Ortho help needed please....sm
Posted By: pizza for breakfast on 2007-09-06
In Reply to:
Subject: Ortho help needed please....sm
Doctor is dictating findings of MRI of left arm. He finds no nerve root compression, but states that his proximal "bends" ?? appears to be absent or destroyed, although there is no real pannus. I am hearing "bends", but that is not it. THANKS!
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Ortho help needed
Subject: Ortho help needed
Doing a rotator cuff tear repair. two words
Procedure: 1) Left shoulder arthroscopy, subacromial decompression with MINIMUMFER? procedure.
the left upper extremity was prepped and draped in the usual sterile manner utliizing 8 pounds of traction in the ARTHREX?? arm holder?
THANKS
sm, ortho help needed
Subject: sm, ortho help needed
She also describes some vague weakness in the right upper extremity, such that when she was working the upper extremity _____try, she felt a heaviness.
The first part of the word is garbled, ends in "try". Anyone have a guess what might fit?
Ortho Help Needed
Subject: Ortho Help Needed
....internal fixation of a left tibia fracture following an open Grade II fracture.... *Is this acceptable Grade II?* Should it be grade 2. I've tried googling, but the opinions of my wise peers is more what I am looking for in this instance. 
Ortho help needed!
Subject: Ortho help needed!
Regarding a spine fusion. My question is with what sounds like "T-Liff"
We talked about doing the procedure only either just with a posterolateral fusion or with a posterolateral fusion and "T-liff".
Any help would be appreciated!
Ortho help needed.........sm
Subject: Ortho help needed.........sm
 Has anyone heard of s/l "bi-par-tayed" tibial sesamoid? The "bi-par-tayed" is the one I cannot reference.....
Thanks!
ortho help needed please......sm
Subject: ortho help needed please......sm
doc is dictating on a 2 year old with forearm and elbow pain. In the exam he states "Exam of the extremity shows him to be tender over the proximal radius with significant pain with (s/l crowning) supination.........i know it's not crowning, but that's the clearest it gets........
Ortho ESL help needed
Subject: Ortho ESL help needed
Patient with shoulder pain. X-rays show s/l a wide spur of the acromion and early glenohumeral arthrosis.
Impression is impingement syndrome.
I don't know if he's actually saying something that sounds like wide, or if he's just stumbling. Thanks for help.
Ortho x-ray help needed........sm
Subject: Ortho x-ray help needed........sm
Doc states "X-ray including AP pelvis shows excellent abundant "callits" on both superior and inferior ramus fractures................
ortho help needed.......sm
Subject: ortho help needed.......sm
Patient had a ACL/PLC repair, doc dictates he has no "post recap" ?? swelling????
Ortho help needed. sm
Subject: Ortho help needed. sm
Examination of the hand demonstrates a stigmata of advanced trapeziometacarpal osteoarthritis with a s/l z collapse. Would this be typed as "Z" collapse or Z-collapse. Any suggestions...thanks.
Ortho help needed. sm
Subject: Ortho help needed. sm
Patient had right hip resurfacing.
Physical exam: He does not feel any restriction with s/l palm stretching presently.
Does anyone know of a stretching maneuver to test the hip?
I can visualize something like this with the arms down at the side, palms pointing out, and leaning to the side. That makes sense, but don't know if there is such a test.
Ortho help needed please...sm
Subject: Ortho help needed please...sm
Doc states "The patient is nontender over the olecranon bursa, nontender over the "ankinee-is"???? 
Ortho help needed. sm
Subject: Ortho help needed. sm
Left knee. Sense of laxity. Has full extension with a rubbery s/l infill or end feel. Thanks.
Past Surgical Hx help needed - Ortho - SM
Subject: Past Surgical Hx help needed - Ortho - SM
he has had prostate cancer as well and was treated with ____. (s/l 'aseating').
Tx
Ortho help needed please. Patient in with heel symptoms s/l gel effect...
Subject: Ortho help needed please. Patient in with heel symptoms s/l gel effect...
For context: "The patient does not describe definite gel effect and says she does not have problems getting out of the car after a long car ride, or out of her seat after a long movie."
Thanks for any help!
Maybe 'pes plano valgus (or planovalgus)?' Sted's Ortho&Rehab Words is invaluable for ortho
Subject: Maybe 'pes plano valgus (or planovalgus)?' Sted's Ortho&Rehab Words is invaluable for ortho stuff! n
n
Ortho op note, dictator says up in the s/l b strap position? I hate ortho.
Subject: Ortho op note, dictator says up in the s/l b strap position? I hate ortho.
eye exam - distance is s/l ortho? near is ortho?
Subject: eye exam - distance is s/l ortho? near is ortho?
xx
more help needed same md sm
Subject: more help needed same md sm
Given the high incidence of MRSA, he was treated with extended CARO Penicillin of Unasyn
Thanks.Had to take a well needed
Subject: Thanks.Had to take a well needed
break and now done for the night.
I do not have that book but will have to invest. I get a lot of those and very confusing on how to write them.
help needed
Subject: help needed
I got cystoproctography, but does cystoproctoscopy exists as i could not find it in stedman also,
thank u
james
Thanks, I needed that
Subject: Thanks, I needed that
:-)
Thanks! Exactly what I needed!!
Subject: Thanks! Exactly what I needed!!
Help needed MRI -
Subject: Help needed MRI -
MRI demonstrates marked narrowing of the patellofemoral joint, with subcortical signal s/l ontuation and marginal osteophytes.
Lab help needed
Subject: Lab help needed
Wet prep revealed 0 WBCs, moderate EPIs, no clue cells, slight trace bacteria, 0 yeast, 0 s/l trich.
Is trich correct - or should it be capped? Thanks.
Lab help needed
Subject: Lab help needed
Will send out LFTs, Epstein-Barr acute panel, and s/l CMV or CMB titer - Thanks
EKG help needed
Subject: EKG help needed
EKG showed normal sinus rhythm with a rate of 67. Normal intervals. Normal axis. No ectopy. There is T-wave flattening in s/l one, and T-wave inversion in aVL.
Does one sound correct? Would it be typed as I or 1? Thank you.
thanks - you don't know how much I needed that!
Subject: thanks - you don't know how much I needed that!
Lab help needed
Subject: Lab help needed
CBC reveals white blood cells of 5.1, hemoglobin 12.5, platelets 217. There were some s/l codes on the differential, so that was sent out.
Thanks.
help needed again....
Subject: help needed again....
Most likely, she will need calcaneal osteotomy and ___(FTL/FDL) tendon transfer to restore the alignment of her right foot ___ (gentle/trying to stay in) place of this disease to degenerative posterior tibial tendon..............does it make sense..................
Thanks! That's what I needed!
Subject: Thanks! That's what I needed!
I really appreciate your help!
could it be p.r.n. (as needed)
Subject: could it be p.r.n. (as needed)
Thanks
Help is desparately needed.
Subject: Help is desparately needed.
How do you type this? I never did ob/gyn before. What does miss mean, and how do I format? Any help is appreciated. Thank you.
PAST MEDICAL HISTORY
1. Gynecologic – G3, P2, 1 miss. She had been followed by Dr. XXXXXXXX Her last Pap smear was approximately two years ago, as was mammogram. Menses are on a q 28-30 day cycle, but there are periods where she will skip and have a menses q.o. month.
Derm help needed sm
Subject: Derm help needed sm
Need help with words in bold. Thank you.
SKIN: Lots of seborrheic keratoses. He does have an elevated 9 mm papule on left side of the face, which has some vascularization and central core. It almost looks like acanthokeratosis, but basal cell carcinoma cannot be fully ruled out. No other suspicious lesions. He does have some miliary rubra on the back.
Yes, the final s is not needed..sm
Subject: Yes, the final s is not needed..sm
leiomyoma, singular; leiomyomata, pleural. Leiomyomatas is not a word.
Your opinion needed
Subject: Your opinion needed
My doctor keeps saying psoricytic arthritis. I transcribe for him a lot, but this is what he is saying.
I am thinking he means psoriatic arhtritis. What do you think?
um I don't think they needed "grammar help"...nm
Subject: um I don't think they needed "grammar help"...nm
eye surgery help needed....
Subject: eye surgery help needed....
PREOPERATIVE DIAGNOSIS: Superior and temporal visual field loss due to s/l maglacoius, matiglacious, maniglacius?.
Procedure is bilateral blepharoplasty.
TIA.
Thanks! I just needed another opinion. nm
Subject: Thanks! I just needed another opinion. nm
nm
eye surgery help needed....
Subject: eye surgery help needed....
'PREOPERATIVE DIAGNOSIS: Dense nuclear sclerotic cataract with posterior subcapsular cataract right eye with s/l stroke exfoliation syndrome.'
Anyone know if 'stroke exfoliation syndrome' is correct? TIA.
psychiatry help needed....
Subject: psychiatry help needed....
'We put her on lorazepam for elevated SIWAS.'
Doc spells out SIWAS as above but am thinking it should be CIWAs. Please let me know what you think. TIA.
opinion needed....
Subject: opinion needed....
'Potassium chloride 20 mg p.o. every day'
Doc dictates as stated above but think dosage should read 20 mEq but am not sure if mg is also correct for this med. TIA.
ophthalmology help needed....
Subject: ophthalmology help needed....
'Slit lamp examination demonstrates clear anterior segments with 2+ s/l MS in the right and 3+ s/l MS and 4+ PSC in the left.'
This sentence is part of examination. Thanks.
Opinion needed please
Subject: Opinion needed please
This is a 4-year-old with metabolic-type cardiomyopathy who required "Amikin chest tube treatment".
I see that Amikin is an antibiotic, but do not feel comfortable with the references I have found with chest tube and/or cardiomyopathy. I would appreciate any opinions on this. Thanks!
Drug help needed
Subject: Drug help needed
The past medical history is HIV, hepatitis C, underlying asthma, and gastroesophageal reflux disease.
The drug sounds like cyclobid 1 tablet b.i.d. It is as clear as anything but can't document it anywhere. He kind of botches drug names up sometimes so wondering if this is the case here.
Thanks!
sportsmom91 needed some help
Subject: sportsmom91 needed some help
because she was helping out on a family practice account.  Thank goodness someone could help her with the answers. 
Word help needed
Subject: Word help needed
CT scan of the chest, abdomen and pelvis shows signs of ________ or tumor
S/L emental caking
Thanks
More info needed
Subject: More info needed
What medical problems does the patient have?
Help! PE word needed
Subject: Help! PE word needed
Inspection of her left lower extremity reveals _____ (gross one?) throughout her left lower extremity.
Thx! I really needed a second opinion. nm
Subject: Thx! I really needed a second opinion. nm
one-to-one attention needed...
Subject: one-to-one attention needed...
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