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I have a dictator, in the neuro section of her PE saying "PERRLA 3 2. Grips are strong and equal bilaterally." She is saying 3 2, not thirty-two. TL and QA have been unable to help, so I though I would throw this one out to you. Has anyone heard of this and if they have what in the heck does it pertain to. I've been an MLS for over 20 years and there are still "firsts."