ortho surgery report

• ortho surgery report - Crystal
  • see msg - MT
    • thanks...... - Crystal

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Exploration demonstrated two pieces of metal making a s/l-endobody-loop.  These were removed.  Allograft material along the clavicle and coracoid was removed.  Cultures sent.  Pathology sent. 

s/l the *instilling* needle was replaced into the knee

TIA

ORIF of forearm  - this dr is a great dictator and speaks very clearly but does this make sense?

The anterior approach of Henry was now performed.  Care was taken to preserve all neurovascular structures.  The fracture site was **** s/l rarely *** delineated.  A butterfly fragment was noted.  The fracture was now reduced and the butterfly component was provisionally pinned with small K-wires. 

I can hear it very clearly, but I cannot reference it anywhere.  Doc says "Irrigation was done of the wound as well as a bone towel at this time".

Does this make sense to anyone?  Thanks for any help.

Trying to figure out how to type this ---- ortho surgery with Synthes LCP plate.  Says "number two five" Mersilene tape..... Would that be #25?  That doesn't seem right to me and I saw that another MT typed it as "two #5" Mersilene tape.  Not sure if dictator said it wrong in my report-- appreciate any input.

Lysis of adhesions and capsular release of the posterior, superior and post s/l *transferior* were performed under direct vision.

This is arthroscopic shoulder surgery.

Doc is talking about foot/ankle here.....s/l Kronotz bone graft and Jovoval sutures.  ??? 

Any help appreciated much!!

My question is he is just saying 45 hole, not saying 4.5 hole so do I assume he means 4.5?  I get so confused by this.  This is the sentence leading up to my question. 

A 4.5-mm syndesmotic screw was now inserted using standard AO technique.  I placed the screw in lag mode.  A 4.5-mm drill bit used on the fibula.  A guide was placed in the 45 or 4.5?? hole.

Doing an op note. It is an intramedullary nailing and he says what s/l Charpol is used to gain access into intramedullary canal. Any ideas on what this could be?

Thanks so much!!

Here's the sentence: 

 "The tendon was sewn over a button on the heel using a s/l 'teeth' needle."  (Or Teef needle?)  

It sounds clear, but I can't find anything close on Google or in Stedman's.  Any ideas what this needle might be? 

the patient had an implanted pacemaker which is not eluded to here.  Just a note, adenosine is not capitalized except to start a sentence.

Maybe you will hear something back.

d~

"CPK and _______ were negative"  s/l intraconals??

Still on the pulmonologist's report...

What kind of surgery is it? If he used "lap" laparotomy pads may be the second one. They usually say sponge, needle and instrument counts. Will keep thinking on this one. Type of surgery would help.

Vocal cord lesion biopsy -

Peripheral -s/l orb or oral- sinuses were intubated to their apices and were normal.

Specimen was sent -s/l informal- and for pathology.

TIA!

OP report, lumbar spine

Next, fluoroscopy was used to place new screws at the L2-3 segment.  Starting points were identified at the confluence of the midpoint of the transverse process, the **manloid** process, and the pars interarticularis

He really mumbles through this part, so I am just not sure, but I have not heard this term used before. Thanks!

FINDINGS:  Epidurogram revealed normal (s/l-cephaloquadet-) contrast flow outlining the right L5 nerve root sleeve in the epidural space with good flow achieved medial to the right L5 pedicle.  The patient did experience some concordant L5 symptoms on the right side during the injection.  Vital signs remained stable throughout. 

Patient was premedicated with intravenous s/l Benadryl. 

Would that be right?

I never do op notes!  The sentence reads:

The S/L RAFFAY between the anterior and middle deltoids was then opened.  TIA!

The patient has focal severe slowing primarily in sensory fibers in the right upper extremity, on multiple restimulation unable to elicit a response to both s/l "Palmar 8" studies. 

I can't find this anywhere.  Anybody have any ideas?  Thanks!