Exam of the left hand reveals a 0.5 x 0.5 cm area of s/l pointing along the proximal phalanx to sm
Posted By: Patient with needle stick and MRSA to the finger on 2008-09-04
In Reply to:
Subject: Exam of the left hand reveals a 0.5 x 0.5 cm area of s/l pointing along the proximal phalanx to sm
the 5th finger on the palmar surface. Thanks for any help.
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ORIF of proximal phalanx
Subject: ORIF of proximal phalanx
In this op note, the doctor says a "one five recon plate" was trimmed to the appropriate length, and I placed a "one five" screw distally. Would you agree this should be transcribed as 1.5 (as in mm). He didn't say mm, and I won't go so far as to put mm in the report.
Proximal phalanx fracture is healed. Screws are in good position. The s/l ser-toge wire is in
Subject: Proximal phalanx fracture is healed. Screws are in good position. The s/l ser-toge wire is in
position.
Left distal phalanx S/l-phalen.
Subject: Left distal phalanx S/l-phalen.
nm
Examination of the right hand reveals s/l classic model of Dupuytren's contracture
Subject: Examination of the right hand reveals s/l classic model of Dupuytren's contracture
:-)
of shooting pain into the left radial wrist and thumb area and over the intercuginous area of the-sm
Subject: of shooting pain into the left radial wrist and thumb area and over the intercuginous area of the-sm
first and second digit of the left hand. Thanks.
proximal isovelocity surface area (PISA)
Subject: proximal isovelocity surface area (PISA)
proximal isovelocity surface area (PISA)?
Examination and inspection of the left hip reveals 90o of flexion. Full extension. sm
Subject: Examination and inspection of the left hip reveals 90o of flexion. Full extension. sm
No **flexion** contracture. Would this be flexor or flexion?
GYN exam reveals a positive *shanglere*
Subject: GYN exam reveals a positive *shanglere*
sounds like perivascular exam reveals
Subject: sounds like perivascular exam reveals
a slightly prolonged expiratory phase and occasional rhonchi
exam of back reveals it to be symmetrical without s/l farming???
Subject: exam of back reveals it to be symmetrical without s/l farming???
Exam of the spine reveals no s/l har-i-cu-tan-e-ous lesions. This is on a child. nm
Subject: Exam of the spine reveals no s/l har-i-cu-tan-e-ous lesions. This is on a child. nm
Exam of both feet reveals large medial **bos** that are not correctable. TIA nm
Subject: Exam of both feet reveals large medial **bos** that are not correctable. TIA nm
fracture of the proximal left femur with segmented upper tip of the graded s/l turhunter
Subject: fracture of the proximal left femur with segmented upper tip of the graded s/l turhunter
Exam reveals discomfort and crepitus about the radial head and s/l capatome. Thanks!
Subject: Exam reveals discomfort and crepitus about the radial head and s/l capatome. Thanks!
Writing with both left and right hand
Subject: Writing with both left and right hand
What is the term for writing both with your left and right hand? Is it something like ambextoris
Breast exam reveals no masses in the tail or s/l spence. Pt with a gunshot wound to the chest. TIA
Subject: Breast exam reveals no masses in the tail or s/l spence. Pt with a gunshot wound to the chest. TIA
Eye exam: s/l "sub-lamp" exam shows left side has multiple small punctations in the cornea.(t
Subject: Eye exam: s/l "sub-lamp" exam shows left side has multiple small punctations in the cornea.(thanks)
Left hand laceration, s/l *radial intingenal* nerve injury..Thanks.
Subject: Left hand laceration, s/l *radial intingenal* nerve injury..Thanks.
xx
Hand exam
Subject: Hand exam
There is some bony "remodeling" over the PIP joint. Does anyone know what this means and is "remodeling" the proper word?
Thank you.
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.
:-)
complaining of numbness involving the left medial hand and forearm in the s/l SEE UH dermatome.
Subject: complaining of numbness involving the left medial hand and forearm in the s/l SEE UH dermatome.
hand exam question
Subject: hand exam question
Shoulder, elbows and wrists have s/l 0T0 ("zero tee zero") Her hands, especially over the PIPs and DIPS, were a s/l OT1 ("zero tee one") with some bony prominence on the DIP joints with no nail changes or pitting. Is this correct? Never heard of this.
s/l Jean's sign, hand exam. TIA. nm
Subject: s/l Jean's sign, hand exam. TIA. nm
nm
Exam of hand and upper extremity - please sm
Subject: Exam of hand and upper extremity - please sm
Regarding her hands and upper extremities, there is notable thenar atrophy at the right hand with APB weakness. s/l Apponing strength was good bilaterally. She does have a positive CMC grind test.
Yep, Keeping the area clean with a peri-bottle (a hand-held squirt bottle) can be soothing and help
Subject: Yep, Keeping the area clean with a peri-bottle (a hand-held squirt bottle) can be soothing and help prevent infection.
short for perineal
s/l 'axillae are stable', but his exam is on liver area. Brain freeze here? nm
Subject: s/l 'axillae are stable', but his exam is on liver area. Brain freeze here? nm
..
S/L temple araditis??? then left temple area??? biopsy? Help
Subject: S/L temple araditis??? then left temple area??? biopsy? Help
Genitalia exam had left scrotal swelling, negative s/l transluminents?
Subject: Genitalia exam had left scrotal swelling, negative s/l transluminents?
Oh, and you need to check the anatomy of the hand. Do a google search for "bones of the hand"
Subject: Oh, and you need to check the anatomy of the hand. Do a google search for "bones of the hand".
Try this site, you can click on the bones of the hand and it will tell you what the bone is called.
http://www.gwc.maricopa.edu/class/bio201/hand/anhand.htm
The trapezoid bone is a bone in the distal row of the carpus; it articulates with the second metacarpal.
The scaphoid bone is the largest bone of the proximal row of the carpus on the radial side, articulating with radius, lunate, capitate, trapzium, and trapezoid.
Please know what you are talking about before you try to be condescending.
foot exam - removal of AFFENDING ingrown nail spicules from the right and left great toes
Subject: foot exam - removal of AFFENDING ingrown nail spicules from the right and left great toes
This is a new dictator for me and he says the same thing in almost every dictation. He is stressing the AFFENDING - kind of like to let you know that it's an "A" and not "O"..
Past pointing. NM
Subject: Past pointing. NM
that was a typo on my part. Thanks for pointing it out though! :-)
Subject: that was a typo on my part. Thanks for pointing it out though! :-)
Pointing is correct. If they incise and
Subject: Pointing is correct. If they incise and
drain, they will do over the area of pointing.
Ah, ya got me before my coffee kicked in. Thanks for pointing this out SO nicely. :) nm
Subject: Ah, ya got me before my coffee kicked in. Thanks for pointing this out SO nicely. :) nm
s
probably is isthmusectomy. Those two procedures go hand in hand.
Subject: probably is isthmusectomy. Those two procedures go hand in hand.
x
Hand surgery, lead hand?
Subject: Hand surgery, lead hand?
The hand was placed in a lead hand? Attention directed to, in sequence, the lacerations over the DIP joints and pulps of the index, long and ring fingers. Thanks
1st phalanx
Subject: 1st phalanx
First phalanx is okay, but 1st phalanx is better because it is recommended to use numerals in medical reports. (Book of Style)
phalanx?
Subject: phalanx?
xx
pleural of phalanx
Subject: pleural of phalanx
phalanges
Maybe just phalanx even though would be redundant? nm
Subject: Maybe just phalanx even though would be redundant? nm
s
Yes, This should place the patient's head in the sniffing position with the nose pointing up. ...
Subject: Yes, This should place the patient's head in the sniffing position with the nose pointing up. ...
Phalanx fractures - word help
Subject: Phalanx fractures - word help
Review of his x-rays today shows that he has some fourth and fifth proximal phalanx fractures of the shaft, just a little oblique in nature. The s/l 'ulnar-peri' was significantly displaced.
Hx: Fourth and fifth phalanx fractures.
that's all I could think of as well..but isn't that the chest area and not the neck area? nm
Subject: that's all I could think of as well..but isn't that the chest area and not the neck area? nm
d
Her x-ray shows slight angulation of her distal phalanx fracture in the s/l plane of joint motion.TY
Subject: Her x-ray shows slight angulation of her distal phalanx fracture in the s/l plane of joint motion.TY
oropharynx reveals
Subject: oropharynx reveals
 sounds like "A class 3 melanpotty".... clueless!
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
Auscultation of the chest reveals
Subject: Auscultation of the chest reveals
s/l sonorus noises.
I know that I have seen this one before but am drawing a total blank.
portable chest x-ray reveals.....nm
Subject: portable chest x-ray reveals.....nm
xx
reveals no erythema or oral lesions?
Subject: reveals no erythema or oral lesions?
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
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