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As I said, I am perfectly aware of exactly where the perineum is

Posted By: Malia on 2007-08-04
In Reply to: Not the word police - sm

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




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    perineum
    Subject: perineum

    help what is this? 'perineum clipped as an infant'?


    I think perineum might be the word instead of cranium.
    Subject: I think perineum might be the word instead of cranium.


    TY ~ I'm well aware of the two and the differences!
    Subject: TY ~ I'm well aware of the two and the differences!


    not that i am aware of. would love to know tho.
    Subject: not that i am aware of. would love to know tho.

    i use rxlist.com to check.
    The one I'm aware of is Caduet.
    Subject: The one I'm aware of is Caduet.

    Can you hear that?

    http://www.drugdigest.org/DD/DVH/Uses/0,3915,552956|Caduet,00.html
    Are you aware you used the wrong spelling for planes?
    Subject: Are you aware you used the wrong spelling for planes?

    It's not plain old plain, it's planes in this context.
    Lots of newbies here not aware of these subtle spelling/area
    Subject: Lots of newbies here not aware of these subtle spelling/area

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

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

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    Subject: nope, perfectly fine as frontoparietotemporal.

    .
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    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.


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