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Patient has radial neuritis and tendonitis of the abductor extensor tendons of the wrist...

Posted By: Kelley Bahl on 2008-07-26
In Reply to:

Subject: Patient has radial neuritis and tendonitis of the abductor extensor tendons of the wrist...

Plan is to have a neurosurgical consultation and consider 'tanoplasty' or 'tyanoplasty'.  I know that doesn't make sense.  What /plasty could this be? 


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extensor compartment of wrist ?
Subject: extensor compartment of wrist ?


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Subject: s/l patient has *fickling* of the flexor tendons of both hands???nm

nm
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Subject: Patient with left arm tendonitis. please sm

This is exacerbated by Spurling’s test of the cervical spine. Extension also exacerbates the patient’s symptoms. **Axion loading** does not. Thanks for any help!

of shooting pain into the left radial wrist and thumb area and over the intercuginous area of the-sm
Subject: of shooting pain into the left radial wrist and thumb area and over the intercuginous area of the-sm

first and second digit of the left hand.  Thanks. 
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Subject: Extensor Indicis Proprius and Extensor Pollicis Longus sm

per www.acronymfinder.com. Make sure the anatomy fits, cause I didn't ;)

extensor indicis proprius (EIP) and extensor pollicis longus (EPL)
Subject: extensor indicis proprius (EIP) and extensor pollicis longus (EPL)


Extensor Indicis Proprius (EIP) to Extensor Pollicis Longus (EPL)
Subject: Extensor Indicis Proprius (EIP) to Extensor Pollicis Longus (EPL)


The patient underwent s/l Darrow procedure wrist.
Subject: The patient underwent s/l Darrow procedure wrist.

xx
maybe some type of neuritis? nm
Subject: maybe some type of neuritis? nm

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tendons? nm
Subject: tendons? nm

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Subject: s/l casselensin tendons

in the foot..


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Subject: Abductor Digiti Minimi ? See this link.

Here is excellent hand link. Click on anatomy. Then on muscle and then on alphabetical list etc in case link does not go directly there.


 


http://www.eatonhand.com/


 


 


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Subject: s/l "Leg to tendons" distribution

This is from a neurlogical consultation:
Physical Examination: She has clear loss of pinprick in ?? s/l leg to tendons ?? distribution up to about the knee bilaterally, hands up to mid wrist, and chest in the distal thoracic distribution. This is consistent with a small fiber ?? s/l leg to tendons ?? process. Her strength is relatively preserved considering her age. Deep tendon reflexes are not elicitable distally.

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Froment's sign tests the abductor pollicis, so your second s/l might be
Subject: Froment's sign tests the abductor pollicis, so your second s/l might be

s
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Subject: abductor tubercle in what part of body? hand/foot etc? nm


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Subject: repair of abductor pollicis longus tendon and EIP to EPL transfer

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No, he is just being "lazy." Supraspinatus and infraspinatus tendons are all part of same str
Subject: No, he is just being "lazy." Supraspinatus and infraspinatus tendons are all part of same structure......sm

if your docs are a lot like some of mine, they try to rush through their dictation more and more by using abbreviations that really do not exist, using cut-off words....you are right, he is saying that there is tendinopathy found in both the supraspinatus and infraspinus, I do lots of ortho ops and procedures. Hope I help!
Patient has a negative wrist extension sign on the right and a negative s/l 3rd finger sign on the R
Subject: Patient has a negative wrist extension sign on the right and a negative s/l 3rd finger sign on the R


tendonitis vs. tendinitis
I find both of these words in the dictationary with the SAME meaning, but I keep getting marked down from QA on the tendonitis......can anyone tell me if there is a reason for this?  Is it just preference or is there a difference in meaning because I CANNOT FIND IT!!!!
tendonitis is preferred but
Subject: tendonitis is preferred but

I used to type tendinitis and the doctor bugged out and did not want that. Either is correct though technically.
s/l apaseller tendonitis
Subject: s/l apaseller tendonitis


DIAGNOSES:
1. RIGHT KNEE LOOSE BODY
2. RIGHT KNEE s/l APASELLER tendonitis.
tia.

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Subject: peroneal tendonitis? NM

x
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Subject: s/l causitic tendonitis?

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Thanks


tendinitis/tendonitis
Subject: tendinitis/tendonitis

This has bugged me for years too but according to Stedman's Ortho/Rehab Words it can be spelled either way.
Tendonitis - Thank you for checking - nm
Subject: Tendonitis - Thank you for checking - nm


Per Stedman's you are correct, it is tendOnitis.
Subject: Per Stedman's you are correct, it is tendOnitis.

x
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Subject: mild edema and stiffness? neuritis and stiffness? nm


S/l * Cog nance * exercises for supraspinatus tendonitis
Subject: S/l * Cog nance * exercises for supraspinatus tendonitis

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Subject: checking around the hip & thigh...s/l ileo-sil-us tendonitis. nm

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She has Achillies tendonitis and s/l austwhich slaughter syndrome.... thank u
Subject: She has Achillies tendonitis and s/l austwhich slaughter syndrome.... thank u


extensor?
Subject: extensor?


extensor it is...
Subject: extensor it is...

Thank you. That is it.
extensor hallucis is ...
Subject: extensor hallucis is ...

 Dictated:  Tibialis anterior on the left is 4+/5. Extensor hallucis is 5/5. If she did not dictate "left" - then it would be "are" 4+5, correct?


extensor hallucis......sm
Subject: extensor hallucis......sm

Per my experience, and this is only mine, when a doc starts dictating, "tibialis anterior on the left is 4+/5, extensor hallucis is 5/5", that doc is dictating about one side. If he/she changes sides, i.e., left to right, he/she may possibly say....."tibialis tendon on the left is 4+/5 and 5/5" (meaning on the right). But, they do not usually change sides AND tendons like that. Per your account, it sounds like the doc is speaking about the same side as she is not comparing; she's just talking about two different tendons.

If she is referring to both great toes, she will usually pronounce in the proper manner, which you would spell halluces.

And, no, "are" would be completely wrong in this case as she is dictating that ONE tendon is 4+/5 and ANOTHER tendon is 5/5.

You do understand the anatomy, right?
Extensor ???? proprius?
Subject: Extensor ???? proprius?

The doc is dictating excision of a ganglion in the dorsum of the left wrist.  "Thickened synovium was excised from the interval between the common extensors and s/l "extensor ingeus proprius."  Any help?  I cannot find that in any lists of extensors anywhere.   Thanks in advance!


Extensor mechanism
Subject: Extensor mechanism

.
flexor to extensor? nm
Subject: flexor to extensor? nm


??? extensor tenotomy ??? (nm)
Subject: ??? extensor tenotomy ??? (nm)


radial
Subject: radial

More than likely mispronouncing it; otherwise would put blank if not sure.
radial
Subject: radial

No doc says radian, ulnar and median nerve distribution. I was just wondering if there was a radian nerve, since QA keeps marking it as radial and then radian and then radial, (I keep getting graded on that word and just wanted to know if I was right or wrong). It is radial. radian is a math measurement of some sort.
extensor indicis prorius
Subject: extensor indicis prorius

nm
definitely psoas and no comma after extensor
Subject: definitely psoas and no comma after extensor

.


extensor s/l housis longus
Subject: extensor s/l housis longus

I cannot get him to actively dorsiflex that left ankle.  I also cannot, actively, get him to fire his extensor s/l housis longus
extensor hallucis longus ...nm
Subject: extensor hallucis longus ...nm

s
s/l extensor oosus tendon?
Subject: s/l extensor oosus tendon?


s/l common extensor meth??
Subject: s/l common extensor meth??

With palpation, she is focally tender over the area of the lateral epicondyle and into the common extensor s/l meth??.

Resistance to wrist extension and pronation seems to accentuate pain and discomfort focally over the common extensor s/l meth or math??. No focal deficits appreciated with neurovascular exam.
? common extensor wad (elbow)
Subject: ? common extensor wad (elbow)


extensor digitorum brevis (nm)
Subject: extensor digitorum brevis (nm)

x
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Subject: EDC= extensor digitorum communis


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Subject: 2+ (Plus) radial pulse. or+2 sm


Radiology In Ped Emerg Med, Vol 7, Case 9





Radial pulses are 2-3+ bilaterally and equal. Her hands and feet are cool. An IV is started and IV fluid is infused. She is also given an IV dose of ...
www.hawaii.edu/medicine/pediatrics/pemxray/v7c09.html - 28k - Cached - Similar pages


AAPM&R - Case No. 8, cont





Bilateral radial pulses are 2+. Manual muscle testing reveals mild pain-inhibited weakness of scaption on the left graded at 4/5 while right was 5/5. ...
www.aapmr.org/education/archive/msk0011d.htm - 21k - Cached - Similar pages