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metatarsal s/l head illusions sm

Posted By: Tracey on 2009-04-09
In Reply to:

Subject: metatarsal s/l head illusions sm

DIAGNOSIS: Right great toe hallux rigidus.

STATUS: Post Akin osteotomy and cheilectomy on 03/26/09 with debridement of lateral metatarsal s/l head illusions



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metatarsal?
Subject: metatarsal?


--metatarsal is foot - don't think it would be
Subject: --metatarsal is foot - don't think it would be

x
Hapad (Metatarsal Pad). There is a Hass sm
Subject: Hapad (Metatarsal Pad). There is a Hass sm

procedure/osteotomy etc.
sub-1st metatarsal. good question!
Subject: sub-1st metatarsal. good question!

Doc means below the 1st metatarsal bone, so you have to put the "sub" at the very beginning of the whole thing (not 1st submetatarsal).

Use a hyphen, sub-1st, because sub- is a prefix not a word.

sub-1st metatarsal
Pain improved since he had the *metatarsal placed in his AFL* ??....TIA (new to podiatry)
Subject: Pain improved since he had the *metatarsal placed in his AFL* ??....TIA (new to podiatry)

xxxx
Aha! I think it is supposed to be *metatarsal pads placed in his AFO*...whoohoo!
Subject: Aha! I think it is supposed to be *metatarsal pads placed in his AFO*...whoohoo!

xxx
Its a stress fracture of right 3rd metatarsal diaphysis
Subject: Its a stress fracture of right 3rd metatarsal diaphysis

xx
I have always heard it as tarsal-metatarsal joint. NM
Subject: I have always heard it as tarsal-metatarsal joint. NM

x


patient w severe metatarsal prolapse please sm
Subject: patient w severe metatarsal prolapse please sm

The conservative means of therapy in this case would be orthotic devices with a deep s/l-rale- for the lesser metatarsal heads and support of the metatarsal necks. 
5th metatarsal shaft fracture care
Subject: 5th metatarsal shaft fracture care

Status post: Conservative care. The patient has been using a s/l shark liner.


PLAN: The plan is for the patient to continue using the s/l shark liner and to wean out of that as tolerated and start advancing her activity

Rehab hospital........Lisfranc and metatarsal fractures
Subject: Rehab hospital........Lisfranc and metatarsal fractures

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


CT head/esl doc
Subject: CT head/esl doc

CT brain showed central s/l "cortical and cerebellar" involutional changes, old infarct in the territory of the anterior s/l "BR" of the left middle cerebral artery.


Not sure on the wording in first one.  I am coming up with a blank on the second.


Ha ha! This doc is exactly enough of a bu**head to say this... (sm)
Subject: Ha ha! This doc is exactly enough of a bu**head to say this... (sm)

Thanks! I bet that's it!
CT of the head
Subject: CT of the head

The patient has a history of a remote-appearing lacunar infarct within the left frontal lobe adjacent to the left frontal horn of the left lateral ventricle and mild periventricular white matter chronic small-vessel disease on CT scan of the head without contrast.


I am just concerned with the ..periventricular white matter chronic small-vessel disease


How would you type this? the doctor just says it without any pausing.


ahhhhhhh!


s/l CVC of the head was done???
Subject: s/l CVC of the head was done???


Head. Thank you!
Subject: Head. Thank you!

xx
Help! Head CT. SM
Subject: Help! Head CT. SM

Elderly patient with transient alteration of awareness.  It reads:


"Minor periventricular areas of low attenuation without definite evidence of s/l TRANS-UH-TIN-UH-MUL flow CSF to suggest acute hydrocephalus."


HEAD CT
Subject: HEAD CT


I am have troubles filling in the blanks here, can anyone lead me in the right direction?


HEAD CT


Contiguous axial image was obtained from base of the skull to the vertex without (intravenous) IV contrast. Multiple regions of decreased density are seen in the right and left internal capsule. There is no evidence of benign shift, common mass effect or (avastment) of cell _______intervals or cisterns. The cell _____intervals are_________ . Inspections of _________was unremarkable.


HEAD CT
Subject: HEAD CT


IMPRESSION


1. Multiple regions of low density in both sides of internal capsule. (cannot understand this word) represent old white matter infarcts.


head?
Subject: head?


CT of Head.
Subject: CT of Head.

Does this sound right: ...effacement of sulci, ventricles, or cisterns. Inspection of (bone or brain?) windows are unremarkable.
Head laceration still.
Subject: Head laceration still.

Doctor is referring to s/l "Harrow" arterial bleeders being cauterized.  Can't find anything on this either?


 


Head CT scan.
Subject: Head CT scan.

Head CT scan per verbal report from the radiologist is that the patient has very large subdurals bilaterally. The largest component of these are chronic subdurals. Some small, newer, subdurals are also seen. This is causing some effacement of the __________ (s/l girye)


 


caudad, towards the head end of something
Subject: caudad, towards the head end of something

s
head at spines -7
Subject: head at spines -7


help on MRI of the head results
Subject: help on MRI of the head results

The patient had an MRI with gadolinium of the head.  I'm having some trouble understanding the results because this is unfamiliar to me.  She is a cancer patient with metastatic melanoma and the MRI was ordered due to severe vomiting and blurry vision.  He says the MRI "revealed no definite metastatic disease, significant [s/l hypotense? maybe hypodense or hypertensive?] [s/l mara signal?] of the cervical spine of unclear significance, heterogeneous [s/l coabnormality?], for which in matter of fact these cannot be excluded."  That last phrase sounds a little weird too, but I'm pretty sure that's what he says.  Any ideas?
from the ipsilateral head
Subject: from the ipsilateral head

nm
Thank you! That is it! It just was not clicking in my head.
Subject: Thank you! That is it! It just was not clicking in my head.

nm
Thanks for the info. Never head them from our FPs. nm
Subject: Thanks for the info. Never head them from our FPs. nm


lol maybe his head is up his butt!
Subject: lol maybe his head is up his butt!


head trauma
Subject: head trauma

The patient had head trauma and a few months later was found to have a s/l flabomorphit adenoma.


This is an Asian dictator who is very difficult to understand.  Any help would be appreciated.


I think you two got it. You know its there in your head you just can't extract it!
Subject: I think you two got it. You know its there in your head you just can't extract it!

..
banging head here
Subject: banging head here

That's my DUH for the week! Thanks!
Not unless the patient has his head up his @ss nm
Subject: Not unless the patient has his head up his @ss nm

.
Head exam: See
Subject: Head exam: See

"An s/l OMIRE reservoir is present on the left side of the patient's scalp."
Head injury
Subject: Head injury

S/L copidus calluseium ???


New at this, but could it be "of her head"?
Subject: New at this, but could it be "of her head"?


Of course! Where's my head today! LOL Thanks
Subject: Of course! Where's my head today! LOL Thanks


titribation of his head?
Subject: titribation of his head?

Dr says titribation of his head or something that sounds like that, anyoe know what that is?
titubation of head?
Subject: titubation of head?

could it be titubation of his head
trauma to the head?
Subject: trauma to the head?


humeral head. nm
Subject: humeral head. nm


Head: S/L no other symmetries are seen
Subject: Head: S/L no other symmetries are seen

In PE, doctor dictates Head: Normocephalic. No masses are appreciated. No (sound like "no other symmetries are seen."  This is a new one on me! Thank you in advance for any help.
I have head that dictated before.
Subject: I have head that dictated before.

He's probably referring to a weak tendon, with no strength.
here are some examples off the top of my head.
Subject: here are some examples off the top of my head.

CMP (or electrolytes, SMA) - sodium, potassium, chloride, CO2 (or bicarb), BUN, creatinine, glucose, and calcium.

PT, PTT, INR.

Troponin, CK, CK-MB.
Think you just need Trendelenburg position (head down) here. nm
Subject: Think you just need Trendelenburg position (head down) here. nm

s
CT of head shows a lacune?
Subject: CT of head shows a lacune?

CT scan of the head shows an old left  ____ , no acute findings.


Blank s/l lacune, lacoon?


Normal Head CT w/ and w/out contrast... s/m
Subject: Normal Head CT w/ and w/out contrast... s/m

The third, fourth and lateral ventricles are normal in size and position.  The s/l (calcified pine needles)  midline.  s/l (Cory calication) is seen bilaterally.  The base of ganglia, brain stem and basal sisterns are unremarkable.  


I know these aren't even close... but I've listened so many times that is all I hear anymore... especially the 'pine needles'  


OB/GYN term help....The head was noted to be..sm
Subject: OB/GYN term help....The head was noted to be..sm

in an ROP position at +4 out of 5 with some "campt" or "campet".  I cannot find either term, but spell check corrects to CAMPT? 


TIA and Happy Thanksgiving!


my eyes just rolled out of my head...
Subject: my eyes just rolled out of my head...

I worked hard to become a Miss instead of a Mrs. Guess I'll have to start filing complaints about that! I think it is just a typo..not a major deal.