Doing hand surgery reports.... s/l "take down fusion" SM
Posted By: Just Looking on 2009-06-01
In Reply to:
Subject: Doing hand surgery reports.... s/l "take down fusion" SM
Patient has a dorsal dislocation and deformity of the PIP joint.
I explained to her that one of the procedures that could be done for her would be to take down fusion and relocating the joint back in place.
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Could be "take down fusion," if she has
Subject: Could be "take down fusion," if she has
had the joint fused in the past.
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
hand surgery
Subject: hand surgery
Could be Zimany bilobed flap. This is used in hand surgery.
Talus formation in hand surgery?
Subject: Talus formation in hand surgery?
As far as I can find talus is only referred to in the foot/ankle, but this doctor is doing a cyst excision on the middle finger and says "The talus formation to the dorsal soft tissue was also s/l lipsed out." Can someone help with the talus formation part and also "lipsed out"? THanks 
s/l "zen chole" surgery on hand/finger ?...nm
Subject: s/l "zen chole" surgery on hand/finger ?...nm
x
"zeidenberg" flap for trapezium nonunion.. hand surgery..nm
Subject: "zeidenberg" flap for trapezium nonunion.. hand surgery..nm
.
Opps interbody fusion,not body fusion
Subject: Opps interbody fusion,not body fusion
x
T-U fusion or TU fusion. also, hypocalcemia, yes. see message
Subject: T-U fusion or TU fusion. also, hypocalcemia, yes. see message
found on line:
"On EKG, hypocalcemia may be signified by a lengthening of the ST segment and QT interval"
T-U fusion (from what I can find) is related to hypokalemia rather than hypocalcemia. Might take some searching?
"Other findings associated with hypokalemia include the following: The U wave and T wave merge in some cases to form a T-U wave which may be misdiagnosed as a prolonged QT interval."
http://cmbi.bjmu.edu.cn/uptodate/electrocardiography%20tutorial/ECG%20tutorial-Miscellaneous%20diagnoses.htm
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
Thank you! (New at these Op Reports!!)
Subject: Thank you! (New at these Op Reports!!)
Reports. (SM)
Subject: Reports. (SM)
The posts containing the reports have been removed and the poster was notified about not posting such information in the future.
Please feel free to contact the administrator (admin@mtstars.com) or myself (goldbird@mtstars.com) if you have any questions.
Your comments and postings are very much welcome here.
Let me know if I can help you,
Goldbird
Reports
Subject: Reports
I only got help for 2 reports, and the people that helped me wanted to help me.
No one was forced and I greatly appreciate their help. I just needed help in some areas that I was having some trouble in that is all.
You and Milton Red Stapler have a nice day.
and in my reports...I put....sm
Subject: and in my reports...I put....sm
*in regard to*, not *in regards to*....and as far as *alot* goes, I am used to my word program separating that out as a lot, and since this message board program does not do that, oh well....get off it already. sheesh. nitpickers!
new to op reports
Subject: new to op reports
I am new to op reports and looking for any good reference sites to refer to when needing help. My ops mostly consist of General surgery, orthopedic, ENT, ophthalmology, gyn and plastic surgery.
Any guidance would be appreciated. I have a M&S Equipment words book and an ortho book. Would like some good websites.
Thanks in advance
fractions in reports
What is acceptable, 1/4 or one-fourth? Thanks.
Newbie's reports
Subject: Newbie's reports
The area in which you most need help is in how to decide what is ethical. The moderator herself does not allow such reports to be posted here. You should have known better. Now you do.
sample reports
Subject: sample reports
MT daily has sample reports, I need a C-section. Know where I can get one. Thanks in advance.
Psychiatric reports.
Subject: Psychiatric reports.
I have a question in regards to psychiatric evaluations. Would diagnosis or diagnoses be used when typing out Axis I, Axis II, Axis III, etc.?
Does anyone do insurance reports?
Subject: Does anyone do insurance reports?
I called you requesting additional information in order to find out if there is any medical s/l: conjournigation OR conjure negation to work on a full-time basis.
Thanks for any help!
help new to ortho reports
Subject: help new to ortho reports
Can a person have full finger flexion at the volar wrist?
This is just a statement made in the Objective portion of the report. She is stating he has full dorsiflexion, palmar flexion and radial and ulnar deviation of the wrist. THen goes on to say "finger flexion at the volar wrist irriation with clicking"
This is not a verbatim account and she is somewhat scatterbrained sometimes so you have to fill in the blanks at times.
Tenses in reports
Do the majority of y'all change tenses when the docs dictate them incorrectly? Normally I'm inclined to, but there are times when I question it. Of course, my pet peeve is dictating a surgery that already happened, yet everything is present tense!
In this case, here's what I'm questioning:
The patient was evaluated previously, and a left inguinal hernia is reducible.
Thanks in advance!
Echocardiogram Reports
Subject: Echocardiogram Reports
I need help. I have been thrown the lions den, this man garbles his words and I am not used to typing echoes. I need to know how to is it end diastolic or in diastolic? Is only the left side measured? 
Thank you! I don't do many ortho reports.
Subject: Thank you! I don't do many ortho reports.
tx
psych reports
Subject: psych reports
Just wondering if GAF on psych diagnosis should be expanded to Global Assessment of Functioning? Or just GAF
more on psych reports
Subject: more on psych reports
When there are multiple items under an AXIS, should #1 start two spaces after AXIS I, or hit return and start #1 at the left margin?
Thanks so much! I'm new to Physical Therapy reports. nm
Subject: Thanks so much! I'm new to Physical Therapy reports. nm
x
DO NOT POST COPIES OF REPORTS. (SM)
Subject: Please kindly do not post reports (sm)
Please kindly do not post reports from your employer on this site. I have also made the Administrator aware of this.
Goldbird (Moderator)
Newbie posting reports
Subject: Newbie posting reports
Newbie, this is the stuff of which lawsuits are made. Get informed. Get some ethics. Get a clue. Good thing you do not work for my company or you would be out in a New York minute.
Can you access old reports to see if it's something used routinely? nm
Subject: Can you access old reports to see if it's something used routinely? nm
s
Can you access any of the old reports to see if he "normally" says something here? nm
Subject: Can you access any of the old reports to see if he "normally" says something here? nm
s
Thanks a bunch, now I do not have any blanks in none of my reports
Subject: Thanks a bunch, now I do not have any blanks in none of my reports
exam reports as having no problems..
Subject: exam reports as having no problems..
There are Conners reports and scales. nm
Subject: There are Conners reports and scales. nm
nm
one last try before getting these reports done.... a drug s/l clu-thy-lone.. thank you
Subject: one last try before getting these reports done.... a drug s/l clu-thy-lone.. thank you
I work on psych reports
Subject: I work on psych reports
we capitalize Verbal, Performance, and Full Scale IQ where I work. We have all our resulting scores listed in a table. I hope this helps. Where are you getting all the psych work from?
Question to QA about spacing in reports
Subject: Question to QA about spacing in reports
Have to change from 2 spaces after a period to 1 space. If you have only one space after periods in sentences, is it okay to leave 2 spaces after colons? The reason I ask is that some of my expanders have a lot of expansions (like Neck: Supple) that have 2 spaces after the colon and need to know if I have to change them all or can I leave them be?
Any advice is much appreciated! 
thank you again, now I have no blanks in my reports. Thanks a bunch!!
Subject: thank you again, now I have no blanks in my reports. Thanks a bunch!!
Paragraphs in body of op reports.
Subject: Paragraphs in body of op reports.
When dictators dictate 'paragraph' within the body of the procedure portion of op reports, do I create separate paragraphs or ignore this request? This is not a verbatim account.
Site for sample reports. sm
Subject: Site for sample reports. sm
http://www.stedmans.com/AtWork/section.cfm/27
to be truthful, I do a lot of colonoscopy reports
Subject: to be truthful, I do a lot of colonoscopy reports
and still, no incision.
Always seen it as two words in medical reports....nm
Subject: Always seen it as two words in medical reports....nm
nm
Always seen it as two words in medical reports....nm
Subject: Always seen it as two words in medical reports....nm
nm
Yes, it is a word used a lot in psych reports nm
Subject: Yes, it is a word used a lot in psych reports nm
xx
Stedman's Sample Reports
Subject: Stedman's Sample Reports
Link below
fusion
Subject: fusion
Fusion with V toss???
Try "a fusion". nm
Subject: Try "a fusion". nm
.
fusion
Subject: fusion
fusion
Subject: fusion
nm
I would use C5, C6, and C7 fusion
Subject: I would use C5, C6, and C7 fusion
x
could it be fusion?
Subject: could it be fusion?
xx
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