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s/l aquacore gel OTC for relief of knee pain

Posted By: nm on 2006-12-27
In Reply to:

Subject: s/l aquacore gel OTC for relief of knee pain

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probably "benefit" (of pain relief from an epidural steroid injection?) nm
Subject: probably "benefit" (of pain relief from an epidural steroid injection?) nm


The knee is pain significant because she had a total knee replacement. Make sense? nm
Subject: The knee is pain significant because she had a total knee replacement. Make sense? nm

,,
To effect relief - to make relief happen. SM
Subject: To effect relief - to make relief happen. SM

The patient has a pleasant affect (demeanor).
The medication may affect (change) one's memory.
This has the unpleasant effect (result)of causing nausea.
We will effect (make happen)the changes immediately.
Side effects (results) are often mild and may affect (alter) the gastrointestinal system.
could be TKA-total knee amputation. pain could be "ghost" pain --nm
Subject: could be TKA-total knee amputation. pain could be "ghost" pain --nm

///
shoulder pain and knee pain
Subject: shoulder pain and knee pain

Doctor says, "he denies any neck pain or s/l ridicular symptomatology into the upper extremity.
knee pain
Subject: knee pain

I can't make out the first word.  S/L dis-tal-ly.  * does walk with a slight limp.  any help???
knee pain
Subject: knee pain

With range of motion, he is able to obtain full extension and maintain a s/l straight leg razor. Does this make sense?
bilateral knee pain
Subject: bilateral knee pain

Physical exam: Doc says positive "J" sign. Does this stand for Jackson sign?


second one could be she complains of right knee pain
Subject: second one could be she complains of right knee pain


RIGHT KNEE PAIN. PHYSICAL EXAM
Subject: RIGHT KNEE PAIN. PHYSICAL EXAM

NM
ensethopathy? Child with knee pain.
Subject: ensethopathy? Child with knee pain.


"rest" pain and below-knee amputation
Subject: "rest" pain and below-knee amputation

Diagnosis s/l "rest" pain and ischemia of left foot with acute gangrene (resulting in below-knee amputation).  


Status post "TVA" with knee pain
Subject: Status post "TVA" with knee pain

has knee prosthesis in place with components intact.  Thanks!
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
Pt with knee pain. Has tried a s/l strolap brace whic has not helped. nm TIA
Subject: Pt with knee pain. Has tried a s/l strolap brace whic has not helped. nm TIA


Teen with knee pain. "Drawers McMurray" evaluation was unremarkable.
Subject: Teen with knee pain. "Drawers McMurray" evaluation was unremarkable.


Patient has a positive drawer test and s/l wobble test (knee pain)
Subject: Patient has a positive drawer test and s/l wobble test (knee pain)

thanks so much!!!
Thanks so much!! Que relief!
Subject: Thanks so much!! Que relief!

Need to brush up on my Cardiology words
s/l "capillary relief"
Subject: s/l "capillary relief"

During cardiac catheterization:


The patient had radial pulse by Doppler, however, it was not palpable. s/l "capillary relief"  was normal.


opnote help s/l over the relief...
Subject: opnote help s/l over the relief...

A longitudinal incision was made centered over the s/l relief of the greater trochanter.


There's Prelief but it is otc for acid relief
Subject: There's Prelief but it is otc for acid relief


Duralith (XR means extended relief) By the way, this is a psych med in case that does not fit.
Subject: Duralith (XR means extended relief) By the way, this is a psych med in case that does not fit.


Hyaloronic acid injectionss for osteoarthritis, joint relief....nm
Subject: Hyaloronic acid injectionss for osteoarthritis, joint relief....nm

nm
X-ray of the knee shows arthritic change within the knee, but maintained s/l tibiofemoral stasis.
Subject: X-ray of the knee shows arthritic change within the knee, but maintained s/l tibiofemoral stasis.

Thanks :-)
Starting off great today...Rheo Knee prosthetic knee???
Subject: Starting off great today...Rheo Knee prosthetic knee???


Knee x-ray: s/l RATTY knee joint erosions? NM
Subject: Knee x-ray: s/l RATTY knee joint erosions? NM


MRI of knee. Semimembranosus s/l pes-dens-a-ri-nus region of the knee.
Subject: MRI of knee. Semimembranosus s/l pes-dens-a-ri-nus region of the knee.

:-)
possibly occult sciatic pain ( pain hidden/concealed/not manifest) ? nm
Subject: possibly occult sciatic pain ( pain hidden/concealed/not manifest) ? nm


if it's in the spine, it could be "discogenic" pain versus "facet"-related pain
Subject: if it's in the spine, it could be "discogenic" pain versus "facet"-related pain


S/P left total knee reconstruction. On exam, has a palpable s/l clod defect on the left knee.
Subject: S/P left total knee reconstruction. On exam, has a palpable s/l clod defect on the left knee.

:-)
Drug name - s/l amarek, for back pain and neck pain
Subject: Drug name - s/l amarek, for back pain and neck pain

Any ideas?  Thanks! 
nEck pain and back pain
Subject: nEck pain and back pain

what a day!
knee sleeve? Neoprene knee sleeve?
Subject: knee sleeve? Neoprene knee sleeve?


I think....in the knee.......sm
Subject: I think....in the knee.......sm

so I'm not sure if this is correct or not.....a chondromalacic flap.....


perhaps he/she meant Karapandzic flap?  That would be innervated musculocutaneous arterial lip and cheek flap used in lip reconstruction.  It is named for Modrag Karapandzic....


Problem is I don't know what part of the body your dictator is speaking of......


Knee (TKA) nm
Subject: Knee (TKA) nm

/
better s/l......sa-knee-key-eye
Subject: better s/l......sa-knee-key-eye


knee
Subject: knee

tibial condyle
me too. below knee.
Subject: me too. below knee.


Help! MRI knee
Subject: Help! MRI knee


There is tricompartmental articular cartilage abnormality s/l "gracing" the medial compartment of the knee.


He says it again here in the impression, and I still can't understand it:


Tricompartmental articular cartilage abnormalities and osteoarthritis s/l "gracing" the medial compartment....


Help! TIA 


It's an x-ray of the knee
Subject: It's an x-ray of the knee


Knee MRI help
Subject: Knee MRI help

"Short segment "teribicular" fracture of the lateral tibial plateau - (sounds like?)  Any ideas anyone?????


Knee MRI
Subject: Knee MRI

"There is severe patellofemoral arthritis with complete erosion of the lateral [ s/l christi] of the trochlea. "   I cannot locate this is in any of my references.  He is very clear pronunciation, no accents.  Sounds like the name Chris with a "t" on the end and the word eye.  Any help would be appreciated.  Thanks!


 


 


Knee - Sorry about that.
Subject: Knee - Sorry about that.


s/l knee-a-gen
Subject: s/l knee-a-gen

A s/l knee-a-gen screen has been sent and is pending at the time of dictation.

**Newborn with tachypnea.
It's the knee nm
Subject: It's the knee nm

x
Theres a what in the knee?
Subject: Theres a what in the knee?

Stepwise evaluation did localized a chondral ?? s/l mouth or mouse?? that was localized in the medial compartment that was removed with a shaver.
knee gd??
Subject: knee gd??

I don't know if I'm completely hearing this wrong but it sounds like he is saying, "He had knee GD prior to his gastric bypass surgery."
KNEE
Subject: KNEE

Could doc be saying "parareactive" changes? Meaning like a reactionm as to an infection. You know how they use "para" and make up words.
Rosie

s/l ban-day-knee-a
Subject: s/l ban-day-knee-a

The dictator is speaking under labs and saying 67% s/l ban-day-knee-a. Any ideas?


Right knee?
Subject: Right knee?

Is it possible the doc is saying "right knee?" 
Knee x-ray - HELP!!!
Subject: Knee x-ray - HELP!!!

Okay, this in part goes with the other question I posted.  This is an ESL doctor whom I've done MANY times.  I never have this trouble with him and this is just a regular old knee x-ray, not an MRI like he usually does.  Please help.  The patienth as a tibial plateau fracture. He is saying: 


"Limited s/l PAR-BOW interoperative 3 view study of the left knee was obtained and submitted for interpretation.  Limited s/l PAR-BOW interoperative examination shows the presence of radiopaque s/l DEE-KNEE-AH surgical device overlying the tibial plateau on the AP and lateral views."