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anterior-inferior acromion type I configuration

Posted By: Sagittarius on 2008-11-21
In Reply to: need help with shoulder surgery - Terri

Subject: anterior-inferior acromion type I configuration

Sorry if this does not help!


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acromion process - type 2 or type II
Subject: acromion process - type 2 or type II


type of anterior subluxation
Subject: type of anterior subluxation

PREOPERATIVE DIAGNOSES


1.  Left tibia pilon fracture.


2.  Left s/l vanco or banco? anterior subluxation. 


I would type this out: "tibialis anterior"
Subject: I would type this out: "tibialis anterior"

.
inferior glutes? inferior gluteal? nm
Subject: inferior glutes? inferior gluteal? nm


clavicle on the acromion
Subject: clavicle on the acromion


Scoliosis pt - s/l "parasail" configuration
Subject: Scoliosis pt - s/l "parasail" configuration

Of concern is her possible development of thoracic insufficiency as her ribs are beginning to fall in a "parasail" type configuration. 


 


s/l “the hell with systolic anterior motion of the anterior mitral leaflet is noted.”
Subject: s/l “the hell with systolic anterior motion of the anterior mitral leaflet is noted.”

From a TEE report (doctor with thick Indian accent):


s/l “the hell with systolic anterior motion of the anterior mitral leaflet is noted.”


 


 


do you hear anterior flexion (anterior west makes no sense) nm
Subject: do you hear anterior flexion (anterior west makes no sense) nm


One more on this: S/L *bio ftc ture* anchors x2 in double row configuration. sm
Subject: One more on this: S/L *bio ftc ture* anchors x2 in double row configuration. sm

later in report I think he says he places **2X left 2 suture anchors**. One lateral and one medial. 


I'm not sure if this is correct though.  Operative reports are pretty new for me. 


I woulld not start a new sentence after configuration. sm
Subject: I woulld not start a new sentence after configuration. sm

leave it as one sentence withour a period.

The comma after compression is right, but take the second comma out after elicited.

And I think you should type 3rd and 4th as numbers.
inferior
Subject: inferior


inferior pole maybe? nm
Subject: inferior pole maybe? nm


inferior surface
Subject: inferior surface

or could he be saying sulcus
Inferior crus? nm
Subject: Inferior crus? nm

nm
Does it sound like inferior?
Subject: Does it sound like inferior?


inferior and superior ___ fracture
Subject: inferior and superior ___ fracture

Dictated: X-ray exam of the hip shows good callus around inferior and superior ___ fracture. 


Possibly sounds like he could be dictating a fracture that starts with an r or something that ends with an ate.  Dictates this particular fracture a couple times and this is all I can get out of it. 


 



or could be inferior vena cava
Subject: or could be inferior vena cava

depending how fast he is talking. hope this helps.
inferior vena cava
Subject: inferior vena cava


Inferior Myocardial Infarction - IMI
Subject: Inferior Myocardial Infarction - IMI


inferior vena cava? nm
Subject: inferior vena cava? nm


mild inferior/intralateral MI?
Subject: mild inferior/intralateral MI?

This does not seem to match up for me- would it be intra-lateral with a hyphen or could the doctor be saying interlateral? 
Mixed inferior defect?
Subject: Mixed inferior defect?

Last thallium had a fixed anterior defect and a s/l mixed inferior defect?
inferior pancreatoduodenal artery (IPDA) /nm
Subject: inferior pancreatoduodenal artery (IPDA) /nm

.
Maybe pubis inferior for the pubic bone? nm
Subject: Maybe pubis inferior for the pubic bone? nm

s
Shoddy means inferior or cheap.
Subject: Shoddy means inferior or cheap.

It is definitely shotty.
? medial and inferior humeral head.
Subject: ? medial and inferior humeral head.


tibby-it means inferior & medial-inferomedial
Subject: tibby-it means inferior & medial-inferomedial


shotty, like BB shot. Shoddy is cheap, inferior. nm
Subject: shotty, like BB shot. Shoddy is cheap, inferior. nm

s
coracoacromial ligament had a very prominent s/l inferior edge.
Subject: coracoacromial ligament had a very prominent s/l inferior edge.

Does this sound right? Would interior edge fit here? Are there any other types of edges for ligaments? Thanks in advance for any help.
s/l inferior vena cava "sult" replacement
Subject: s/l inferior vena cava "sult" replacement

s/l inferior vena cava sult replacement
In the posterior horn of the medial meniscus,on the inferior surface, there is SM
Subject: In the posterior horn of the medial meniscus,on the inferior surface, there is SM

 one s/l sagittal cuff with one small tear, which I think can likely be treated nonoperatively.
Probably portacaval (re the portal vein and inferior vena cava) nm
Subject: Probably portacaval (re the portal vein and inferior vena cava) nm

nm
Total shoulder arthroplasty. The inferior portion of the humeral head had
Subject: Total shoulder arthroplasty. The inferior portion of the humeral head had

s/l cuddle stellana and I took this down to bare bone and reamed getting down as concentric as possible.
Pt with aortoiliac bypass with inferior mesenteric artery reimplantation. Using the s/l Kirel patch
Subject: Pt with aortoiliac bypass with inferior mesenteric artery reimplantation. Using the s/l Kirel patch

and a 6.0 Prolene suture, the IMA was reimplanted into the side of the graft. Doc dictating in "speaker phone, I'm in a cave mode." It sounds like either Kirel, Carroll, CureAll patch. Help!!!!
Usually hear inferior sulcus test/sign. See good shoulder link. sm
Subject: Usually hear inferior sulcus test/sign. See good shoulder link. sm

==http://www.shoulderdoc.co.uk/article.asp?section=497&article=614===
STRESS: Images reveal decreased uptake of radioisotope in the inferior wall and BASAL septum.
Subject: STRESS: Images reveal decreased uptake of radioisotope in the inferior wall and BASAL septum.


An inferior based flap or "Bjork" flap (through second and third tracheal rings) is commonly u
Subject: An inferior based flap or "Bjork" flap (through second and third tracheal rings) is commonly used.


anterior ?
Subject: anterior ?

x
anterior?
Subject: anterior?


Could it be anterior?
Subject: Could it be anterior?

n


Also maybe anterior drawer?
Subject: Also maybe anterior drawer?

These are both really common in PT reports and both refer to the knee, looking for hypermobility which could indicate a tear.
anterior branch? nm
Subject: anterior branch? nm


s/l anterior crushaligament
Subject: s/l anterior crushaligament

History of right knee reconstructions surgery 40 pair of _____.
probably anterior commissure?
Subject: probably anterior commissure?


try anterior mediastinum.
Subject: try anterior mediastinum.

"
I mean anterior SUBCAPSULAR - sorry nm
Subject: I mean anterior SUBCAPSULAR - sorry nm


anterior? Is that the whole sentence?
Subject: anterior? Is that the whole sentence?


anterior descending as in LAD nm
Subject: anterior descending as in LAD nm

x
Can anyone tell me what an anterior skim cut is?
Subject: Can anyone tell me what an anterior skim cut is?

This is a term heard in joint replacement surgery, and I've been transcribing anterior skin cut by mistake.  It's anterior skim cut.  I want to understand the term.  Googling didn't yield a definition from what I could find.
anterior portions?
Subject: anterior portions?


free anterior air
Subject: free anterior air

nm