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wants to try keying? for hand pain

Posted By: Tracey on 2008-11-24
In Reply to:

Subject: wants to try keying? for hand pain

ASSESSMENT: Status post left index, long and ring finger flexor tenosynovitis, right thumb, index and ring finger flexor tenosynovitis, right thumb symptomatic carpometacarpal pain and status post bilateral carpal tunnel releases.

She also wants to try s/l keying for one hour a day with several breaks.


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he has pain in the fingers, hand up to shoulder sm
Subject: he has pain in the fingers, hand up to shoulder sm

so I don't think it could be VATER and also not goiters because they are talking about mostly the wrist here.

have you ever heard of waiter's sign?

Right hand has pain in the s/l theen-ar region with palpation, but no swelling. thank you
Subject: Right hand has pain in the s/l theen-ar region with palpation, but no swelling. thank you


sounds right, antalgic posturing. Using hand in position to minimize pain
Subject: sounds right, antalgic posturing. Using hand in position to minimize pain


Yes, keying.
Subject: Yes, keying.

x
Oh, and you need to check the anatomy of the hand. Do a google search for "bones of the hand"
Subject: Oh, and you need to check the anatomy of the hand. Do a google search for "bones of the hand".

Try this site, you can click on the bones of the hand and it will tell you what the bone is called.


http://www.gwc.maricopa.edu/class/bio201/hand/anhand.htm


The trapezoid bone is a bone in the distal row of the carpus; it articulates with the second metacarpal.


The scaphoid bone is the largest bone of the proximal row of the carpus on the radial side, articulating with radius, lunate, capitate, trapzium, and trapezoid.


Please know what you are talking about before you try to be condescending.


probably is isthmusectomy. Those two procedures go hand in hand.
Subject: probably is isthmusectomy. Those two procedures go hand in hand.

x
Hand surgery, lead hand?
Subject: Hand surgery, lead hand?

The hand was placed in a lead hand?  Attention directed to, in sequence, the lacerations over the DIP joints and pulps of the index, long and ring fingers.  Thanks


possibly occult sciatic pain ( pain hidden/concealed/not manifest) ? nm
Subject: possibly occult sciatic pain ( pain hidden/concealed/not manifest) ? nm


if it's in the spine, it could be "discogenic" pain versus "facet"-related pain
Subject: if it's in the spine, it could be "discogenic" pain versus "facet"-related pain


could be TKA-total knee amputation. pain could be "ghost" pain --nm
Subject: could be TKA-total knee amputation. pain could be "ghost" pain --nm

///
Drug name - s/l amarek, for back pain and neck pain
Subject: Drug name - s/l amarek, for back pain and neck pain

Any ideas?  Thanks! 
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Subject: shoulder pain and knee pain

Doctor says, "he denies any neck pain or s/l ridicular symptomatology into the upper extremity.
nEck pain and back pain
Subject: nEck pain and back pain

what a day!
On the other hand...
Subject: On the other hand...

could be that she hadn't refreshed the page and didn't see the post by the OP
s/l C&S of the hand...sm
Subject: s/l C&S of the hand...sm

She has normal (s/l C&S) ____ of her hand.  There is no weakness.  Tinel and Phalen signs are negative.


No wounds etc.  Has to do with checking had and possibly filing workmans comp. 


TIA


could he be saying right hand?
Subject: could he be saying right hand?


On the other hand...
Subject: On the other hand...

When he states AP, lateral and oblique views were obtained of the ...

But

AP, lateral and oblique was obtained of the ...

Are they not the same sentence really?? SO shouldn't the second one be were?
Your welcome - its very hand. :) nm
Subject: Your welcome - its very hand. :) nm


hand/wrist
Subject: hand/wrist

The doctor is saying what sounds like "pulp pinch" and "pea pinch" measurements.  Could that be correct?
hand/wrist
Subject: hand/wrist

Thanks for your help. I listened again and he's saying key pinch, not pea pinch.
[diastem] of the hand
Subject: [diastem] of the hand

An IV line was established via nursing staff at the s/l diastem of the hand. Diastem is actually A word but I don't think it's THE word. This is a right upper extremity venogram.javascript:editor_insertHTML('text','');
javascript:editor_insertHTML('text','');
dorsum of hand
Subject: dorsum of hand

nm
diastem of the hand
Subject: diastem of the hand

ty, that's it - PowerScribe put diastole which sent me off in the wrong direction.
hand-delivers
Subject: hand-delivers


hand delivers?
Subject: hand delivers?


Hand Innovations only - I would think. nm
Subject: Hand Innovations only - I would think. nm


dorsum of the hand
Subject: dorsum of the hand

nm
Need help with hand injury
Subject: Need help with hand injury

He has been complaining of pain overlying the MCP joints of the third and fourth s/l rays or grays 


TIA


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Subject: Hand ligaments HELP!!!

Anyone ever heard of what sounds like Lugo, Javera and Scoob's ligaments.  Referring to a Dupuytren's surgery.  I've looked everywhere, anatomy books, online.....can't find anywhere....


BIP joint - hand?
Subject: BIP joint - hand?

I know there is a PIP joint, but he dictates both the BIP and PIP joint in one sentence. 
Hand exam
Subject: Hand exam

There is some bony "remodeling" over the PIP joint.  Does anyone know what this means and is "remodeling" the proper word? 


Thank you.


It's gloved hand. nm
Subject: It's gloved hand. nm

nm
Hand anatomy
Subject: Hand anatomy

He is not able to fully flex the left middle finger and the distance between the [s/l pulp] and palm is about 1 inch when he tries to make a fist. 
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Subject: hand surgery

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Where is the scar?? If in the hand could
Subject: Where is the scar?? If in the hand could

be using it for exercises???
Raise your hand if you are NOT Suzette
Subject: Raise your hand if you are NOT Suzette


s/l Shamay procedure (hand) nm
Subject: s/l Shamay procedure (hand) nm


There is CK-MB and CK-MB percentage. For the claw hand,
Subject: There is CK-MB and CK-MB percentage. For the claw hand,

see the link inside of what a claw hand is and what it involves and it give you an idea of what it is that the doc is saying.


http://www.wheelessonline.com/ortho/intrinsic_weakness_and_claw_hand


 


Hand ortho question - sm
Subject: Hand ortho question - sm

The paitent had a high pressure injection injury and says he needs pain medication for s/l "maiging" in his hand.?????  Any clues?


 


Thank you!


s/l *piller* region of the hand?
Subject: s/l *piller* region of the hand?

Thank you!
hand grip dynamometer
Subject: hand grip dynamometer

nm
Helping hand is one thing...
Subject: Helping hand is one thing...

but the questions I see being asked are indicative of a total beginning depending on training provided by the board.

It's inappropriate and unfair.
you probably learned math by hand too!
Subject: you probably learned math by hand too!


They can't spell! And N can look like a W if hand-written. Use it
Subject: They can't spell! And N can look like a W if hand-written. Use it

s
and you still dont know the problem at hand...
Subject: and you still dont know the problem at hand...

I bet your the original poster or you wouldnt have been so offended!!!!!!!

see that--I'm yelling LOL LOL LOL!!!!!!!

I hope you're not QA/MT--you don't even know what an exclamation point is...SAD!!!!
catching of finger on right hand.
Subject: catching of finger on right hand.

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hand - no signs of s/l thelan? sm
Subject: hand - no signs of s/l thelan? sm

appear to be a significant paronychia and I am concerned about progression to s/l felen.


anatomy of hand??


Thanks. I did google but only lead hand, not
Subject: Thanks. I did google but only lead hand, not

device or surgical device, and I just was not sure.
Hypothenar eminence is on the hand
Subject: Hypothenar eminence is on the hand


hand exam question
Subject: hand exam question

Shoulder, elbows and wrists have s/l 0T0 ("zero tee zero")  Her hands, especially over the PIPs and DIPS, were a s/l OT1 ("zero tee one") with some bony prominence on the DIP joints with no nail changes or pitting.   Is this correct?  Never heard of this.
via hand-held nebulizer (nm)
Subject: via hand-held nebulizer (nm)