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? left metatarsophalangeal synovitis, posterior tibialis and tibial exostosis

Posted By: pc on 2008-12-15
In Reply to: tibial nettis or tibialitis sm - Tracey

Subject: ? left metatarsophalangeal synovitis, posterior tibialis and tibial exostosis




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But of course.......left Kidner procedure with transfer to posterior tibial tendon. sm
Subject: But of course.......left Kidner procedure with transfer to posterior tibial tendon. sm

The anesthesia was listed by itself and not in a sentence.


THANKS!


PT (posterior tibialis) and DP (dorsalis pedis)
Subject: PT (posterior tibialis) and DP (dorsalis pedis)


can you hear posterior tibial tendon? or tibial groove? nm
Subject: can you hear posterior tibial tendon? or tibial groove? nm


posterior tibial waveforms are "bivasic"
Subject: posterior tibial waveforms are "bivasic"

s/l bivasic.   help please.


dorsalis pedis and posterior tibial(is)...sm
Subject: dorsalis pedis and posterior tibial(is)...sm

Dorsalis pedis and posterior tibial are pulses in the lower extremities, posterior tibials sometimes called tibialis by some dictators
?austregonim? at the posterior tibial tendon insertion.
Subject: ?austregonim? at the posterior tibial tendon insertion.

The ????? at the posterior tibial insertion certainly alters the pull of the posterior tibial tendon causing the functional pes planus deformity in his foot.  He is unable to adequately lift his medial longitudinal arch throughout midstance, leading to this pain at the posterior tibial insertion, weakness at the posterior tibial insertion, as well as plantar fasciitis. 


 


It is noted on X-ray.


DP and PT pulses? dorsalis pedis and posterior tibial. NM
Subject: DP and PT pulses? dorsalis pedis and posterior tibial. NM


posterior tibial palpation? Not sure if this makes sense...
Subject: posterior tibial palpation? Not sure if this makes sense...

Dictation states "Dorsalis pedis and _____(faciliar or maybe posterior?) tibial were not palpable bilaterally".     


Word help ?austregonim? at the posterior tibial tendon insertion
Subject: Word help ?austregonim? at the posterior tibial tendon insertion

Os trigonum
Cold be suprapatellar, dorsalis pedis, posterior tibial pulses
Subject: Cold be suprapatellar, dorsalis pedis, posterior tibial pulses


? s/l flexor digital arm communise FDC transfer to posterior tibial tendon with pat clasp anesthesia
Subject: ? s/l flexor digital arm communise FDC transfer to posterior tibial tendon with pat clasp anesthesia

HELP PLEEEEZE!  Thanks a BIG BUNCH!
Left tibial "H-way"
Subject: Left tibial "H-way"

The doctor states what sounds like the left tibial "H-way" was absent- any ideas? 
Chiropractic help- The patient has a posterior left s/l enomena?
Subject: Chiropractic help- The patient has a posterior left s/l enomena?


There is also noted to be a large Baker’s cyst in the posterior aspect to the left knee. please sm
Subject: There is also noted to be a large Baker’s cyst in the posterior aspect to the left knee. please sm

EHL and s/l EDC are both 4/5 bilaterally. Thanks for any help.
Bare metal stent placed in the posterior descending artery. Then no LV-gram (left ventriculogram) wa
Subject: Bare metal stent placed in the posterior descending artery. Then no LV-gram (left ventriculogram) was done today.


MRI of the left knee which shows a horizontal s/l fuge tear posterior horn medial meniscus. tia. nm
Subject: MRI of the left knee which shows a horizontal s/l fuge tear posterior horn medial meniscus. tia. nm


metatarsophalangeal (MTP)
Subject: metatarsophalangeal (MTP)

Hallux rigidus is a clue as it's a foot condition.
tibialis anterior tendon
Subject: tibialis anterior tendon


synovitis. nm
Subject: synovitis. nm

nm
plica/synovitis
Subject: plica/synovitis


de Quervain synovitis
Subject: de Quervain synovitis


s/l crag synovitis?
Subject: s/l crag synovitis?


Exostosis
Subject: Exostosis

nm
exostosis?
Subject: exostosis?


exostosis? nm
Subject: exostosis? nm

nm
exostosis?
Subject: exostosis?


Agree, exostosis. nm
Subject: Agree, exostosis. nm

x
posterior superior and posterior inferior???? nm
Subject: posterior superior and posterior inferior???? nm

xx
sure they're not saying "an exostosis" ? sm
Subject: sure they're not saying "an exostosis" ? sm

perhaps something like, "an exostosis off the radial and distal wrist?"
Motor exam shows her right tibialis anterior at grade –IV or is grade -4??
Subject: Motor exam shows her right tibialis anterior at grade –IV or is grade -4??

Motor exam shows her right tibialis anterior at grade IV- or is it grade -IV or grade -4 or...


Thanks!


Funny thing, I had this yesterday and left 3 blanks that QA also left blank.
Subject: Funny thing, I had this yesterday and left 3 blanks that QA also left blank.

x
pain over the left hip and a biopsy of the left s/l SA pablum showed adenocarcinom
Subject: pain over the left hip and a biopsy of the left s/l SA pablum showed adenocarcinom

n
probably means left anterior descending. Instead of saying LAD, just saying left AD.
Subject: probably means left anterior descending. Instead of saying LAD, just saying left AD.

x
S/P left total knee reconstruction. On exam, has a palpable s/l clod defect on the left knee.
Subject: S/P left total knee reconstruction. On exam, has a palpable s/l clod defect on the left knee.

:-)
tibial?
Subject: tibial?


tibial s/l in-tha-sop-athy
Subject: tibial s/l in-tha-sop-athy

The patient was diagnosed with mild tibial  s/l in-tha-sop-athy.


 


 


tibial torsion?
Subject: tibial torsion?


s/l tibial jake
Subject: s/l tibial jake

The tibial JAKE? was placed just anterior to the posterior cruciate ligament.
tibial plateau.
Subject: tibial plateau.

x
something to do with tibial pulses?
Subject: something to do with tibial pulses?

nm
tibial tuberosity?
Subject: tibial tuberosity?


It there is a clear "t" sound, it may be tibial. nm
Subject: It there is a clear "t" sound, it may be tibial. nm

nm
A/P: Mild tibial s/l em-pha-sopathy.. thank you
Subject: A/P: Mild tibial s/l em-pha-sopathy.. thank you


os tibial externum was the answer
Subject: os tibial externum was the answer


tibial nettis or tibialitis sm
Subject: tibial nettis or tibialitis sm

DIAGNOSIS: Left metatarsophalangeal synovitis, posterior tibial s/l nettis or tibialitis and tibia exostosis.

STATUS: Post surgery on 12/01/08 with MTP synovectomy, EHL tendon transfer and posterior tibial tendon debridement and 2nd toe extensor tenotomy.

any ideas??
It is often spurring of the tibial spine. (nm)
Subject: It is often spurring of the tibial spine. (nm)

.
s/l dehing of the tibial spine sm
Subject: s/l dehing of the tibial spine sm

RADIOGRAPHIC REVIEW: Radiographs of the left knee are normal except for some very small marginal osteophytes along the patellar margin and some s/l deehing of the tibial spine.

ASSESSMENT: Early arthrosis of the left knee.


Any ideas???
Word Help - tibial s/l plathon ??
Subject: Word Help - tibial s/l plathon ??

Review of her MRI today that she came with which shows she does have a stress fracture in the distal fibula about a centimeter up from the s/l tibial plathon.


Thanks.


Pt. with a tibial fracture. Was given a s/l "U" splint.
Subject: Pt. with a tibial fracture. Was given a s/l "U" splint.

TIA :-)
anterior tibial pulses?
Subject: anterior tibial pulses?

X
There is also anterior tibial vein
Subject: There is also anterior tibial vein