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Patient was seen in the ER, diagnosed with a distal humerus fracture and placed in please sm

Posted By: Barbara on 2008-05-04
In Reply to:

Subject: Patient was seen in the ER, diagnosed with a distal humerus fracture and placed in please sm

a s/l Shilvertong splint. Thanks!


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s/l distal third 'apsel' tibia fracture
Subject: s/l distal third 'apsel' tibia fracture

Thanks.
Try this - "a fracture of the distal tibia, also completely (sm)
Subject: Try this - "a fracture of the distal tibia, also completely (sm)

healed or almost healed, and severely decreased bone mineral density."

(maybe)
Also dictates the patient had scoliosis diagnosed at 10 years of age, no treatment (is now 60)
Subject: Also dictates the patient had scoliosis diagnosed at 10 years of age, no treatment (is now 60)


X-rays shows a s/l bulla displaced distal radius fracture
Subject: X-rays shows a s/l bulla displaced distal radius fracture


Surgery was complicated by a partial distal femur fracture which was stabilized using a sm
Subject: Surgery was complicated by a partial distal femur fracture which was stabilized using a sm

s/l dull millis cable. Thanks for any help

then says: She initially suffered a comminuted displaced distal radius fracture, which collapsed wit
Subject: then says: She initially suffered a comminuted displaced distal radius fracture, which collapsed with some associated ___.

this time s/l da-darra

~sigh~
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

 


He has a severely comminuted intra-articular s/l many part fracture of the left distal radius.
Subject: He has a severely comminuted intra-articular s/l many part fracture of the left distal radius.

TIA :-)
?distal ureterectomy - did patient have nephrectomy? - nm
Subject: ?distal ureterectomy - did patient have nephrectomy? - nm


Does patient have a fracture?
Subject: Does patient have a fracture?


The MRI did show a very small amount of fluid edema along the distal radius and distal ulnar *fices*
Subject: The MRI did show a very small amount of fluid edema along the distal radius and distal ulnar *fices*

nm
patient has "evolution" fracture of PIP joint...
Subject: patient has "evolution" fracture of PIP joint...


Patient with infected pilon fracture. please sm
Subject: Patient with infected pilon fracture. please sm

Exam reveals "clinically **planta grade to sinuses** which are clean"
s/l Chanz-type injury. The patient has a fracture...sm
Subject: s/l Chanz-type injury. The patient has a fracture...sm

subluxation of the thoracic spine.


distal translation across the epiphysis of distal fragment
Subject: distal translation across the epiphysis of distal fragment


patient had a four part fracture of the greater tuberosity and had a sl/ *semer* prosthesis?? nm
Subject: patient had a four part fracture of the greater tuberosity and had a sl/ *semer* prosthesis?? nm

nm
mid right humerus or right mid humerus --
Subject: mid right humerus or right mid humerus --

x
Ortho report, patient underwent s/l cementa stabilization due to a pathologic fracture of lumbar spi
Subject: Ortho report, patient underwent s/l cementa stabilization due to a pathologic fracture of lumbar spi


ESL doc... would it be midright humerus or right midhumerus?
Subject: ESL doc... would it be midright humerus or right midhumerus?

she says it both ways... thank you !
right tibia-fibula, right proximal humerus, etc.
Subject: right tibia-fibula, right proximal humerus, etc.

x
Ortho, proximal humerus fx, s/l kalkor neck screw backing out. sm
Subject: Ortho, proximal humerus fx, s/l kalkor neck screw backing out. sm

x-rays show that the inferior "kalkor neck" screw is backing out.  Can't find anything by various spellings with web search or in books.  Maybe 'cause it's the almos the end of my work day and nearly the end of the week (yea!)


diagnosed catheterization?
Subject: diagnosed catheterization?

for an acute inferior wall myocardial infarction, the dr. says (s/l) "diagnosed" catheterization and "something" interventional therapy. Any ideas??????
Baby diagnosed with ALTY? (sm)
Subject: Baby diagnosed with ALTY? (sm)

Baby who stopped breathing at home and was brought in and diagnosed with s/l 'ALTY'????
I have diagnosed deQuervain's tenosynovitis that sm
Subject: I have diagnosed deQuervain's tenosynovitis that sm

sounds like your problem. Got it injected which helped immensely. The doc (PA, really) said that this is more common in women than men, but he did not know why. The next time I picked up my tubby chihuahua (under her front legs, thumbs under chest, fingers over back--as if she were a human infant) I realized why women get it more than men! Owwww!
s/l cleandocsay and was diagnosed to have a bronchitis. Thank you
Subject: s/l cleandocsay and was diagnosed to have a bronchitis. Thank you

The patient states that she is here for followup of pneumonia. Looking back in the chart, she had cleandocsay and was diagnosed to have a bronchitis. When I tried to explain that to her she says no way was that a pneumonia, I thought realistic it had to be no way was it a bronchitis it had to be pneumonia.

diagnosed with bacterial s/l docalditus
Subject: diagnosed with bacterial s/l docalditus

I'm working on a Discharge summary ESL doctor;


Hospital Course: The patient was diagnosed with bacterial s/l docalditus and started on triple antibiotics.


Thanks!


. Sister – just diagnosed with “SAMALEAL neuropathy”
Subject: . Sister – just diagnosed with “SAMALEAL neuropathy”


diagnosed with **airidostanlos, as well as a daughter, and she is believed to be a carrier
Subject: diagnosed with **airidostanlos, as well as a daughter, and she is believed to be a carrier

Connected with osteopenia
Or if they've been diagnosed with heart block, it might be Mobitz. nm
Subject: Or if they've been diagnosed with heart block, it might be Mobitz. nm

s
Could be Wolff-Parkinson-White syndrome, many get diagnosed
Subject: Could be Wolff-Parkinson-White syndrome, many get diagnosed

s
Placenta previa diagnosed on s/l "Altright ultrasound". TIA nm
Subject: Placenta previa diagnosed on s/l "Altright ultrasound". TIA nm

x
metatarsal-tarsal fracture - "superb" fracture. Is this right?
Subject: metatarsal-tarsal fracture - "superb" fracture. Is this right?


It's coccygeal fracture. You can't fracture a germ or fungus. nm
Subject: It's coccygeal fracture. You can't fracture a germ or fungus. nm

"
Radial head fracture, possible capitellar fracture
Subject: Radial head fracture, possible capitellar fracture

Need help with the following:


posterior innerosity nerve


and


acutrac screws


TY 


s/l rule out "trillow" fracture or "metanews" fracture
Subject: s/l rule out "trillow" fracture or "metanews" fracture


Pulmonary _____ @18.9 embolism. This subsequently diagnosed by spiral CT, 01/16/2009 with
Subject: Pulmonary _____ @18.9 embolism. This subsequently diagnosed by spiral CT, 01/16/2009 with

n


Oops! Pulmonary _____ embolism. This subsequently diagnosed by spiral CT, 01/16/2009 with
Subject: Oops! Pulmonary _____ embolism. This subsequently diagnosed by spiral CT, 01/16/2009 with

n
could be -Jodi fracture is finger fracture,
Subject: could be -Jodi fracture is finger fracture,

nm
distal one third
Subject: distal one third

I would go with distal one-third of the tibia, two-thirds, one-quarter. Whether right or wrong, that's how I type it and it never gets changed by QA.
Distal
Subject: Distal

could refer to the farthest point of any body part. If talking about the leg, probably saying distal tib-tibial.
Distal herniation
distal herniation
probably distal pulses
Subject: probably distal pulses


distal Galeazzi maybe? - nm
Subject: distal Galeazzi maybe? - nm


distal arthralgias?
Subject: distal arthralgias?


Distal embolization?
Subject: Distal embolization?


distal vessels?
Subject: distal vessels?


DIP (distal interphalangeal)
Subject: DIP (distal interphalangeal)


Maybe DIP? Distal interphalangeal
Subject: Maybe DIP? Distal interphalangeal


distal phalanges????
Subject: distal phalanges????


may just be saying distal fibula..nm
Subject: may just be saying distal fibula..nm

x
distal neurocirc
Subject: distal neurocirc

distal neurocirc is intact. Should this be transcribed:


Distal neurocirculatory is intact


Distal neurocirc is intact


Distal neuro and circ is intact


or what??? I'm lost! Any help is greatly appreciated!