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I don't think that's it - he's referring to possible tarsal tunnel syndrome - feet... But

Posted By: lucyo2 on 2006-09-02
In Reply to: Turner's sign nm - guessing

Subject: I don't think that's it - he's referring to possible tarsal tunnel syndrome - feet... But thanks anyways...




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I was taught you get callus in your bones and callous on your feet. So, when referring to
Subject: I was taught you get callus in your bones and callous on your feet. So, when referring to

a fracture, it would be callus formation. When you talk about callous, you are referring to callousity or callous formation on the feet.
2 s/l re: carpal tunnel syndrome. sm
Subject: 2 s/l re: carpal tunnel syndrome. sm

Patient diagnosed with carpal tunnel.


Plan: 


1. *defell* supportive care *selfundi* course.


2.  Will use ibuprofen 800 mg 3 times a day over the next 10 days.


3.  She is provided with a cock-up wrist splint today.  This is fitted and applied in the office.


Pt with cubital tunnel syndrome. please sm
Subject: Pt with cubital tunnel syndrome. please sm

EMG is reviewed which shows ulnar nerve s/l disluction at the elbow.

ulnar tunnel syndrome
Subject: ulnar tunnel syndrome


s/l rainot syndrome - modeling of feet
Subject: s/l rainot syndrome - modeling of feet


yes...test for radial tunnel syndrome...sm
Subject: yes...test for radial tunnel syndrome...sm

the third-finger test: the patient is asked to raise his long finger against resistance with the elbow fully extended; he will frequently experience augmented discomfort
acute carpal tunnel syndrome ? - nm
Subject: acute carpal tunnel syndrome ? - nm


Phalen (for carpal tunnel syndrome testing)
Subject: Phalen (for carpal tunnel syndrome testing)


could be referring to "Mirizzi's" syndrome, sm
Subject: could be referring to "Mirizzi's" syndrome, sm

common hepatic duct obstruction caused by extrinsic compression from an impacted stone in the cystic duct
Examining feet = *Feet are 1 to 1 in distribution*....TIA
Subject: Examining feet = *Feet are 1 to 1 in distribution*....TIA

xxxx
Could he be saying tarsal?
Subject: Could he be saying tarsal?

nm
could it be tarsal ? nm
Subject: could it be tarsal ? nm


mid-tarsal and MTPs......No msg
Subject: mid-tarsal and MTPs......No msg


it is definitely not tarsal. It is very clear and have come across this many times, just cannot fin
Subject: it is definitely not tarsal. It is very clear and have come across this many times, just cannot find it


I have always heard it as tarsal-metatarsal joint. NM
Subject: I have always heard it as tarsal-metatarsal joint. NM

x


I thought MPJ could apply to either carpal or tarsal... sm
Subject: I thought MPJ could apply to either carpal or tarsal... sm

In my abbreviations book metacarpophalangeal and metatarsophalangeal are both listed under MPJ. Like you, when they dictate MPJ and it needs to be expanded, I have both codes mcpj and mtpj to avoid an error.

have a productive day!
Tarsal makes sense, though pronator isn't part of it
Subject: Tarsal makes sense, though pronator isn't part of it

He could be just leaving out the "pronator" part. I wish you could hear this guy. If he were taking you out to a romantic candlelit dinner at an expensive restaurant, his accent would make you melt.  But as a dictator, he sucks. 
orthopedics--type of shoe--tarsal? Harstal? Harshall? Partial?
Subject: orthopedics--type of shoe--tarsal? Harstal? Harshall? Partial?

As you can see, I am really reaching for this one.  This is a type of shoe that is worn when someone has an ankle fracture. I'm thinking it could be "tarsal shoe" but then it almost sounds like "Harstel shoe" or something else entirely. I need an expert on shoe types and/or orthopedics to help me!
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?
6 feet.
Subject: 6 feet.

x
5 feet
Subject: 5 feet


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. 
FCR tunnel ?
Subject: FCR tunnel ?

xx
tunnel? nm
Subject: tunnel? nm

nm
I would say tunnel since it goes thru one there. nm
Subject: I would say tunnel since it goes thru one there. nm

s
feet or foot?
Subject: feet or foot?

doc says 5 foot 4 inches.........should it be 5 feet 4 inches?
bilateral feet
Subject: bilateral feet

decreased skin turgor of bilateral feet


cold skin temperature on bilateral feet


Carpal tunnel
Subject: Carpal tunnel

s/l Banalog lotion for carpal tunnel
cubital tunnel?
Subject: cubital tunnel?


scleral tunnel? nm
Subject: scleral tunnel? nm


Patient's feet bother him - sm
Subject: Patient's feet bother him - sm

he has a history of S/L neural viral mitosis?  New doc for me.  Thanks!
in med list, s/l iso source 2 feet? what??? tia
Subject: in med list, s/l iso source 2 feet? what??? tia


thank you sooooo much for the answer about the feet
Subject: thank you sooooo much for the answer about the feet


painful nodules on feet sm
Subject: painful nodules on feet sm

These have not been s/l "disicular" and have not ulcerated.  Clueless this morning!
foot of feet incisions? nm
Subject: foot of feet incisions? nm


In your case, bilateral feet.
Subject: In your case, bilateral feet.

x
Actos for swelling of feet?
Subject: Actos for swelling of feet?

Decrease Metformin to once a day.  Will probably reduce Actos to 30 mg a day to decrease the swelling of his feet. 


It sounded right but is Actos going to help swelling of the feet?  He said throughout the report he had swelling of the tongue.  He has type 2 diabetes and sugar levels are running low.  Just checking another opinion. 


s/l tunnel cuminalis catheter?
Subject: s/l tunnel cuminalis catheter?

Patient has renal failure and the procedure is a placement of this catheter.  Any ideas?  This is the only time it is said.


Thanks


Carpal tunnel release
Subject: Carpal tunnel release

I see that there are Della suturing devices, would it make sense that the s/l Dellas were passed down the carpal tunnel, as well as the scope?  TIA
Carpal tunnel test
Subject: Carpal tunnel test

s/l Jerkin   sign is positive at 20 seconds.  DIAGNOSIS: is carpal tunnel syndrome. 


carpal tunnel sugery again...
Subject: carpal tunnel sugery again...

he is saying she is having a carpal tunnel release done, with some kind of ectomy?   I can't hear any of the first of it.  Any ideas?


TIA


thank you. It is clearly Isosource. But I clearly hear 2 feet after this. YIKES!!! nm
Subject: thank you. It is clearly Isosource. But I clearly hear 2 feet after this. YIKES!!! nm


Inches and feet are not metric--no decimels. nm
Subject: Inches and feet are not metric--no decimels. nm

x
if not verbatim it is feet if more than 1 foot tall *lol*
Subject: if not verbatim it is feet if more than 1 foot tall *lol*

.
correct way to type 5 10? (as in 5 feet, 10 inches)
Subject: correct way to type 5 10? (as in 5 feet, 10 inches)