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Left distal phalanx S/l-phalen.

Posted By: for diagnosis?? on 2007-05-01
In Reply to:

Subject: Left distal phalanx S/l-phalen.

nm


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Her x-ray shows slight angulation of her distal phalanx fracture in the s/l plane of joint motion.TY
Subject: Her x-ray shows slight angulation of her distal phalanx fracture in the s/l plane of joint motion.TY

 


Exam of the left hand reveals a 0.5 x 0.5 cm area of s/l pointing along the proximal phalanx to sm
Subject: Exam of the left hand reveals a 0.5 x 0.5 cm area of s/l pointing along the proximal phalanx to sm

the 5th finger on the palmar surface. Thanks for any help.

"on imaging was found to have a left staghorn calculus as well as a distal ureteral *s/l steinsho
Subject: "on imaging was found to have a left staghorn calculus as well as a distal ureteral *s/l steinshoff*

nm
He has a severely comminuted intra-articular s/l many part fracture of the left distal radius.
Subject: He has a severely comminuted intra-articular s/l many part fracture of the left distal radius.

TIA :-)
The MRI did show a very small amount of fluid edema along the distal radius and distal ulnar *fices*
Subject: The MRI did show a very small amount of fluid edema along the distal radius and distal ulnar *fices*

nm
distal translation across the epiphysis of distal fragment
Subject: distal translation across the epiphysis of distal fragment


1st phalanx
Subject: 1st phalanx

First phalanx is okay, but 1st phalanx is better because it is recommended to use numerals in medical reports. (Book of Style)
phalanx?
Subject: phalanx?

xx
pleural of phalanx
Subject: pleural of phalanx

phalanges
Maybe just phalanx even though would be redundant? nm
Subject: Maybe just phalanx even though would be redundant? nm

s
Phalanx fractures - word help
Subject: Phalanx fractures - word help

Review of his x-rays today shows that he has some fourth and fifth proximal phalanx fractures of the shaft, just a little oblique in nature.  The s/l 'ulnar-peri' was significantly displaced.


Hx: Fourth and fifth phalanx fractures.


ORIF of proximal phalanx
Subject: ORIF of proximal phalanx

In this op note, the doctor says a "one five recon plate" was trimmed to the appropriate length, and I placed a "one five" screw distally.  Would you agree this should be transcribed as 1.5 (as in mm).  He didn't say mm, and I won't go so far as to put mm in the report.


Phalen's?
Subject: Phalen's?


Could it be Phalen? n/t
Subject: Could it be Phalen? n/t


Phalen's
Subject: Phalen's

I meant to say I normally type Phalen's sign, not Phalan's.  Now I am all confused and I am thinking it might be Phelan's.  Can anyone help me figure this out?
Phalen sign
Subject: Phalen sign


there is a Phalen's test
Subject: there is a Phalen's test


can you hear Phalen's? .. nm
Subject: can you hear Phalen's? .. nm

x
Tinel's and Phalen's nm
Subject: Tinel's and Phalen's nm


How about Phalen's test
Subject: How about Phalen's test


It is Phalen's sign
Subject: It is Phalen's sign


Proximal phalanx fracture is healed. Screws are in good position. The s/l ser-toge wire is in
Subject: Proximal phalanx fracture is healed. Screws are in good position. The s/l ser-toge wire is in

position.
If you're talking about maneuver, it's Phalen. nm
Subject: If you're talking about maneuver, it's Phalen. nm

x
But without the apostrophe. Phalen sign/maneuver. sm
Subject: But without the apostrophe. Phalen sign/maneuver. sm

x
1. no apostrophe. 2. Do you have ANY reference books? It is Phalen. nm
Subject: 1. no apostrophe. 2. Do you have ANY reference books? It is Phalen. nm

nm
Positive Tinel's and Phalen's bilaterally.
Subject: Positive Tinel's and Phalen's bilaterally.


Funny thing, I had this yesterday and left 3 blanks that QA also left blank.
Subject: Funny thing, I had this yesterday and left 3 blanks that QA also left blank.

x
pain over the left hip and a biopsy of the left s/l SA pablum showed adenocarcinom
Subject: pain over the left hip and a biopsy of the left s/l SA pablum showed adenocarcinom

n
Phalen (for carpal tunnel syndrome testing)
Subject: Phalen (for carpal tunnel syndrome testing)


probably means left anterior descending. Instead of saying LAD, just saying left AD.
Subject: probably means left anterior descending. Instead of saying LAD, just saying left AD.

x
S/P left total knee reconstruction. On exam, has a palpable s/l clod defect on the left knee.
Subject: S/P left total knee reconstruction. On exam, has a palpable s/l clod defect on the left knee.

:-)
distal one third
Subject: distal one third

I would go with distal one-third of the tibia, two-thirds, one-quarter. Whether right or wrong, that's how I type it and it never gets changed by QA.
Distal
Subject: Distal

could refer to the farthest point of any body part. If talking about the leg, probably saying distal tib-tibial.
Distal herniation
distal herniation
probably distal pulses
Subject: probably distal pulses


distal Galeazzi maybe? - nm
Subject: distal Galeazzi maybe? - nm


distal arthralgias?
Subject: distal arthralgias?


Distal embolization?
Subject: Distal embolization?


distal vessels?
Subject: distal vessels?


DIP (distal interphalangeal)
Subject: DIP (distal interphalangeal)


Maybe DIP? Distal interphalangeal
Subject: Maybe DIP? Distal interphalangeal


distal phalanges????
Subject: distal phalanges????


may just be saying distal fibula..nm
Subject: may just be saying distal fibula..nm

x
distal neurocirc
Subject: distal neurocirc

distal neurocirc is intact. Should this be transcribed:


Distal neurocirculatory is intact


Distal neurocirc is intact


Distal neuro and circ is intact


or what??? I'm lost! Any help is greatly appreciated!


Could he be saying distal before syndesmosis?
Subject: Could he be saying distal before syndesmosis?


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.
widening of the distal clavicle
Subject: widening of the distal clavicle

I searched google and all I can find is widening of the AC joint.. nothing about clavicle? Any ideas, suggestions?
clouding of the distal esophagus? (nm)
Subject: clouding of the distal esophagus? (nm)

...


Should it be...distal comma bilateral or distal no comma bilateral? nm
nm
distal ulnar physis
Subject: distal ulnar physis


Try "faint distal collaterals". nm
Subject: Try "faint distal collaterals". nm

.