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Never heard of coronal ligament either, and I did orthopedics about twenty years.

Posted By: pc on 2007-11-16
In Reply to: s/l coronal ligament in the right ankle? nm - Can't document this. Thank you.

Subject: Never heard of coronal ligament either, and I did orthopedics about twenty years.




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s/l coronal ligament in the right ankle? nm
Subject: s/l coronal ligament in the right ankle? nm

nm
have heard coronal ligaments regarding knee leg etc. nm
Subject: have heard coronal ligaments regarding knee leg etc. nm


anyone every heard of a Roger-Mann dressing for orthopedics. sm
Subject: anyone every heard of a Roger-Mann dressing for orthopedics. sm

That is what my manager says it is but I cannot find any info on it.
20 years in rad - never heard of that SM
Subject: 20 years in rad - never heard of that SM

maybe you or your doc could call or email to see what it means?
In over 20 years I have never heard of a 15-0 blade! Are you sure? nm
Subject: In over 20 years I have never heard of a 15-0 blade! Are you sure? nm

.
Thanks so much for your help. Never heard of it in 8 years typing ortho. nm
Subject: Thanks so much for your help. Never heard of it in 8 years typing ortho. nm

nm
30 years, never heard them say scope goes through the teeth. NM
Subject: 30 years, never heard them say scope goes through the teeth. NM

.
You are very welcom. I have 19 years of uro experience. I have heard it all. LOL. nm
Subject: You are very welcom. I have 19 years of uro experience. I have heard it all. LOL. nm

nm
Anyone heard of SIAC ??..I've done ortho for 7 years - very clear. nm
Subject: Anyone heard of SIAC ??..I've done ortho for 7 years - very clear. nm

nm
In eight years of transcribing ortho, I've never heard this term...
Subject: In eight years of transcribing ortho, I've never heard this term...

Impression:
1. Left de Quervain tendinitis.
2. Left carpal tunnel syndrome.

Will get EMGs. The patient has evidence of s/l palmarthrorheumatosis. He runs it together, so it may be palm (or palmar) arthrorheumatosis.

Any help is appreciated. :)

Lachman's probably. Never heard of cotton's maneuver. Been in orthopaedics for 25 years.
Subject: Lachman's probably. Never heard of cotton's maneuver. Been in orthopaedics for 25 years.


No problem, worked for Urologists for 8 years so I've heard the term a time or two
Subject: No problem, worked for Urologists for 8 years so I've heard the term a time or two

:)
He's saying 4 hundred twenty seven distinctly
Subject: He's saying 4 hundred twenty seven distinctly


I learned 27 years ago to use q.4h. (no spaces), past few years q.4 h. (see msg)
Subject: I learned 27 years ago to use q.4h. (no spaces), past few years q.4 h. (see msg)

Now some are saying it's q. 4h.??  UGH, YUCK!!  I have also worked on accounts where it had to be "every 4 hours," and we had to spell out p.r.n. (as needed for).  At least we got more characters. 


First rule:  It is all what the "client/account" wants, not always what the BOS says it is.  I realize that language and its usage is constantly changing, but I've seen so many BOS and client flip-flops on so many other things in nearly 3 decades that it's laughable.  What isn't laughable is when we get penalized for not knowing what they want, even when they, themselves, don't know or are wrong.


Oh, and I still prefer the old no spaces:  q.4h., q.4-6h., q.12h., and so on.....


coronal?
Subject: coronal?


Wow, thank you. Just years, years and more years of experience
Subject: Wow, thank you. Just years, years and more years of experience

and a constant thirst for learning something new everyday. As we all know this can get to be somewhat boring, but learning from what I transcribe as well as from other transcriptionists keeps me going (money is not bad either). It becomes a challenge. But I can't thank you enough for the kind words.

Use to be younger...
coronal is correct nm
Subject: coronal is correct nm

nm
axial and coronal ?
Subject: axial and coronal ?


Yup, coronal alignment is correct. nm
Subject: Yup, coronal alignment is correct. nm

.
s/l corner angle - coronal?
Subject: s/l corner angle - coronal?

doc is doing tah-bso adhesion from colon to s/l corner angle to the tube and ovary and freeing up the s/l corner angle.  Any clues?  Could it be coronal angle.  It is not cardinal. 
They do axial images and then coronal and sagittal
Subject: They do axial images and then coronal and sagittal


They do axial images and then coronal and sagittal
Subject: They do axial images and then coronal and sagittal

reformations or reformats from the axial data - I've heard it both ways.
CT scan of the sinuses with axial and coronal s/l retons
Subject: CT scan of the sinuses with axial and coronal s/l retons


2 years' time because years is plural. One year's time because it is singular, only one year.
Subject: 2 years' time because years is plural. One year's time because it is singular, only one year.


ligament?
Subject: ligament?


ligament perhaps...
Subject: ligament perhaps...

What about the deltoid ligament which is in the ankle? Just guessing at this point.
New to orthopedics?
Subject: New to orthopedics?

I am not sure if this looks right but this the sentence that sounds like it is being said.  I am wondering if "pub" is short for pubic??  Thanks for the ortho help, as I am at a loss in this area.


Osteopathic manipulative treatments were performed using muscle energy, Jones strain/counter strain, 7 stages of Spencer, leg tug technique, and a pub technique.     


Thanks for your time.


orthopedics
Subject: orthopedics

I would appreciate if someone can help with this....There is no deltoid or ____ atrophy.


I think he is sayign something that sounds like spiniatrophy...I really cannot make it out but he has said it in more than 3 reports. I was wondering if it was spinatus but there is no S, also it could be two words???


Thank you.


Orthopedics
Subject: Orthopedics

Thanks for all your replies. I will check them as soon as I get back to the report and post here.
Orthopedics
Subject: Orthopedics

PHYSICAL EXAMINATION:

Examination reveals nontender portal sites.??? I am not sure of the portal sites but I am hearing something close to that...thanks for your help.
Orthopedics
Subject: Orthopedics

She notes occasional crepitus.


 


PHYSICAL EXAMINATION:


Examination reveals nontender ___.  Range of motions are nearly complete and painfree. 


That is exactly what he said... nothing else. there is no subheading.


Orthopedics
Subject: Orthopedics

PHYSICAL EXAMINATION:
Examination reveals painfree range of motion at the shoulder, ___ are nontender

Here is another ... he says this in couple more of his reports.
help please - orthopedics
Subject: help please - orthopedics

the dr. dictates - The s/l "hungerford" sequential instrumentation was utilized and a drill hole was placed in the distal end of the femur.  TIA!! 
ORthopedics help
Subject: ORthopedics help

Dr. Says:  The right knee has some minimal diffuse swelling, but no point tenderness or erythema.  No pain with movement of the patella, medially or laterally.  No increased (s/l play) with varus or valgus stress.  Negative drawer and Lachman test.   


 


ASSESSMENT


Left arm strain and right knee contusion, due to a fall


Could play be the correct word? 


orthopedics
Subject: orthopedics

Does anyone know of any good websites to look up medical terms/surgery in orthopedics.  Thanks!
I don't do orthopedics either...obviously!!
Subject: I don't do orthopedics either...obviously!!

But I appreciate all of your help!
Orthopedics
Subject: Orthopedics

Doc is saying "posterolateral interbody fusion with s/l REMP grafts and gutter fusion" 


REMP?


orthopedics
Subject: orthopedics

Hi, I am new at ortho and have a couple of questions.

Physical Exam: There is an abrasion over the left anterior tibia. Left foot has normal dorsalis pedis and tibialis posterior pulses. The sensation is intact. *Capillary refill is less than 2 seconds.* Am I hearing this correctly?

Then he says: X-rays of the left femur and left *tib fib* are negative. Is it OK to say tib fib?

Thanks.
Orthopedics
Subject: Orthopedics

metatarsalagen????  hammertoes.  Never heard of this, but then again this doc never speaks clearly, so it could be almost anything. 
Orthopedics
Subject: Orthopedics

I have a dictation that states "bilisuit" compression fracture.  Does anyone know what the word "bilisuit" could be?  Thank you.
Orthopedics help please.
Subject: Orthopedics help please.

Sounds like "Dirock" procedure for index finger dislocation.


 


Thanks


orthopedics
Subject: orthopedics

I'm working on a transcription for Orthopedics, and I'm not sure what the doc is saying before "cervical lodosis".  It sounds like "attended", but maybe someone could give me a second opinion?  Here's the sentence:


She had a 6 month history of progressive disabling back pain visibly associated with progressive kyphotic deformity of the thoracolumbar spine, with an attended cervical lordosis.


Orthopedics sm
Subject: Orthopedics sm

Is sounds like "smooth (perasal?) thickening."  TIA
Might be gastrocolic ligament
Subject: Might be gastrocolic ligament

At least gastrocolic something.  Hope that helps.
stuck on ligament...sm
Subject: stuck on ligament...sm

There is some palpable tenderness over the metacarpophalangeal joint and some along the _____ (s/l hallucis paulisus) ligament. 


TIA


mammalopapillary ligament
Subject: mammalopapillary ligament

How about "maculopapillary"
Ligament of Treitz
Subject: Ligament of Treitz


yes...renocolic ligament
Subject: yes...renocolic ligament


cardinal ligament? nm
Subject: cardinal ligament? nm


s/l faulks ligament.....sm
Subject: s/l faulks ligament.....sm

Ingunal hernia repair operation note.

'Next, we took a mesh plug and placed it into the direct defect in the inguinal floor and secured this with 2-0 Prolene to the pubic symphysis to the inguinal ligament inferiorly and s/l faulks ligament superiorly.'

Thanks.
ligament of Treat?
Subject: ligament of Treat?

sounds like ligament of Treats - maybe in the abdomen/colon ?