Disks sharp on funduscopy. Cranial nerves 2-12 intact. No signs of appendicular s/l "cori ditosis", dysmetria, ataxia. Reflexes were 1/4 bilaterally with no asymmetries.
thanks. ...
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. ...
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! ...
Patient with cerebral palsy. On the neuro exam, the ES doc (what else??) says: "This patient has mild s/l "slashsisty" in both legs. I was thinking of some kind of dystrophy, but I don't know what the "slash" part could possibly be. Any ideas? ...
"Thoracic MRI - possible T6-7 left paramedian disc protrusion/extrusion s/l 'and/or osseofied formation' with no significant cord compression." I'm not sure what the dr is trying to say here...I don't know if that and/or is part of the word or if it is just 'and' and she was stumbling over her words with the 'or' part. ...
I am doing a history section. A sentence begins soundling like this: He has some "pupil cecal run" reactive in his conjuctivae.
It may be way off, but it's the best I can guess.
Any help? Thanks. ...
OD is doing exam on eye. He says . .. .
"Conjunctiva quiet, cornea faint, epithlial irrgularity in the s/l "intra-pal-pupil" area."
Help if you can please. Thanks! ...
Physical examination on a week old infant with fevers. This is dictated under the "neuro" heading.
"There is no facial asymmetry. He has a s/l symmetric gag. His tone seems to be decreased." ...
He has fairly normal bulk in his tongue, but has very clear fasciculations. Direct testing of strength of his tongue is normal. Extraocular movements are full.
I thought it was tone, but it sure sounds liek he says tongue ...
Doctor has a patient with a black tongue secondary to medication. He gives her a prescritpion for what s/l "mycolatrocious" to apply q.i.d. to the tongue.
I rarely have a med I can't find but this one has me stumped! Any suggestions?? ...
Regarding an abscess, doctor says:
this may have been there for longer than 24 hours as it appeared that there were somechronic overlying skin changes on the wound. However, given the overlying {salytic}changes as well as the manifestations of fever, he was started on Keflex. ...