I thought MPJ could apply to either carpal or tarsal... sm
Posted By: flybye on 2008-11-11
In Reply to: MPJ/MTPJ - latebloomer
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!
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- MPJ/MTPJ - latebloomer
- I thought MPJ could apply to either carpal or tarsal... sm - flybye
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Could he be saying tarsal?
Subject: Could he be saying tarsal?
nm
could it be tarsal ? nm
Subject: could it be tarsal ? nm
It DOES apply here ... it is part of the
Subject: It DOES apply here ... it is part of the
epidermis. I just finished an entire year studying Human Structure and Function.
Read this copy/paste and try the link.
The epidermis starts at the basement membrane and extends up through the stratum corneum. The 4 basic zones of the epidermis are the basal/suprabasal layer, the spinous layer, the granular layer, and the stratum corneum.40
http://www.findarticles.com/p/articles/mi_qa3977/is_200410/ai_n9461227
Would 'anesthesiology' apply? nm
Subject: Would 'anesthesiology' apply? 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 think just the normal rules of English would apply
Subject: I think just the normal rules of English would apply
Whenever adding *ing* to a word that ends in t, you add an extra t.
I have always heard it as tarsal-metatarsal joint. NM
Subject: I have always heard it as tarsal-metatarsal joint. NM
x
s/l eltholidist (it wouldn't let me apply to my other post.)
Subject: s/l eltholidist (it wouldn't let me apply to my other post.)
The sentence and more.
He underwent an open lung biopsy in an attempt to delineate the etiology of his pulmonary situation, and this was reported as idiopathic pu;monary fibrosis and (s/l eltholidist). The specimen was sent to the Mayo Clinic Pathology Department for further evaluation and they were able to give no further help concerning the etiology of his pulmonary stasis.
HEAD ON APPLY DIRECTLY TO THE FOREHEAD
Subject: HEAD ON APPLY DIRECTLY TO THE FOREHEAD
Maybe he's talking about that stuff. 
If you have not seen the commercial, be thankful.
What is the age of the patient (greenstiick would apply to child). NM
Subject: What is the age of the patient (greenstiick would apply to child). NM
nm
Betadine scrub and then apply Adaptic? nm
Subject: Betadine scrub and then apply Adaptic? nm
I don't think that's it - he's referring to possible tarsal tunnel syndrome - feet... But
Subject: I don't think that's it - he's referring to possible tarsal tunnel syndrome - feet... But thanks anyways...
No other reports. Just this statement. The rest of report does not apply.
Subject: No other reports. Just this statement. The rest of report does not apply.
I don't know if Weber's test would apply...its hearing-related...? nm
Subject: I don't know if Weber's test would apply...its hearing-related...? nm
,,
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!
Carpal tunnel
Subject: Carpal tunnel
s/l Banalog lotion for carpal tunnel
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.
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
Pt. undergoing carpal tunnel release.
Subject: Pt. undergoing carpal tunnel release.
The carpal ligament was identified and this was opened proximally and distally through the palmar aspect of the hand. Distally, we placed a s/l flatmouth malleable.
2/7 camera with carpal tunnel release
Subject: 2/7 camera with carpal tunnel release
Next, the s/l -2/7- camera was placed inside the cutting guide, a straight knife was used to cut part of the transverse carpal ligament, next followed by the hooked knife and the hook knife was used to cut distally first, then the camera was flipped to the distal portal and the knife was placed in the proximal portal and the rest of the transverse carpal ligament was divided.
there is a D-ring splint for carpal tunnel nm
Subject: there is a D-ring splint for carpal tunnel nm
CCT or CCP pack, doing carpal tunnel release
Subject: CCT or CCP pack, doing carpal tunnel release
The wound was then dressed with bacitracin, Adaptic and a sterile gauze dressing and placed in a volar splint with a CCT or CCP??? pack incorporated.
carpal tunnel surg question...
Subject: carpal tunnel surg question...
s/l "as markeys dangling" at the arm and left on the forearm as a tourniquet
acute carpal tunnel syndrome ? - nm
Subject: acute carpal tunnel syndrome ? - nm
Phalen (for carpal tunnel syndrome testing)
Subject: Phalen (for carpal tunnel syndrome testing)
s/l Ragnow, for open carpal tunnel release
Subject: s/l Ragnow, for open carpal tunnel release
cammats procedure and carpal tunnel release. nm
Subject: cammats procedure and carpal tunnel release. nm
nm
Under surgical history: s/l carpal tunnel ?effers? nm TIA
Subject: Under surgical history: s/l carpal tunnel ?effers? nm TIA
We will get a lassemer pad over the carpal tunnel for her pillar pain as well tia
Subject: We will get a lassemer pad over the carpal tunnel for her pillar pain as well tia
radialis approach to carpal tunnel release? Guessing here. nm
Subject: radialis approach to carpal tunnel release? Guessing here. nm
Yes. I've also found that it's used for carpal tunnel, so that makes sense - could not find m
Subject: Yes. I've also found that it's used for carpal tunnel, so that makes sense - could not find mcg
We will focus on s/l nerve intentive gliding" Pt had carpal tunnel surgery with complications.
Subject: We will focus on s/l nerve intentive gliding" Pt had carpal tunnel surgery with complications. nm
We will focus on s/l nerve intentive gliding" Pt had carpal tunnel surgery with complications.
Subject: We will focus on s/l nerve intentive gliding" Pt had carpal tunnel surgery with complications. nm
metatarsal-tarsal fracture - "superb" fracture. Is this right?
Subject: metatarsal-tarsal fracture - "superb" fracture. Is this right?
it is not ESL and I thought of warts but thought the same thing and it does not sound like a "t&#
Subject: it is not ESL and I thought of warts but thought the same thing and it does not sound like a "t"
doing a Carpal tunnel release s/l SUN retractors or Thumb retractors to the median nerve
Subject: doing a Carpal tunnel release s/l SUN retractors or Thumb retractors to the median nerve
Postsurgical carpal release splint. s/l Veering splint
Subject: Postsurgical carpal release splint. s/l Veering splint
Patient was placed in a "Veering/V-ring".
Stumped!
The Phalen's test is a test for carpal tunnel--sm
Subject: The Phalen's test is a test for carpal tunnel--sm
syndrome and involves the wrist. It is a pressure test, but the doctor would hold the distal or proximal phalanx in the performance of that test while compressing the wrist and waiting for numbness to occur. I would like to hear the rest of your sentence before saying for sure what you are hearing is Phalen's.
I second your thought Dee. :) nm
nm
that is what I thought but. . .
Subject: that is what I thought but. . .
She says it twice in the report and pronounces it like it rhymes with cube or tube and sound like she says pube, so that is what made me think it was short for pubic. Here is the other sentence:
He had a high (pube) on the left and an elevate ASIS on the left in a sheer pattern.
That is what I thought, but. .sm
Subject: That is what I thought, but. .sm
I have to blank it since he is not saying the whole word including in the diagnosis. He just say pila or pyelo.
Thank you. That is what I thought it was.
Subject: Thank you. That is what I thought it was.
x
Just thought I would
Subject: Just thought I would
glycopyrrolate (gly·co·pyr·ro·late) (gli”ko-pir´o-lât) [USP] a synthetic quaternary anticholinergic used as an antispasmodic to help treat peptic ulcer and other gastrointestinal disorders, a preanesthetic antisialagogue to decrease salivation and respiratory secretions, and an antiarrhythmic to counteract vagal inhibitory reflexes during induction of anesthesia and surgery; administered orally, intramuscularly, or intravenously. Called also glycopyrronium bromide.
that's what i thought. thank you.
Subject: that's what i thought. thank you.
x
my first thought was /sm
Subject: my first thought was /sm
"midline raphe" -- but looking it up, usually refers to area around mandible/jaw, so not sure if it would fit or not.
Thanks a ton. Thats what I thought too
Subject: Thanks a ton. Thats what I thought too
I thought that first too, but I don't...
Subject: I thought that first too, but I don't...
think that's it, but thanks!
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