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s/l tanjestal excision (its for a burnt hand)

Posted By: AJ on 2008-08-13
In Reply to:

Subject: s/l tanjestal excision (its for a burnt hand)




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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.


burnt out
Subject: burnt out

ok does the patient feel burnt out from work or burned out from work?
burnt or burned?
burnt out : burned out............
Subject: burnt out : burned out............


burnt-out


adjective

Definition:

Same as burned-out



There is a small, ___basilic (s/l burnt). There is a
Subject: There is a small, ___basilic (s/l burnt). There is a

dominant brachial vena, _____(s/l tontase).  This was chosen for access.


New doctor on new account.  Can't figure out what he is saying...


Can you help me? TIA 


it totally sounds like burnt when he is talking
Subject: it totally sounds like burnt when he is talking

burnt out, you are right though, burned out looks better on the screen
probably is isthmusectomy. Those two procedures go hand in hand.
Subject: probably is isthmusectomy. Those two procedures go hand in hand.

x
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


"Y" excision of melanoma?
Subject: "Y" excision of melanoma?

Anyone heard of this?  Sounds like "Y" excision, but I can't find it.


 


Thanks!!


Lipoma excision
Subject: Lipoma excision

This is what the doc dictates, though I'm not sure about the word lips, do you think this is right? It is a posterior thigh lipoma that is being excised.


 


a transverse curvilinear lips of skin was excised. 


 


Thanks for any help.


 


excision-debridment
Subject: excision-debridment

That's right. It's in AMA CPT mannual. CPT code 11012 is excision-debridment skin, subcutaneous tissue, muscle fascia, muscle, and bone.
Excision of lipoma
Subject: Excision of lipoma

Dictated it sounds like this "The HCC is 0 sanguinoma removed from the lipoma site without evidence of any infection."


 


Any ideas on the 0 sanguinoma?  


 


Thank you, 


says pt was taken to the or for excision arthroplasty
Subject: says pt was taken to the or for excision arthroplasty

placement of antibiotic s/l latent, weighted? spacer.


Help


OP scalp excision.
Subject: OP scalp excision.

Pre and postoperative diagnosis is Two ??_______ of scalp. It sounds like it starts with a W. The operation is excision of these two things. A small incision is made over each one and they are extracted. s/l maybe wins or wans.


 


could be tangential excision....nm
Subject: could be tangential excision....nm

nm
excision of diverticulum
Subject: excision of diverticulum

for the colitis patient has
s/l dermatonoma excision
Subject: s/l dermatonoma excision

Doctor says under surgery:  status post (s/l dermatonoma excision) but I can't find anything on Google or my books.  Any advice or suggestions would be great.
Maybe ....laser excision? n/m
Subject: Maybe ....laser excision? n/m


maybe interphalangeal (joint) excision?...
Subject: maybe interphalangeal (joint) excision?...

x
s/l "boris" triangel excision
Subject: s/l "boris" triangel excision


I think it's Burow's triangle excision
Subject: I think it's Burow's triangle excision


Can you hear "wide" excision?
Subject: Can you hear "wide" excision?


mammiwire??? localization and excision.
Subject: mammiwire??? localization and excision.

The patient has papilloma of the right breast.  Mammiwire? is the type of procedure being performed.  Thanks
L4-5 far lateral disk excision
Subject: L4-5 far lateral disk excision


sounds like widens excision
Subject: sounds like widens excision


Wide (local) excision
Subject: Wide (local) excision

to excise a cancerous lesion on the nose?


s/l onblock excision...see full...
Subject: s/l onblock excision...see full...

...where she underwent an (on block excision) with release of the long toe extensor and pinning of the joint along with irrigation of debridement...
Is it excision of ulcer and tract or track?....nm
Subject: Is it excision of ulcer and tract or track?....nm

nm
s/l more than 100,000 epinephrine and s/l mose type excision
Subject: s/l more than 100,000 epinephrine and s/l mose type excision

excision of a basal cell carcinoma on the left cheek just below the eyelid.


After prepping the area with alcohol and infiltration with 1% Xylocaine with s/l more than 100,000 epinephrine, s/l a mose-type excision with a 15-blade was done.


probably surgical excision of (can't figure ot the rest)
Subject: probably surgical excision of (can't figure ot the rest)


Podiatrist says performed an excision of a s/l "poracatoma."
Subject: Podiatrist says performed an excision of a s/l "poracatoma."

x
s/l maybe "velga" neuroma excision - 2nd and 3rd toes nm
Subject: s/l maybe "velga" neuroma excision - 2nd and 3rd toes nm


excision of a complex _____ mesh, s/l "septoveral"

Any ideas?  Sounds like "sleptovery", "septoveral",


open repair of incisional hernia with mesh, as well as a repair of serosal tear after excision of a complex _____ mesh


TIA


s/l *superglyficate* adenopathy... also excision and * lome* of breast...
Subject: s/l *superglyficate* adenopathy... also excision and * lome* of breast...

Elderly woman 3 years status post breast carcinoma and mastectomy.


Healthy breast inspected and no *superglyficate* or axillary adenopathy.


Three years post diagnosis of small, localized breast carcinoma for which she underwent excision and *lome*.


 


THANKS!


Patient is status post melanoma excision s/l....
Subject: Patient is status post melanoma excision s/l....

Past medical history is significant for melanoma. She has had surgery in September for this s/l "essential" excision of melanoma from her right lower extremity.
s/l linspole mass excision on bilateral hands.
Subject: s/l linspole mass excision on bilateral hands.

DIAGNOSIS: Rheumatoid arthritis.

STATUS: Post surgery on 11/19/08 consisting of s/l linspole mass excisions on bilateral hands.

SUBJECTIVE: The patient is doing well today. She is just here for a s/l beeni change.

She had a definitive s/l blide local excision performed.
Subject: She had a definitive s/l blide local excision performed.

In a patient with vaginal melanoma.  Any suggestions?
ellipitical excision was fashioned to fall within an upper lip *bear-eye-did* sm
Subject: ellipitical excision was fashioned to fall within an upper lip *bear-eye-did* sm

sounds like possibly a tool to keep the incision with the margins of the lip... it kind of sounds like *parotid* but this is upper lip, not lower. 
Past medical history significant for s/l wrekal sinus excision
Subject: Past medical history significant for s/l wrekal sinus excision


I would say burned out - but burned and burnt
Subject: I would say burned out - but burned and burnt

mean the exact same thing.
On the other hand...
Subject: On the other hand...

could be that she hadn't refreshed the page and didn't see the post by the OP
s/l C&S of the hand...sm
Subject: s/l C&S of the hand...sm

She has normal (s/l C&S) ____ of her hand.  There is no weakness.  Tinel and Phalen signs are negative.


No wounds etc.  Has to do with checking had and possibly filing workmans comp. 


TIA


could he be saying right hand?
Subject: could he be saying right hand?


On the other hand...
Subject: On the other hand...

When he states AP, lateral and oblique views were obtained of the ...

But

AP, lateral and oblique was obtained of the ...

Are they not the same sentence really?? SO shouldn't the second one be were?
Your welcome - its very hand. :) nm
Subject: Your welcome - its very hand. :) nm


hand/wrist
Subject: hand/wrist

The doctor is saying what sounds like "pulp pinch" and "pea pinch" measurements.  Could that be correct?
hand/wrist
Subject: hand/wrist

Thanks for your help. I listened again and he's saying key pinch, not pea pinch.
[diastem] of the hand
Subject: [diastem] of the hand

An IV line was established via nursing staff at the s/l diastem of the hand. Diastem is actually A word but I don't think it's THE word. This is a right upper extremity venogram.javascript:editor_insertHTML('text','');
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dorsum of hand
Subject: dorsum of hand

nm
diastem of the hand
Subject: diastem of the hand

ty, that's it - PowerScribe put diastole which sent me off in the wrong direction.
hand-delivers
Subject: hand-delivers


hand delivers?
Subject: hand delivers?