acute carpal tunnel syndrome ? - nm
Posted By: ?? on 2009-06-27
In Reply to: eipcarplyptic syndrome - Eileen
Subject: acute carpal tunnel syndrome ? - nm
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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.
Phalen (for carpal tunnel syndrome testing)
Subject: Phalen (for carpal tunnel syndrome testing)
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
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.
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...
acute toxic syndrome? nm
Subject: acute toxic syndrome? nm
x
acute thoracic outlet syndrome maybe? - nm
Subject: acute thoracic outlet syndrome maybe? - nm
He will increase his fluid intake by a s/l **factor 3**. Pt has acute viral syndrome. TIA
Subject: He will increase his fluid intake by a s/l **factor 3**. Pt has acute viral syndrome. TIA
The costophrenic angles are acute. Acute?
Subject: The costophrenic angles are acute. Acute?
Does acute make sense? Doctor with accent.
Thanks!
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!
depends on context: acute-on-chronic renal insufficiency or renal insufficiency, acute on chronic.
Subject: depends on context: acute-on-chronic renal insufficiency or renal insufficiency, acute on chronic.
x
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
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
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!!!! :-)
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
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
acute and....... sm
Subject: acute and....... sm
Try "acute and chronic."
maybe acute?
Subject: maybe acute?
Could they be saying "acute hyperarousal"?
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