L5 DPR medial branch

This is normally a very clear-speaking dictator I have no trouble with, but here it sounds like he's saying "bundle branch apparency" - and the only bundle branch anything I know of is "block." Can anyone help please? ...

hey, i have 7+ years of radiology and 6 years of path and some sleep study experience transcribing but would like to branch out or get some training in acute care. does anyone know of anywhere to get started? i would be willing to take online classes to learn acute care or start a job that will begin teaching it, like i said i am not a newbie at transcription but just in this field. i would love to broaden my field and not iust be restricted to three modalities. please hel ...

EKG shows S/L A paced, V sensed, left bundle branch block. Is A paced, V sensed correct or is it just a paced V sensed ? ...

There is a minimally rightward axis. There is a right bundle branch block pattern present with secondary polarization changes as well. ...

They seem to both make sense, which would you go with? Nasoendoscopy is performed which demonstrates scarring of the left middle turbinate to the [medial or meatal] wall of the maxillary sinus. ...

s/l demon in his medial femoral condyle with areas of osteochondral defect and cartilaginous loss noted... Any help is appreciated!!!! ...

Patient likes to wear flip flops, however, I recommended that she go to a s/l Vinza shoe and has a 1/4" lateral shoe wedge placed on the outside under the outer sole. TIA NM ...

Laundry list of tests including s/l Kessler/Tesler/Pesler test. Any ideas? ...

If a doc says medial and lateral malleolus, should it be changed to medial and lateral malleoli? Thank you for your help! ...

Ultrasound done today shows a fast-fix PLEDGET in the gap between the MCL and the medial meniscus. THANKS SO MUCH!! ...

My ortho doc says "I do believe he has had a new (sounds like triac) tear of his medial meniscus". I cannot find in doing a search triad tear. Don't know if he is meadning trimalleolar tear either? ...

This is a surgical note for a medial meniscus tear. The doctor is very fast, very soft, and has a slight southern twang. Any suggested would be greated appreciated. Thanks! Examination of the medial joint line showed _____ bone over a wide are of both the femur and tibia. Sounds like he is saying ee-bo-nate-id. ...

Incision was made over the medial "axisceon" beginning at the medial epicondyle..." ...

Dr. says: Mild medial femoral tibial articular cartilage thinning. Should it be femoral-tibial, or femoral/tibial, or femoral tibial? ...

Sounds like my ortho doc is saying "Previous arthroscopy two years ago did show an area of exposed "ingranated" bone within the medial compartment". He is a nonoperative candidate for knee replacement. I know ingranated is not a word, but that is what is sounds like. Thought about indurated, and it is not that either. Any ideas would be helpful and thank you! ...

Dictator says: "Possible jarment (?) of the screw on the medial aspect of her right foot." I heard "jarment" clear as day! ...

At this point, she probably will need arthroscopy with microfracture versus an (s/l olds) procedure. TIA ...

Sounds like constituted but that doesn't seem to make much sense to me in an orthopedics report. I'm such a noob. ...

I'm having trouble documenting this. He says it several times throughout the report and it always sounds like "4A." ...

L5 DPR medial branch - anon

DPR - anon

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