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patient w severe metatarsal prolapse please sm

Posted By: TIA on 2008-03-25
In Reply to:

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. 


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could be if patient has prolapse etc. sm
Subject: could be if patient has prolapse etc. sm

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I wish, it is a 52-year-old patient and that is all he mentions she had uterine prolapse too
Subject: I wish, it is a 52-year-old patient and that is all he mentions she had uterine prolapse too


Pt with severe anemia. The patient had s/l tegrabtusol scan that was negative.
Subject: Pt with severe anemia. The patient had s/l tegrabtusol scan that was negative.

Any ideas? I've done Nuclear Medicine, but the way this guy is chewing the word I just drew a blank.
Patient with severe COPD was unable to *apiliprate*? on nitrogen washout for lung volumes.Any ideas?
Subject: Patient with severe COPD was unable to *apiliprate*? on nitrogen washout for lung volumes.Any ideas?


or how about moderately severe encephalopathy or moderate-to-severe ? nm
Subject: or how about moderately severe encephalopathy or moderate-to-severe ? nm


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
metatarsal s/l head illusions sm
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

OB/GYN prolapse 1,2,1 or 1 to 1
Subject: OB/GYN prolapse 1,2,1 or 1 to 1


cystocele was 2 cm above the hymenal ring and her rectocele was 2 cm above the hymenal ring, ie, the patient's prolapse is ^ <INC 00:11:06> s/l "1, 2, 1,/ 1 to 1." 


Help - doctor with a very, very, very, very strong accent.  I am pulling my hair out.  I think I am just frustrated and tired!!!!


Prolapse
Subject: Prolapse

A patient can have either a rectovaginal prolapse or a urethrovaginal prolapse, so perhaps dictator is referring to 2 different areas as having different stages of prolapse?
Rosie

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


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

or are they saying vault prolapse?
Subject: or are they saying vault prolapse?


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

nm
mitral valve prolapse (MVP) ? Sm
Subject: mitral valve prolapse (MVP) ? Sm

mitral valve prolapse



excessive retrograde movement of one or both mitral valve leaflets into the left atrium during left ventricular systole, often allowing mitral regurgitation; responsible for the click-murmur of Barlow syndrome, and rarely may be due to rheumatic carditis, a connective tissue disorder such as Marfan syndrome, or ruptured chorda tendinea ("flail mitral leaflet").


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Subject: MVP is mitral valve prolapse, if that is of any help


PPH (Procedure for Prolapse and Hemorrhoids)
Subject: PPH (Procedure for Prolapse and Hemorrhoids)


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Subject: Cold cord prolapse?

Thought that too, but sounds pretty clear....   Thanks.  I'm waiting to hear from QA if they've heard it before.  :)
Occult cord prolapse
Subject: Occult cord prolapse

I've heard the term occult cord prolapse. I believe that's it.

TEE shows mitral valve prolapse and ... sm
Subject: TEE shows mitral valve prolapse and ... sm

s/l cardi redundancy


Also says "redundancy of the mitral valve and (s/l cardi) leaflet prolapse.


TIA!


microvalve prolapse? Sound right? Or would it be mitral?
Subject: microvalve prolapse? Sound right? Or would it be mitral?

Thanks!
Stage 2 s/l and 3 pelvic organ prolapse
Subject: Stage 2 s/l and 3 pelvic organ prolapse

n/t
I've heard of valve prolapse, as in mitral
Subject: I've heard of valve prolapse, as in mitral

valve prolapse. 
history of rectal prolapse, underwent an "alt-mar" procedure. Thanks for any help. (nm)
Subject: history of rectal prolapse, underwent an "alt-mar" procedure. Thanks for any help. (nm)

*
relatively severe, diffuse....
Subject: relatively severe, diffuse....

/
severe ileus?? nm
Subject: severe ileus?? nm

ss
severe phobia maybe? nm
Subject: severe phobia maybe? nm

nm
......'as severe as HERS'...nm
Subject: ......'as severe as HERS'...nm

nm
s/l cervical or severe?
Subject: s/l cervical or severe?

Cervical or severe spinal stenosis surgery 3 years ago.
Yes, have seen that in severe case of cholera
Subject: Yes, have seen that in severe case of cholera


severe? situational? secondary? nm
Subject: severe? situational? secondary? nm


could be, does not pronounce the xi, med list of 18, but does have severe PVD, thanks
Subject: could be, does not pronounce the xi, med list of 18, but does have severe PVD, thanks


localized severe pain? nm
Subject: localized severe pain? nm

.
agree - probably follicular dermatitis, severe
Subject: agree - probably follicular dermatitis, severe


severe splanchnic activity with s/l durolap
Subject: severe splanchnic activity with s/l durolap

thank you
Severe narrowing of the lateral recess nm
Subject: Severe narrowing of the lateral recess nm

.
as postop diagnosis says severe central
Subject: as postop diagnosis says severe central

stenosis at L3-4 and 4-5 and s/l fraying/framing?? stenosis at 3-4, 4-5, and 5-1
Her EMG/NCV showed she has severe CTS on the right with a distal s/l mo-lank-c-see-a of 6.69.
Subject: Her EMG/NCV showed she has severe CTS on the right with a distal s/l mo-lank-c-see-a of 6.69.

:-)
Differin cream is used for treating severe acne.
Subject: Differin cream is used for treating severe acne.


There are bruises on the extremities, but no "local eye a severe" pain???
Subject: There are bruises on the extremities, but no "local eye a severe" pain???

Anyone know what this might be? 


Maybe early severe acute pancreatitis ESAP
Subject: Maybe early severe acute pancreatitis ESAP

.
She was on a trip without problication and had severe pain in the left knee. nm
Subject: She was on a trip without problication and had severe pain in the left knee. nm

nm
had the *apoplathic* onset of a very severe thunder clap headache-Thanks. nm
Subject: had the *apoplathic* onset of a very severe thunder clap headache-Thanks. nm

nm
Pt with severe headache - will obtain s/l F E axis before sending to hospital. nm
Subject: Pt with severe headache - will obtain s/l F E axis before sending to hospital. nm


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Subject: I would go with cervical because severe spinal stenosis could be in other parts of the body


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Subject: depends on the site, could be severe weather, bomb threat, death

.