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Could be - right popliteal artery "occlusion" with "intimal" medial rupture

Posted By: mmk on 2007-12-07
In Reply to: oRTHO HELP - ML

Subject: Could be - right popliteal artery "occlusion" with "intimal" medial rupture




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There is significant medial and medial *peripatellar* pain with hyperflexion.
Subject: There is significant medial and medial *peripatellar* pain with hyperflexion.


There is significant medial and medial *peripatellar* pain with hyperflexion.
Subject: There is significant medial and medial *peripatellar* pain with hyperflexion.


There is significant medial and medial s/l peripatellar pain with hyperflexion.
Subject: There is significant medial and medial s/l peripatellar pain with hyperflexion.


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Subject: Pt required both *anterior medial* and *posterior medial* arthrotomies. tia


Artery. The Glenn shut actually goes to the right pulmonary artery. nm
Subject: Artery. The Glenn shut actually goes to the right pulmonary artery. nm


Significant for hypertension, coronary artery disease,?? coronary artery bypass grafting... s/l ....
Subject: Significant for hypertension, coronary artery disease,?? coronary artery bypass grafting... s/l ....

fastras.  Patient has had several femoral bypass grafting as well as aortobifemoral bypass grafting in the past.
popliteal
Subject: popliteal

Can have a biceps femoris block in the popliteal area
Popliteal....sm
Subject: Popliteal....sm

Has anybody every heard of this.  I cannot find any reference to popliteal except regarding legs.  Dictator clearly stating the below "popliteal areas of her arms" in reference to dry skin. 


Popliteal areas of her arms. 


 


Thanks


popliteal?
Subject: popliteal?


Not popliteal
Subject: Not popliteal

Unfortunately. I'm assuming it's the brand name/type of graft used. This guy has an Irish lilt to his voice too, which doesn't help much. LOL
I think popliteal would fit
Subject: I think popliteal would fit

but the sentence really is a mess.  Good luck.
Early rupture?
Subject: Early rupture?


POPLITEAL FOSSA
Subject: POPLITEAL FOSSA


Appendicitis with pearly rupture?
Subject: Appendicitis with pearly rupture?

Acute appendicitis with __________rupture.


 


s/l pearly


chordae tendineae rupture
Subject: chordae tendineae rupture


s/l "assisted? rupture of membranes"
Subject: s/l "assisted? rupture of membranes"


Pt. having femoral popliteal bypass.
Subject: Pt. having femoral popliteal bypass.

The above knee popliteal artery was identified distal in the adductor canal and dissected out behind the knee and encircled proximal and distal with silastic tapes. A large calcification of both vessels was noted. A s/l Skanlin tunneler was used to create a subcutaneous tunnel.
New phrase for me after all these years...forniceal rupture of the
Subject: New phrase for me after all these years...forniceal rupture of the

s
maybe SROM - spontaneous rupture of membranes
Subject: maybe SROM - spontaneous rupture of membranes


Impression: Right MPJ extensor hood rupture SM
Subject: Impression: Right MPJ extensor hood rupture SM

(s/l shrowd ligament rupture).
shred or shredded ligament rupture?
Subject: shred or shredded ligament rupture?


s/l subtalar plantar plate rupture nm
Subject: s/l subtalar plantar plate rupture nm


I agree. Chondromalcia is something different than your popliteal cyst. nm
Subject: I agree. Chondromalcia is something different than your popliteal cyst. nm

nm
Or....SROM, spontaneous rupture of membranes. Almost forgot that one! nm
Subject: Or....SROM, spontaneous rupture of membranes. Almost forgot that one! nm

s
might just be PROM, premature rupture of membranes. Is she early? nm
Subject: might just be PROM, premature rupture of membranes. Is she early? nm

s
fem pop = femoral popliteal (as in fem pop bypass). Hope this helps.
Subject: fem pop = femoral popliteal (as in fem pop bypass). Hope this helps.

:)


femoral-to-popliteal in situ bypass graft
Subject: femoral-to-popliteal in situ bypass graft


Multiple internal s/l syneckyi are present within this popliteal cyst. I know this word....grr!
Subject: Multiple internal s/l syneckyi are present within this popliteal cyst. I know this word....grr!


Pt does have a 70 degree popliteal angle. Would the 70 degree be correct? sm
Subject: Pt does have a 70 degree popliteal angle. Would the 70 degree be correct? sm

I know with the tibiofemoral angle it is usually 7 degrees (or low numbers).
Thanks
no...medial most. nm
Subject: no...medial most. nm


I think he said medial
Subject: I think he said medial

I listened to it again, and I can kinda make out medial. I will probably just go with this.
medial?
Subject: medial?


medial posterior
Subject: medial posterior

Shouldn't the combining form be ... medioposterior? My spellchecker doesn't think so, and it's not in my dictionary.
Medial Incision?
Subject: Medial Incision?

Could the dictator be saying "medial" incision?
medial aspect?
Subject: medial aspect?


medial-appearing maybe?
Subject: medial-appearing maybe?

x
Medial compartment maybe?
Subject: Medial compartment maybe?


medial malleolus...nm
Subject: medial malleolus...nm

xx
medial malleolus
Subject: medial malleolus

did you ever find out what it said?
medial canthus
Subject: medial canthus


should be medial "canthus"
Subject: should be medial "canthus"


artery
Subject: artery

Doc is saying "control of hemorrhage with ligation of transected superifical s/l capital artery." 


Capital artery?  It doesn't sound at all like femoral.


 


artery
Subject: artery

patient had a stab wound to the face
artery
Subject: artery

thanks for your help.  I'll go with it.
Past medial history
Subject: Past medial history

The patient is admitted from the clinic where CT visuals showed recurrence of the disease.


I'm not sure if that's what the doctor is saying. Does it sound right?


MO = medial oblique view NM
Subject: MO = medial oblique view NM


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Subject: two op questions. medial meniscectomy

Diagnostic surgical arthroscopy, left knee, with medial    meniscectomy.


 


Medial meniscectomy *push horn* was accomplished with a shaver and baskets.  Trimming of the anterior middle third junction was performed through the *cameramelian* instruments laterally.  The knee was injected with a Celestone and Marcaine solution. 


sounds like OS medial eye deviation?
Subject: sounds like OS medial eye deviation?

This is in the physical exam under HEENT.
bosting and medial osteophytes?
Subject: bosting and medial osteophytes?

Cannot figure this one out - bosting??? osteophyte in the knee?


TIA


medial femoral condyle might be the first one
Subject: medial femoral condyle might be the first one


medial femoral condyle
Subject: medial femoral condyle