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? Charcot foot

Posted By: pc on 2007-04-25
In Reply to: s/l kidrow foot. - NewBMT

Subject: ? Charcot foot




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Yes, from Charcot-Marie-Tooth disease and other just plain Charcot conditions. Sted's Ortho Words
Subject: Yes, from Charcot-Marie-Tooth disease and other just plain Charcot conditions. Sted's Ortho Words. n

n
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Subject: Patient with gangrene of foot. On exam, the entire foot is ulcerated with s/l us-i-nest debris.

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Charcot...
Subject: Charcot...

Charcot foot is a progressive degenerative condition that affects the joints in the feet. It is associated with nerve damage (neuropathy) that decreases the ability to sense stimuli, including pain, and decreases muscular reflexes that control movement. As a result, the joints in the feet are subjected to repeated trauma and injury, causing progressive damage to the ligaments, cartilage, and bones.

Charcot foot affects the metatarsal, tarsometatarsal, and tarsal joints, which are located in the forefoot and midfoot.

Charcot?
Subject: Charcot?

Could that be what you are hearing?
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Subject: if they say *foot* - give 'em foot....nm


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Subject: She has a prosthetic *above?* right foot for right foot drop.

,,
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Subject: Your right..Charcot deformity..nm

nm
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x
Charcot midfoot
Subject: Charcot midfoot


Charcot-Marie-Tooth
Subject: Charcot-Marie-Tooth

nm
Thanks, I sent for QA. Wasn't Charcot, maybe Kidner.
Subject: Thanks, I sent for QA. Wasn't Charcot, maybe Kidner.


Charcot Marie-Tooth? nm
Subject: Charcot Marie-Tooth? nm

x
Charcot arthrosis? crystal-induced? cystic?nm
Subject: Charcot arthrosis? crystal-induced? cystic?nm


forgot to add...secondary to Charcot Marie Tooth. *NM*
Subject: forgot to add...secondary to Charcot Marie Tooth. *NM*

x
It is the foot. nm
x
foot
Subject: foot

He has full strength of his left foot **Eburgers** and proximal left lower limb muscles.


I know this is probably very simple. Thank you so much for any help!   


foot x-ray
Subject: foot x-ray

AP, lateral and S/L "exa" sessamoid shows decreased joint space at the PIPJ of the second toe of the left foot.  Cannot find anything close. Patient has rigid contracture of the second digit.  Thanks for any help.


 


foot x-ray
Subject: foot x-ray

AP and lateral bilateral as well as a medial oblique and show anterior break of the cyma line, increase in talar declination, peritalar uncovering on the AP.  No evidence of any ____ was noted this date.


 


Sounds like osteo bell externa.


 


Thanks in advance!


foot
Subject: foot


foot x-ray
Subject: foot x-ray

X-rays taken, AP and lateral oblique, and show marked lesion was negative for any exostosis or abnormal pathology.  Does show a S/L "sin-velenge" in the distal phalanx of the fifth toe of the right foot. 
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a cheilectomy is a removal of the lips! Calcanectomy maybe?
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Charcot deformity?  Sounds like "charco or sharco". Thanks.
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Subject: Foot prosthesis

She needs to get to the Prosthetic Center and get a new  Lennard splint as her old one has broken and they will check her AFO splint to make sure that during the daytime use it is fitting properly with correct padding over pressure points.


I cannot verify this splint, but that is what is sounds like he is saying.  Is this correct?


s/l kidrow foot.
Subject: s/l kidrow foot.

Assessment:  Collapsing pes planus and *____* foot 7-1/2 weeks postop, right.


Patient had repair of posterior tibial tendon and calcaneal osteotomy.


THANKS!


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Subject: Yes, foot/ankle (nm)

*
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Subject: No,. the fracture is isn't in the foot, plus...

he is pronouncing it like this:

tel-LOW. I blanked it. I did spent entirely too much time researching this one, but I hate when docs say something so clear and I can't reference it anywhere!
Foot x-ray results
Subject: Foot x-ray results

Doc is giving foot x-ray results as follows.


 



IMPRESSION:  Oblique fracture, which is postoperative at the level of the first metatarsal.  S/L "Os-like" displacement at the fracture site is noted.


Anyone ever hear of something like that?  Thanks


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Excision of a porokeratic lesion and a s/l Shootie flap. TIA.
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The patient underwent physical therapy and has been given an N-U support for his foot.

Doc states it as "in dash you" support
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Subject: foot/ankle - THanks for looking


first ray of the left foot
Subject: first ray of the left foot


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Subject: Foot surgery help?

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Subject: Foot Term?

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Subject: whole sentence, please. what comes before foot?


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Subject: Does he say exactly what foot problem?


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Subject: feet or foot?

doc says 5 foot 4 inches.........should it be 5 feet 4 inches?
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Subject: foot s/l ex-blast-o-see-s

In the extremity exam:


The patient does have a somewhat prominent __________ of the base of the left 1st metatarsal which the patient states is somewhat painful.


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Subject: missing foot (sm)

It's a missing foot. I'm thinking it's another word for phantom pain but I haven't been able to find anything. I've listened many times and it still sounds like "tre-eye-n". Or maybe plural. Later on he says it's not vascular but may be neurologic or musculoskelatal in nature.
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Subject: s/l calectomy of foot. Thanks.


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Subject: rear foot?


The patient presents to the office for evaluation of painful area of his left rear foot.


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bilateral foot?
Subject: bilateral foot?

or bilateral feet?
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Subject: --metatarsal is foot - don't think it would be

x
part of the foot
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ok, clearly I am having a really bad day, because I can't figure this one out!


"multiple areas of increased glycolytic activity within the legs bilaterally including in the right plantar aspect of the foot at the s/l "taylor calcemial" region."


 


Help! This is driving me nuts! Thanks


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Subject: Please help regarding foot soak s/l drift.

This is for somebodys foot that stepped on a nail. 


He may use warm soaks with _____ s/l drift for 20-30 min.


TIA 


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