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Ortho question, garden fracture, specifically garden IV, SM

Posted By: BOS challenged on 2007-08-20
In Reply to:

Subject: Ortho question, garden fracture, specifically garden IV, SM

should this be 4 or IV? TIA


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well there IS a Garden wrist fracture I think....
Subject: well there IS a Garden wrist fracture I think....


Garden femoral neck fracture - sm
Subject: Garden femoral neck fracture - sm

Per The Surgical Word Book -


Garden is capitalized and the clasification system is I-VI


 


 


Garden and Leamite tests
Subject: Garden and Leamite tests

two ortho tests:  Elbow: Garden, C-spine: Leamite.  Any ideas?
yes, Garden's classification of femoral neck fractures
Subject: yes, Garden's classification of femoral neck fractures


Pt. with Garden IV fx. The patient was placed in the s/l Montorell frame without any undue pressure
Subject: Pt. with Garden IV fx. The patient was placed in the s/l Montorell frame without any undue pressure

on any bony prominence....anyone?



Need help with ortho term for PIP fracture
Subject: Need help with ortho term for PIP fracture

My first post and I goofed it!  I just posted this on the Main Board when I saw the Word Board that might be more appropriate.  Thanks in advance!


I'm working on an ortho eval for a patient with a PIP fracture.  Doctor has dictated an unfamiliar term (there's always that ONE WORD) for me.  He dictates, "X-ray examination today shows impaction at the base of the middle phalanx with approximately 70% joint surface involvement."  Here's the word I don't know (spelled phonetically--Sorry):  "A syphiant(??) portion of the joint surface is translated dorsally."



If someone could point me in the right direction for finding this word, I would really appreciate it!


Ortho help - boxer's fracture
Subject: Ortho help - boxer's fracture

On examination today, he is 6 feet tall and weighs 145 pounds.  His hand is splinted.  The splint seems to fit well.  The rotation of the finger appears fine.  Neurovascular status of the finger is fine.  He cannot afford a __________.  (s/l turbi-kamp).  


Later in the report he states that the patient cannot afford a prefabricated splint, so they are leaving his hospital splint on.  I'm sure this is a brand of a splint, but I've been searching all over and cannot find it.  The doc has a slight southern accent.   Any and all help is appreciate!  Thanks!


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Subject: Ortho help - Grade 2 tibia fracture

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Subject: Ortho: Left s/l gal-e-op-tea forearm fracture

x
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Subject: Ortho help: Acetabular fracture. a reduction

manuver was performed using a s/l yoon-blooth. 


Also:  The patient is to recieve DVT prophylaxis and to be s/l leaped. 


TIA


ortho help s/l uterlock condyle fracture???? sm
Subject: ortho help s/l uterlock condyle fracture???? sm

Her x-ray in her cast shows a maintained alignment and reduction of her s/l utterlock or utterlaw condyle fracture.

dr gives no other info as to where this fracture is.
Ortho, a s/l Young-Bluth retractor was placed on the acetabulr fracture.
Subject: Ortho, a s/l Young-Bluth retractor was placed on the acetabulr fracture.

Tessier is worthless...help!
Ortho: Soft tissue s/l --position fracture hematoma
Subject: Ortho: Soft tissue s/l --position fracture hematoma


After the soft tissue s/l (muffled)position, fracture hematoma, and comminution were removed, reduction maneuver was performed using a large periarticular clamp. 


 


I am not sure if this is supposed to be part of soft tissue or what...Thanks.


Ortho report, patient underwent s/l cementa stabilization due to a pathologic fracture of lumbar spi
Subject: Ortho report, patient underwent s/l cementa stabilization due to a pathologic fracture of lumbar spi


It does not say specifically, but sm..
Subject: It does not say specifically, but sm..

his pmhx is sig for diabetes, cardiac disease and hypertension.


 


Here is the list of meds the pt is on...Aciphex, Zantac, Domperidone which is a Canadian medication for treating the gastrointestinal tract, and also desifaremine.


This is probably specifically related to the
Subject: This is probably specifically related to the

x
not unless your clients specifically ask for such.
Subject: not unless your clients specifically ask for such.

x
Really? Even if the doc specifically says "ccs"
Subject: Really? Even if the doc specifically says "ccs"


metatarsal-tarsal fracture - "superb" fracture. Is this right?
Subject: metatarsal-tarsal fracture - "superb" fracture. Is this right?


It's coccygeal fracture. You can't fracture a germ or fungus. nm
Subject: It's coccygeal fracture. You can't fracture a germ or fungus. nm

"
Radial head fracture, possible capitellar fracture
Subject: Radial head fracture, possible capitellar fracture

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posterior innerosity nerve


and


acutrac screws


TY 


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Subject: s/l rule out "trillow" fracture or "metanews" fracture


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Subject: you cannot assume 5-6 unless the doctor specifically

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Subject: he specifically said mri results went to the patient

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Subject: I don't type enough labs to say specifically, but

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Subject: That's good, but no, he specifically says cadent at the end... : )


Just clostridium difficile....unless doc specifically says colitis. nm
Subject: Just clostridium difficile....unless doc specifically says colitis. nm


Wierd, I can specifically remember being told that:
Subject: Wierd, I can specifically remember being told that:

CVA was cerebrovascular accident

c.v.a. was costovertebral angle.

Been doing that for 25 years. Maybe it was just my original employer hospital's preference. Interesting, isn't it, that you can do something for years and years and never know it was not correct. I won't forget now, that is for sure. hehe
Unless specifically told to expand, leave as GI.
Subject: Unless specifically told to expand, leave as GI.

x
I agree with Lexiscan except that the doc specifically spells it. What do you think?
Subject: I agree with Lexiscan except that the doc specifically spells it. What do you think?


Found that, which would be my guess but he specifically spells WeTson. nm,
Subject: Found that, which would be my guess but he specifically spells WeTson. nm,


Nevermind, I am going to flag it as he specifically states "inhaler," thanks anyway.
Subject: Nevermind, I am going to flag it as he specifically states "inhaler," thanks anyway.


Does doc state this is specifically for the hypertension or does the patient have other problems thi
Subject: Does doc state this is specifically for the hypertension or does the patient have other problems this can be for?


Sounds good, but I specifically hear "fish." Thanks you two for trying! nm
Subject: Sounds good, but I specifically hear "fish." Thanks you two for trying! nm

nm
Tomby plate? He specifically says T as in Tom.. I have heard of Combi, any ideas?
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nm
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Subject: The orthopedic doctor I transcribe for specifically spells it infra medial.

.
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n
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xx
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