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Rehab hospital........Lisfranc and metatarsal fractures

Posted By: pt given a s/l "Proffo"...........TIA on 2009-01-14
In Reply to:

Subject: Rehab hospital........Lisfranc and metatarsal fractures

nm


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There are spanning frames used for pilon fractures and also hip fractures.
Subject: There are spanning frames used for pilon fractures and also hip fractures.


Lisfranc?
Subject: Lisfranc?


maybe Lisfranc? nm
Subject: maybe Lisfranc? nm


Lisfranc
Subject: Lisfranc


Hospital experience as what? a doctor? a nurse? Or are you speaking of hospital experience as an
Subject: Hospital experience as what? a doctor? a nurse? Or are you speaking of hospital experience as an

experience is, it lacks credibility especiall when you base it on YOUR experience.  Who are you?  How much experience do you actually have?  What kind of experience do you have?  How many diabetic patients have you encountered in your years of experience?


You can't expect to make a sweeping generalization like "all diabetics have hypertension" and not get called out on it.  Come on!  Know your place.  Arrogance is an unattactive personality trait.


metatarsal?
Subject: metatarsal?


Lisfranc joint. nm
Subject: Lisfranc joint. nm


Lisfranc is all I find, too.
Subject: Lisfranc is all I find, too.

Maybe there's an "and" in there, like he is talking about 2 separate fractures?

Sorry!
Lisfranc fracture
Subject: Lisfranc fracture


Lisfranc variant?
Subject: Lisfranc variant?


--metatarsal is foot - don't think it would be
Subject: --metatarsal is foot - don't think it would be

x
possibly Lisfranc joint?
Subject: possibly Lisfranc joint?


I think Moon is right, Lisfranc repair with
Subject: I think Moon is right, Lisfranc repair with

hardware intact.
Hapad (Metatarsal Pad). There is a Hass sm
Subject: Hapad (Metatarsal Pad). There is a Hass sm

procedure/osteotomy etc.
sub-1st metatarsal. good question!
Subject: sub-1st metatarsal. good question!

Doc means below the 1st metatarsal bone, so you have to put the "sub" at the very beginning of the whole thing (not 1st submetatarsal).

Use a hyphen, sub-1st, because sub- is a prefix not a word.

sub-1st metatarsal
metatarsal s/l head illusions sm
Subject: metatarsal s/l head illusions sm

DIAGNOSIS: Right great toe hallux rigidus.

STATUS: Post Akin osteotomy and cheilectomy on 03/26/09 with debridement of lateral metatarsal s/l head illusions

Pain improved since he had the *metatarsal placed in his AFL* ??....TIA (new to podiatry)
Subject: Pain improved since he had the *metatarsal placed in his AFL* ??....TIA (new to podiatry)

xxxx
Aha! I think it is supposed to be *metatarsal pads placed in his AFO*...whoohoo!
Subject: Aha! I think it is supposed to be *metatarsal pads placed in his AFO*...whoohoo!

xxx
Its a stress fracture of right 3rd metatarsal diaphysis
Subject: Its a stress fracture of right 3rd metatarsal diaphysis

xx
I have always heard it as tarsal-metatarsal joint. NM
Subject: I have always heard it as tarsal-metatarsal joint. NM

x


patient w severe metatarsal prolapse please sm
Subject: patient w severe metatarsal prolapse please sm

The conservative means of therapy in this case would be orthotic devices with a deep s/l-rale- for the lesser metatarsal heads and support of the metatarsal necks. 
5th metatarsal shaft fracture care
Subject: 5th metatarsal shaft fracture care

Status post: Conservative care. The patient has been using a s/l shark liner.


PLAN: The plan is for the patient to continue using the s/l shark liner and to wean out of that as tolerated and start advancing her activity

how about healing Lisfranc repair with hardware intact
Subject: how about healing Lisfranc repair with hardware intact


"nut" incisions? Lisfranc fracture open repair. nm
Subject: "nut" incisions? Lisfranc fracture open repair. nm


? 4-1 fractures
Subject: ? 4-1 fractures

The doc states that the maxilla is free floating due to (what s/l) "lymph 4-1" fractures? 
fractures too
Subject: fractures too

Doc is saying TA compression fractures...... cannot find TA compression fractures.
rib fractures through a
Subject: rib fractures through a

preexisting "calacite"???  thanks!
s/l Jodi fractures
Subject: s/l Jodi fractures

sentence: The history for 'jodi' fractures involving her left upper extremity.
jodi fractures
Subject: jodi fractures

Only thing I can think of is Jones fracture or joint fracture
maybe LeFort II five fractures?
Subject: maybe LeFort II five fractures?

what you typed:  LeFort 2.5 fractures and disjunction of the facial bones from the cranium.


since there is an (s) after fracture(s), I believe he meant a LeFort II five fractures.


Also, isn't it dysjunction?  I could be DEAD_WRONG on that one though.  *lol*


Hmm. Usually femoral neck fractures are
Subject: Hmm. Usually femoral neck fractures are

described as Garden fractures, ranging from I through IV.

How does the sentence read and what type of report are you typing?
expanding vertebral fractures
Subject: expanding vertebral fractures

What is the right way to transcribe an L5 compression fracture? or C5-6 herniated nucleus pulposus? Do you just put L5 or fifth lumbar or lumbar 5?


Do you put cervical 5-6 ?  Any help is appreciated. Debbie


Phalanx fractures - word help
Subject: Phalanx fractures - word help

Review of his x-rays today shows that he has some fourth and fifth proximal phalanx fractures of the shaft, just a little oblique in nature.  The s/l 'ulnar-peri' was significantly displaced.


Hx: Fourth and fifth phalanx fractures.


how do you type Salter 1 fractures..
Subject: how do you type Salter 1 fractures..

Sprain of both the metacarpophalangeal joints of her index and long finger, possibly nondisplaced *s/l salter 1 fractures.*? tia.
No step-offs. You will hear that a lot with fractures etc.sm
Subject: No step-offs. You will hear that a lot with fractures etc.sm

as per my old Stedman's Ortho and me, old ortho person here, before so many  hyphens etc. so I have to look things up to get things right for you guys.
oops, I meant LeFort II 5 fractures....
Subject: oops, I meant LeFort II 5 fractures....

sorry for MY error....
patient casted for s/l bifibular fractures? nm
Subject: patient casted for s/l bifibular fractures? nm

nm
grade 4. All grades are arabic. Fractures and
Subject: grade 4. All grades are arabic. Fractures and

stages are Roman numerals.
yes, Garden's classification of femoral neck fractures
Subject: yes, Garden's classification of femoral neck fractures


I find pilon fractures assoc. with the tibula. I will QA it and see b/c she clearly says fibula. T
Subject: I find pilon fractures assoc. with the tibula. I will QA it and see b/c she clearly says fibula. Thanks.


fractures or osteophytes can cause "tenting" of the skin over the tibial spines sm
Subject: fractures or osteophytes can cause "tenting" of the skin over the tibial spines sm

of course it depends on if it fits the context of the dictation....
rehab d/s...s/l
Subject: rehab d/s...s/l


REhab help pls
Subject: REhab help pls

Recommendations: Physical therapy for pelvic stabilization, sitting with an s/l astoid james belt... Impression si joint dysfuntion in 19 week pregnant female with bilateral hip replacements...
rehab help
Subject: rehab help

Patient uses compensatory strategies for ADLs due to decreased vision but requires tactile and verbal cues for s/l timi-tech.

Thanks!
Hip fractures comprise two types—femoral neck (cervical or intracapsular)
Subject: Hip fractures comprise two types—femoral neck (cervical or intracapsular)


Rehab score
Subject: Rehab score

FIM score??
that's right .... land rehab nm
Subject: that's right .... land rehab nm

nm
S/L Metta Bench - Rehab DS
Subject: S/L Metta Bench - Rehab DS

For equipment given to patient, doc says:  Patient given "METTA BENCH" and hospital bed, wheelchair.....


also sounds like MATTA, MEDDA, MADDA.


TIA!  


no - he is in rehab for substance abuse...
Subject: no - he is in rehab for substance abuse...

There is nothing about law enforcement or any type of incarceration. Only that he is in in rehab and living at a rehab center.
Any Drug & Alcohol Rehab MTs out there?
Subject: Any Drug & Alcohol Rehab MTs out there?

I just started a job typing for a drug and alcohol rehab center.  I am unfamiliar with a lot of this terminology and was wondering if there was anyone out there who is doing a similar account and would be willing to share their knowledge with me.  Thanks.
Per rehab: In-exsufflator (Coughalator).
Subject: Per rehab: In-exsufflator (Coughalator).