Heap of lumbar-type syndrome
Posted By: stumped on 2006-06-08
In Reply to:
Subject: Heap of lumbar-type syndrome
Patient is 2 months postop total hip replacement, recevied standard phophylactic anbitiotics, developed "heap of lumbar-type syndrome" as per neurological evaluation. I'm not kidding. It sounds just like that.
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Oops! Make that heap of lumber.
Subject: Oops! Make that heap of lumber.
I hear lumbar. So would it make sense as: Posture has decreased lumbar lordosis
Subject: I hear lumbar. So would it make sense as: Posture has decreased lumbar lordosis
Some type of syndrome
Subject: Some type of syndrome
I'm doing an H&P on an obese patient with facial suffusion and a 2-week history of fatigue, 15-pound weight gain, peripheral edema, dyspnea, dizziness, and tingling.
In the assessment, he says historical and physical exam findings consistent with s/l tic leukian or tic loo can syndrome. I can't quite figure this out, and my spelling must be too far off to catch a clue. Can anyone point me in the right direction?
Somet type of syndrome
Subject: Somet type of syndrome
Hi,
Just happened by your post here... try "Pickwickian syndrome" in your medical dictionary and see if it matches your report.
Cheers,
OK
How to type "restless legs syndrome"
Subject: How to type "restless legs syndrome"
Does anyone know if "restless legs syndrome" should be hyphenated like restless-legs syndrome? Our department is really cracking down on QA so I need to know for sure.
Could it be as simple as hepatorenal syndrome or hypo/hyperventilation syndrome? Does neuro give a
Subject: Could it be as simple as hepatorenal syndrome or hypo/hyperventilation syndrome? Does neuro give a
s
possibly Ayerza syndrome? Search to see if it fits. How is your syndrome being treated? nm
Subject: possibly Ayerza syndrome? Search to see if it fits. How is your syndrome being treated? nm
s
Patellofemoral syndrome versus Patella-femoral syndrome? (sm)
Subject: Patellofemoral syndrome versus Patella-femoral syndrome? (sm)
Are there any ortho MTs who can give documentation regarding the above, in so far as, what distinguishes one from the other? Thanks in advance.
s/l either "Lilly Geilech" syndrome or "Rolling Geilich syndrome"
Subject: s/l either "Lilly Geilech" syndrome or "Rolling Geilich syndrome"
It's in the secondary diagnosis, and an ESL doc. Any suggestions?
Could it just be trisomy syndrome or Cri-du-chat syndrome? So many to choose from. nm
Subject: Could it just be trisomy syndrome or Cri-du-chat syndrome? So many to choose from. nm
s
maybe saying something like FB syndrome or failed back surgery syndrome ?
Subject: maybe saying something like FB syndrome or failed back surgery syndrome ?
? s/l bichette syndrome, pachette syndrome, has anyone heard of that?
Subject: ? s/l bichette syndrome, pachette syndrome, has anyone heard of that?
dysmetabolic syndrome versus metabolic syndrome
Subject: dysmetabolic syndrome versus metabolic syndrome
Is dysmetabolic syndrome and metabolic syndrome used interchangeably? In this dictation the doctor refers to it in the past medical history as metabolic syndrome and then in the assesment/plan as dysmetabolic syndrome.
lumbar x-ray
Subject: lumbar x-ray
Could be stenosis. My doc says spondylolysis or spondyolisthesis noted.Hope it helps.
lumbar?
Subject: lumbar?
Lumbar only
Subject: Lumbar only
Coned-down view of the L5-S1 disc space.
lumbar? nm
Subject: lumbar? nm
Thanks! -lumbar, but see other measuring NM
Subject: Thanks! -lumbar, but see other measuring NM
lumbar coercion?
Subject: lumbar coercion?
Is there such a thing? A proximal lumbar coercion was noted.
Lumbar corset
Subject: Lumbar corset
The patient was given a prescription for a lumbar corset with laces and s/l * stays"
Stays?? Thank you
could be LP = lumbar puncture?...nm
Subject: could be LP = lumbar puncture?...nm
MRI lumbar spine
Subject: MRI lumbar spine
Once again, I am trying to make sense of the hospital radiology reports. Noncontrast MRI of lumbar spine shows a clonus ending posterior to L1. It does not sound right to me. clonus does not make sense but I do not type much radiology. Anyone have a clue what else it could be? It does sound like he is saying clonus.??? Thanks
lumbar puncture help
Subject: lumbar puncture help
Which would be correct: L4-L5 inner space or interspace was located by palpation. ??? 
lumbar facet changes? nm
Subject: lumbar facet changes? nm
nm
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.
I would say lumbar spinal. -nm
Subject: I would say lumbar spinal. -nm
x
lumbar puncture
Subject: lumbar puncture
lumbar puncture
lumbosacral or lumbar sacral, or
Subject: lumbosacral or lumbar sacral, or
do they both mean the same thing? 
Help with curette during lumbar surgery.
Subject: Help with curette during lumbar surgery.
The s/l Rivers-Stanwich curette was used to impact some bulging material into the disc space and subsequently removed. 
A lumbar spine x-ray.....see inside
Subject: A lumbar spine x-ray.....see inside
Says...
There is diffuse osteopenia. Patient is status-post posterior fusion of L3-L4. Hardware in good position. There is mild degenerative disc disease with small anterior osteophyte formation in L2-L5 with diminished L4-L5 disc space. Alignment of vertebral bodies is preserved. No ____ is seen.
The blank sounds like, and I may be WAY OFF, sclenostasis...there is definitely the stasis and pretty sure the scle part...Please help!!!
MRI of the lumbar spine without contrast (please sm)
Subject: MRI of the lumbar spine without contrast (please sm)
showed s/l *Mobic* type 1 degenerative changes in the anterior-superior corner of L4. Thanks.
s/l divessic lumbar epidurals - nm
Subject: s/l divessic lumbar epidurals - nm
Lumbar radiculopathy with poindations
Subject: Lumbar radiculopathy with poindations
Does anyone know what the word that s/l poindations could be in reference to lumbar radiculopathy with "poindations"
Tx!
lower lumbar question
Subject: lower lumbar question
extensive back surgery where he had a fusion and a ____ replaced in his lower lumbar area.
Sounds like "heart".
Lumbar puncture - supinatant?
Subject: Lumbar puncture - supinatant?
Sentence is as follows: Lumbar puncture done in ER showed RBCs 0, WBCs 2, glucose 70, s/l SUPINATANT??? colorless. Thanks
MRI of lumbar spine term (sm)
Subject: MRI of lumbar spine term (sm)
would a radiologist say *the corners of the spinal cord* are at L1...
is corners correct?
fith-lumbar-first sacral
Subject: fith-lumbar-first sacral
Can you believe that QA said it should be:
1. Right-sided fifth lumbar-first sacral herniated nucleus pulposus.
Thanks for the responses though!
Can you hear *lumbar lordosis* instead of *on the*?
Subject: Can you hear *lumbar lordosis* instead of *on the*?
x
Preop lumbar spondylosis...help!
Subject: Preop lumbar spondylosis...help!
Hi guys. I have a couple of questions on this report.
Under description of procedure: After sterile prepped and draped, local anesthetic wheals were raised. There were cephalocaudad and oblique projections of the intersections of the superior articular process of L5 and the sacral ala....
First of all, I'm sure he says "after sterile prepped and draped.... Even though this doesn't make much sense, is that correct?
========================================================
My second question is...local anesthetic wheals were raised. There were cephalocaudad and oblique projections.....
it sounds like he says over cephalocaudad and oblique projections....but that doesn't make much sense. Which way is correct? Is it with the period after wheals were raised?
==========================================================
Lastly, 22-gauge bend tip spinal needles were directed to these intersections.... Is bend tip spinal needles correct?
Thanks for any suggestions. I have been reading posts on here for awhile now but have never posted anything. You guys are the greatest and I hope that one day I can be the successful MT some of you are! Thanks for your help.
lumbar spinal stenosis. nm
Subject: lumbar spinal stenosis. nm
.
thoric and lumbar spine?
Subject: thoric and lumbar spine?
Visibly associated with progressive kyphotic deformity of the""thoric and lumbar spine"", with an with attendant cervical lordosis.
Is this right or should it be thoracic and lumbar spine?
Thoracic and lumbar, not thoric......nm
Subject: Thoracic and lumbar, not thoric......nm
nm
*ICA* related lumbar radiculopathy
Subject: *ICA* related lumbar radiculopathy
Can't find what ICA stands for other than internal carotid artery. TIA!!!
Lumbar Protective Mechanism
Subject: Lumbar Protective Mechanism
There is TTT syndrome and BBB syndrome but need for more info to know if either will fit
nm
Lumbar epidural steroid injection ...sm
Subject: Lumbar epidural steroid injection ...sm
Using #22 gauge needle and loss-of-resistance (s/l 2A or to air) technique.
lumbar spine in the cord s/l *glioscar*??? nm
Subject: lumbar spine in the cord s/l *glioscar*??? nm
nm
supine lumbar flexion (90/90 positioning). nm
Subject: supine lumbar flexion (90/90 positioning). nm
Never mind, he was saying lumbar level diskography. nm
Subject: Never mind, he was saying lumbar level diskography. nm
.
endometrial ablation lumbar spine? !
Subject: endometrial ablation lumbar spine? !
Under past surgical history the doctor dictates endometrial ablation lumbar spine both in 1998 and 2003. What is she trying to say? I do not see any association between an endometrial ablation and the lumbar spine. Any ideas?
lumbar disk "infesentuent" spaces
Subject: lumbar disk "infesentuent" spaces
lumbar disk "infesentuent" spaces show degeneration
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