this note is for pain of the right ankle -
She has had multiple treatment modalities, including s/l "an o fa reeses", Lidoderm patch, acupuncture, Neurontin.
and on physical examination,
There are no skin changes over the ankle. No erythema, warmth, or other sign of infection. There is no s/l "al o din e um". She does not have a focal area of tenderness to palpation. ...
A left lateral disc protrusion herniation of 7-8mm is noted effacing the surface of the thecal sac and extends into cauter recess of the left neuroforaminal stenosis. This might impinge the exiting dural sleeve of the left L4 nerve root.
Any ideas? THx. ...
Dictated:
Structurally, I think the wrist is intact. There is no s/l clunking. s/l Lots of chip test is normal. No point tenderness is noted.
Any ideas??? ...
Does this make sense "stiff rank with anterior drawer testing". If not, any suggestions what kind of rank couldsound that way"
As always, my profound gratitiude. ...
I need some opinions please. When they are dictating about joint replacements is it well-seated or well-seeded. I have always typed well-seated but I have had my QA to tell me different TWICE now, one states well-seated and the other states well-seeded.
TIA ...
...lateral partial faciectomy with patellar revision with or without the need forS/L tenalum augment. I do not think there will be an issue with S/L bone stop, but I will have the S/L tenalum augment available.
Thanks in advance. ...
Procedure is: Biomet E1 active articulation dual-mobility total hip.
Implant Utilized: Biomet active articulation dual-mobility hip system with the vitamin E infused polyethylene ball that was 42-mm in diameter with an inner 28-mm _________ ball.
Sounds like "ko o chrome ball?"
Thanks for any help!
...
Help, on an arthoscopic repair (knee) he says "a latral patellar s/l porro site was created with an 11 blade...." Is he saying Portal site? Never had this guy before. Please help, uggg. ...
I'm doing something sounds like at C5-6 and C6-7 there is reduced "volvulus" of arytenoid space due to mild disk degeneration. I know its not volvulus - any suggestions? ...
Examination shows that her neck is tender over the lower? cervical spine anteriorly and laterally on the right and left. Motion is good in the neck.
Isn't the neck in the upper cervical spine? I am burnt out today. Thanks for any help. ...
Patient with herniated disk and radicular symptoms. Previous lumbar fusion, cortisone injections.
Recommendation for surgical procedure: s/l PEAK or PEEK cages, plates, fusion.
Is anyone familiar with this? My Stedman's Ortho book has a PEAK Fixation System, but I also find PEEK listed online as PEAK cage-and-plate. Thanks! ...
Right thumb revision of amputation.... "On s/l gwen-e-ometer exam today he has full range of motion at his CMCJ."
I feel like this may be random english words, but just want to make sure before I kill myself trying to figure it out.
Thanks! ...
Patient had a midshaft clavicle fracture and was placed into an 's/l aloe-fin-air' splint. He is very clear, but his mind is not on his dictation..... Thanks for taking the time to look! ...
He's eating and mumbling at the same time, my two favorite bad habits....
Sounds like he is saying - I'm spelling phonetically here....
Bazed ri-ko-lar (long I on the ri) high intertrochanteric fracture.
He says this twice - the second time he is throws in "instrumented (bazed ri-ko-lar) high intertrochanteric fracture"
Thanks for your help and your time! I appreciate it.
ME =0)
...
Patient presents to office with no gait deviations, equal weightbearing bilaterally and with a s/l **Blockley's** ankle brace.
I have been searching supplier web sites for 30 minutes and have been unable to find this.
TIA!!! ...
The sentence is:
Arthroscopic acromioplasty of the left shoulder, which already had a shoulder replacement and also has an s/l ossocromioly? Has anyone heard of this? TIA. ...
This is an open reduction and percutaneous fixation procedure.
" Patient was then taken to the operating room, placed in the supine position where her left arm was extended on the (s/l) Carter table... "
I cannot find a Carter table in any reference book or on Google. Any ideas? Thank you so much!
~Reyna.
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Does anyone have an edition of Stedman's Ortho book that was published recently. I'm looking for a Kuda shaver. Stedman's M&S Equipment 5th edition has it listed this way but my use of it is being questioned. My "old" Stedman's Otho has a Cuda shaver but does not mention Kuda..... Any help you can provide to help me prove there are 2...a Kuda and a Cuda....is appreciated. Thanks. ...
This lady has knee pain and she has weakness to her tib ________. It sounds like anth. Like he's shortening it like tib-fib. But I can't figure out the tib-anth???
Thanks. ...
PROCEDURE
The patient was brought to the operating room, and after a successful induction of general anesthetic the right shoulder was then placed on [s/l bump] and prepped with alcohol. Shoulder was then draped in the normal manner.
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ACL repair, he states in one part of the dictation that three Max s/l splay sutures were placed and in another it sounds like Max displayed sutures. Help please!
TIA ...