Never heard of coronal ligament either, and I did orthopedics about twenty years.
Posted By: pc on 2007-11-16  
In Reply to: s/l coronal ligament in the right ankle?  nm - Can't document this.  Thank you.
  
Subject: Never heard of coronal ligament either, and I did orthopedics about twenty years. 
   
 
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s/l coronal ligament in the right ankle?  nm 
Subject: s/l coronal ligament in the right ankle?  nm 
   nm
	 
	
have heard coronal ligaments regarding knee leg etc. nm 
Subject: have heard coronal ligaments regarding knee leg etc. nm 
  
	 
	
anyone every heard of a Roger-Mann dressing for orthopedics.  sm 
Subject: anyone every heard of a Roger-Mann dressing for orthopedics.  sm 
  That is what my manager says it is but I cannot find any info on it.
	 
	
20 years in rad - never heard of that SM 
Subject: 20 years in rad - never heard of that SM 
  maybe you or your doc could call or email to see what it means? 
	 
	
In over 20 years I have never heard of a 15-0 blade! Are you sure? nm 
Subject: In over 20 years I have never heard of a 15-0 blade! Are you sure? nm 
  .
	 
	
Thanks so much for your help.  Never heard of it in 8 years typing ortho.  nm 
Subject: Thanks so much for your help.  Never heard of it in 8 years typing ortho.  nm 
   nm
	 
	
30 years, never heard them say scope goes through the teeth.  NM 
Subject: 30 years, never heard them say scope goes through the teeth.  NM 
  .
	 
	
You are very welcom. I have 19 years of uro experience. I have heard it all. LOL. nm 
Subject: You are very welcom. I have 19 years of uro experience. I have heard it all. LOL. nm 
  nm
	 
	
Anyone heard of SIAC ??..I've done ortho for 7 years - very clear.  nm 
Subject: Anyone heard of SIAC ??..I've done ortho for 7 years - very clear.  nm 
   nm
	 
	
In eight years of transcribing ortho, I've never heard this term... 
Subject: In eight years of transcribing ortho, I've never heard this term... 
  Impression:  
1.  Left de Quervain tendinitis. 
2.  Left carpal tunnel syndrome. 
 
Will get EMGs.  The patient has evidence of s/l palmarthrorheumatosis.  He runs it together, so it may be palm  (or palmar) arthrorheumatosis.   
 
Any help is appreciated. :) 
	 
	
Lachman's probably.  Never heard of cotton's maneuver.  Been in orthopaedics for 25 years. 
Subject: Lachman's probably.  Never heard of cotton's maneuver.  Been in orthopaedics for 25 years. 
  
	 
	
No problem, worked for Urologists for 8 years so I've heard the term a time or two 
Subject: No problem, worked for Urologists for 8 years so I've heard the term a time or two  
  :)
	 
	
He's saying 4 hundred twenty seven distinctly 
Subject: He's saying 4 hundred twenty seven distinctly 
  
	 
	
I learned 27 years ago to use q.4h. (no spaces), past few years q.4 h. (see msg) 
Subject: I learned 27 years ago to use q.4h. (no spaces), past few years q.4 h. (see msg) 
 
 Now some are saying it's q. 4h.??  UGH, YUCK!!  I have also worked on accounts where it had to be "every 4 hours," and we had to spell out p.r.n. (as needed for).  At least we got more characters.    
First rule:  It is all what the "client/account" wants, not always what the BOS says it is.  I realize that language and its usage is constantly changing, but I've seen so many BOS and client flip-flops on so many other things in nearly 3 decades that it's laughable.  What isn't laughable is when we get penalized for not knowing what they want, even when they, themselves, don't know or are wrong.  
Oh, and I still prefer the old no spaces:  q.4h., q.4-6h., q.12h., and so on..... 
	 
	
coronal? 
Subject: coronal? 
  
	 
	
Wow, thank you. Just years, years and more years of experience 
Subject: Wow, thank you. Just years, years and more years of experience 
  and a constant thirst for learning something new everyday. As we all know this can get to be somewhat boring, but learning from what I transcribe as well as from other transcriptionists keeps me going (money is not bad either). It becomes a challenge. But I can't thank you enough for the kind words.  
 
Use to be younger...
	 
	
coronal is correct nm 
Subject: coronal is correct nm 
  nm
	 
	
axial and coronal ? 
Subject: axial and coronal ? 
  
	 
	
Yup, coronal alignment is correct. nm 
Subject: Yup, coronal alignment is correct. nm 
  .
	 
	
s/l corner angle - coronal? 
Subject: s/l corner angle - coronal? 
  doc is doing tah-bso adhesion from colon to s/l corner angle to the tube and ovary and freeing up the s/l corner angle.  Any clues?  Could it be coronal angle.  It is not cardinal.  
	 
	
They do axial images and then coronal and sagittal  
Subject: They do axial images and then coronal and sagittal  
  
	 
	
They do axial images and then coronal and sagittal  
Subject: They do axial images and then coronal and sagittal  
  reformations or reformats from the axial data - I've heard it both ways.
	 
	
CT scan of the sinuses with axial and coronal s/l retons 
Subject: CT scan of the sinuses with axial and coronal s/l retons 
  
	 
	
2 years' time because years is plural.  One year's time because it is singular, only one year. 
Subject: 2 years' time because years is plural.  One year's time because it is singular, only one year. 
   
	 
	
ligament? 
Subject: ligament? 
  
	 
	
ligament perhaps... 
Subject: ligament perhaps... 
   What about the deltoid ligament which is in the ankle?  Just guessing at this point.
	 
	
New to orthopedics? 
Subject: New to orthopedics? 
 
 I am not sure if this looks right but this the sentence that sounds like it is being said.  I am wondering if "pub" is short for pubic??  Thanks for the ortho help, as I am at a loss in this area.  
Osteopathic manipulative treatments were performed using muscle energy, Jones strain/counter strain, 7 stages of Spencer, leg tug technique, and a pub technique.        
Thanks for your time.  
	 
	
orthopedics 
Subject: orthopedics 
 
 I would appreciate if someone can help with this....There is no deltoid or ____ atrophy.  
I think he is sayign something that sounds like spiniatrophy...I really cannot make it out but he has said it in more than 3 reports. I was wondering if it was spinatus but there is no S, also it could be two words???  
Thank you. 
	 
	
Orthopedics 
Subject: Orthopedics 
  Thanks for all your replies. I will check them as soon as I get back to the report and post here.
	 
	
Orthopedics 
Subject: Orthopedics 
 
 PHYSICAL EXAMINATION: Examination reveals nontender portal sites.??? I am not sure of the portal sites but I am hearing something close to that...thanks for your help.
	 
	
Orthopedics 
Subject: Orthopedics 
 
 She notes occasional crepitus.  
   
PHYSICAL EXAMINATION:  
Examination reveals nontender ___.  Range of motions are nearly complete and painfree.    
That is exactly what he said... nothing else. there is no subheading. 
	 
	
Orthopedics 
Subject: Orthopedics 
  PHYSICAL EXAMINATION: 
Examination reveals painfree range of motion at the shoulder, ___ are nontender 
 
Here is another ... he says this in couple more of his reports.
	 
	
help please - orthopedics 
Subject: help please - orthopedics 
  the dr. dictates - The s/l "hungerford" sequential instrumentation was utilized and a drill hole was placed in the distal end of the femur.  TIA!!  
	 
	
ORthopedics help 
Subject: ORthopedics help 
 
 Dr. Says:  The right knee has some minimal diffuse swelling, but no point tenderness or erythema.  No pain with movement of the patella, medially or laterally.  No increased (s/l play) with varus or valgus stress.  Negative drawer and Lachman test.     
   
ASSESSMENT  
Left arm strain and right knee contusion, due to a fall  
Could play be the correct word?    
	 
	
orthopedics 
Subject: orthopedics 
  Does anyone know of any good websites to look up medical terms/surgery in orthopedics.  Thanks! 
	 
	
I don't do orthopedics either...obviously!! 
Subject: I don't do orthopedics either...obviously!! 
  But I appreciate all of your help!
	 
	
Orthopedics 
Subject: Orthopedics 
 
 Doc is saying "posterolateral interbody fusion with s/l REMP grafts and gutter fusion"    
REMP? 
	 
	
orthopedics 
Subject: orthopedics 
   Hi, I am new at ortho and have a couple of questions. 
 
Physical Exam: There is an abrasion over the left anterior tibia.  Left foot has normal dorsalis pedis and tibialis posterior pulses.  The sensation is intact.  *Capillary refill is less than 2 seconds.*  Am I hearing this correctly? 
 
Then he says: X-rays of the left femur and left *tib fib* are negative.  Is it OK to say tib fib? 
 
Thanks.
	 
	
Orthopedics 
Subject: Orthopedics 
  metatarsalagen????  hammertoes.  Never heard of this, but then again this doc never speaks clearly, so it could be almost anything.  
	 
	
Orthopedics 
Subject: Orthopedics 
  I have a dictation that states "bilisuit" compression fracture.  Does anyone know what the word "bilisuit" could be?  Thank you.
	 
	
Orthopedics help please. 
Subject: Orthopedics help please. 
 
 Sounds like "Dirock" procedure for index finger dislocation.  
   
Thanks 
	 
	
orthopedics 
Subject: orthopedics 
 
 I'm working on a transcription for Orthopedics, and I'm not sure what the doc is saying before "cervical lodosis".  It sounds like "attended", but maybe someone could give me a second opinion?  Here's the sentence:  
She had a 6 month history of progressive disabling back pain visibly associated with progressive kyphotic deformity of the thoracolumbar spine, with an attended cervical lordosis.  
	 
	
Orthopedics sm 
Subject: Orthopedics sm 
  Is sounds like "smooth (perasal?) thickening."  TIA  
	 
	
Might be gastrocolic ligament 
Subject: Might be gastrocolic ligament 
  At least gastrocolic something.  Hope that helps. 
	 
	
stuck on ligament...sm 
Subject: stuck on ligament...sm 
 
 There is some palpable tenderness over the metacarpophalangeal joint and some along the _____ (s/l hallucis paulisus) ligament.    
TIA 
	 
	
mammalopapillary ligament 
Subject: mammalopapillary ligament 
  How about "maculopapillary"
	 
	
Ligament of Treitz 
Subject: Ligament of Treitz 
  
	 
	
yes...renocolic ligament 
Subject: yes...renocolic ligament 
  
	 
	
cardinal ligament? nm 
Subject: cardinal ligament? nm 
  
	 
	
s/l faulks ligament.....sm 
Subject: s/l faulks ligament.....sm 
   Ingunal hernia repair operation note.   
 
'Next, we took a mesh plug and placed it into the direct defect in the inguinal floor and secured this with 2-0 Prolene to the pubic symphysis to the inguinal ligament inferiorly and s/l faulks ligament superiorly.'   
 
Thanks.
	 
	
ligament of Treat? 
Subject: ligament of Treat? 
  sounds like ligament of Treats - maybe in the abdomen/colon ?
	 
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