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s/l Davinski's exam with a plantar response

Posted By: JustMe on 2008-04-07
In Reply to:

Subject: s/l Davinski's exam with a plantar response

nt


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Ever hear of dumb sole response on plantar stimulation? sm
Subject: Ever hear of dumb sole response on plantar stimulation? sm

The patient is brain dead. I can't document anywhere. TIA!
plantar ligament? plantar region? plantar sheath? nm
Subject: plantar ligament? plantar region? plantar sheath? nm


Physical exam, slow response to s/l costance with
Subject: Physical exam, slow response to s/l costance with

Physical exam, slow response to s/l costance with a flat face.


The patient has possible dementia.  Anyone know what that is?  Thanks!


anamnestic response is a secondary immune system response etc. nm
Subject: anamnestic response is a secondary immune system response etc. nm


Neer response, near response?
Subject: Neer response, near response?

Hello all. 


Thanks in advance if you can help me.


I have a neurologist who says "near response" when referring to eyes.  Is it near?  Neer?  neer? 


Also, is there a Neer's test in orthopedics? 


I'm confused!!


plantar surface.
Since this is the foot, it's probably the plantar surface (bottom).
I believe that is plantar grade
Subject: I believe that is plantar grade

x
s/l plantar *decolited*
Subject: s/l plantar *decolited*

There is mild pain on palpation along the course of the plantar fascial band.  There is plantar ____ metatarsophalangeal joints of the right forefoot as compared to the left. 


I will be so THRILLED when my Ped word book arrives tomorrow!


plantar declinated
Subject: plantar declinated

Dec´li`nate






a. 1. (Bot.) Bent downward or aside; (Bot.) bending downward in a curve; declined.

plantar calluses
Subject: plantar calluses


maybe plantar keratosis
Subject: maybe plantar keratosis


plantar callosities?
Subject: plantar callosities?


plantar navicularis?
Subject: plantar navicularis?


Plantar fasciitis
Subject: Plantar fasciitis

Patient has plantar fasciitis and right heel spur.  Under physical exam he says  -- Pain medial s/l amthesis? 
plantar aspect
Subject: plantar aspect

plantar aspect of the hand


This is the second time the doc has me questioning this. aHhhhhh!


plantar flexion
Subject: plantar flexion

Okay - maybe this is a stupid question, but dorsiflexion is a word - I looked it up in Dorland's (but I have an older version).   But, plantarflexion seems not to be a word;  I thought it was - modeling it after dorsiflexion.  So, is plantarflexion a real word or is it just plantar flexion? 
plantar flexed
Subject: plantar flexed


s/l plantar fornosis
Subject: s/l plantar fornosis

MRI scan of the foot shows some thickening in the midportion of the plantar s/l fornosis, more likely a result of chronic plantar faciitis than focal plantar fibroma. Also some T2 signal abnormality in the abductor hallucis, indicative of neurogenic edema.

Also would T2 be the correct way to type that? tia.


"dumb" plantar reflexes. SM
Subject: "dumb" plantar reflexes. SM

Please excuse the extra words in my post, the antihyperglycemic and Amaryl.  I did not type those words, and I can't understand how I "messed up" such that they ended up in my answer.  (??) 
ORTHO help - plantar fasciitis
Subject: ORTHO help - plantar fasciitis

S/l:  I can strum (?) along the tightness of the plantar fascia without any pain. 
it's 2 words - plantar flexion......
Subject: it's 2 words - plantar flexion......


Destruction of plantar verruca by sm
Subject: Destruction of plantar verruca by sm

s/l mono shoot aceokema cautery. TIA


Normally they say dorsiflexion and plantar flexion.
Subject: Normally they say dorsiflexion and plantar flexion.

x
dorsiflexion and plantar flexion or
Subject: dorsiflexion and plantar flexion or

plantarflexion or plantiflexion?


Thank you.


Plantar flexion = two words (NM)
Subject: Plantar flexion = two words (NM)

dd
? forefoot ganglion cyst, plantar
Subject: ? forefoot ganglion cyst, plantar


Plantar pertains to foot, is he saying planar?
Subject: Plantar pertains to foot, is he saying planar?

x
s/l subtalar plantar plate rupture nm
Subject: s/l subtalar plantar plate rupture nm


Plantar fasciitis surgery, s/l sheet weighting placed SM
Subject: Plantar fasciitis surgery, s/l sheet weighting placed SM

over the patient's foot. This is after pneumatic tourniquet applied. TIA
3. Plantar fasciitis – it is not really affecting the heel of her foot as much as it is the insertio
Subject: 3. Plantar fasciitis – it is not really affecting the heel of her foot as much as it is the insertio

>
_____ center is noted for plantar wart tissue
Subject: _____ center is noted for plantar wart tissue


Hard skin is debrided with a #15 scalpel. _______center is noted for plantar wart tissue (starts with c or g)


Patient with plantar bursitis. We will fit her with visco-lescette heel cups.
Subject: Patient with plantar bursitis. We will fit her with visco-lescette heel cups.

:-)


Throat exam is normal, as were the rest of her neck, face, and skull exam.
Subject: Throat exam is normal, as were the rest of her neck, face, and skull exam.


Eye exam: s/l "sub-lamp" exam shows left side has multiple small punctations in the cornea.(t
Subject: Eye exam: s/l "sub-lamp" exam shows left side has multiple small punctations in the cornea.(thanks)


Physical exam on eye exam, s/l Cardinal Welk's space?? noted.NM
Subject: Physical exam on eye exam, s/l Cardinal Welk's space?? noted.NM


What kind of doc is doing the exam? And where in the exam is this test mentioned? nm
Subject: What kind of doc is doing the exam? And where in the exam is this test mentioned? nm

s
Question about eye exam...when everting lids on eye exam (sm)
Subject: Question about eye exam...when everting lids on eye exam (sm)

It is EVERT, not AVERT, right? I have always typed it with an E but I have a PA who keeps insisting it is A.  I always thought Avert applied to gaze, as if to look away.  Just want to make sure everting the eyelid is the right term.  TIA. 
response
Subject: response

Creutzfeldt-Jakob disease.
response
Subject: response

glad I could help.


response
Subject: response

cold agglutinins
QA response
Subject: QA response

Don't you just love these made-up words?! Medialmost, laboratorywise.

I would type medial most or medial-most (to make it a two-word adjective of the noun), as in medial-most position.

When they say "laboratorywise," etc., I change it to an appropriate caption, such as "Regarding laboratory data,"
Appreciate your response sm
Subject: Appreciate your response sm

Didn't want to stir up any trouble.
Thanks for the response.
Subject: Thanks for the response.

Thanks for the compliment. I am really dedicated to medical transcription. I really enjoy doing the work and find it very challenging. I graduated in June of 2005 and started my first job in October of 2005. I strive to do my best in everything. I just found out about this forum and MTstars about a week ago and I am so glad that I am able to talk to some experienced MTs. This forum is invaluable to a new MT.

So, all of the experienced MTs out there that contribute to this board you are all well appreciated. I hope that I will be able to have experience like you guys and be able to help other MTs out there that are just starting out.

Also, if you know if any new MTs that are still looking for that first job they should try Sten-Tel, Inc. They have an externship program for new MTs. That is where I work now.

Take care
Thanks for the response.
Subject: Thanks for the response.

I really appreciate your help and I did not think that I was doing anything "out of bounds."

Its good to see that there are experienced MTs out there like you that are willing to lend a "QA hand" once in a while.
Response
Subject: Response

Chronos (synthetic bone graft material)
Thank you, I really appreciate your response (nm)
Subject: Thank you, I really appreciate your response (nm)


in response...
Subject: in response...

my educated guess would be speech difficulty


Thank you for your response
Subject: Thank you for your response


Your response
Subject: Your response

Now I don't do orthopedics, but I believe you are correct. The fusion involves L4 and L5 and S1. Therefore, I would think he was saying L4 through S1. Please, someone, correct us if we are mistaken!
Response
Subject: Response

Could it be sodium repletion?
no go, but thanks for the response! nm
Subject: no go, but thanks for the response! nm