ORIF of proximal phalanx
Posted By: OpMT on 2008-01-23
In Reply to:
Subject: ORIF of proximal phalanx
In this op note, the doctor says a "one five recon plate" was trimmed to the appropriate length, and I placed a "one five" screw distally. Would you agree this should be transcribed as 1.5 (as in mm). He didn't say mm, and I won't go so far as to put mm in the report.
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Exam of the left hand reveals a 0.5 x 0.5 cm area of s/l pointing along the proximal phalanx to sm
Subject: Exam of the left hand reveals a 0.5 x 0.5 cm area of s/l pointing along the proximal phalanx to sm
the 5th finger on the palmar surface. Thanks for any help.
Proximal phalanx fracture is healed. Screws are in good position. The s/l ser-toge wire is in
Subject: Proximal phalanx fracture is healed. Screws are in good position. The s/l ser-toge wire is in
position.
1st phalanx
Subject: 1st phalanx
First phalanx is okay, but 1st phalanx is better because it is recommended to use numerals in medical reports. (Book of Style)
phalanx?
Subject: phalanx?
xx
pleural of phalanx
Subject: pleural of phalanx
phalanges
Maybe just phalanx even though would be redundant? nm
Subject: Maybe just phalanx even though would be redundant? nm
s
Phalanx fractures - word help
Subject: Phalanx fractures - word help
Review of his x-rays today shows that he has some fourth and fifth proximal phalanx fractures of the shaft, just a little oblique in nature. The s/l 'ulnar-peri' was significantly displaced.
Hx: Fourth and fifth phalanx fractures.
Left distal phalanx S/l-phalen.
Subject: Left distal phalanx S/l-phalen.
nm
ORIF
Subject: ORIF
open reduction internal fixation
ORIF
Subject: ORIF
I often see the ASR type "open reduction internal fixation". I was always taught it was "open reduction and internal fixation. They are 2 separate procedures as far as I know. Am In incorrect?
Her x-ray shows slight angulation of her distal phalanx fracture in the s/l plane of joint motion.TY
Subject: Her x-ray shows slight angulation of her distal phalanx fracture in the s/l plane of joint motion.TY
what does ORIF stand for?
Subject: what does ORIF stand for?
nm
op note help for ORIF
Subject: op note help for ORIF
Am I hearing this correctly?
Under 3.5 s/l executed magnification, the interval between the FCR and radial artery was utilized.
S/L executed
ORIF incision?
Subject: ORIF incision?
Ankle surgery
"transverse ****** vertical incision over the distal fibula."
What's missing?
ORIF in abdomen?
Subject: ORIF in abdomen?
ABDOMEN: Soft, tender and redness on the left side of the patient's abdominal wall during examination. The patient expressed feculent material coming from the ORIF incision site, along with air.
I have never heard of ORIF referring to the abdomen. Any idea what else thise could be
Could it be hardware that has been taken out? An ORIF gone bad? sm
Subject: Could it be hardware that has been taken out? An ORIF gone bad? sm
http://www.medicinenet.com/script/main/hp.asp
Explant: 1. The original meaning: to transfer tissue from the body and place it in a culture medium for growth; and the tissue that is transferred.
2. To remove a device that had been implanted.
Doing ORIF s/l *Benirshki* incision. nm TY!!
Subject: Doing ORIF s/l *Benirshki* incision. nm TY!!
ORIF/type of screws used...
Subject: ORIF/type of screws used...
sounds like surgeon is saying feltapping cortical screws. TIA!
distal radius ORIF
Subject: distal radius ORIF
The patient was given s/l cephanicol for muscle relaxation.
sulfanicol? cefanical? Can't find anything that s/l these.
Thank you!
ORIF pin s/l preopproping through the skin
Subject: ORIF pin s/l preopproping through the skin
Left small finger shows a palpable point of what appears to be metal but is not *s/l preopproping* through the skin.
Eye surgery - ORIF of tripod and
Subject: Eye surgery - ORIF of tripod and
and orbital floor fractures -- Doc says "There were s/l greenstat component fractures of the zygomatic arch and along the frontozygomatic suture line." Thought about greenstick fracture, but have not had this used in reference to face before.
ortho op report ORIF
Subject: ortho op report ORIF
ORIF of forearm - this dr is a great dictator and speaks very clearly but does this make sense?
The anterior approach of Henry was now performed. Care was taken to preserve all neurovascular structures. The fracture site was **** s/l rarely *** delineated. A butterfly fragment was noted. The fracture was now reduced and the butterfly component was provisionally pinned with small K-wires.
Ankle ORIF: A s/l three liter bump was placed.
Subject: Ankle ORIF: A s/l three liter bump was placed.
thanks
Doing ORIF of ulna with plate fixation, SM
Subject: Doing ORIF of ulna with plate fixation, SM
Sounds like
Reduction was obtained and held with pointed reduction clamps, and a Synthes 8-hole 3.5 DC s/l "Kavi" ______ plate was affixed....
As always, thanks in advance. 
Pt had ORIF with two small fragment s/l cancela screws. TIA *nm*
Subject: Pt had ORIF with two small fragment s/l cancela screws. TIA *nm*
Cotton test?? performed under floroscopy? doing ORIF
Subject: Cotton test?? performed under floroscopy? doing ORIF
Feel that revision ORIF would be most warranted and I will use a s/l stack plating technique. sm
Subject: Feel that revision ORIF would be most warranted and I will use a s/l stack plating technique. sm
Patient does suffer from neurofibromatosis and this is not unexpected. Is the **stack** plating correct? Thanks
I got it - duh on me . . . it is proximal
Subject: I got it - duh on me . . . it is proximal
proximal? sm
Subject: proximal? sm
Clue=there's no DVT in the LOWER or DISTAL extremity, but there IS thrombus in the GSV which is located in the UPPER or PROXIMAL extremity...and it extends from PROXIMAL down to upper calf....
proximal ?
Subject: proximal ?
proximal?
Subject: proximal?
proximal row carpectomy ?
Subject: proximal row carpectomy ?
xx
proximal migration?
Subject: proximal migration?
xx
Could he/she be stumbling over proximal?
Subject: Could he/she be stumbling over proximal?
it should be proximal - is that what you hear?
Subject: it should be proximal - is that what you hear?
nm
could it be proximal ulnar, sm
Subject: could it be proximal ulnar, sm
I also think it might be technitium rather than technician?
proximal pole corpectomy ?
Subject: proximal pole corpectomy ?
scaphoid has a proximal pole so that might be it.
at the proximal 'notch' of the ulna
Subject: at the proximal 'notch' of the ulna
hmm, know it IS proximate (not proximal or approximate)
Subject: hmm, know it IS proximate (not proximal or approximate)
Can't get the middle word though.
cutting the bone wherein the slot has a proximal end proximate to the first end of the body
This is as close as I could find.
proximal crescentic osteotomy (nm)
Subject: proximal crescentic osteotomy (nm)
proximal humeral fracture
Subject: proximal humeral fracture
Doctor says, A "hemolite" proximal humeral fracture was present. Any ideas?
proximal tibial medial compartment
Subject: proximal tibial medial compartment
X-rays reveal severe destruction of the right knee with collapse and osteonecrosis of his medial femoral condyle and no cartilage remaining on his proximal s/l tibial medial compartment either.
tibial wasn't clear...also sounded like it could have been 'through the'
I googled the whole phrase proximal tibial medial compartment, but got no results. I have never heard those words put together like that before. Any suggestions?
Maybe proximal or distal component of a prosthesis? nm
Subject: Maybe proximal or distal component of a prosthesis? nm
s
Pt had proximal femoral resection and hamstring
Subject: Pt had proximal femoral resection and hamstring
lengthening.
He has proximal ulnar nerve s/l a-fla-shen SM
Subject: He has proximal ulnar nerve s/l a-fla-shen SM
and distal ulnar nerve s/l a-fla-shens, which cause clawing most often.
proximal to its insertion in the navicular sounds right to me - nm
Subject: proximal to its insertion in the navicular sounds right to me - nm
right tibia-fibula, right proximal humerus, etc.
Subject: right tibia-fibula, right proximal humerus, etc.
x
s/l edema in proximal tibial ? typhysis ? n/m
Subject: s/l edema in proximal tibial ? typhysis ? n/m
S/l Perilock proximal tibial locking plate
Subject: S/l Perilock proximal tibial locking plate
Schatzker VI tibial fracture. S/l perilock but I cannot find it.
proximal ureters to medial turuns/kins? sm
Subject: proximal ureters to medial turuns/kins? sm
She spells "turuns/kins" I can't find anything in Stedman's or online to verify it. She's not a renal specialist so maybe she's not got it quite right.
proximal medial tibial periosteal tissues
Subject: proximal medial tibial periosteal tissues
Is proximal medial tibial periosteal tissues referring to one thing here? Would there be a hypen between medial tibial or commas after proximal, medial, tibial and periosteal?
A #1 Vicryl suture was used to repair the quadriceps tendon, medial parapatellar retinaculum, and the proximal medial tibial periosteal tissues.
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