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Pt with cervical spine pain. She has completed her CT myelogram as well as s/l tunnel gram.?? tia

Posted By: Chris on 2008-08-04
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Subject: Pt with cervical spine pain. She has completed her CT myelogram as well as s/l tunnel gram.?? tia




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cervical MYELOGRAM
Subject: cervical MYELOGRAM

Sorry for the typo!
cervical myelogram
Subject: cervical myelogram

You're very welcome.
Doubt with cervical myelogram
Subject: Doubt with cervical myelogram

Dictating in 2 position:


1.  _____(codstone) bone graft is in excellent position.


2.  HIs ____(po*city) of bone formation along the edges of _____(c*stone) graft, which is unexpected in more cortical nature.


 


if it's in the spine, it could be "discogenic" pain versus "facet"-related pain
Subject: if it's in the spine, it could be "discogenic" pain versus "facet"-related pain


Cervical can mean other than spine..(sm)
Subject: Cervical can mean other than spine..(sm)

it's also used as a general reference to the "neck" portion of a structure.  So where you would probably say cysts in the neck of the pancreas, he's saying cervical (meaning here neck of the pancreas) cysts. 



Doing cervical spine and it seems he is saying
Subject: Doing cervical spine and it seems he is saying

there is normal s/l imbrication. Also, he says what sounds like "There is no listhesis." Help please, I am new at this.
Thanks much :)
C3, C4, and C5 for cervical spine
Subject: C3, C4, and C5 for cervical spine

It is in the AAMT BOS.
Cervical spine OP
Subject: Cervical spine OP

Following decompression, a s/l coddler was used to protect the exposed dura.


This guy is an ESL, and I cannot verify a term for this. Thanks for any help!


Sorry, cervical spine..........sm
Subject: Sorry, cervical spine..........sm

Doc dictates: There does appear to be good decompression of the neural elements with arthrodesis across these regions.
Yes, after cervical spine.
Subject: Yes, after cervical spine.


cervical spine?
Subject: cervical spine?


"C-spine" (cervical spine) ??
Subject: "C-spine" (cervical spine) ??


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


Cervical spine screw
Subject: Cervical spine screw

The pt is status post cervical decompression and instrumented fusion. Under radiographs, doc states This reveals significant OPLL from C2 to C6-7 with ossification of the posterior longitudinal ligament.  There is interval change with ___ screws placed from C3 to C6 with excellent fusion apparent on CT.


 


Sounds like Neuromass screws. Has anyone heard of this? Thank you!!


Cervical spine surgery
Subject: Cervical spine surgery

Screws were then placed into the vertebral bodies through the plate.  A "Kenlock" screw was then tightened at each of the vertebral bodies after the final tightening of each of the four screws.   Sl Kenlock or Chemlock, but I cannot verify. Thanks for any help! 


cervical spine "searings"
Subject: cervical spine "searings"

The word is:  syrinx, in case you still need to know.
I always type out cervical spine.
Subject: I always type out cervical spine.


Where exactly is the word you need? Is after cervical spine?
Subject: Where exactly is the word you need? Is after cervical spine?


Is there a problem with the cervical spine?
Subject: Is there a problem with the cervical spine?

nt
don't know what the BOS says, but I always typed it out, cervical spine NM
Subject: don't know what the BOS says, but I always typed it out, cervical spine NM

.
Sorry, he said ordere a "do MRI of the cervical spine".
Subject: Sorry, he said ordere a "do MRI of the cervical spine".

x
Cervical spine fusions performed with...
Subject: Cervical spine fusions performed with...

allograft, autograft and s/l metal graft.  Yes?  TIA!
word in cervical spine surgery
Subject: word in cervical spine surgery

This s/l six lordotic "cordis" or "fortis" biomechanical spacer - for cervical spine surgery.   Thanks.
S/L "stable phurinx" cervical spine
Subject: S/L "stable phurinx" cervical spine

I cannot find anything close to this phrase, please help!


MRI shows stable phurinx on MRI.


Thanks for any help!!


giant facet in cervical spine? correct

giant facet is correct? 


 


 


cervical spine: the [s/l predense] space is unremarkable
Subject: cervical spine: the [s/l predense] space is unremarkable


I do not appreciate any obvious s/l levique changes in the cervical, thoracic or lumbar spine.
Subject: I do not appreciate any obvious s/l levique changes in the cervical, thoracic or lumbar spine.


Could it be "there is no spasm or tenderness or cervical spine atrophy (but doc is saying cervica
Subject: Could it be "there is no spasm or tenderness or cervical spine atrophy (but doc is saying cervical spine atrophies?)


It is "rib somatic" dysfunction of the cervical, thoracic spine and rib cage.
Subject: It is "rib somatic" dysfunction of the cervical, thoracic spine and rib cage.


Cervical facet pain - s/m
Subject: Cervical facet pain - s/m

How would I type this?  I can't find helpful info anywhere!  The part I am wondering about is the A01 C2-3 - she is dictating as "A zero one C two three".


"Cervical facet pain, especially A01-C2-3 with potential cervicogenic headaches"


Thank you


Does he say how he treats it? Or where on the spine the pt's pain is? nm
Subject: Does he say how he treats it? Or where on the spine the pt's pain is? nm

s
Hmm...could it be C spine pain to palpation maybe? nm
Subject: Hmm...could it be C spine pain to palpation maybe? nm

nm
combination of neck (cervical) and pain (-algia)
Subject: combination of neck (cervical) and pain (-algia)

like arthralgia for joint pain, myalgia for muscle pain, otalgia for ear ache
lordotic pain? (curvature of the spine)
Subject: lordotic pain? (curvature of the spine)

x
Ortho - patient has chronic cervical pain, numbness. sm
Subject: Ortho - patient has chronic cervical pain, numbness. sm

His position s/l shunts of the great toes is poor on the right and fair to good on the left. Just can't get it. I appreciate your help.

Racz catheter is used against back pain, inserted into the spine..nm
Subject: Racz catheter is used against back pain, inserted into the spine..nm

nm
Pt with cervical strain. s/l Flannel or closure maneuvers exacerbate his pain as does forward
Subject: Pt with cervical strain. s/l Flannel or closure maneuvers exacerbate his pain as does forward

flexion and extension. 



No, don't cap gram-negative. The test Gram stain is capitalized - per Stedmans Inf Dis Book. -s
Subject: No, don't cap gram-negative. The test Gram stain is capitalized - per Stedmans Inf Dis Book. -sm

Also, I worked in a lab for many years, and gram-negative and gram-positive are not capitalized. Gram is the name of the doctor or scientist who came up with the staining test, Gram stain, so that is capped.
gram-position pleomorphic bacilli? (gram-positive should be small "g")
Subject: gram-position pleomorphic bacilli? (gram-positive should be small "g")


Sted's Path and Lab Words - gram-negative bacilli but Gram
Subject: Sted's Path and Lab Words - gram-negative bacilli but Gram

s
It should be Gram's stain, the formal name, or the result was gram negative.... then not.....nm
Subject: It should be Gram's stain, the formal name, or the result was gram negative.... then not.....nm

nm
Incorrect, it is gram-negative and cap only for Gram stain.
Subject: Incorrect, it is gram-negative and cap only for Gram stain.

x
Which is correct..Gram or gram negative?nm
Subject: Which is correct..Gram or gram negative?nm

nm
Gram stain, and gram-negative. (nm)
Subject: Gram stain, and gram-negative. (nm)

x
dynamic cervical changes (i.e. opening and closing of the inner cervical os during examination
Subject: dynamic cervical changes (i.e. opening and closing of the inner cervical os during examination


Remainder was completed.
Subject: Remainder was completed.

You are absolutely right. The word, "remainder" is the subject ("of the forms is just a prepositional phrase"), and the verb/adverb should always go with the subject, not its modifier(s).
Would it be appropriate to say cervical paraspinal or cervical paraspinous? SM. TIA.
Subject: Would it be appropriate to say cervical paraspinal or cervical paraspinous? SM. TIA.

He was diffusely tender in the lumbar paraspinal or paraspinous?  and spinous process area. 


Otherwise, the remainder of the forms were completed
Subject: Otherwise, the remainder of the forms were completed

////
RE: Otherwise, the remainder of the forms were completed
Subject: RE: Otherwise, the remainder of the forms were completed

Yes.
with completed s/l Circ in 1992...
Subject: with completed s/l Circ in 1992...

Hepatitis B series with completed s/l Circ in 1992 without subsequent titers drawn.


Thank you,


Deborah


 


laminectomy was completed with s/l 3 and 4 Garrisons?
Subject: laminectomy was completed with s/l 3 and 4 Garrisons?