| X-rays reviewed which show a bone abnormality please smPosted By: doc being mumble mouth this a.m. on 2008-03-13In Reply to:
 
 Subject: X-rays reviewed which show a bone abnormality please sm
 
 in the distal femur laterally, most likely **synofiying** or  ossifying fibroma.  ?? thanks
 
 
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 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!!
 
 X-rays reviewed that show questionable volar **assisted* scaphoid fracture.  Thanks
 Subject: X-rays reviewed that show questionable volar **assisted* scaphoid fracture.  Thanks
 
 
 X-rays reviewed that show complete healing to the s/l symvasis pubis fracture.  TIA
 Subject: X-rays reviewed that show complete healing to the s/l symvasis pubis fracture.  TIA
 
 
 X-rays reviewed that show maintenance of alignment and fixation, and progressive signs of healing sm
 Subject: X-rays reviewed that show maintenance of alignment and fixation, and progressive signs of healing sm
 
 now on three out of four s/l cordices.  Thanks!
 I reviewed x-rays today.  They show some s/l white blush of healing along the medial tibial plateau.
 Subject: I reviewed x-rays today.  They show some s/l white blush of healing along the medial tibial plateau.
 
 TIA :-)
 X-rays:  X-rays of the left hip show cemented hip arthroplasty.  sm
 Subject: X-rays:  X-rays of the left hip show cemented hip arthroplasty.  sm
 
 There appears to be a nonspecific lesion on the lateral s/l cord-i-se to the femoral component.  Thanks!
 There are several x-rays that would show this
 Subject: There are several x-rays that would show this
 
 
 A KUB, and abdomen series, and of course a barium enema (which can be done with air contrast as well). And a CT or MRI of the pelvis, of course. 
 But it would be unusual to just state "no air in the rectum" unless the doctor is discussing a bowel obstruction or something similar. Can you give us more context? 
   .  X-rays have been taken weekly which show no s/l probligation of the fracture. sm
 Subject: .  X-rays have been taken weekly which show no s/l probligation of the fracture. sm
 
 Used again in radiographs - Radiographs of the right hip and femur obtained today show no further probligation of the fracture.  Thanks for any help
 Review of x-rays show a s/l web-a-ray nondisplaced fracture of the lateral malleolus.
 Subject: Review of x-rays show a s/l web-a-ray nondisplaced fracture of the lateral malleolus.
 
 TIA :-)
 X-rays of the ankle show a single s/l scan-cella screw in the medial malleolus. TIA nm
 Subject: X-rays of the ankle show a single s/l scan-cella screw in the medial malleolus. TIA nm
 
 
 MRI is reviewed which shows osteochondral defect in the s/l capetome and bone contusion of the sm
 Subject: MRI is reviewed which shows osteochondral defect in the s/l capetome and bone contusion of the sm
 
 radial head.  Thanks
 
 Bone scan is reviewed dated 03/06/09 which shows increased activity to the pubic bones at the sm
 Subject: Bone scan is reviewed dated 03/06/09 which shows increased activity to the pubic bones at the sm
 
 s/l synthesis.  Thanks!
 Radiographs show a s/l tri-fa-lang-y component with bone graft medially. SM
 Subject: Radiographs show a s/l tri-fa-lang-y component with bone graft medially. SM
 
 Pt is s/p right revision total hip arthroplasty.  TIA
 Also reviewed were bone scan, white cell scan and s/l solfar coag scan.  Thanks
 Subject: Also reviewed were bone scan, white cell scan and s/l solfar coag scan.  Thanks
 
 
 Nurse's notes reviewed or nurses notes reviewed?  nm
 Subject: Nurse's notes reviewed or nurses notes reviewed?  nm
 
 x
 Bone morphogenic protein is used in orthopedics for bone fusion.  It is a chemical; so, if you hear
 Subject: Bone morphogenic protein is used in orthopedics for bone fusion.  It is a chemical; so, if you hear
 
 xx
 Yes, vague.  What tooth shaped bone in the hand would the dicator be referring to?  Any bone could
 Subject: Yes, vague.  What tooth shaped bone in the hand would the dicator be referring to?  Any bone could
 
 tooth shaped from injury or what have you.  And like I said 9 times out of 10, odontoid refers to the "toothlike odontoid process in the second cervical vertebra."  That's pretty specific, dontcha think?  I've never heard a doctor refer to an "odontoid" in any other part of the body.
 cloaca - an opening in a diseased bone containing a fragment of dead bone. nm
 Subject: cloaca - an opening in a diseased bone containing a fragment of dead bone. nm
 
 s
 AREX®BONE? (injectable synthetic bone) nm
 Subject: AREX®BONE? (injectable synthetic bone) nm
 
 
 reviewed nm
 Subject: reviewed nm
 
 xx
 All I can think of is ST-T abnormality.  nm
 Subject: All I can think of is ST-T abnormality.  nm
 
 
 Ahh!  It came to me--"skull abnormality" nm
 Subject: Ahh!  It came to me--"skull abnormality" nm
 
 
 ST-T wave abnormality?
 Subject: ST-T wave abnormality?
 
 
 QRS duration abnormality? nm
 Subject: QRS duration abnormality? nm
 
 s
 I think it should be machined bone, bone that's been shaped and
 Subject: I think it should be machined bone, bone that's been shaped and
 
 s
 ob/gyn report ...s/l braided was reviewed with her.
 Subject: ob/gyn report ...s/l braided was reviewed with her.
 
 This was under plan.  I don't know if it has to do with the birth control pill they are instructing her about.
 cardio T-wave abnormality
 Subject: cardio T-wave abnormality
 
 
 T-wave abnormality in the S/l three Na-VF appears to be nonspecific. 
 Thank you 
 Deborah All other systems are reviewed and are negative
 Subject: All other systems are reviewed and are negative
 
 
 okay i need help. is he saying....."all other systems are reviewed and are negative" or "all of the systems are reviewed and are negative"???????? it is under the heading, REVIEW OF SYSTEMS. in EKG sounds like provasation abnormality
 Subject: in EKG sounds like provasation abnormality
 
 TIA
 or nonspecific ST-T wave abnormality
 Subject: or nonspecific ST-T wave abnormality
 
 
 aneuploidy - a chromosome abnormality
 Subject: aneuploidy - a chromosome abnormality
 
 
 s/l poise-a-tion abnormality
 Subject: s/l poise-a-tion abnormality
 
 "EKG shows normal sinus rhythm, normal axis and normal QT.  No STT wave abnormalities.  It shows just a very slight ST (s/l poise-a-tion) abnormality in the lateral leads.
 Ok i for sure hear the Q but could he be saying Q wave abnormality
 Subject: Ok i for sure hear the Q but could he be saying Q wave abnormality
 
 
 In ortho, they prepare the keel cuts (osteotomy cuts into the bone) and Kiel bone is an allograft
 Subject: In ortho, they prepare the keel cuts (osteotomy cuts into the bone) and Kiel bone is an allograft
 
 
 that is implanted. 
 Kiel bone® grafts. This material is calf or ox bone which has been denaturated.  listen for wall motion abnormality
 Subject: listen for wall motion abnormality
 
 
   can you hear equivocal osseous abnormality?
 Subject: can you hear equivocal osseous abnormality?
 
 
 Peter's abnormality? any guess of anything close?
 Subject: Peter's abnormality? any guess of anything close?
 
 pediatric patient with chronic lung disease, reactive airways disease, congenital heart disease with supravalvular pulmonic stenosis and persistent foramen ovale
 NSA = no significant abnormality or no sign. anomaly. nm
 Subject: NSA = no significant abnormality or no sign. anomaly. nm
 
 
 help with diagnosis of mitral valve abnormality
 Subject: help with diagnosis of mitral valve abnormality
 
 
 The patient has cardiac disease and mitral valve disease and comes to pulmonology for pulmonary nodules.  Doctor says: "I am not sure exactly what the specific anatomical diagnosis was but it was some type of s/l *mixomidis* type abnormality of the mitral valve." 
 Thanks! Doc reviewed the pt's s/l "SSP PET" scan.  How to type correctly?  nm
 Subject: Doc reviewed the pt's s/l "SSP PET" scan.  How to type correctly?  nm
 
 
 There is a Peter's anomaly/abnormality but that has to do with ocular problems?
 Subject: There is a Peter's anomaly/abnormality but that has to do with ocular problems?
 
 
 I reviewed each chart in detail as well as completed worksheets Please SM
 Subject: I reviewed each chart in detail as well as completed worksheets Please SM
 
 in accordance with 1997 HCFA Guidelines for-new-um documentation.  This is a letter sent to a health plan regarding a recent office chart audit.  Any help would be appreciated.
 reviewed pathology of *inter_____* core biopsy??? thanks. nm
 Subject: reviewed pathology of *inter_____* core biopsy??? thanks. nm
 
 nm
 EKG showed nonspecific s/l "geeb or cheeb" abnormality
 Subject: EKG showed nonspecific s/l "geeb or cheeb" abnormality
 
 
 can you hear "strain pattern or other abnormality"? just a guess
 Subject: can you hear "strain pattern or other abnormality"? just a guess
 
 x
 s/l bone burr surgery. thought it was bone spur, but s/l burr, is there such a thing?
 Subject: s/l bone burr surgery. thought it was bone spur, but s/l burr, is there such a thing?
 
 
 MRI is reviewed of the right elbow that shows moderate high signal at the proximal  please sm
 Subject: MRI is reviewed of the right elbow that shows moderate high signal at the proximal  please sm
 
 _______ of the ulnar collateral ligament complex compatible with tendinosis without tear.  Thanks
 MRI is reviewed whch shows s/l intrasepsis tear supraspinatus tendon.  nm
 Subject: MRI is reviewed whch shows s/l intrasepsis tear supraspinatus tendon.  nm
 
 
 s/l I reviewed the brain MRI recently performed: there is a septum delluzidium cavum, a normal -sm
 Subject: s/l I reviewed the brain MRI recently performed: there is a septum delluzidium cavum, a normal -sm
 
 anatomic varient???? Thanks.
 rib x-rays...........that's all.........NM
 Subject: rib x-rays...........that's all.........NM
 
 xx
 x-rays help
 Subject: x-rays help
 
 X-rays today confirm that the wrists remain in a very good s/l- DZ position  (doc is British)
 
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