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first ray of the left foot

Posted By: mmk on 2007-12-18
In Reply to: Help - Anon

Subject: first ray of the left foot




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This kept happening to me until I put my left foot up on a sm
Subject: This kept happening to me until I put my left foot up on a sm

small padded stool, just high enough that my chair doesn't hit the back of my knee.

Get up and stretch at least every hour to get that blood moving again.

I transcribe with dogs, too. And cats. They are my muses. :)
Patient with left foot metatarsalgia. Please sm
Subject: Patient with left foot metatarsalgia. Please sm

Plan: Place her into a s/l hase pad. Thanks for any help!
S/L Hul-o-ma-maly or soft corn left foot
Subject: S/L Hul-o-ma-maly or soft corn left foot

Not good with podiatry
Pt's gait was stiff due to "turnus" in her left foot. nm
Subject: Pt's gait was stiff due to "turnus" in her left foot. nm


left lateral foot and ankle pain
Subject: left lateral foot and ankle pain

On x-ray ...  slightly elongated second and third metatarsals, left foot with uneven ____ s/l pravilla or pravula or prabula.   Avulsion fracture noted.
She is also concerned about s/l ___momali 1st interdigital space of the left foot
Subject: She is also concerned about s/l ___momali 1st interdigital space of the left foot


 



foot exam - removal of AFFENDING ingrown nail spicules from the right and left great toes
Subject: foot exam - removal of AFFENDING ingrown nail spicules from the right and left great toes

This is a new dictator for me and he says the same thing in almost every dictation.  He is stressing the AFFENDING - kind of like to let you know that it's an "A" and not "O".. 


Achilles regional skin ulcer and left foot ulcer following venotomy?
Subject: Achilles regional skin ulcer and left foot ulcer following venotomy?


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

:-)
AFO-ankle foot orthosis for drop foot. nm
Subject: AFO-ankle foot orthosis for drop foot. nm

nm
if they say *foot* - give 'em foot....nm
Subject: if they say *foot* - give 'em foot....nm


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

,,
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
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.

:-)
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. 
foot
Subject: foot

a cheilectomy is a removal of the lips! Calcanectomy maybe?
foot deformity
Subject: foot deformity

Charcot deformity?  Sounds like "charco or sharco". Thanks.
Foot prosthesis
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?


? Charcot foot
Subject: ? Charcot foot


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!


Yes, foot/ankle (nm)
Subject: Yes, foot/ankle (nm)

*
Foot ulcers please see msg
Subject: Foot ulcers please see msg

There are S/L: dopulous signals in the right and left foot in the dorsal pedal and posterior tibial positions, and the right is better than the left. 
No,. the fracture is isn't in the foot, plus...
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


foot procedure
Subject: foot procedure

Excision of a porokeratic lesion and a s/l Shootie flap. TIA.
s/l PER 4 fracture of his foot
Subject: s/l PER 4 fracture of his foot

I can't verify PER 4
N-U support for foot? See msg
Subject: N-U support for foot? See msg

The patient underwent physical therapy and has been given an N-U support for his foot.

Doc states it as "in dash you" support
Foot surgery
Subject: Foot surgery

The tendons were retracted laterally.  At this time the s/l Mclaren elevary was introduced and the flexor plate was released.
foot/ankle - THanks for looking
Subject: foot/ankle - THanks for looking


Foot surgery help?
Subject: Foot surgery help?

release of the lateral sesamoid ligament, and an adductor s/l re-tenectomy? was performed
Foot Term?
Subject: Foot Term?

Past surgical history: Excision of s/l os tibialic sternum, left foot?
whole sentence, please. what comes before foot?
Subject: whole sentence, please. what comes before foot?


Does he say exactly what foot problem?
Subject: Does he say exactly what foot problem?


feet or foot?
Subject: feet or foot?

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


missing foot (sm)
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.
s/l calectomy of foot. Thanks.
Subject: s/l calectomy of foot. Thanks.


rear foot?
Subject: rear foot?


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


Sounds like the patient is on all 4's to me.  lol  Am I missing something???  Call me crazy but I'm thinking I should remove the word rear.


bilateral foot?
Subject: bilateral foot?

or bilateral feet?
s/l tricomed foot
Subject: s/l tricomed foot

DIAGNOSIS: Early s/l tricomed foot, right foot.
--metatarsal is foot - don't think it would be
Subject: --metatarsal is foot - don't think it would be

x
part of the foot
Subject: part of the foot

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


Foot surgery
Subject: Foot surgery

PROCEDURE: Calcaneal osteotomy (s/o Coleman slide), with looping of the anterior tibialis on the talus head.
Please help regarding foot soak s/l drift.
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