neuro physical exam - thanks!

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

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

I feel like I should know this but I don't. During the neuro exam, doc says: "Patient's smile and s/l "eye-per-ar-rays" or "hyper-ar-rays" are symmetrical." Can anyone help? Thanks in advance. ...

NEUROLOGIC: The patient is alert. She really is nonverbal. She makes occasional vocalization. She has a lot of _______________ (s/l hand datontism). She is intermittently holding up her left with her left finger, but is easily distracted from this activity. ...

When the doctor dictates about the gait and tandem gait, do you leave that under extremities if he dictates it there? He usually says it at very end of physical exam, and I am unsure if he just forgot to dictate "NEUROLOGICAL" heading or what. Sometimes he does dictate a NEUROLOGICAL heading and puts the gait there as well as other things, but then many times he dictates it at end of extremities and does not give separate heading. What would be the appropriate thing to do in th ...

It's a patient with with severe global aphasia. He dictates the following: Cranial nerves, of course she cannot cooperative to measure and test visual fields. She has some spontaneous extraocular motility, and overall, most important, I did not see any **s/l 'case preference' ** He goes on to say there is no nystagmus. She does have a right central facial palsy. ...

He says- No s/l "vavinski" sign. Does he mean Babinski or Brudzinski?? ...

Neuro exam/reflexes, dictator says "she almost has s/l fencers sign" ...

In the neuro exam it sounds exactly like Lassig and neg bow string bilaterally. I cannot find either. ...

Dictated on Neuro Exam: "Although she had no clonus, her tone was extremely brisk." I have typed Neuro for a long time and have never heard of brisk tone. Thanks in advance! ...

She very clearly dictates: He was also unable to perform finger-to-nose and had difficulty performing "head-to-shin" movements. That can't be right, can it? I would think it would be difficult for most people to perform "head-to-shin" movements. Ouch! ...

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

Cardiovascular system: Heart sounds regular. No murmurs. No gallops heard. s/l "percussed" respiratory sounds masking the heart sounds. Abdomen soft. Patient with URI symptoms. Does this make sense in this context? Thanks! ...

The dictation talks about a blood culture, then a chest x-ray, then says glucose 78 and then after that i cant tell it sounds like they say few in 8, cracken 0.4 then goes on to talk about the electrolytes, please any help will be appreciated. ...

I am typing a new doc that does not dictate the headings in his physical exam, however i am required to add them in. I am horrible sometimes at determining the headings so i am hoping to get some input on this file. A moderate hematoma persists over the proximal anterior tibial area which is somewhat fluctuant but not tender. Lumbar flexion is 60 degrees. Lumbar extension is 20 degrees. Lateral flexion is decreased to the left as compared to the right. The l ...

Dictated .... Her affect is somewhat tense, a little anxious. Speech is S/L lunar and lucid. TIA ...

I'm having trouble with one part of this physical exam... NECK: Supple. Trachea is midline. The patient has s/l "emanciation of aphasees" but no signs of skin breakdown. LUNGS: Clear to auscultation... I feel like I know what he's trying to say, but I can't put my finger on it. Thanks so much for your help! ...

The patient is afebrile. Af_____ is appropriate. Heart rate 110. any suggestions on what the blank could be? TIA ...

Under physical exam of a patient with back pain the doctor states what sounds like "pain is reproduced by flexion, extension and "side orientator side" of his back. Has anyone heard of a phrase that sounds like that? ...

S/l he is saying "scariotristic???? changes of the skin" ...

I really have a problem under the Physical Examination trying to figure out what goes where when the headings aren't dictated. For instance, in this dictation, she dictates lungs, describes her exam of them, then goes on to say, "Mass in the back and the left paraspinous area is measured..." Would this stay under the lungs or would I make a new heading...if so, if "Back" an acceptable heading? Next, she talks about the pelvis...would this go under a heading with a "Pelvis" labe ...

In the derm part of this physical exam, the patient has "s/l mediastatious changes in the lower legs." This condition is not referred to anywhere else in the dictation. The patient has diabetes, OA, fibromyalgia, and she is obese. ...

Never seen or heard before. New doc states in extremities portion...No clubbing, cyanosis or edema. EDVLSWNL. At least that what is sounds like. Could possibly be EDVLSWNO but don't know what that would be either. Has anyone here heard of this? Thanks! ...

This is an ESL doctor who is a very good dictator, but for some reason this part always trips me up. She says what sounds like: "Cardiovascular: S1, S2, plus 0. No murmurs, rubs, or gallops." It's the plus 0 part that gets me. Any ideas? ...

Pt has fibromyalgia and polyarticular joint pain. ...

Physical Exam: Extremities (sounds like no tumor). What could it be? ...

I have listened to this over and over and it sounds like this doctor is saying, "No clubbing, cyanosis, edema, or lesions. Full range of motion s/l of/in both pulses." Then he goes on to the neurologic part of the exam. Can anyone help me with this, please? ...

Not sure where to put this. Just started doing nursing home dictations and I need to know where "Patient is drinking thickened liquids." would go under the PHYSICAL EXAM. I'm thinking Neuro, but not sure. ...

Has anyone ever heard: "Marxers and premarxers are negative"? This is on physical exam. Does not sound like marchers and premarchers, but definite x sound. Thanks! ...

neuro physical exam - thanks! - beatles22

choroiditis - elaine

thank you so much! - beatles22

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