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Pt with cubital tunnel syndrome. please sm

Posted By: Barbara on 2008-12-11
In Reply to:

Subject: Pt with cubital tunnel syndrome. please sm

EMG is reviewed which shows ulnar nerve s/l disluction at the elbow.



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cubital tunnel?
Subject: cubital tunnel?


Just a guess. Cubital (as anesthesia directly into the cubital vein?
Subject: Just a guess. Cubital (as anesthesia directly into the cubital vein?


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.


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
acute carpal tunnel syndrome ? - nm
Subject: acute carpal tunnel syndrome ? - nm


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...


Phalen (for carpal tunnel syndrome testing)
Subject: Phalen (for carpal tunnel syndrome testing)


Is he saying cubital? nm
Subject: Is he saying cubital? nm


Could it be cubital fossa "something?"
Subject: Could it be cubital fossa "something?"

x
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?
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. 
FCR tunnel ?
Subject: FCR tunnel ?

xx
tunnel? nm
Subject: tunnel? nm

nm
I would say tunnel since it goes thru one there. nm
Subject: I would say tunnel since it goes thru one there. nm

s
Carpal tunnel
Subject: Carpal tunnel

s/l Banalog lotion for carpal tunnel
scleral tunnel? nm
Subject: scleral tunnel? nm


s/l tunnel cuminalis catheter?
Subject: s/l tunnel cuminalis catheter?

Patient has renal failure and the procedure is a placement of this catheter.  Any ideas?  This is the only time it is said.


Thanks


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.
On x-ray of the knee, his s/l tunnel shadows look good.
Subject: On x-ray of the knee, his s/l tunnel shadows look good.

Thanks!!!!  :-)
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


FCR (flexor carpi radialis) and FCR tunnel. Foveal region. Not sure about the last one.
Subject: FCR (flexor carpi radialis) and FCR tunnel. Foveal region. Not sure about the last one.

Hope that helps.
recess graft in the femoral tunnel with minimal overhang
Subject: recess graft in the femoral tunnel with minimal overhang


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


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


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


There is TTT syndrome and BBB syndrome but need for more info to know if either will fit
nm
Can outlet syndrome or thoracic outlet syndrome be found in there? nm
Subject: Can outlet syndrome or thoracic outlet syndrome be found in there? nm

s
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


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.
I would put tract, as in sinus tract (tunnel) formation. IMO. nm
Subject: I would put tract, as in sinus tract (tunnel) formation. IMO. nm


syndrome
Subject: syndrome

Gilbert's syndrome
syndrome sm
Subject: syndrome sm

long shot, but perhaps


Ehlers-Danlos syndrome