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s/l "zen chole" surgery on hand/finger ?...nm

Posted By: stuck on surgery on 2008-09-11
In Reply to:

Subject: s/l "zen chole" surgery on hand/finger ?...nm

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catching of finger on right hand.
Subject: catching of finger on right hand.

She has what appears to be beginning as a possible cord there in the s/l 'plamindicularis' ??
Hand surgery, lead hand?
Subject: Hand surgery, lead hand?

The hand was placed in a lead hand?  Attention directed to, in sequence, the lacerations over the DIP joints and pulps of the index, long and ring fingers.  Thanks


Trigger finger surgery help, please...
Subject: Trigger finger surgery help, please...

Resected 2 mm of the central portion of A1 pulley tendon... Beneath this there were (s/l fibular or tubular) changes noted on the flexor digitorum superficialis.


TIA


hand surgery
Subject: hand surgery

Could be Zimany bilobed flap.  This is used in hand surgery.
Talus formation in hand surgery?
Subject: Talus formation in hand surgery?

As far as I can find talus is only referred to in the foot/ankle, but this doctor is doing a cyst excision on the middle finger and says "The talus formation to the dorsal soft tissue was also  s/l lipsed out."  Can someone help with the talus formation part and also "lipsed out"?  THanks 
Doing hand surgery reports.... s/l "take down fusion" SM
Subject: Doing hand surgery reports.... s/l "take down fusion" SM

Patient has a dorsal dislocation and deformity of the PIP joint. 


I explained to her that one of the procedures that could be done for her would be to take down fusion and relocating the joint back in place.


"zeidenberg" flap for trapezium nonunion.. hand surgery..nm
Subject: "zeidenberg" flap for trapezium nonunion.. hand surgery..nm

.
Probably is, swore I heard a "zen"..thank you.
Subject: Probably is, swore I heard a "zen"..thank you.


camptodactyly --permanent flexion of finger, usually little finger etc. nm
Subject: camptodactyly --permanent flexion of finger, usually little finger etc. nm


doc is saying the patient has trigger finger of her right ring finger - sm
Subject: doc is saying the patient has trigger finger of her right ring finger - sm

right ring finger trigger finger
Yes that's right :) Trigger finger is a condition of the tendon in the finger - sm
Subject: Yes that's right :) Trigger finger is a condition of the tendon in the finger - sm

causing it to catch and lock in a "trigger" position. 
Oh, and you need to check the anatomy of the hand. Do a google search for "bones of the hand"
Subject: Oh, and you need to check the anatomy of the hand. Do a google search for "bones of the hand".

Try this site, you can click on the bones of the hand and it will tell you what the bone is called.


http://www.gwc.maricopa.edu/class/bio201/hand/anhand.htm


The trapezoid bone is a bone in the distal row of the carpus; it articulates with the second metacarpal.


The scaphoid bone is the largest bone of the proximal row of the carpus on the radial side, articulating with radius, lunate, capitate, trapzium, and trapezoid.


Please know what you are talking about before you try to be condescending.


it seems that her ring finger is her trigger finger,
Subject: it seems that her ring finger is her trigger finger,

so it should read...
her right ring trigger finger, no comma.

Trigger finger is a painful condition, causing swelling.
it seems that her ring finger is her trigger finger,
Subject: it seems that her ring finger is her trigger finger,

so it should read...
her right ring trigger finger, no comma.

Trigger finger is a painful condition, causing swelling.
lap chole...
Subject: lap chole...

This is not a verbatim account, but I am wondering if I should expand this.  Do most doctors say the abbreviation?


lap chole
Subject: lap chole

patient has symptomatic biliary dyskinesia.


Doctor says: I have recommended lap chole to her


lap chole = laparoscopic cholecystectomy?


Lap Chole help
Subject: Lap Chole help

Doctor dictates what sounds like "a laparoscopic cholecystectomy and an EICT extraction of a common bile duct stone."  I do not know what an EICT is or if I am hearing that right.  Any ideas?  Thanks.
lap chole
Subject: lap chole

probably is ERCP--endoscopic retrograde cholangiopancreatectomy. not all lap choles have this too, but some do.
probably is isthmusectomy. Those two procedures go hand in hand.
Subject: probably is isthmusectomy. Those two procedures go hand in hand.

x
lap chole - as in laparoscopic cholecystectomy
Subject: lap chole - as in laparoscopic cholecystectomy


he's saying lap-chole (laparoscopic cholecystectomy)
Subject: he's saying lap-chole (laparoscopic cholecystectomy)

in case that got cut off above, it's laparoscopic cholecystectomy....
sometimes say finger-nose-finger. nm
Subject: sometimes say finger-nose-finger. nm

nm
In history or title of procedure? Might be chole for cholecystectomy AND gastroplasty. nm
Subject: In history or title of procedure? Might be chole for cholecystectomy AND gastroplasty. nm

s
Fingerstick, finger stick, or finger-stick?
Subject: Fingerstick, finger stick, or finger-stick?

Which way is most commonly used when in reference to blood sugar tests?
finger
Subject: finger

On examination, she has a well-healed carpal tunnel release, full range of motion of all of her fingers.  Negative Tinel's and Phalen’s and median nerve compression of the left wrist.  Positive elbow flexion test.  Negative Froment’s.  Negative Scotty Earle's and decreased sensation of the ring and small finger.  She does not have any subluxation of the ulnar nerve.


Thanks but this is for the tip of a finger...sm
Subject: Thanks but this is for the tip of a finger...sm

that was cut off. I also found the same link you gave but that is a foam to be placed in the rectum. I cannot find anywhere it it used for lacerations.
What is it an x-ray of? It could be 5th rib, finger, toe...
Subject: What is it an x-ray of? It could be 5th rib, finger, toe...


of the finger, btw :)
Subject: of the finger, btw :)

Thanks in advance


opposes another finger........nm
Subject: opposes another finger........nm


Should be on finger to nose.....nm
Subject: Should be on finger to nose.....nm


finger-stick?
Subject: finger-stick?


S/L 7th finger? up the RCA has about an 80% stenosis
Subject: S/L 7th finger? up the RCA has about an 80% stenosis


sonjury to finger?
Not injury, but "sonjury"?
Fickle finger??
Subject: Fickle finger??

" The anterior posterior nature of this was checked with the use of a "fickle finger"    New one for me.  Is this right???  TYIA!!!


digital finger?
Subject: digital finger?

nm


trigger finger ?
Subject: trigger finger ?

Trigger finger and trigger thumb are conditions affecting the movement of the tendons as they bend the fingers or thumb toward the palm of the hand. This movement is called flexion.

Trigger finger
Subject: Trigger finger

The dictation is referring to the "condition trigger finger". That condition is affecting the patient's right ring finger, meaning that that finger most like catches or locks down upon certain movement.
finger laceration "eppidiceum" ?
Subject: finger laceration "eppidiceum" ?

This is driving me crazy.  He has said it 4 times. 
"under the eppidiceum"  so maybe he is referring to the skin of the finger?  The laceration is near the nail bed.  I can't find it, have been looking and looking. 
middle finger s/l STS release
Subject: middle finger s/l STS release


part of the finger parenycheal or
Subject: part of the finger parenycheal or

something like that?  I have had the word before and can't remember.  I think it's near bed of the fingernail possibly, can't find it. 
second blank maybe finger curls
Subject: second blank maybe finger curls


piano key (finger testing)
Subject: piano key (finger testing)


If it's a finger, yes it would make sense
Subject: If it's a finger, yes it would make sense

They refer to the "radial side" and "ulnar side" quite often when talking about the wrist and hand.
Finger? eponychial fold? nm
Subject: Finger? eponychial fold? nm

.
s/l Lunaplast finger splint
Subject: s/l Lunaplast finger splint

?
umm..ring finger isn't a diagnosis so of course it's only one
Subject: umm..ring finger isn't a diagnosis so of course it's only one


DIdn't ask anything wrong, but a finger
Subject: DIdn't ask anything wrong, but a finger

cannot be a diagnosis.
found it. There are finger socks. nm
Subject: found it. There are finger socks. nm


Sorry. Misread. You did not say trigger finger. sm
Subject: Sorry. Misread. You did not say trigger finger. sm

Typed for osteopath and they do trigger point releases etc. OMT really works. After typing all the time my shoulders were up around my ears, I always diagnosed myself as having transcriptionist turtle neck!!!!
"Trigger" finger is a condition. You are
Subject: "Trigger" finger is a condition. You are

thinking of the finger that pulls the trigger of a gun.
s/l finger turn technique
Subject: s/l finger turn technique

C section incision extended laterally with s/l finger turn technique