Need help with ortho - please see message for context.

• Need help with ortho - please see message for context. - Thanks-sm
  • He's saying bowstrung - I located a previous report where another doctor calls it a - bowstring tendon. nm
  • I can't find anything - but does anyone know of a Bostrum tendon? - Original Poster - nm
  • I think bowstrung tendon is an anomaly/problem, and not a tendon - name that you're mis-hearing. NM
    • So he's probably describing a problem with the tendon itself - appearance is bowstrung? - Thanks for your help. nm

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This patient is a xx year old female with a past medical history of hypertension, status post gastric-bypass surgery in (DATE) who presents for preoperative clearance.  She is undergoing surgery by Dr. XXX on (DATE) for thighplasty and panniculectomy   Apparently, she is feeling well and has no complaints.  Specifically, she denies any chest pain, shortness of breath, dyspnea on exertion, PND, or orthopnea.  She denies any bleeding or clotting disorders.  She has no difficulty with anesthesia.

"forced resistance of the left wrist in extension did not produce any pain, producing a negative equivocal s/l garden test on the left."

Thanks much.

For the third toe, she will require a third MP release and a PIP resection and possibly a thermadesis. 

TIA

He has mild _____ (s/l- elaver) curvatum and nearly positive thumb-to-forearm sign. 

PLAN:  We discussed that given the findings on his MRI and given the response to the injection, it is reasonable to proceed with a left hip arthroscopy and labral débridement.  At that time, we will look for any head-neck junction irregularity or (s/L-pencil-) lesion.  He understands the risks and benefits of surgery and wishes to proceed. 

THANKS!!

MRI demonstrates some degeneration of the medial meniscus.  I do not see a distinct split.  There is some wear on the surface medially.  There is some (s/l-concongral-) change deep, a little cystic change is noted on the inner side of the knee with a little spur at the corner, which could be giving him some of his problem. 

THANKS!

She still feels that this is probably (S/L-Parsoners-Turners-), but she is doing some EMGs today.

Sorry, there is really no info other than this on the patient, such as why he's being seen. 

of help out here but what is this?

anterior mediastinum

Anterior mediastinum, the narrow region between the pericardium and the sternum containing the thymus or its remnants, some lymph nodes and vessels and branches of the internal thoracic artery.

PPP syndrome could refer to MEN (multiple endocrine neoplasia), which "typically involves the pituitary, parathyroid, and pancreas glands (recall it as the PPP syndrome)."

http://www.utmem.edu/endocrinology/Endocrine%20pathophysioloy/Chap%2014.htm

I also saw pustulosis palmoplantaris syndrome and pretty picture protectiveness syndrome.

What kind of surgery is it?  Where is the incision being made? 

Can you please supply this information.  Thanks