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there is a D-ring splint for carpal tunnel nm

Posted By: sassee on 2008-04-17
In Reply to: Postsurgical carpal release splint. s/l Veering splint - Judy

Subject: there is a D-ring splint for carpal tunnel nm




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Postsurgical carpal release splint. s/l Veering splint
Subject: Postsurgical carpal release splint. s/l Veering splint

Patient was placed in a "Veering/V-ring".

Stumped!
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.


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


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


D-ring splint? Don't know the other one.
Subject: D-ring splint? Don't know the other one.


it's not D-ring splint. she is definately saying strap.
Subject: it's not D-ring splint. she is definately saying strap.

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.
Wear s/l "dyvik" splint at night and dynamic extension splint during the day. TIA!!!
Subject: Wear s/l "dyvik" splint at night and dynamic extension splint during the day. TIA!!!


Sound like thumb spica splint or stock splint?,,,sm,
Subject: Sound like thumb spica splint or stock splint?,,,sm,

They also use sugar tong splints for conservative care a lot, also.  I will keep thinking for you! 
Sugar tong splint or sugar tone splint?
Subject: Sugar tong splint or sugar tone splint?


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!
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?


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Subject: scleral tunnel? nm


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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


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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


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!!!!  :-)
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...


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


??? ring? sm
Subject: ??? ring? sm

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Thanks! I'm going to go with ring.
Subject: Thanks! I'm going to go with ring.


ring, maybe
Subject: ring, maybe

nm
Could be rim or ring nm
Subject: Could be rim or ring nm


Co/Coe/Ko ring?
Subject: Co/Coe/Ko ring?

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Koh ring
Subject: Koh ring

Found it, it's a new technique for laparoscopic hysterectomy. Thanks.
Thanks, it was D-ring. nm
Subject: Thanks, it was D-ring. nm

x
B ring is another name for
Subject: B ring is another name for

B ring is another name for Schatzki ring (lower esophageal ring).
Schattz ring.
Subject: Schattz ring.