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it should be proximal - is that what you hear?

Posted By: moon1010 on 2008-10-04
In Reply to: would it be... - MT

Subject: it should be proximal - is that what you hear?

nm


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I got it - duh on me . . . it is proximal
Subject: I got it - duh on me . . . it is proximal


proximal? sm
Subject: proximal? sm

Clue=there's no DVT in the LOWER or DISTAL extremity, but there IS thrombus in the GSV which is located in the UPPER or PROXIMAL extremity...and it extends from PROXIMAL down to upper calf....
proximal ?
Subject: proximal ?


proximal?
Subject: proximal?


proximal row carpectomy ?
Subject: proximal row carpectomy ?

xx
proximal migration?
Subject: proximal migration?

xx
Could he/she be stumbling over proximal?
Subject: Could he/she be stumbling over proximal?


could it be proximal ulnar, sm
Subject: could it be proximal ulnar, sm

I also think it might be technitium rather than technician?
proximal pole corpectomy ?
Subject: proximal pole corpectomy ?

scaphoid has a proximal pole so that might be it.
ORIF of proximal phalanx
Subject: ORIF of proximal phalanx

In this op note, the doctor says a "one five recon plate" was trimmed to the appropriate length, and I placed a "one five" screw distally.  Would you agree this should be transcribed as 1.5 (as in mm).  He didn't say mm, and I won't go so far as to put mm in the report.


at the proximal 'notch' of the ulna
Subject: at the proximal 'notch' of the ulna


hmm, know it IS proximate (not proximal or approximate)
Subject: hmm, know it IS proximate (not proximal or approximate)

Can't get the middle word though.


 


cutting the bone wherein the slot has a proximal end proximate to the first end of the body


This is as close as I could find.


 


 


proximal crescentic osteotomy (nm)
Subject: proximal crescentic osteotomy (nm)


proximal humeral fracture
Subject: proximal humeral fracture

Doctor says,  A "hemolite" proximal humeral fracture was present.  Any ideas?
proximal tibial medial compartment
Subject: proximal tibial medial compartment

X-rays reveal severe destruction of the right knee with collapse and osteonecrosis of his medial femoral condyle and no cartilage remaining on his proximal s/l tibial medial compartment either.

tibial wasn't clear...also sounded like it could have been 'through the'

I googled the whole phrase proximal tibial medial compartment, but got no results. I have never heard those words put together like that before. Any suggestions?
Maybe proximal or distal component of a prosthesis? nm
Subject: Maybe proximal or distal component of a prosthesis? nm

s
Pt had proximal femoral resection and hamstring
Subject: Pt had proximal femoral resection and hamstring

lengthening.
He has proximal ulnar nerve s/l a-fla-shen SM
Subject: He has proximal ulnar nerve s/l a-fla-shen SM

and distal ulnar nerve s/l a-fla-shens, which cause clawing most often.
proximal to its insertion in the navicular sounds right to me - nm
Subject: proximal to its insertion in the navicular sounds right to me - nm


right tibia-fibula, right proximal humerus, etc.
Subject: right tibia-fibula, right proximal humerus, etc.

x
s/l edema in proximal tibial ? typhysis ? n/m
Subject: s/l edema in proximal tibial ? typhysis ? n/m


S/l Perilock proximal tibial locking plate
Subject: S/l Perilock proximal tibial locking plate

Schatzker VI tibial fracture.  S/l perilock but I cannot find it.
proximal ureters to medial turuns/kins? sm
Subject: proximal ureters to medial turuns/kins? sm

She spells "turuns/kins"  I can't find anything in Stedman's or online to verify it.  She's not a renal specialist so maybe she's not got it quite right. 
proximal medial tibial periosteal tissues
Subject: proximal medial tibial periosteal tissues

Is proximal medial tibial periosteal tissues referring to one thing here?  Would there be a hypen between medial tibial or commas after proximal, medial, tibial and periosteal? 


A #1 Vicryl suture was used to repair the quadriceps tendon, medial parapatellar retinaculum, and the proximal medial tibial periosteal tissues.  


Proximal MCA looks normal, as does the "sigh fen" as does the carotid bifurcation. sm
Subject: Proximal MCA looks normal, as does the "sigh fen" as does the carotid bifurcation. sm

The pt with stroke...MRA showed...The proximal MCA looks very normal, as does the "sigh fen" as does the carotid bifurcation.
proximal isovelocity surface area (PISA)
Subject: proximal isovelocity surface area (PISA)

proximal isovelocity surface area (PISA)?
The straight s/l "gold" reamers were used to ream the proximal femur. NM
Subject: The straight s/l "gold" reamers were used to ream the proximal femur. NM

nm
Ortho, proximal humerus fx, s/l kalkor neck screw backing out. sm
Subject: Ortho, proximal humerus fx, s/l kalkor neck screw backing out. sm

x-rays show that the inferior "kalkor neck" screw is backing out.  Can't find anything by various spellings with web search or in books.  Maybe 'cause it's the almos the end of my work day and nearly the end of the week (yea!)


Billroth II: The stomach was transected just proximal to the gastric antrum with s/l P N I P staples
Subject: Billroth II: The stomach was transected just proximal to the gastric antrum with s/l P N I P staples

.
MRI is reviewed of the right elbow that shows moderate high signal at the proximal please sm
Subject: MRI is reviewed of the right elbow that shows moderate high signal at the proximal please sm

_______ of the ulnar collateral ligament complex compatible with tendinosis without tear. Thanks
Ecchymosis tracking into the s/l dependent areas of the foot and the proximal aspect of the toes. sm
Subject: Ecchymosis tracking into the s/l dependent areas of the foot and the proximal aspect of the toes. sm

Patient fell and twisted his ankle.  He has bruising that has tracked down into the distal foot. 
pt hurt ankle....lateral soft tissue proximal to the symphis-mosis. nm
Subject: pt hurt ankle....lateral soft tissue proximal to the symphis-mosis. nm

thanks
fracture of the proximal left femur with segmented upper tip of the graded s/l turhunter
Subject: fracture of the proximal left femur with segmented upper tip of the graded s/l turhunter


Exam of the left hand reveals a 0.5 x 0.5 cm area of s/l pointing along the proximal phalanx to sm
Subject: Exam of the left hand reveals a 0.5 x 0.5 cm area of s/l pointing along the proximal phalanx to sm

the 5th finger on the palmar surface. Thanks for any help.

Proximal phalanx fracture is healed. Screws are in good position. The s/l ser-toge wire is in
Subject: Proximal phalanx fracture is healed. Screws are in good position. The s/l ser-toge wire is in

position.
Can you hear bunion for the first word? And the second can you hear symptomatic or sensory pain?
Subject: Can you hear bunion for the first word? And the second can you hear symptomatic or sensory pain?


I'm listening again (and again - sigh) would attachment make sense here. Proximal attachment sm
Subject: I'm listening again (and again - sigh) would attachment make sense here. Proximal attachment sm

to the common flexor origin. Any input?

Cannot hear adenopathy. Clearly hear *pology. Thank you, though.
Subject: Cannot hear adenopathy. Clearly hear *pology. Thank you, though.


Can you hear "mild". Hear that a lot. nm
Subject: Can you hear "mild". Hear that a lot. nm


I do not hear that
Subject: I do not hear that

but I believe you are correct, there is mention of exposed cartilage. Thank you very much.
or can you hear..................nm
Subject: or can you hear..................nm


can you hear VRE - this has been associated
Subject: can you hear VRE - this has been associated

with C. difficile colitis as well - CD/VRE...also, resolved to the NVRA just doesn't make grammatical sense - you sure it's not "The C. difficile was treated with Flagyl, but resulted in VRE, then treated with Zyvox?" GOOD LUCK!
can you hear?
Subject: can you hear?

guaifenesin and Tessalon Perles
can you hear
Subject: can you hear

,,,
That's it. Can hear it clearly. Thanks so much!
Subject: That's it. Can hear it clearly. Thanks so much!


Thank you. I really could not hear...
Subject: Thank you. I really could not hear...

cortical; he was not an ESL and said it 5 or 6 times in the report.

Thanks for trying.
Usually hear this
Subject: Usually hear this

nerve root impingement
Used to hear that a lot. sm
Subject: Used to hear that a lot. sm

back in the day they said leukouria a lot, not so much today. I just typed it like that. I think it may have been in one of those old Dorland's from the 70s. 
can you hear...
Subject: can you hear...

suggested etiology or suggest ... or maybe assess etiology. Sorry, just making some guesses without knowing what's right before and after.
I'd like to hear more about this:...(sm).
Subject: I'd like to hear more about this:...(sm).

hysterical anesthesia


Bodily anesthesia occurring in hysteria


Can you hear
Subject: Can you hear

Byetta?