Home     Contact Us    
Main Board Job Seeker's Board Job Wanted Board Resume Bank Company Board Word Help Medquist New MTs Classifieds Offshore Concerns VR/Speech Recognition Tech Help Coding/Medical Billing
Gab Board Politics Comedy Stop Health Issues
ADVERTISEMENT




Serving Over 20,000 US Medical Transcriptionists

Patient with heterotopic bone formation of the IP joint right thumb. please sm

Posted By: help please on 2009-05-06
In Reply to:

Subject: Patient with heterotopic bone formation of the IP joint right thumb. please sm

Given the patient’s subjective complaints, findings on physical exam and failure with conservative treatment, surgical intervention was recommended. This comes in the form of excision of the bony fragment with 1) s/l capsular release and possible 2) s/l anchor repair versus pinning of the right thumb.


Complete Discussion Below: marks the location of current message within thread

The messages you are viewing are archived/old.
To view latest messages and participate in discussions, select the boards given in left menu


Other related messages found in our database

Left thumb basal joint s/l pinch s/l pesio arthritis.
Subject: Left thumb basal joint s/l pinch s/l pesio arthritis.

This is a diagnosis.  any ideas?  Thanks so much!!!
BJE - Bone and joint examination
Subject: BJE - Bone and joint examination

nm
patient has a s/l *felon* on the side of his left thumb with surrounding erythema.
Subject: patient has a s/l *felon* on the side of his left thumb with surrounding erythema.

.
Okay, I am hearing ____ formation, maybe crack formation
Subject: Okay, I am hearing ____ formation, maybe crack formation


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


heterotopic
Subject: heterotopic


The patient is taking s/l Bone guard. TIA!
Subject: The patient is taking s/l Bone guard. TIA!


Ortho - patient had bone scan consistent with - sm
Subject: Ortho - patient had bone scan consistent with - sm

loosening of her prosthesis and they recommended correlation with s/l "an NMY (or wide) self-scan if there is any suggestion of an infection."
Thanks for your help.
A thumb MCP fusion and a thumb *IPE* possible capsulodesis
Subject: A thumb MCP fusion and a thumb *IPE* possible capsulodesis

x
He says earlier the patient has prostate cancer metastatic to the bone, so I'm thinking it's p
Subject: He says earlier the patient has prostate cancer metastatic to the bone, so I'm thinking it's prob. "has had known"


periosteal callus formation or periosteal callous formation?
Subject: periosteal callus formation or periosteal callous formation?

Could you all please tell me what the proper spelling of the above term is? I was under the impression it should be periosteal callus formation, but I got my report back with the correction that it should be periosteal callous formation?

I thought callus was hardened bone or skin and callous was when someone was being insensitive?

Thanks!
The tibiotarsal joint is the joint between the tibia and the tarsus.
Subject: The tibiotarsal joint is the joint between the tibia and the tarsus.


patella femoral joint or patellofemoral joint?
Subject: patella femoral joint or patellofemoral joint?

what is correct?  if the doctor says patella femoral joint do you change it or do you leave it as he dictates it? 
Bone morphogenic protein is used in orthopedics for bone fusion. It is a chemical; so, if you hear
Subject: Bone morphogenic protein is used in orthopedics for bone fusion. It is a chemical; so, if you hear

xx
Yes, vague. What tooth shaped bone in the hand would the dicator be referring to? Any bone could
Subject: Yes, vague. What tooth shaped bone in the hand would the dicator be referring to? Any bone could

tooth shaped from injury or what have you.  And like I said 9 times out of 10, odontoid refers to the "toothlike odontoid process in the second cervical vertebra."  That's pretty specific, dontcha think?  I've never heard a doctor refer to an "odontoid" in any other part of the body.
cloaca - an opening in a diseased bone containing a fragment of dead bone. nm
Subject: cloaca - an opening in a diseased bone containing a fragment of dead bone. nm

s
AREX®BONE? (injectable synthetic bone) nm
Subject: AREX®BONE? (injectable synthetic bone) nm


I think it should be machined bone, bone that's been shaped and
Subject: I think it should be machined bone, bone that's been shaped and

s
In ortho, they prepare the keel cuts (osteotomy cuts into the bone) and Kiel bone is an allograft
Subject: In ortho, they prepare the keel cuts (osteotomy cuts into the bone) and Kiel bone is an allograft

that is implanted.


Kiel bone® grafts. This material is calf or ox bone which has been denaturated.


no and, just one joint. Calcaneocuboid joint. nm
Subject: no and, just one joint. Calcaneocuboid joint. nm


s/l bone burr surgery. thought it was bone spur, but s/l burr, is there such a thing?
Subject: s/l bone burr surgery. thought it was bone spur, but s/l burr, is there such a thing?


How about a venolymphatic formation?
Subject: How about a venolymphatic formation?

//


The formation is in grams.
Subject: The formation is in grams.

This one has me really going.  Thanks for your help. 
How about "callus formation"? nm
Subject: How about "callus formation"? nm

x
hepatojejunostomy with ???? formation
Subject: hepatojejunostomy with ???? formation

This is a lady who was admitted for a posterior ductal stricture.  She underwent a hepatojejunostomy times four with a ___formation.


This sounds like Geisi or something like that.  I can hear that beginning "g" sound so I don't think he is saying Roux-en-Y.


s/l bouley formation
Subject: s/l bouley formation

Dr. states "s/l boley formation after removal of postoperative dressing". Any help? Thanks.
callus formation? (nm)
Subject: callus formation? (nm)

//
should be "rouleaux formation"
Subject: should be "rouleaux formation"

xx
first: right, in the 2nd I would also put after formation a comma...nm
Subject: first: right, in the 2nd I would also put after formation a comma...nm

nm
osteophyte formation
Subject: osteophyte formation


Gordu formation?
Subject: Gordu formation?

on a cystoscopy report refers to s/l "gordu formation" or "in gradu formation" but cannot document anything close to this. Any ideas?
Stedman's has callus formation. nm
Subject: Stedman's has callus formation. nm

nm
s/l gangrion cyst formation
Subject: s/l gangrion cyst formation

thanks.. please help me
callus formation; second one I can only guess (sm)
Subject: callus formation; second one I can only guess (sm)

maybe ellipsed out, though that's just a guess.
it could be bullae formation (blisters)......nm
Subject: it could be bullae formation (blisters)......nm


Can you hear osteophyte formation? nm
Subject: Can you hear osteophyte formation? nm

nm
hemmorhoids and possible "evenof" formation?
Subject: hemmorhoids and possible "evenof" formation?

I am struggling with a doctor who really tends to slur his words.  This is regarding an elderly woman whose colonoscopy showed hemorrhoids and possible "evenof" formation.  Any ideas? 
suppuration = formation or discharge of pus
Subject: suppuration = formation or discharge of pus


Talus formation in hand surgery?
Subject: Talus formation in hand surgery?

As far as I can find talus is only referred to in the foot/ankle, but this doctor is doing a cyst excision on the middle finger and says "The talus formation to the dorsal soft tissue was also  s/l lipsed out."  Can someone help with the talus formation part and also "lipsed out"?  THanks 
stone "in gradu" formation...
Subject: stone "in gradu" formation...

That is the complete sentence if that helps any?
bone-tendon-bone
Subject: bone-tendon-bone


Hespan solution, used to reduce adhesion formation. nm
Subject: Hespan solution, used to reduce adhesion formation. nm

s
tinea capitus with early s/l car-rion formation. nm
Subject: tinea capitus with early s/l car-rion formation. nm

cannot find confirmation of the correct spelling of carry-on formation.
s/l trimodal spike of blood clot formation
Subject: s/l trimodal spike of blood clot formation

Patient is on Coumadim
multiple myeloma with possible early renal ?cast formation?
Subject: multiple myeloma with possible early renal ?cast formation?

NM
That should be thumb.
Subject: That should be thumb.

Thanks.
Maybe syrinx? formation of a fluid-filled area within the spinal cord. nm
Subject: Maybe syrinx? formation of a fluid-filled area within the spinal cord. nm

nm
pressure callus and ulcer formation (all maladies of diabetic feet) nm
Subject: pressure callus and ulcer formation (all maladies of diabetic feet) nm


RULE OF THUMB
Subject: RULE OF THUMB

basic guideline is:
if you have a credible reference, spell it whichever way the reference spells it.
you should never be counted off for it, as long as the reference is credible. if you are, it is a valid challenge to assert.
Splint for the thumb
Subject: Splint for the thumb

s/l orthoply ? splint for the thumb after surgery  Thanks for the help. pj



name of thumb tourniquet
Subject: name of thumb tourniquet

 


Sounds like "tournicot"?