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

Posted By: me on 2008-05-01
In Reply to: sign - Linda F

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?



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shoulder pain and knee pain
Subject: shoulder pain and knee pain

Doctor says, "he denies any neck pain or s/l ridicular symptomatology into the upper extremity.
wants to try keying? for hand pain
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.
shoulder pain
Subject: shoulder pain

this is a history of acromial shoulder pain. Doctor says, "this is a dull, achy pain s/l "low colosa" subacromial space.
Had a ?? Right shoulder pain s/l..
Subject: Had a ?? Right shoulder pain s/l..

The sentence says will send to Physical Therapy for some strengthening exercises and will need to undergo some changes in his ((pack)) placement in order to prevent the development of further pain..


does pack sound right?  that is what it sounded like, but haven't found anything yet.. tia..


Test's for shoulder pain
Subject: Test's for shoulder pain

The doctor dictates that the arc test and drop can test is negative.  The patient has been having shoulder pain. 
the patient actually is in for shoulder pain. This is just part of the PE and that's all he says
Subject: the patient actually is in for shoulder pain. This is just part of the PE and that's all he says.


Ortho...bilateral shoulder pain. (sm)
Subject: Ortho...bilateral shoulder pain. (sm)

X-rays show s/l acromioniaztion / core munization / acromunization both shoulders. There is arthritis in both shoulders.
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


Pt has shoulder pain. On exam has positive s/l scarf sign.
Subject: Pt has shoulder pain. On exam has positive s/l scarf sign.


patient has shoulder pain. On exam no cerva-chromal crepitus. nm
Subject: patient has shoulder pain. On exam no cerva-chromal crepitus. nm

thanks.
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


forgot the l, col --- Fingers
Subject: forgot the l, col --- Fingers

are not working yet this morning.
names of fingers
Subject: names of fingers

I have always heard the index finger referred to as the trigger finger.  Based on the assumption, the trigger/index finger is different than the ring finger.  I have never heard any other finger referred to with that label, but that doesn't mean I am right. 


names of fingers
Subject: names of fingers

The doctor is referring to the condition "trigger finger", not the index finger. He is saying she has right ring trigger finger. Meaning that finger most likely catches or locks down with movement. I had it also and they surgically released it.
and um fingers missed on trochanteric LOL
Subject: and um fingers missed on trochanteric LOL


It's a tournicot, for fingers and toes. nm
Subject: It's a tournicot, for fingers and toes. nm

s
There is a dactylogryposis which is contractures of fingers.
Subject: There is a dactylogryposis which is contractures of fingers.


It rolled off my fingers with the e but then I second-guessed. Thanks! nm
Subject: It rolled off my fingers with the e but then I second-guessed. Thanks! nm

..
Sorry, IT could be. My fingers are cold this morning.nm
Subject: Sorry, IT could be. My fingers are cold this morning.nm

ss
yep, i am having one of those days too. Getting tired fingers. NM
Subject: yep, i am having one of those days too. Getting tired fingers. NM


Pyridium for UTI; nummular eczema (fingers)
Subject: Pyridium for UTI; nummular eczema (fingers)

x
Sorry, meant costophrenic, fingers had another idea!
Subject: Sorry, meant costophrenic, fingers had another idea!


buddy tape (taping two fingers together)
Subject: buddy tape (taping two fingers together)


S/l bifashion bay tubex splint for the fingers ? nm
Subject: S/l bifashion bay tubex splint for the fingers ? nm

x
thanks...flipping a lot of pages in BOS would rather use fingers for typing!!!!
Subject: thanks...flipping a lot of pages in BOS would rather use fingers for typing!!!!


Opps! Fingers have the hiccups again! (Rearrange)
Subject: Opps! Fingers have the hiccups again! (Rearrange)


oops - fingers got ahead of me -- s/b "diseases"
Subject: oops - fingers got ahead of me -- s/b "diseases"


ray refers to the digits...toes, fingers, etc..not patellae..sm
Subject: ray refers to the digits...toes, fingers, etc..not patellae..sm

does not make any sense.
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Subject: wow i agreed septicemia, sorry, i wrote bacteremia, the fingers have their own brain


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! 
Can find Biolock titanium screws on a Google search, usually for dentistry, but would fit fingers
Subject: Can find Biolock titanium screws on a Google search, usually for dentistry, but would fit fingers

s
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','');
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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