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step-off is perfectly fine and in the Sted's. nm

Posted By: Hip bone connected to the leg bone...:) on 2007-09-13
In Reply to: Fracture question - trose

Subject: step-off is perfectly fine and in the Sted's. nm

s


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Yes, sounds perfectly fine to me. -nm
Subject: Yes, sounds perfectly fine to me. -nm

x
nope, perfectly fine as frontoparietotemporal.
Subject: nope, perfectly fine as frontoparietotemporal.

.
Did fine gaiter cast in my old Sted's so sm
Subject: Did fine gaiter cast in my old Sted's so sm

-- that along with the Google hits makes me think this is legit.  Kind of makes sense. nm
that's perfectly okay feel better! nm
Subject: that's perfectly okay feel better! nm


"wise" is actually a suffix and perfectly...sm
Subject: "wise" is actually a suffix and perfectly...sm

acceptable.  Cardiacwise is used all the time.  Hate it, don't do it myself, but it is acceptable.  Every doc I've ever transcibed for has used it.  It's even in the Stedman's spellcheck. 
As I said, I am perfectly aware of exactly where the perineum is
Subject: As I said, I am perfectly aware of exactly where the perineum is

I misspoke, okay? I usually associate the word with abdominal/pelvic CTs because that is when I usually hear it. I was trying to help, and I didn't expect to be jumped on. I have been doing medical transcription since 1971, so I do have a little experience.


And re "peroneal," I happen to hear that most often when transcribing CTs or MRIs of the knee. Per Wheeless' Textbook of Orthopaedics (below) the peroneal nerve branches off the sciatic nerve and runs almost the entire length of the leg.  And I won't even get into the peroneal arteries and veins (which run from the knee to the ankle), muscles (peroneus longus and brevis), and tendons (which are the only part that is confined only to the ankle area, as mentioned above).


- Anatomy: 
- common peroneal nerve is derived from (L4, L5, S1, S2) as a part of the sciatic nerve
- posterior component, supplies short head of biceps femoris in thigh, crosses posterior to lateral head of gastrocnemius, and becomes subcutaneous behind head of fibula; 
- it penetrates the posterior intermuscular septum, and becomes closely opposed to the periosteum of the proximal fibula; 
- it then divides into superficial & deep peroneal nerves; 
- the nerve also gives off a lateral sural cutaneous brach which joins with the the medial sural cutaneous nerve (from tibial nerve) to form the sural nerve
- superficial peroneal nerve: 
- supplies lateral compartment of leg, first passing between peroneus longus 
 - passes in a straight line from the common peroneal nerve; 
- along the length of the proximal one third of the fibula, the superficial peroneal nerve is on the lateral cortex of the fibula; 
- passes between peroneus longus & peroneus brevis
- superficial sensory nerves: 
- subcutaneous superficial sensory branch lies between peroneus brevis and EDL msucles. 
- superficial peroneal nerve is accompanied by a true vascular axis that is supplied by tibialis anterior artery along its course. 
- about 10-12 cm above the tip of the lateral malleolus, the superficial peroneal nerve pierces the fascia; 
- about 6-7 cm distal to the fibula, the superficial peroneal nerve bifurcates into intermediate and medial dorsal cutaneous nerves; 
- location of cutaneous nerves: (from Huene and Bunnell 1995) 
- branches of the superficial peroneal nerve or the sural nerve may be injured during ORIF of Ankle frx; 
- these nerves are most at risk at the junction of the distal and middle thirds of the lateral border of the fibula; 
- in 22% of legs, braches of either nerve will cross the frx site; 
- in 54% of legs, branches of superficial peroneal will lie within 5 mm of the anterolateral border of the fibula; 
- safest interval is 12 mm posterior to the anterolateral border of the fibula at 10 cm from the fibular tip, and 10 mm posterior to the anterolateral border at 5 cm proximal to the tip


Thanks ya it can be heard so and fits perfectly
Subject: Thanks ya it can be heard so and fits perfectly

Thanks
You have to (LOL); "malaise" fits the blank perfectly.
Subject: You have to (LOL); "malaise" fits the blank perfectly.

Great job, FT MT!
To be perfectly honest, I have never seen it with periods before and I have been transcribing for 34
Subject: To be perfectly honest, I have never seen it with periods before and I have been transcribing for 34 years, but I too still have to learn new things every day. Guess that is what keeps me motivated.


Bless your heart. Been looking all nite. Fits perfectly too with pmh. :)
Subject: Bless your heart. Been looking all nite. Fits perfectly too with pmh. :)


IBD First Step
Subject: IBD First Step

Helps to diagnose patients with inflammatory bowel disease.

More info can be researched: www.prometheus-labs.com (Product Listing)

(IBD FIRST STEP)
s/l New Step
Subject: s/l New Step

She has been doing aquatherapy, treadmill and ______(s/l newstep) with very little decrease in her discomfort.
To take it a step further...
Subject: To take it a step further...

When you transcribe a CT or MRI, the radiologist may say "axial plane," "sagittal plane," or "coronal plane." That refers to the angle of the x-rays in relationship to the body (see illustration).
It looks like 21 mg for Step 1 (sm)
Subject: It looks like 21 mg for Step 1 (sm)

so this could be the dosage if the patient is just beginning the regimen.
step-offs I think
Subject: step-offs I think


step-off fxs would be correct
Subject: step-off fxs would be correct


That is it! I had to step away before I heard it.
Subject: That is it! I had to step away before I heard it.


What's the definition of a step off?
Subject: What's the definition of a step off?

 
Step-Down Unit
Subject: Step-Down Unit

 
s/l sacota step test
Subject: s/l sacota step test

help?
I transcribe it step-offs. nm
Subject: I transcribe it step-offs. nm

.
s/l veress step needle?
Subject: s/l veress step needle?

sounds like veress step needle?  Anyone got a clue?


step-stair test ??
Subject: step-stair test ??


yes she did...small step forward, I guess. nm
Subject: yes she did...small step forward, I guess. nm

nm
No step-offs. You will hear that a lot with fractures etc.sm
Subject: No step-offs. You will hear that a lot with fractures etc.sm

as per my old Stedman's Ortho and me, old ortho person here, before so many  hyphens etc. so I have to look things up to get things right for you guys.
I would use step-offs. Think they want anatomy here and not the name of something. JMHO. nm
Subject: I would use step-offs. Think they want anatomy here and not the name of something. JMHO. nm

s
Never mind, found step-off fracture. nm
Subject: Never mind, found step-off fracture. nm

!
Patient was injured while doing a s/l step class.
Subject: Patient was injured while doing a s/l step class.

nm
Hehehe, I guess I was a step ahead of that
Subject: Hehehe, I guess I was a step ahead of that

I'm sorry,  Since I already have suprascript and subscript up on my tool bar, my instructions were what to do for O(subscript)2 so all you have to do is type O2 (normal script) and it changes automatically.  I don't like having to highlight the 2 and go up there and click the subscript button every time.  I would rather type O2 and let Word change it for me.    I try to get Word to do as much for me as possible.  I do this for cm squared, cm cubed, H2(subscript)0, etc. 
there's a "stair-step" that relates to ventilation.
Subject: there's a "stair-step" that relates to ventilation.


Step class, Jane Fonda once had a video of this....
Subject: Step class, Jane Fonda once had a video of this....


Fukuda step or stepping test. Google
Subject: Fukuda step or stepping test. Google

search will bring up lots. I remember this one because I rarely encounter it so wrote it in my little reminder notebook.
Spacuda step test? Vestibular eval
Subject: Spacuda step test? Vestibular eval

S/L spacuda step testing.  Football player with concussion after helmet-to-helmet hit, now complaining of dizziness and headaches. 


The sentence is:


"His *Spacuda?* step testing was intact."


She is doing dynamic balance testing on him.


Thanks! 


Type of endoscopy for bladder outlet obstruction...s/l Step...nm
Subject: Type of endoscopy for bladder outlet obstruction...s/l Step...nm


Pt with irritable bowel, tests includes s/l "IBA first step". Anybody heard of this? TIA. nm
Subject: Pt with irritable bowel, tests includes s/l "IBA first step". Anybody heard of this? TIA. nm

nm
Fukuda marching step test for symptoms of Meniere's, vertigo
Subject: Fukuda marching step test for symptoms of Meniere's, vertigo


Does this make sense...If her symptoms return "short order" then the next step would be surger
Subject: Does this make sense...If her symptoms return "short order" then the next step would be surgery.


Facuto step test?? ENT consult report? Any ideas on Fucato, ficato, facotto? Help! Thanks! nm
Subject: Facuto step test?? ENT consult report? Any ideas on Fucato, ficato, facotto? Help! Thanks! nm


Like he says it would be fine sm.
When in doubt, especially with something this insignificant, go verbatim.
To me, it looks fine nm
Subject: To me, it looks fine nm

.
Yes I would think that would be fine nm
Subject: Yes I would think that would be fine nm

nm
tib-fib is fine...
Subject: tib-fib is fine...

cccc
Yes, what you have is fine.
Subject: Yes, what you have is fine.

I would put a comma after soft.


maybe fine for you but not for many....nm
Subject: maybe fine for you but not for many....nm

x
I think it's fine.
Subject: I think it's fine.

.
Looks fine. nm
Subject: Looks fine. nm

.
looks fine see msg.
Subject: looks fine see msg.

I would just change the zero to 0 but it looks accurate.
I think it looks fine. :-)
Subject: I think it looks fine. :-)


That looks fine
Subject: That looks fine

Don't worry so much about format.
That sounds fine nm
Subject: That sounds fine nm

xx
You're doing fine. nm
Subject: You're doing fine. nm