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Sacroiliac joint questions - sw
Posted: Jul 28, 2014
I'm working on a spinal surgeon's description of his findings on a patient's x-ray. It sounds like he is saying, "A/P view of the pelvis shows no (s/l) hypo- or hyper- sacroiliac joint pathology of concern."
I have never heard those two words put together before and I'm not sure what he means. This is also a doctor who uses "dermatomal" consistently like it's a real word, so he may have made up another new word for himself. Either way, I appreciate any thoughts on this!
Thanks!
dermatomal is the adjective form of the word dermatome - not a made up word NM
[ In Reply To ..]
I was told dermatomal is not a word... - sw
[ In Reply To ..]It was actually on this site and someone else was asking the question. Everyone who responded to that person seemed to think dermatomal was not a word and it should be dermatome.
Steadman's Dictionary 27th Edition - page 481
[ In Reply To ..]dermatome
1. An instrument for cutting thin sections of epidermis/dermis for grafting, or excising small lesions.
2. The dorsolateral part of an embryonic somite.
3. The area of skin supplied by cutaneous branches from a single spinal nerve; neighboring d.'s can overlap.
SYN dermatomal distribution, dermatomic area.
dermatomal is a word - sm
[ In Reply To ..]Perhaps in the example you mention, dermatome was the correct word.
ask for samples or send in a blank - it could be either one
[ In Reply To ..]If you cannot compare it to previous samples and you are not sure, the safest thing to do is send it to QA for them to figure out.
You said you haven't heard hyper or hypo used in conjunction with the word sacroiliac, but those are both prefixes and can be attached to any number of other words. Hyper is greater than usual and hypo means less than usual. So in this case, the physician is looking to see if there is greater than or less than pathology concerning the sacroiliac joint. The most likely answer (again guessing) is he is saying hyper.
no, it couldn't be either one - sm
[ In Reply To ..]Hyper/hypo cannot be applied to the sacroiliac joint.
can you hear episacroiliac? - nm
[ In Reply To ..]
I listened to it over and over and it definitely sounded like hypo or hyper - sw
[ In Reply To ..]It turned out that the doctor had to be called for verification. He couldn't remember what he was going for there, but said it should read "...no sacroiliac joint pathology..." with nothing in front of it.
Thanks for everyone's help with this!
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