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AVN staging...how do I transcribe this? - Megs
Posted: Feb 24, 2012
Help would be greatly appreciated because I can't locate it anywhere and have not in the last 3 years of doing Ortho had a doctor dictate this way...which I have transcribed verbatim.
" Mr. X is a 33-year-old male, with a history of Chrohn’s disease, who has a history of increasing left hip pain. X-rays, MRI, and plain films are consistent with a collapsed femoral head (stage IV B2). "
type as you have. - sm
[ In Reply To ..]The FICAT classification is used for AVN of the hip. and uses a combination on plain film, MRI and clinical features
â€Â¢ stage 0
o X-ray : normal
o MRI : normal
o clinical symptoms : nil
â€Â¢ stage I
o X-ray : normal or minor osteopenia
o MRI : edema
o Bone scan: increased uptake
o clinical symptoms: pain typically in the groin
â€Â¢ stage II
o X-ray : mixed osteopenia &/or sclerosis
o MRI : geographic defect
o Bone scan : increased uptake
o clinical symptoms: pain and stiffness
â€Â¢ stage III
o X-ray : crescent sign & eventual cortical collapse
o MRI : same as X-ray
o clinical symptoms : pain and stiffness+/- radiation to knee and limp
â€Â¢ stage IV
o X-ray : end stage with evidence of secondary degenerative change
o MRI : same as Xray
o clinical symptoms : pain and limp
The B2 is the type of fracture, stage IV B2 (stage and type)
:) - Megs
[ In Reply To ..]Thank you so very much!
...also, it is Crohn's disease. - nm
[ In Reply To ..].
Thanks, I caught that too.. - Megs
[ In Reply To ..]My fingers got a little ahead of me typing extra letters...LOL
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