor says the following under the HEENT heading: Pupils are pinpoint and nonreactive.  Normal appearing sclera.  TMs are clear with good light reflection.  No s/l "battle sign".  Normal nasal exam with no polyps.   Help if you can please. ...


RMT Exam
Jan 19, 2011

I am ashamed to say that I took the RMT exam twice and failed the transcription part twice. I am horrified! So, here are my questions.  Am I the only one or are there any others of you in my shoes and how did you study for the exam? What study tools did you use? ...


OB/GYN Exam
Jul 14, 2011

REVIEW OF SYSTEMS___ was negative except for as HPI. (sounds like ten points) ...


GI Exam
Jun 25, 2013

During p/e, dr. says "abdomen is soft, distended with "capamedusa" present.... Could be tapa, kapa, Im duped.    ...


CPC Exam
Aug 09, 2014

Hi, I'm just wondering how many people have taken the CPC exam with AAPC and passed on their first try? If so, do you have any tips? My coding class ended in May, but I am just now able to sit for the exam. I will take it Sept 9th. I'm reviewing all my homework assignments, studying the practice exams on the AAPC website to prepare for the actual exam.  I find myself so stressed out with worry and anxiety that it is hard to concentrate. I'm also job seeking for anything in t ...


CPA Exam 9 Or 10?
Apr 23, 2015

I took coding as my wallet permitted payment and did not have any ICD 10 courses.  prob know the answer to this question but asking anyway:  Is the current CPA certification exam based on ICD 10 codes?  Has anyone taken this year? ...


Neck Exam..
Oct 15, 2009

All she says is: neck, erect of right midline, trachea... ...


Neuro Exam Help And Thanks
Oct 30, 2009

Her deep tendon reflexes are (1-2)(+) in the brachial s/l "ray alis", biceps, Achilles, and patellar tendons, and symmetric.   thanks! ...


Does This Sound Right? I've Never Had This On An Exam..
Nov 02, 2009

Visual fields are full to confrontation. ...


Heart Exam...
Nov 03, 2009

"Cardiovascular exam was tachycardiac. No s/l meals or an ST. No murmurs or gallops were appreciated." Any ideas? Thanks! ...


Physical Exam...
Nov 03, 2009

Extremities: 3+ edema. s/l kidneys bilaterally. What could "kidneys" be?   ...


Neuro Exam Sm
Nov 07, 2009

Cranial nerves II-XII grossly intact except for left facial s/l nerve lesion on central pathology. Does this make sense? ...


Reflex Exam
Dec 02, 2009

There is positive s/l bobocavernosis response elicited. ...