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apical thoracic curve?

Posted By: mmk on 2007-12-18
In Reply to: S/L APO thoracic curve..patient has scoliosis...foriegn doc - TIA

Subject: apical thoracic curve?




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upper thoracic curve?
Subject: upper thoracic curve?


S/L APO thoracic curve..patient has scoliosis...foriegn doc
Subject: S/L APO thoracic curve..patient has scoliosis...foriegn doc

nm
The lower convex curve in the lumbar spine was to the right, and the lower convex thoracic region to
Subject: The lower convex curve in the lumbar spine was to the right, and the lower convex thoracic region to the left

Is how I would do it.
is it thoracic? Maybe TESI - thoracic epidural steroid injection? Just a guess - nm
Subject: is it thoracic? Maybe TESI - thoracic epidural steroid injection? Just a guess - nm

xx
MRI of thoracic spine. There is a relatively normal thoracic s/l hi-pos-is.
Subject: MRI of thoracic spine. There is a relatively normal thoracic s/l hi-pos-is.

::-)
S-curve ?
Subject: S-curve ?

xx
bell-shaped curve?, sm
Subject: bell-shaped curve?, sm

Isometric grip strength has been measured in medical and occupational settings for many years. Bechtol reported the “bell-shaped curve” that is dependably obtained over the five grip spans that are tested with the JAMAR Hand Dynamometer.
Makes sense. Scoliosis is a lateral curve. A rotation is more of a twisting
Subject: Makes sense. Scoliosis is a lateral curve. A rotation is more of a twisting

s
It was apical! nm
Subject: It was apical! nm

nm
apical? WAG here.
Subject: apical? WAG here.


you sure it's not bi-apical ? (nm)
Subject: you sure it's not bi-apical ? (nm)


apical HCM--sm
Subject: apical HCM--sm

Apical hypertrophic cardiomyopathy (HCM)
apical rate?
Subject: apical rate?


apical rate
Subject: apical rate

I think that's it. Thanks!
anteroseptal apical
Subject: anteroseptal apical


I will check on the apical. What's WAG?
Subject: I will check on the apical. What's WAG?


apical peripheral
Subject: apical peripheral

apical peripheral bullae or apicoperipheral....peripheroapical...apical/peripheral??
could it be apical lordotic?
Subject: could it be apical lordotic?

nm
I do see apical in there. subapical?
Subject: I do see apical in there. subapical?


apical capping. nm.
Subject: apical capping. nm.

x
apical capping?
Subject: apical capping?


Apical s/l holcome??
Subject: Apical s/l holcome??

I have tried every spelling I can think of and can not get a confirming hit.  Anyone know what this is?


TIA!


Apical s/l holcome?? Don't know if this will help.
Subject: Apical s/l holcome?? Don't know if this will help.


3. Atrial fibrillation:  Per the CHADS2 criteria score it has a score of 1. However, given that he has an apical "holcome", I have however recommended we continue with Coumadin.


apical access guidewire?
Subject: apical access guidewire?

This is a bunionectomy. s/l apical access guidewire
apical fixed infarct?
Subject: apical fixed infarct?


subhilar and apical regions? nm
Subject: subhilar and apical regions? nm


Maybe distal anterior septal and apical.
Subject: Maybe distal anterior septal and apical.


Point C is one of the apical vaginal points. sm
Subject: Point C is one of the apical vaginal points. sm


  • AccessMedicine | Williams Gynecology: Chapter 24. Pelvic Organ ...


    Apical Vaginal Points. Point C. The two apical points, C and D, ... Drawing and corresponding POP-Q scoring grid of complete vaginal prolapse (A). ...
    www.accessmedicine.com/content.aspx?aID=3159938 - Similar pages
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  • Selecting Suspension Points and Excising the Vagina During ...


    Point C is the cervix, or hysterectomy scar. This was modified in that the genital .... Vaginal vault prolapse. Br J Hosp Med 1994;51:417–20.[Medline] ...
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  • Outcomes of vaginal vault prolapse repair with a high uterosacral ...


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  • CT of the apical lungs to check for a PANTOSE tumor.
    Subject: CT of the apical lungs to check for a PANTOSE tumor.


    it's apical axis guide or guid or guidewire. nm
    Subject: it's apical axis guide or guid or guidewire. nm

    x
    I found apical fibrobullous disease on Google.
    Subject: I found apical fibrobullous disease on Google.

    He is probaby just saying it backwards. I would change to the apical fibrobullous.

    We describe a patient who developed noninfectious apical fibrobullous disease 12 years after the diagnosis of seropositive, nodular, deforming rheumatoid arthritis. Fibrobullous disease of the pulmonary apices is a rare entity that is usually found in association with ankylosing spondylitis. Its appearance with rheumatoid arthritis has not been reported. Speculative factors which may predispose to apical fibrobullous disease, such as a stiff chest wall, impaired esophageal motiligy, and HL-A antigen B27, were not present in our patient.

    On CXR: "There are some left apical s/l boa." Yes, sounds like the constrictor.
    Subject: On CXR: "There are some left apical s/l boa." Yes, sounds like the constrictor.


    could it be all T as in all thoracic
    Subject: could it be all T as in all thoracic

    spine vertebrae?


    thoracic
    Subject: thoracic


    My opinion: In bunionectomy there is an apical access guide, so I guess why not a guidewire?
    Subject: My opinion: In bunionectomy there is an apical access guide, so I guess why not a guidewire?


    What did he say about thoracic spine
    Subject: What did he say about thoracic spine

    earlier in the report?

    We don't have all the clues here.
    thoracic surgery
    Subject: thoracic surgery

    There is a Robicheck wire. Maybe?
    thoracic kyphosis, maybe
    Subject: thoracic kyphosis, maybe

    nm
    Thoracic kyphosis is the most likely sm
    Subject: Thoracic kyphosis is the most likely sm

    Unless the doc goes on to describe other abnormalities, "thoracic" is probably what you're looking for.
    s/l thoracic lumbar-sure
    Subject: s/l thoracic lumbar-sure

    Still has a significant paraspinal muscle spasm throughout entire cervical spine and this does extend into upper aspects of thoracic lumbar-sure down to the T4 area.


    thoracic spine
    Subject: thoracic spine

     there is no mass/displacement overlying s/l catagolist paraspinous tissue structures.


    Any idea with this term? This is x-ray of thoracic spine.


    PE [s/l furcod] thoracic CT
    Subject: PE [s/l furcod] thoracic CT


    thoracic back pain after MVA
    No vertebral tenderness on palpation.  She does have some tenderness on palpating rhomboids and s/l Q L's and paraspinal muscles. 
    s/l smorling of the thoracic spine
    Subject: s/l smorling of the thoracic spine

    .On a CT of the thoracic spine


    ....there is wedging of the superior articular plates of the bodies of T5, T10, T11 and T12.  This may only represent ...s/l smorling or smarling. 


    I have never had this, sound familiar??


    Thanks! 


    It's thoracic aortic dissection
    Subject: It's thoracic aortic dissection


    S/L MP SALTY THORACIC SPINE....
    Subject: S/L MP SALTY THORACIC SPINE....

    He is listing impressions and it sound just like he is sayin M P salty thoracic spine.


    What in the world?  Thanks.


    Maybe slurring thoracic junction
    Subject: Maybe slurring thoracic junction


    cardio/thoracic surgery help
    Subject: cardio/thoracic surgery help

    PROCEDURE
    Repair pseudoaneurysm, arteriovenous fistula.

    FINDINGS
    The pseudoaneurysm appeared to be a side of a venous side branch where *the tie necrosed a vein or it rough* due to arterial pressure over time.

    I can't understand what the doctor is saying. Does this sentence make any sense to anybody?

    Thank you in advance for any help.
    probably should be ascending thoracic aorta....nm
    Subject: probably should be ascending thoracic aorta....nm

    xx
    Thoracic and lumbar, not thoric......nm
    Subject: Thoracic and lumbar, not thoric......nm

    nm
    There is an Estech retractor used in thoracic surgery?
    Subject: There is an Estech retractor used in thoracic surgery?