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s/l fencer's sign in neuro exam - Kelley
Posted: May 22, 2010
Neuro exam/reflexes, dictator says "she almost has s/l fencers sign"
Is the patient a baby? sm - Victoria
[ In Reply To ..]
"The TONIC NECK REFLEX is elicited when the head of a relaxed child, lying on his back, is rotated to the side. The arm toward which the infant is facing extends straight away from the body with the hand partially open, while the arm on the side away from the face is flexed and the fist is clenched tightly. Reversing the direction in which the face is turned reverses the position. The tonic neck position is often described as the fencer's position because it resembles the stance of a fencer."
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? ...
He has intact bilateral radioulnar and median nerve sensation. He has some weakness in grip on the left as compared to the right. He is 4+/5 on the left, 5/5 on the right. He has 4+/5 small finger abduction bilaterally. He has a negative *Jean* sign.
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OK.....
It's an orthopedic chart note. Patient has a chief complaint of hip pain.
Dictated: He has a negative [s/l fair, fairs, varus?] sign, a negative fabere sign.
It doesn't sound like fadir; I'm not hearing that "d." I already had to leave two medication blanks and hate to leave another one for an orthopedic sign that I feel like I should know!
Thank you in advance for your help and ideas!
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A patient with mental status changes. "At once patient also complained of a s/l UNIVERSAL headache..."
Is there such thing as a UNIVERSAL headache? ...
Trouble with a word:
Doctor indicated EMG nerve conduction showed neuro(plexic, plastic??) injuries to the peroneal nerve and posterior tibial.
Thanks ...
His/he [apa?] strength his arms and legs.
I have looked everywhere for a word that might fit this. I just cant hear this guy. All I get is apa... aca.. HELP! ...
Patient presented after passing out while driving. She has history of tachyarrhythmia and palpitations, well controlled on metoprolol. She has an abnormal NMR that could represent s/l 'DEE-AH-SONOMIA".
I've googled d, b, v, thee.... Any suggestions would be greatly appreciated. ...