carpal tunnel surg question...
Posted By: aj on 2008-06-27
In Reply to:
Subject: carpal tunnel surg question...
s/l "as markeys dangling" at the arm and left on the forearm as a tourniquet
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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.
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
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.
Possibly Tel/Surg like Med/Surg as in telemety
Subject: Possibly Tel/Surg like Med/Surg as in telemety
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!
OB/GYN surg....
Subject: OB/GYN surg....
under post op diagnosis: Frozen section s/l musna hysterioma
med/surg/soc?
Subject: med/surg/soc?
Medical/Surgical/Social History: See summary report
CV surg equip
Subject: CV surg equip
During the course of an aortogram, AAA repair and bifurcation graft, he exchanged 0.025 glide wires with 0.035 s/l "Mire" wires, removed the sheath and inserted the bifurcation graft. Mylar maybe (?) but was not able to verify. After deploying the graft, he passed a s/l "AquaTempo" 5-French catheter. I may have a few more of these gems before the report is finished. He is naming every single brand of all the obscure pieces of equipment he can lay his hands on.
ortho surg help
Subject: ortho surg help
The ACL reconstruction was carried out using the hamstring tendon. We used the (s/l-retrogel-) on the femoral side, 7 mm tunnels were used on femur and tibia.
Not a surg report
Subject: Not a surg report
A letter. Patient has severe back symptoms. Clearly dictated seclo-strectomy... but cannot find any reference to such a word.
Ortho surg help
Subject: Ortho surg help
Three distal interlocking screws were placed through the outrigger. A single proximal s/l ADP (or maybe A-to-P) interlock was placed in the most proximal hole.
Any ideas? Thanks!
Spinal surg
Subject: Spinal surg
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
My Med/Surg equipment book has sm
Subject: My Med/Surg equipment book has sm
Hasson cannula, nothing under catheter. Vera Pyle confirms Hasson cannula. No Hassan anywhere. Which surgical book are you referring to? Tessier's? I had her original book which had lots of errors in it.
Steadman's Med/Surg equipment...
Subject: Steadman's Med/Surg equipment...
word book had French capitalized.
Ortho surg word help
Subject: Ortho surg word help
We used 30 cc of allograft "crouton" ?
cubital tunnel?
Subject: cubital tunnel?
scleral tunnel? nm
Subject: scleral tunnel? nm
from Tessier Surg Word book-sm
Subject: from Tessier Surg Word book-sm
medicated bougie, mercury-filled bougie, mercury-weighted bougie, Maloney mercury bougie. Does it sound like any of these? Also Hegar bougie.
gyn surg- s/l anhydramnios, but can't find it in dictionary.
Subject: gyn surg- s/l anhydramnios, but can't find it in dictionary.
s/l Bio-Track screw? (used in ortho surg) TIA
Subject: s/l Bio-Track screw? (used in ortho surg) TIA
spine surg: s/l D process lamina...
Subject: spine surg: s/l D process lamina...
The muscularature was reflected off the s/l D process lamina.
knee surg: s/l tamajent canal
Subject: knee surg: s/l tamajent canal
surg. colon anastomosis s/l *Egelon-60*. TIA nm
Subject: surg. colon anastomosis s/l *Egelon-60*. TIA 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
Apple troacar (Stedmans Med/Surg Equipment). nm
Subject: Apple troacar (Stedmans Med/Surg Equipment). nm
nm
its Merocel (Stedman's surg equip book)
Subject: its Merocel (Stedman's surg equip book)
x
Stedman's Med/Surg Equipment has 5 pages of sutures sm
Subject: Stedman's Med/Surg Equipment has 5 pages of sutures sm
and lists Krackow as one of them. Cross-referenced in its Ortho book, too.
Yes. It's Corson. See Stedmsn's Med/Surg word book
Subject: Yes. It's Corson. See Stedmsn's Med/Surg word book
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