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Total shoulder arthroplasty. The inferior portion of the humeral head had

Posted By: Sugar on 2005-12-01
In Reply to:

Subject: Total shoulder arthroplasty. The inferior portion of the humeral head had

s/l cuddle stellana and I took this down to bare bone and reamed getting down as concentric as possible.


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? medial and inferior humeral head.
Subject: ? medial and inferior humeral head.


humeral head. nm
Subject: humeral head. nm


right total knee arthroplasty sm
Subject: right total knee arthroplasty sm

s/l "CNS" is intact in right leg.  Am I correct?


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Subject: total hip arthroplasty components

Under component type, Synergy size 11 high offset stem, 54-mm Reflection acetabular shell, 28-mm cobalt chrome head, 20-degree acetabular liner, Press-Fit acetabular shell, -3-mm cobalt chrome head. Question: Is it correct to have 2 acetabular shells and 2 heads?
computer-navigated right total hip arthroplasty
Subject: computer-navigated right total hip arthroplasty

I'm doing an op note for a computer-navigated right total hip arthroplasty, and the doctor says the femoral head was greatly deformed, almost s/l selectricalized.  I tried looking up this word on onelook.com using the wildcard search using *colized, *colize, *calized and *colize, but I'm not able to find this darn word!  Any ideas, anyone?
agility total ankle arthroplasty
Subject: agility total ankle arthroplasty

Is anyone familiar with this procedure- there is a word just before it that sounds like L-vine agility total ankle arthroplasty size 4, low profile type with a percutaneous tendonoachilles lengthing on the right- any ideas of what the "L-vine" might be?  I cannot find anything with my usual references or google search. 
TKA is total knee arthroplasty, not amputation! Be careful! nm
Subject: TKA is total knee arthroplasty, not amputation! Be careful! nm

nm
Usually hear inferior sulcus test/sign. See good shoulder link. sm
Subject: Usually hear inferior sulcus test/sign. See good shoulder link. sm

==http://www.shoulderdoc.co.uk/article.asp?section=497&article=614===
Here are the shoulder views that I can think of off the top of my head
Subject: Here are the shoulder views that I can think of off the top of my head

Internal and external rotation views, usually done AP


Neutral view (also AP, without rotation)


Scapular Y view


None of them sound like "SOA" but maybe this will help....


female head of shoulder? sm
Subject: female head of shoulder? sm

Sorry can't think very well today. Head is foggy.

ASSESSMENT: Shoulder pain with possible instability.

as he abducts his right shoulder and puts his hand on the back of his head, he can exert force which brings the s/l female head forward subluxating from the joint.
Epley=head maneuver, Apley=knee/shoulder..sm
Subject: Epley=head maneuver, Apley=knee/shoulder..sm

what part of the body are you in?
Listening again, it almost s/l folded portion/fulton portion. nm
Subject: Listening again, it almost s/l folded portion/fulton portion. nm


inferior glutes? inferior gluteal? nm
Subject: inferior glutes? inferior gluteal? nm


s/l Humeral a med
Subject: s/l Humeral a med

Like Humor-AL  ???


s/l "yuse splint" humeral fx - thanks! nm
Subject: s/l "yuse splint" humeral fx - thanks! nm


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Subject: proximal humeral fracture

Doctor says,  A "hemolite" proximal humeral fracture was present.  Any ideas?
humeral reconstruction with s/l biomedo SS system ??
Subject: humeral reconstruction with s/l biomedo SS system ??

Proximal humeral reconstruction with Bio_____S/L "meadow SS system."
humeral external rotation (full can position), (sm)
Subject: humeral external rotation (full can position), (sm)

only found one site on Medscape that notes this, but it is restricted for use unless you are a member to view the whole report...
Pt with s/l Marcent malunion of left humeral shaft above previously applied plates.
Subject: Pt with s/l Marcent malunion of left humeral shaft above previously applied plates.


X-rays reviewed that show a lucent line around the humeral component bone please sm
Subject: X-rays reviewed that show a lucent line around the humeral component bone please sm

cement s/l dith-ro-face. The ulnar component appears to be well-fixed. Thanks!!

inferior
Subject: inferior


anteromedial portion?
Subject: anteromedial portion?

Can't find it even with the entire sentence there.
is it possible that he says "a significant portion"?
Subject: is it possible that he says "a significant portion"?


Maybe lateral portion.
Subject: Maybe lateral portion.


macule portion is all I can think of right now. nm
Subject: macule portion is all I can think of right now. nm


Midportion or mid portion??
Help me! I get it corrected either way I type it .  . which is correct?
Mid portion is what I usually type.
Subject: Mid portion is what I usually type.


midportion or mid-portion
Subject: midportion or mid-portion

x
Objective portion
Subject: Objective portion

does this make sense to anyone


GU and rectum s/l farum are rectal sphincter muscle tone


the first and second portion of the duodenum
Subject: the first and second portion of the duodenum


sorry.....cartilaginous portion
Subject: sorry.....cartilaginous portion

typo mistake...
I keep them separate, i.e. mid portion.
Subject: I keep them separate, i.e. mid portion.

x
inferior pole maybe? nm
Subject: inferior pole maybe? nm


inferior surface
Subject: inferior surface

or could he be saying sulcus
Inferior crus? nm
Subject: Inferior crus? nm

nm
Does it sound like inferior?
Subject: Does it sound like inferior?


The sagittal portion of the exam...
Subject: The sagittal portion of the exam...

dd
Nooo! Never!! Just on the HEENT portion!!! nm
Subject: Nooo! Never!! Just on the HEENT portion!!! nm


Pickle portion of prostate?
Subject: Pickle portion of prostate?

Sentence: The prostatic urethra was patent with the exception of some regrowth of tissue near the s/l pickle portion of the prostate.

This is the second TURP for this patient. TIA
Looks fine but for mid portion being two words. nm
Subject: Looks fine but for mid portion being two words. nm

.
inferior and superior ___ fracture
Subject: inferior and superior ___ fracture

Dictated: X-ray exam of the hip shows good callus around inferior and superior ___ fracture. 


Possibly sounds like he could be dictating a fracture that starts with an r or something that ends with an ate.  Dictates this particular fracture a couple times and this is all I can get out of it. 


 



or could be inferior vena cava
Subject: or could be inferior vena cava

depending how fast he is talking. hope this helps.
inferior vena cava
Subject: inferior vena cava


Inferior Myocardial Infarction - IMI
Subject: Inferior Myocardial Infarction - IMI


inferior vena cava? nm
Subject: inferior vena cava? nm


mild inferior/intralateral MI?
Subject: mild inferior/intralateral MI?

This does not seem to match up for me- would it be intra-lateral with a hyphen or could the doctor be saying interlateral? 
Mixed inferior defect?
Subject: Mixed inferior defect?

Last thallium had a fixed anterior defect and a s/l mixed inferior defect?
The "sidual" portion of the exam demonstrates
Subject: The "sidual" portion of the exam demonstrates

an oblique fracture of the mid shaft of the left femur.


 


Sidual or may   "Decidual portion of the exam..."


I think rad is referring to portion of film that is at the very edge of the viewing screen.


Many thanks!


maybe "in portion"...poor English use, but a WAG. sm
Subject: maybe "in portion"...poor English use, but a WAG. sm

The "in" portion of the study as opposed to the "out" portion. Maybe he was talking slowly because he was...thinking..while...talking.... I've done that myself.
No time limits (usually) on transcription portion
Subject: No time limits (usually) on transcription portion

As far as posting test questions and waiting around for the answers, I would assume these questions were being asked about the transcription portion of the exam. Mind you, not all companies set a time limit for returning the transcription testing files to them. Tests I have taken in the past have been tough ones, as many as 4 parts, with testing time spanning a few days while waiting for the recruiter to grade each section.
*English grammar/punctuation skills. Pass this, you move on to the next.
*Medical terminology skills/medication uses/disease processes, etc. Pass this, advance again to the next.
*Transcription skills demonstrating all of the above plus your ear-ability. Pass this, whew...almost done with this testing stuff! On to the last step.
*Oral exam. Pass this, get an offer (hopefully for a lot more than 7 cpl considering ALL the testing you just passed). lol

Not all companies perform this kind of in-depth testing, but I think the ones that do are more interested in hiring an MT who will be able to taken off full QA within a day or two of being hired, as opposed to an MT that is not as familiar/experienced with this employ.
All moiety means is a part or portion so I would think
Subject: All moiety means is a part or portion so I would think

x