Phalen (for carpal tunnel syndrome testing)
Posted By: MT50 on 2007-12-27
In Reply to: isn't it Phalan? - I am almost sure it is Phalan, not Phalen...n/m
Subject: Phalen (for carpal tunnel syndrome testing)
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2 s/l re: carpal tunnel syndrome. sm
Subject: 2 s/l re: carpal tunnel syndrome. sm
Patient diagnosed with carpal tunnel.
Plan:
1. *defell* supportive care *selfundi* course.
2. Will use ibuprofen 800 mg 3 times a day over the next 10 days.
3. She is provided with a cock-up wrist splint today. This is fitted and applied in the office.
acute carpal tunnel syndrome ? - nm
Subject: acute carpal tunnel syndrome ? - nm
The Phalen's test is a test for carpal tunnel--sm
Subject: The Phalen's test is a test for carpal tunnel--sm
syndrome and involves the wrist. It is a pressure test, but the doctor would hold the distal or proximal phalanx in the performance of that test while compressing the wrist and waiting for numbness to occur. I would like to hear the rest of your sentence before saying for sure what you are hearing is Phalen's.
Carpal tunnel
Subject: Carpal tunnel
s/l Banalog lotion for carpal tunnel
Carpal tunnel release
Subject: Carpal tunnel release
I see that there are Della suturing devices, would it make sense that the s/l Dellas were passed down the carpal tunnel, as well as the scope? TIA
Carpal tunnel test
Subject: Carpal tunnel test
s/l Jerkin sign is positive at 20 seconds. DIAGNOSIS: is carpal tunnel syndrome.
carpal tunnel sugery again...
Subject: carpal tunnel sugery again...
he is saying she is having a carpal tunnel release done, with some kind of ectomy? I can't hear any of the first of it. Any ideas?
TIA
Pt. undergoing carpal tunnel release.
Subject: Pt. undergoing carpal tunnel release.
The carpal ligament was identified and this was opened proximally and distally through the palmar aspect of the hand. Distally, we placed a s/l flatmouth malleable.
2/7 camera with carpal tunnel release
Subject: 2/7 camera with carpal tunnel release
Next, the s/l -2/7- camera was placed inside the cutting guide, a straight knife was used to cut part of the transverse carpal ligament, next followed by the hooked knife and the hook knife was used to cut distally first, then the camera was flipped to the distal portal and the knife was placed in the proximal portal and the rest of the transverse carpal ligament was divided.
there is a D-ring splint for carpal tunnel nm
Subject: there is a D-ring splint for carpal tunnel nm
CCT or CCP pack, doing carpal tunnel release
Subject: CCT or CCP pack, doing carpal tunnel release
The wound was then dressed with bacitracin, Adaptic and a sterile gauze dressing and placed in a volar splint with a CCT or CCP??? pack incorporated.
carpal tunnel surg question...
Subject: carpal tunnel surg question...
s/l "as markeys dangling" at the arm and left on the forearm as a tourniquet
s/l Ragnow, for open carpal tunnel release
Subject: s/l Ragnow, for open carpal tunnel release
cammats procedure and carpal tunnel release. nm
Subject: cammats procedure and carpal tunnel release. nm
nm
Under surgical history: s/l carpal tunnel ?effers? nm TIA
Subject: Under surgical history: s/l carpal tunnel ?effers? nm TIA
We will get a lassemer pad over the carpal tunnel for her pillar pain as well tia
Subject: We will get a lassemer pad over the carpal tunnel for her pillar pain as well tia
radialis approach to carpal tunnel release? Guessing here. nm
Subject: radialis approach to carpal tunnel release? Guessing here. nm
Yes. I've also found that it's used for carpal tunnel, so that makes sense - could not find m
Subject: Yes. I've also found that it's used for carpal tunnel, so that makes sense - could not find mcg
We will focus on s/l nerve intentive gliding" Pt had carpal tunnel surgery with complications.
Subject: We will focus on s/l nerve intentive gliding" Pt had carpal tunnel surgery with complications. nm
We will focus on s/l nerve intentive gliding" Pt had carpal tunnel surgery with complications.
Subject: We will focus on s/l nerve intentive gliding" Pt had carpal tunnel surgery with complications. nm
doing a Carpal tunnel release s/l SUN retractors or Thumb retractors to the median nerve
Subject: doing a Carpal tunnel release s/l SUN retractors or Thumb retractors to the median nerve
Pt with cubital tunnel syndrome. please sm
Subject: Pt with cubital tunnel syndrome. please sm
EMG is reviewed which shows ulnar nerve s/l disluction at the elbow.
ulnar tunnel syndrome
Subject: ulnar tunnel syndrome
yes...test for radial tunnel syndrome...sm
Subject: yes...test for radial tunnel syndrome...sm
the third-finger test: the patient is asked to raise his long finger against resistance with the elbow fully extended; he will frequently experience augmented discomfort
I don't think that's it - he's referring to possible tarsal tunnel syndrome - feet... But
Subject: I don't think that's it - he's referring to possible tarsal tunnel syndrome - feet... But thanks anyways...
posterior drawer testing nor with valgus or varus stress testing
Subject: posterior drawer testing nor with valgus or varus stress testing
Faber testing or Fabere testing?
Subject: Faber testing or Fabere testing?
Is the correct way Faber testing or Fabere testing? I'm finding it both ways. *sigh* 
Phalen's?
Subject: Phalen's?
Could it be Phalen? n/t
Subject: Could it be Phalen? n/t
Phalen's
Subject: Phalen's
I meant to say I normally type Phalen's sign, not Phalan's. Now I am all confused and I am thinking it might be Phelan's. Can anyone help me figure this out?
Phalen sign
Subject: Phalen sign
there is a Phalen's test
Subject: there is a Phalen's test
can you hear Phalen's? .. nm
Subject: can you hear Phalen's? .. nm
x
Tinel's and Phalen's nm
Subject: Tinel's and Phalen's nm
How about Phalen's test
Subject: How about Phalen's test
It is Phalen's sign
Subject: It is Phalen's sign
quad/string testing in reference to the quad/hamstring torque ratio testing?
Subject: quad/string testing in reference to the quad/hamstring torque ratio testing?
I'm just guessing.
Left distal phalanx S/l-phalen.
Subject: Left distal phalanx S/l-phalen.
nm
If you're talking about maneuver, it's Phalen. nm
Subject: If you're talking about maneuver, it's Phalen. nm
x
But without the apostrophe. Phalen sign/maneuver. sm
Subject: But without the apostrophe. Phalen sign/maneuver. sm
x
1. no apostrophe. 2. Do you have ANY reference books? It is Phalen. nm
Subject: 1. no apostrophe. 2. Do you have ANY reference books? It is Phalen. nm
nm
Positive Tinel's and Phalen's bilaterally.
Subject: Positive Tinel's and Phalen's bilaterally.
Could it be as simple as hepatorenal syndrome or hypo/hyperventilation syndrome? Does neuro give a
Subject: Could it be as simple as hepatorenal syndrome or hypo/hyperventilation syndrome? Does neuro give a
s
possibly Ayerza syndrome? Search to see if it fits. How is your syndrome being treated? nm
Subject: possibly Ayerza syndrome? Search to see if it fits. How is your syndrome being treated? nm
s
Patellofemoral syndrome versus Patella-femoral syndrome? (sm)
Subject: Patellofemoral syndrome versus Patella-femoral syndrome? (sm)
Are there any ortho MTs who can give documentation regarding the above, in so far as, what distinguishes one from the other? Thanks in advance.
s/l either "Lilly Geilech" syndrome or "Rolling Geilich syndrome"
Subject: s/l either "Lilly Geilech" syndrome or "Rolling Geilich syndrome"
It's in the secondary diagnosis, and an ESL doc. Any suggestions?
I thought MPJ could apply to either carpal or tarsal... sm
Subject: I thought MPJ could apply to either carpal or tarsal... sm
In my abbreviations book metacarpophalangeal and metatarsophalangeal are both listed under MPJ. Like you, when they dictate MPJ and it needs to be expanded, I have both codes mcpj and mtpj to avoid an error.
have a productive day!
Could it just be trisomy syndrome or Cri-du-chat syndrome? So many to choose from. nm
Subject: Could it just be trisomy syndrome or Cri-du-chat syndrome? So many to choose from. nm
s
maybe saying something like FB syndrome or failed back surgery syndrome ?
Subject: maybe saying something like FB syndrome or failed back surgery syndrome ?
? s/l bichette syndrome, pachette syndrome, has anyone heard of that?
Subject: ? s/l bichette syndrome, pachette syndrome, has anyone heard of that?
dysmetabolic syndrome versus metabolic syndrome
Subject: dysmetabolic syndrome versus metabolic syndrome
Is dysmetabolic syndrome and metabolic syndrome used interchangeably? In this dictation the doctor refers to it in the past medical history as metabolic syndrome and then in the assesment/plan as dysmetabolic syndrome.
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