Under surgical history: s/l carpal tunnel ?effers? nm TIA
Posted By: tealight on 2009-01-09
In Reply to:
Subject: Under surgical history: s/l carpal tunnel ?effers? nm TIA
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Carpal tunnel
Subject: Carpal tunnel
s/l Banalog lotion for carpal tunnel
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.
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
acute carpal tunnel syndrome ? - nm
Subject: acute carpal tunnel syndrome ? - nm
Phalen (for carpal tunnel syndrome testing)
Subject: Phalen (for carpal tunnel syndrome testing)
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
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
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.
surgical history s/l all-tee
Subject: surgical history s/l all-tee
Patient is being seen for balance problems. There is a lot of focus in the report on various tests and her previous tethered cord, lumbar stenosis, laminectomy, etc.
Past surgical history includes: "repair of a spinal fluid leak and (s/l all-tee) then the lumbar spine fusion."
Any ideas as to what the all-tee might be? At first I thought it was the doctor stumbling over her words, but upon re-listening, I'm not so sure!
I do not in surgical history. I only
Subject: I do not in surgical history. I only
expand it if in an op report heading of Procedure Performed:
Surgical History
Subject: Surgical History
"significant for hip replacement, "appy"????
B&B in past surgical history
Subject: B&B in past surgical history
Anyone know what that could be?
Would that be under past surgical history though as he says it is? nm
Subject: Would that be under past surgical history though as he says it is? nm
nm
past surgical history
Subject: past surgical history
She has had repair of cataracts s/l "in aretnas". I couldn't hear retina. Anyone?
Past surgical history is? nm
Subject: Past surgical history is? nm
nm
Do you write out D&C for surgical history?
Subject: Do you write out D&C for surgical history?
I know that most of the time we write out acronyms in the surgical history, but for some tests and procedures, the acronym is okay. (Like CT scan, etc)
Past Surgical History
Subject: Past Surgical History
Doc is dictating patient's past surgical history. States she had s/l a budd kay or e malformation based on her MRI at the hospital. Any clues b/c I am at a loss with this one! 
Sounds like past surgical history.
Subject: Sounds like past surgical history.
x
If he's listing past surgical history then
Subject: If he's listing past surgical history then
I'd put appendectomy, three D&C's, tonsillectomy.
D&C stands for dilation and curettage
He only says BTTI under past surgical history and nothing else
Subject: He only says BTTI under past surgical history and nothing else
Is there any past surgical history that might give some clues? nm
Subject: Is there any past surgical history that might give some clues? nm
x
s/l toration of the intestines... past surgical history
Subject: s/l toration of the intestines... past surgical history
Surgical History: s/l harris rods in her spine. SM
Subject: Surgical History: s/l harris rods in her spine. SM
Does not sound like Harrington... sounds just like "Harris rods"
No it was just part of the surgical history, so no content clues available. NM
Subject: No it was just part of the surgical history, so no content clues available. NM
Nothing in the PMH/surgical history or current meds. to give you a clue? nm
Subject: Nothing in the PMH/surgical history or current meds. to give you a clue? nm
s
in past surgical history for a teen *slazon* removal from the eye. ?? TIA! nm
Subject: in past surgical history for a teen *slazon* removal from the eye. ?? TIA! nm
nm
Under past medical history - history of abnormal s/l petatrie functioning. I really cannot make *sm
Subject: Under past medical history - history of abnormal s/l petatrie functioning. I really cannot make *sm
it out. It is a foreigner. He is saying it very fast. History of abnormal petatrie functioning is what is sounds like to me. I have no clue.
history of colorectal history with metastasis to the liver and lymph nodes
Subject: history of colorectal history with metastasis to the liver and lymph nodes
Proctectomy: Surgical resection of the rectum or Prostatectomy: Surgical removal of the prostate gla
Subject: Proctectomy: Surgical resection of the rectum or Prostatectomy: Surgical removal of the prostate gland.
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!
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
cubital tunnel?
Subject: cubital 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
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
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