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s/l Ragnow, for open carpal tunnel release

Posted By: jen on 2008-01-18
In Reply to:

Subject: s/l Ragnow, for open carpal tunnel release




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Carpal tunnel release
Subject: Carpal tunnel release

I see that there are Della suturing devices, would it make sense that the s/l Dellas were passed down the carpal tunnel, as well as the scope?  TIA
Pt. undergoing carpal tunnel release.
Subject: Pt. undergoing carpal tunnel release.

The carpal ligament was identified and this was opened proximally and distally through the palmar aspect of the hand. Distally, we placed a s/l flatmouth malleable.
2/7 camera with carpal tunnel release
Subject: 2/7 camera with carpal tunnel release


Next, the s/l -2/7- camera was placed inside the cutting guide, a straight knife was used to cut part of the transverse carpal ligament, next followed by the hooked knife and the hook knife was used to cut distally first, then the camera was flipped to the distal portal and the knife was placed in the proximal portal and the rest of the transverse carpal ligament was divided.


CCT or CCP pack, doing carpal tunnel release
Subject: CCT or CCP pack, doing carpal tunnel release

The wound was then dressed with bacitracin, Adaptic and a sterile gauze dressing and placed in a volar splint with a  CCT or CCP??? pack incorporated.
cammats procedure and carpal tunnel release. nm
Subject: cammats procedure and carpal tunnel release. nm

nm
radialis approach to carpal tunnel release? Guessing here. nm
Subject: radialis approach to carpal tunnel release? Guessing here. nm


doing a Carpal tunnel release s/l SUN retractors or Thumb retractors to the median nerve
Subject: doing a Carpal tunnel release s/l SUN retractors or Thumb retractors to the median nerve


Carpal tunnel
Subject: Carpal tunnel

s/l Banalog lotion for carpal tunnel
2 s/l re: carpal tunnel syndrome. sm
Subject: 2 s/l re: carpal tunnel syndrome. sm

Patient diagnosed with carpal tunnel.


Plan: 


1. *defell* supportive care *selfundi* course.


2.  Will use ibuprofen 800 mg 3 times a day over the next 10 days.


3.  She is provided with a cock-up wrist splint today.  This is fitted and applied in the office.


Carpal tunnel test
Subject: Carpal tunnel test

s/l Jerkin   sign is positive at 20 seconds.  DIAGNOSIS: is carpal tunnel syndrome. 


carpal tunnel sugery again...
Subject: carpal tunnel sugery again...

he is saying she is having a carpal tunnel release done, with some kind of ectomy?   I can't hear any of the first of it.  Any ideas?


TIA


there is a D-ring splint for carpal tunnel nm
Subject: there is a D-ring splint for carpal tunnel nm


carpal tunnel surg question...
Subject: carpal tunnel surg question...

s/l "as markeys dangling" at the arm and left on the forearm as a tourniquet


acute carpal tunnel syndrome ? - nm
Subject: acute carpal tunnel syndrome ? - nm


Phalen (for carpal tunnel syndrome testing)
Subject: Phalen (for carpal tunnel syndrome testing)


Under surgical history: s/l carpal tunnel ?effers? nm TIA
Subject: Under surgical history: s/l carpal tunnel ?effers? nm TIA


We will get a lassemer pad over the carpal tunnel for her pillar pain as well tia
Subject: We will get a lassemer pad over the carpal tunnel for her pillar pain as well tia


Yes. I've also found that it's used for carpal tunnel, so that makes sense - could not find m
Subject: Yes. I've also found that it's used for carpal tunnel, so that makes sense - could not find mcg


We will focus on s/l nerve intentive gliding" Pt had carpal tunnel surgery with complications.
Subject: We will focus on s/l nerve intentive gliding" Pt had carpal tunnel surgery with complications. nm


We will focus on s/l nerve intentive gliding" Pt had carpal tunnel surgery with complications.
Subject: We will focus on s/l nerve intentive gliding" Pt had carpal tunnel surgery with complications. nm


Postsurgical carpal release splint. s/l Veering splint
Subject: Postsurgical carpal release splint. s/l Veering splint

Patient was placed in a "Veering/V-ring".

Stumped!
The Phalen's test is a test for carpal tunnel--sm
Subject: The Phalen's test is a test for carpal tunnel--sm

syndrome and involves the wrist. It is a pressure test, but the doctor would hold the distal or proximal phalanx in the performance of that test while compressing the wrist and waiting for numbness to occur. I would like to hear the rest of your sentence before saying for sure what you are hearing is Phalen's.
I thought MPJ could apply to either carpal or tarsal... sm
Subject: I thought MPJ could apply to either carpal or tarsal... sm

In my abbreviations book metacarpophalangeal and metatarsophalangeal are both listed under MPJ. Like you, when they dictate MPJ and it needs to be expanded, I have both codes mcpj and mtpj to avoid an error.

have a productive day!
FCR tunnel ?
Subject: FCR tunnel ?

xx
tunnel? nm
Subject: tunnel? nm

nm
I would say tunnel since it goes thru one there. nm
Subject: I would say tunnel since it goes thru one there. nm

s
cubital tunnel?
Subject: cubital tunnel?


scleral tunnel? nm
Subject: scleral tunnel? nm


open?
Subject: open?


release?
Subject: release?

"to release some of the trigger points"
"to relieve some of the trigger points"

which one is correct?
release?
Subject: release?

"to release some of the trigger points using reiki"
"to relieve some of the trigger points using reiki"

which one is correct? is release a correct term for trigger points?
s/l tunnel cuminalis catheter?
Subject: s/l tunnel cuminalis catheter?

Patient has renal failure and the procedure is a placement of this catheter.  Any ideas?  This is the only time it is said.


Thanks


Pt with cubital tunnel syndrome. please sm
Subject: Pt with cubital tunnel syndrome. please sm

EMG is reviewed which shows ulnar nerve s/l disluction at the elbow.

ulnar tunnel syndrome
Subject: ulnar tunnel syndrome


Maybe open or oblique
Subject: Maybe open or oblique


LOL. yup, open minded me! nm
Subject: LOL. yup, open minded me! nm

nm
You sure it's not p.o.? 15 mg would be 1/2 a tab, but it comes as extended release. Don't know
Subject: You sure it's not p.o.? 15 mg would be 1/2 a tab, but it comes as extended release. Don't know if

s
It's usually laparoscopic or open. Don't know
Subject: It's usually laparoscopic or open. Don't know

s
SR is sustained release and ER is
Subject: SR is sustained release and ER is

ER is extended release. It appears ER is the official way with glipizide, and yet SR would be just as clear to other MDs. So if you are supposed to correct, use ER. If you are supposed to transcribe verbatim, just give it to him, IMO.
Why can't I open replies?????
Subject: Why can't I open replies?????

Whenever someone replies back to my question, all I can view is the Subject!!  What's the secret to opening these??


lateral release
Subject: lateral release


a lateral release? nm
Subject: a lateral release? nm


On x-ray of the knee, his s/l tunnel shadows look good.
Subject: On x-ray of the knee, his s/l tunnel shadows look good.

Thanks!!!!  :-)
yes...test for radial tunnel syndrome...sm
Subject: yes...test for radial tunnel syndrome...sm

the third-finger test: the patient is asked to raise his long finger against resistance with the elbow fully extended; he will frequently experience augmented discomfort
s/l "deker" vein release???nm
x
clearly s/l "deeker" vein release, anyone?? help!!
x
DeQuervain's release? need more info
nm
Without any context, it could mean "keep open" sm
Subject: Without any context, it could mean "keep open" sm

like they do with venipunctures to KVO (keep vein open) in case they need quick access in the future. Just a wild guess on your S/L.
middle finger s/l STS release
Subject: middle finger s/l STS release


s/l right decuer veins release
Subject: s/l right decuer veins release


s/l metal-line release
The patient is having a hip replacement and the doctor is talking about some of the risks involved, such as (s/l) "metal line release,"......  any suggestions?  Thanks very much