op note help for ORIF
Posted By: ER MT on 2007-08-10
In Reply to:
Subject: op note help for ORIF
Am I hearing this correctly?
Under 3.5 s/l executed magnification, the interval between the FCR and radial artery was utilized.
S/L executed
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ORIF
Subject: ORIF
open reduction internal fixation
ORIF
Subject: ORIF
I often see the ASR type "open reduction internal fixation". I was always taught it was "open reduction and internal fixation. They are 2 separate procedures as far as I know. Am In incorrect?
Psych note Axis III s/l VPS and neuropathy. No health history in the note. Only meds listed psych
Subject: Psych note Axis III s/l VPS and neuropathy. No health history in the note. Only meds listed psych
what does ORIF stand for?
Subject: what does ORIF stand for?
nm
ORIF incision?
Subject: ORIF incision?
Ankle surgery
"transverse ****** vertical incision over the distal fibula."
What's missing?
ORIF in abdomen?
Subject: ORIF in abdomen?
ABDOMEN: Soft, tender and redness on the left side of the patient's abdominal wall during examination. The patient expressed feculent material coming from the ORIF incision site, along with air.
I have never heard of ORIF referring to the abdomen. Any idea what else thise could be
Could it be hardware that has been taken out? An ORIF gone bad? sm
Subject: Could it be hardware that has been taken out? An ORIF gone bad? sm
http://www.medicinenet.com/script/main/hp.asp
Explant: 1. The original meaning: to transfer tissue from the body and place it in a culture medium for growth; and the tissue that is transferred.
2. To remove a device that had been implanted.
Doing ORIF s/l *Benirshki* incision. nm TY!!
Subject: Doing ORIF s/l *Benirshki* incision. nm TY!!
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.
ORIF/type of screws used...
Subject: ORIF/type of screws used...
sounds like surgeon is saying feltapping cortical screws. TIA!
distal radius ORIF
Subject: distal radius ORIF
The patient was given s/l cephanicol for muscle relaxation.
sulfanicol? cefanical? Can't find anything that s/l these.
Thank you!
ORIF pin s/l preopproping through the skin
Subject: ORIF pin s/l preopproping through the skin
Left small finger shows a palpable point of what appears to be metal but is not *s/l preopproping* through the skin.
Eye surgery - ORIF of tripod and
Subject: Eye surgery - ORIF of tripod and
and orbital floor fractures -- Doc says "There were s/l greenstat component fractures of the zygomatic arch and along the frontozygomatic suture line." Thought about greenstick fracture, but have not had this used in reference to face before.
ortho op report ORIF
Subject: ortho op report ORIF
ORIF of forearm - this dr is a great dictator and speaks very clearly but does this make sense?
The anterior approach of Henry was now performed. Care was taken to preserve all neurovascular structures. The fracture site was **** s/l rarely *** delineated. A butterfly fragment was noted. The fracture was now reduced and the butterfly component was provisionally pinned with small K-wires.
Ankle ORIF: A s/l three liter bump was placed.
Subject: Ankle ORIF: A s/l three liter bump was placed.
thanks
Doing ORIF of ulna with plate fixation, SM
Subject: Doing ORIF of ulna with plate fixation, SM
Sounds like
Reduction was obtained and held with pointed reduction clamps, and a Synthes 8-hole 3.5 DC s/l "Kavi" ______ plate was affixed....
As always, thanks in advance. 
Pt had ORIF with two small fragment s/l cancela screws. TIA *nm*
Subject: Pt had ORIF with two small fragment s/l cancela screws. TIA *nm*
Cotton test?? performed under floroscopy? doing ORIF
Subject: Cotton test?? performed under floroscopy? doing ORIF
Feel that revision ORIF would be most warranted and I will use a s/l stack plating technique. sm
Subject: Feel that revision ORIF would be most warranted and I will use a s/l stack plating technique. sm
Patient does suffer from neurofibromatosis and this is not unexpected. Is the **stack** plating correct? Thanks
noteworthy; note worthy; note-worthy
Subject: noteworthy; note worthy; note-worthy
Just wondering if there is any general rule about transcribing noteworthy.
Also, status post; status-post.
Thank you.
Capital as in capital letters ORIF
Subject: Capital as in capital letters ORIF
changes left (maybe) humeral shaft with good bony healing.
Op note ref. SM
Subject: Op note ref. SM
http://www.mtdesk.com/frame.php?frame=resources
ER note
Subject: ER note
? pulse ox 99% on room air which is normal per ______ interpretation.
ER note thanks
Subject: ER note thanks
Thanks, practically sure it was per the ER physician reading. So, will be ready for next time!
At the end of OP note, he says
Subject: At the end of OP note, he says
what sounds like "mick" instrument and needle count.
On another, says "sponge, _____and instrument" and that sounds like "lab". Any clues are appreciated. Thank you!
OP note help please sm...
Subject: OP note help please sm...
mild (s/l-fibulations-) with changes on the surface of the condyle
Of note..... I want
Subject: Of note..... I want
to thank everyone so much for all the help I have received on this website since I have become an MT. Bless everyone of you. I hope one day to help those also asking questions as you all have me.
Op note
Subject: Op note
Dictator says: Local Xylocaine 1% anesthesia 'arfate' cannulated.
What is the 'a' word?
me again - same op note :(
Subject: me again - same op note :(
The wound was irrigated and rough edges were S/L RASSED. 
op note help
Subject: op note help
Using an up-biting basket and a S/L 405 shaver a medial meniscectomy was performed.
TIA!
OP NOTE HELP
Subject: OP NOTE HELP
The iliotibial band was then split inline with the incision and retracted anteriorly and posteriorly with a _____ bow. s/l charming.....
The procedure is a cemented bipolar hemiarthroplasty left hip.
OP NOTE STILL
Subject: OP NOTE STILL
Should have went further in the note...sorry...another blank is
Attention was directed to the proximal femur, which was prepared with a box-cutting chisel, _____ canal finder and a trochanteric router this sounds like "chauney"
ESL help with op note
Subject: ESL help with op note
She says: With forceps and a S/L barpotta knife the lesion was excised. (This is excision of a lid nodule). 
have another on this same note - sm
Subject: have another on this same note - sm
Bilateral elbow rheumatoid arthritis. The left side is more advanced with (s/l)'spectus articulusdamage than appears on the right side
op note help
Subject: op note help
This is an excision of a breast nodule. Two questions:
1. The area was prepped with s/l Cloraprep
2. The needle was grasped with an S/L Alice clamp
See note below
Subject: See note below
This is the context of the report. It sounds just like Waddellian. He says this quite a bit and it stumps me every time....
PSYCHIATRIC: The patient was alert and oriented x3 with a somewhat depressed and scattered mood, being very jumpy and quickly agitated by minimal movements or pressures in various areas such as supporting the leg while doing musculoskeletal motor examination for neurologic examination. The patient definitely showed some ____________________ symptoms through our examination. When the idea of psychiatric help in this manner was brought up in this case, the patient seemed almost excited to know this was a coming event.
op note help
Subject: op note help
This is a partial medial meniscectomy and synovectomy.
large s/l type 1 plica present - is type 1 correct?
This was resected back to a stable configuration using an s/l oslite shaver or 8 inch shaver (he mumbles) ???
op note help
Subject: op note help
This is for an amputation of the left hallux.
Upon induction of IV sedtion a total of 10 ml of 0.5% Marcaine plain was infiltrated in a S/L Mayo block type fashion.
Mayo block???
note, no h on the end.
Subject: note, no h on the end.
x
Op note help
Subject: Op note help
ORIF surgery: Intraoperative s/l FLORA showed excellent alignment of the implants.
Note put above
Subject: Note put above
what does it mean when she dictates "note, put above..." before a sentence? i'm confused.
not 100% sure, but I don't think so--also, another note
Subject: not 100% sure, but I don't think so--also, another note
should your first part of your message say "afferent pupillary defect" ?? instead of papillary
See note
Subject: See note
This is what you are looking for.
http://www.fda.gov/cdrh/pdf/p000040.html
Lilly
Thanks for everyone's help. I sent it in with a note for them to let me know. sm
Subject: Thanks for everyone's help. I sent it in with a note for them to let me know. sm
Hopefully, by boss will get back to me, and I will let you all know. Thanks again!
op note
Subject: op note
s/l groshime single lumen catheter
see note
Subject: see note
first word may be lucencies second word might be bezoar
Thank you! Will make a note of it. nm
Subject: Thank you! Will make a note of it. nm
x
Surgical note. sm
Subject: Surgical note. sm
A tornikot was used for hemostasis. He actually spelled it with a "c" rather than "k", but I can find neither.
He said, "not tourniquet, but tornicot".
clinic note help
Subject: clinic note help
Patient is accompanied by her husband today who is very concerned regarding recent symptoms of numbness and tingling in the lateral aspect of the left and right arm. ***This is been ongoing x 2 to 4 weeks.**** . is this the correct way to transcribe this? The last sentence is the questionable.... thanks for all your help!!
clinic note
Subject: clinic note
thanks for your help, I am a new MT and I am a little confused with some things. thanks again!!!
clinic note
Subject: clinic note
the doctor says "this has been ongoing times 2 to 4 weeks" i was not sure how to transcribe that.
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