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No, he is just being "lazy." Supraspinatus and infraspinatus tendons are all part of same str

Posted By: Cyndiee on 2009-02-02
In Reply to: s/l supra and infraspinatus... - mt

Subject: No, he is just being "lazy." Supraspinatus and infraspinatus tendons are all part of same structure......sm

if your docs are a lot like some of mine, they try to rush through their dictation more and more by using abbreviations that really do not exist, using cut-off words....you are right, he is saying that there is tendinopathy found in both the supraspinatus and infraspinus, I do lots of ortho ops and procedures. Hope I help!


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There is the infraspinatus muscle and the supraspinatus. see link.
Subject: There is the infraspinatus muscle and the supraspinatus. see link.

===http://www.rad.washington.edu/atlas/supraspinatus.html---


 


lower extremity atlas  ==


http://www.rad.washington.edu/atlas2/==


tendons? nm
Subject: tendons? nm

nm
Most probably infraspinatus atrophy.
Subject: Most probably infraspinatus atrophy.

nm
infraspinatus atrophy? not sure, though.
Subject: infraspinatus atrophy? not sure, though.

x
s/l casselensin tendons
Subject: s/l casselensin tendons

in the foot..


'Exam shows some exposure of the casselensin tendons in the right foot.'


s/l supra and infraspinatus...
Subject: s/l supra and infraspinatus...

There is mild s/l supra and infraspinatus tendinopathy noted.

Sounds like the Dr. is saying mild supra and infraspinatus tendinopathy. Could it be something else? If not would it be written as supra and infraspinatus? or would I write out supraspinatus and infraspinatus. Sorry if this is clear as mud, long day. TIA.
s/l "en-THEE-sis" of the infraspinatus
Subject: s/l "en-THEE-sis" of the infraspinatus

Trigger point along the "enTHEEsis" of the infraspinatus.


Emphysis?? 


I have looked on the web at sites that describe and show where trigger points are and how to test them, but have yet to come on a word that looks like it could be that.


I am new to this account so forgive me if this is a common term in pain management.


Help?  Thanks!


s/l "Leg to tendons" distribution
Subject: s/l "Leg to tendons" distribution

This is from a neurlogical consultation:
Physical Examination: She has clear loss of pinprick in ?? s/l leg to tendons ?? distribution up to about the knee bilaterally, hands up to mid wrist, and chest in the distal thoracic distribution. This is consistent with a small fiber ?? s/l leg to tendons ?? process. Her strength is relatively preserved considering her age. Deep tendon reflexes are not elicitable distally.

Impression: ?? s/l leg to tendons ?? sensory greater than motor neuropathy involving both small as well as large fiber axones.

supraspinatus
Subject: supraspinatus

x
supraspinatus?
Subject: supraspinatus?

supraspinatus could be the muscle. Not sure of the pigment though.
Would x-ray be supraspinatus anatomy?
Subject: Would x-ray be supraspinatus anatomy?


s/l patient has *fickling* of the flexor tendons of both hands???nm
Subject: s/l patient has *fickling* of the flexor tendons of both hands???nm

nm
S/l * Cog nance * exercises for supraspinatus tendonitis
Subject: S/l * Cog nance * exercises for supraspinatus tendonitis

Thanks for any help!
Ever heard of chronic degenerative chair of the supraspinatus
Subject: Ever heard of chronic degenerative chair of the supraspinatus

I tried to get change out of it, but just can't. Would tear make sense? 


Working on new ortho doc and he is giving me fits. Also, in the x-ray, he says:


Left shoulder, three views, supraspinatus s/l mantaplee demonstrates type 3 acromion.


Thanks!  About ready to pull out my hair.


Patient has radial neuritis and tendonitis of the abductor extensor tendons of the wrist...
Subject: Patient has radial neuritis and tendonitis of the abductor extensor tendons of the wrist...

Plan is to have a neurosurgical consultation and consider 'tanoplasty' or 'tyanoplasty'.  I know that doesn't make sense.  What /plasty could this be? 
MRI is reviewed whch shows s/l intrasepsis tear supraspinatus tendon. nm
Subject: MRI is reviewed whch shows s/l intrasepsis tear supraspinatus tendon. nm


Is there more of the sentence? The 'que' part might be part of a dosage like q.12, etc. nm
Subject: Is there more of the sentence? The 'que' part might be part of a dosage like q.12, etc. nm

s
2-part, 3-part, or 4-part possibly - nm
Subject: 2-part, 3-part, or 4-part possibly - nm


Thanks, now for part 2...
Subject: Thanks, now for part 2...

Monarc procedure with s/l susquee.


Forgot this in my original post, sorry!


not sure about the first, but the second part may be right
Subject: not sure about the first, but the second part may be right

It is possible he is saying "of five to seven inches" or "site of seven inches" but that still leaves the first part.  If it's the first one it sounds like "muce" or "moose" or "meese".  For the second one it would end in an "a" sound like "meesa site"  It sounds like he's saying "uh" in front of that, like he's thinking.  But maybe it's part of the word "ameesa site" or something like that.  And then again, maybe it's not even an "m".  Could be an "n" or something else.  I feel like I'm getting closer.  I just wish he didn't have to talk so fast!  Actually, you suggested adhesion and I just thought of "adhesive site".  It doesn't sound like an "h" really, but would that make sense?  "a moderate to severe adhesive site of seven inches with the radiation therapy?"  Seven inches!  That's really long.
maybe second part of #4
Subject: maybe second part of #4

is pus exudate
I know part of it!
Subject: I know part of it!

Last word is "atraumatically". Have to think about the other one. Anyone else care to guess in the meantime?
That is all part of the job.
Subject: That is all part of the job.

This is the reason we are so skilled in what we do.  If we weren't, a monkey could do this job!  LOL - I wouldn't let it bother you to the brink of insanity.  Take it with stride...There's more to life really.


First part I would think is...
Subject: First part I would think is...

Bilateral inguinal hernia is right greater than left...

Second part I am thinking...
Uh - duh on my part! TY so much!
Subject: Uh - duh on my part! TY so much!


Thanks to both. Duh on my part. I am
Subject: Thanks to both. Duh on my part. I am

having a horrible day.
don't know about your s/l, but other part sm
Subject: don't know about your s/l, but other part sm

I wonder if the other part of the sentence should be "facet degenerative changes" rather than "of said degenerative changes"
This is part of his A/P . . .
Subject: This is part of his A/P . . .

and the only other thing he dictates is the left knee.
i.e.
Diagnosis 1. Possible grushen ligament injury, left knee.

does this help? Ooh wait . .
does this make sense:
cruciate ligament injury

maybe that is what he is saying. = ) Tx
Yes, that is it! Duh on my part. Thank you so much.
Subject: Yes, that is it! Duh on my part. Thank you so much.


Got part of it
Subject: Got part of it

**s/l - Sub-tox skin is curetted using a razor blade, then 3 freeze-thaw cycles at 10 seconds using liquid nitrogen applied.
What part of PE was this in?
Subject: What part of PE was this in?

What part of the physical exam section was this in (what body system)?
got part of it
Subject: got part of it

I've got nosocomial sepsis, but it still sounds like "par" nosocomial sepsis.
That's is part of it...
Subject: That's is part of it...

it s/l he's saying "anti-esamanxiolytic" medication.  Can't figure it out!


could the last part...
Subject: could the last part...

be figure-of-eight tension being in good position? Still don't understand the first part though.
what part of H&P?
Subject: what part of H&P?

What system is he dictating it under?
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
I wonder if its not part of the sentence before
Subject: I wonder if its not part of the sentence before

x
Is it the same part of the body or different
Subject: Is it the same part of the body or different

subchondral sclerosis can happen in many different joints of the body...
what part of the body is the x-ray of? nm
Subject: what part of the body is the x-ray of? nm

:
I dont know about the first part but.. sm
Subject: I dont know about the first part but.. sm

Second could be incentive spirometry ?
Medicare Part E
Subject: Medicare Part E


What part of the body are we in? nm
Subject: What part of the body are we in? nm


don't know the *sind* part but the other is...nm
Subject: don't know the *sind* part but the other is...nm


What part of the body?
Subject: What part of the body?

x
Medicare Part A or Medicare Part B...nm
Subject: Medicare Part A or Medicare Part B...nm


what body part?
Subject: what body part?


Bladder part
Subject: Bladder part

It has to be vero montanum if it is a part of the bladder.
Last part is probably PR interval....
Subject: Last part is probably PR interval....

not sure what ADP is. :)
first part could be grossly. sm
Subject: first part could be grossly. sm

grossly trabeculated? 


 


-------------------------------------------------


Ultrasonography showed left hydronephrosis and hydroureter. The urinary bladder was distended and the walls were irregular and trabeculated. A micturating cystourethrogram was obtained :-


I'll try the last part...
Subject: I'll try the last part...

She was treated conservatively via decompression of her stomach with NG removal of gastric contents.


last part looks like end exhalation. nm
Subject: last part looks like end exhalation. nm