Back strain
Posted By: bj on 2005-08-10
In Reply to:
The doctor is giving instruction for a back strain. The blank s/l leg umes or rig umes. Thanks for any help!
The sentence is: Rest, ice, _______ for pain not controlled with ibuprofen.
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strain
Subject: strain
nm
RE: Pt with cervical strain..
Subject: RE: Pt with cervical strain..
s/l Flannel
re a spine dx could it be
foramina or foraminal?
perhaps sprain/strain? nm
Subject: perhaps sprain/strain? nm
sprain/strain - definitely!
Subject: sprain/strain - definitely!
s/l rib contribular strain
Subject: s/l rib contribular strain
patient recovered from bilateral pulmonary emboli with no s/l rib contribular strain
it may be _____ or strain.
Subject: it may be _____ or strain.
No idea what ____ is.
right ventricular strain? nm
Subject: right ventricular strain? nm
s/l: anaphylatic strain
Subject: s/l: anaphylatic strain
Advised the patient to consult a physical trainer, to build up right knee for (s/l)anaphylatic strain. The patient advised to use elastic support or athletic tape prior to playing soccer.
It doesn't s/l anaphylactic (as in anaphylactic shock) - and when I did a search, there is no correlation between the word anaphylactic and strains.
Any ideas? 
anaphylatic strain??
Subject: anaphylatic strain??
Hi Jenni I asked the experts at www.allexperts.com and this is what they told me.
Your Question was:
Advised the patient to consult a physical trainer, to build up right knee for (s/l)anaphylactic strain. The patient advised to use elastic support or athletic tape prior to playing soccer.
This is a transcription question.
The above statement don't make since the doctor is referring to a knee strain. Are you familiar with another term?
Because Hi Debra,
The transcription definately does not make any sense as an anaphylactic terms means that there was some sort of allergic reaction. There is no such term/syndrome that I know of in which the knee reacts allergically. Unless the doctor was just trying describe a strain in which the knee has developed a lot of swelling, redness and inflammatory response as a result of the strain.
The best I can come up with is that maybe the doctor is just prescribing some sort of support for a general strain of the knee. In that case, elastic support or athletic tape doesn't really support the knee in such high sports such as soccer which involves a great deal of pivoting. So if you need a support for the knee for soccer, I would recommend a hinged knee brace - not just elastic or tape.
sorry.
Gina
Expert: Gina Lam
If you'd like to ask another question in the category, please come to http://www.allexperts.com/browse.cgi?catLvl=3&catID=981
Left hip s/l spring strain. ???
Subject: Left hip s/l spring strain. ???
Anyone know? Thanks!
Muscle strain grading
Subject: Muscle strain grading
Muscle strain grading help. grade 1 or grade I. Thanks.
Ankle pain, strain, etc.
Subject: Ankle pain, strain, etc.
Doc states there were no "stepoffs." Am I hearing this correctly and is it one word or two? TIA
strain and/or sprain (is my suggestion) nm
Subject: strain and/or sprain (is my suggestion) nm
.
back pain, given dura-back if needed for spasm. nm
Subject: back pain, given dura-back if needed for spasm. nm
s
I believe that's it. I can barely make out patellofemoral if I strain to listen.
Subject: I believe that's it. I can barely make out patellofemoral if I strain to listen.
nm
strained s/l "straitus" anterior muscle, chest wall strain
Pt with cervical strain. s/l Flannel or closure maneuvers exacerbate his pain as does forward
Subject: Pt with cervical strain. s/l Flannel or closure maneuvers exacerbate his pain as does forward
flexion and extension.
you should always try to back it up
Subject: you should always try to back it up
:)
Thx for the help. I just keep going back and forth on it. Now I know. nm
Subject: Thx for the help. I just keep going back and forth on it. Now I know. nm
X-ray of back
Subject: X-ray of back
x-ray of back.....
Subject: x-ray of back.....
It sounds like it might be spondylolisthesis, which would be descriptive of the L5-S1 joint; where as anterolisthesis refers to a subluxation of one vertebral body upon another would be stated as "there is anterolisthesis of L5 on S1"
Going to go w ith take-back
Subject: Going to go w ith take-back
cannot figure out what else this could be. Says this very clear. Thanks for those who were looking.
Went back...
Subject: Went back...
and it is clear as day! Geez...guess I just needed to talk it out! Thanks! :)
That was it, Thank you - I think I need to go back to bed!!!
Subject: That was it, Thank you - I think I need to go back to bed!!!
I put 110 to 120. Never had it come back yet....nm
Subject: I put 110 to 120. Never had it come back yet....nm
x
Just got it back from QA -
Subject: Just got it back from QA -
She has a long habit of only drinking...........
Wow! Call me homer simpson. d'oh!
Just wanted to get back and thank you
Subject: Just wanted to get back and thank you
Yuk-he's back. Will probably post something,,,,
Subject: Yuk-he's back. Will probably post something,,,,
nm
I take back the palladium..
Subject: I take back the palladium..
I didn't think about gadolinium, but it is used with MRIs.
I am back again with another question
Subject: I am back again with another question
I have never had so many questions and this is the same doctor I have always worked for. the patient has an actinic keratosis behind the ear along the hairline ove the "occioitent". He is not saying occipital...is it possible he is making this up?
thanks..going back and checking it out
Subject: thanks..going back and checking it out
Just got QA back, just wanted you to know that you were right! Thank you
Subject: Just got QA back, just wanted you to know that you were right! Thank you
x
as I go back and listen
Subject: as I go back and listen
it sounds like "Dilaudid hepta" but I can't make out "hepta". This is an ESL.
Just coming back on
Subject: Just coming back on
to say DUH, tragal pit.
Not thinking clearly today.
Thanks for the help though!
Hello back atcha ................nm
Subject: Hello back atcha ................nm
CC: Back pain
Subject: CC: Back pain
Thanks for taking the time on this . . .
While the CC: is back pain, the subjective describes . . .
This is an 81-year-old female who, for the last month, has had some intermittent pain next to her right shoulder blade. She is right-handed, and she has been doing a lot of gardening and weed whacking. It does not bother her much during the day, but at night when she sits, and then when she is lying in bed at night, she feels what she describes as a muscle spasm with twinges. She also at times has some diffuse pain from her elbow radiating up to her neck when she “overdoes it”, but that has been going on for quite some time, and she does not feel like that has recently changed.
thanks, I thought of that and went back
Subject: thanks, I thought of that and went back
and listened again, but he is definitely saying AS or AZ-vair, or something like that. To complicate matters, I'm having problems with the tape not playing correctly in that spot..it keeps stopping and slowing down,etc. I think the tape is just bad.
no offense, but what do either of these have to do with the low back? nm
Subject: no offense, but what do either of these have to do with the low back? nm
nm
I take that back...it could also be "tack"...sm
Subject: I take that back...it could also be "tack"...sm
there apparently is a sling "Tack" procedure, but could also just be saying bladder tact which is not naming the specific procedure.
Thank you . . . I was just coming back
Subject: Thank you . . . I was just coming back
It is PMR.
Thanks to all for taking the time.
Well, I went back and relistened,
Subject: Well, I went back and relistened,
proud flesh and then changed to pride flesh . . . I had never heard this term, but was able to find proud flesh (still cannot locate pride flesh, but this is a verbatim account and he clearly changes from proud to pride, so I'll give him what he says)
Thanks all!
QA sent it back as IPJ... guess I was way off.
Subject: QA sent it back as IPJ... guess I was way off.
I went back and relistened and thats what he said...
Subject: I went back and relistened and thats what he said...
I searched and searched for this sounding drug. Thank you.
I went back and listened . . .
Subject: I went back and listened . . .
It sounds like "reostis" or "reosis" to sight.  This is an ESL but he's not too hard to understand. Thanks for your help.
you could be right, I am going to back and relisten
Subject: you could be right, I am going to back and relisten
cause it sounds like valve plus ....... valve prolapse she talks really fast sometimes and funs her words together. Thanks
That's it! Went back and listened again. Thx!
Subject: That's it! Went back and listened again. Thx!
nm
it is just that she has low back pain..sm
Subject: it is just that she has low back pain..sm
Since that time, she has had increasing low back pain. She did do the s/l-Ergosco- method. She had no relief. She did have an injection to her SI joint region, which had a terrible reaction. Since that time, she has had low back pain.
yes, if the patient has come back more....s/m
Subject: yes, if the patient has come back more....s/m
Yes if it's not the first visit for this patient with this particular problem. If the patient was recently seen for the same thing, it's a representation......
after all was typed, went back and
Subject: after all was typed, went back and
listened and it was fibroids, he just stumbled. Thank you for your help
Deborah
Heard back from QA on this - sm
Subject: Heard back from QA on this - sm
You were right.
He was saying upper limbs and lower limbs.
Thanks for your input.
Went back and listened again
Subject: Went back and listened again
but he definitely says "4-5" shaver. Thanks for your help though!
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