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sounds right, antalgic posturing. Using hand in position to minimize pain

Posted By: ltt on 2008-01-10
In Reply to: Need help with s/l --thank you. - please see message..

Subject: sounds right, antalgic posturing. Using hand in position to minimize pain




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wants to try keying? for hand pain
Subject: wants to try keying? for hand pain

ASSESSMENT: Status post left index, long and ring finger flexor tenosynovitis, right thumb, index and ring finger flexor tenosynovitis, right thumb symptomatic carpometacarpal pain and status post bilateral carpal tunnel releases.

She also wants to try s/l keying for one hour a day with several breaks.
he has pain in the fingers, hand up to shoulder sm
Subject: he has pain in the fingers, hand up to shoulder sm

so I don't think it could be VATER and also not goiters because they are talking about mostly the wrist here.

have you ever heard of waiter's sign?

Right hand has pain in the s/l theen-ar region with palpation, but no swelling. thank you
Subject: Right hand has pain in the s/l theen-ar region with palpation, but no swelling. thank you


minimize her INR and coumadization. sm
Subject: minimize her INR and coumadization. sm

INR = international normalized ratio.


 



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  •  


     


    listen for orthotopic position (meaning normal or usual position). nm
    Subject: listen for orthotopic position (meaning normal or usual position). nm


    Sounds like Durobach (ESL). For pain.
    Subject: Sounds like Durobach (ESL). For pain.

    I've had this before but QA never gets back to me. Thanks.
    is there a position s/l Dutch? left lateral decubitus position?
    Subject: is there a position s/l Dutch? left lateral decubitus 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.


    Procto position probably short for proctoscopic position. nm
    Subject: Procto position probably short for proctoscopic position. nm

    s
    dysarthric posturing? Found this. sm
    Subject: dysarthric posturing? Found this. sm

    Dysarthria


    Definition


    Dysarthria is a speech diagnostic term that can be used to classify various types of neuromuscular speech disturbances. Dysarthria results from notable degrees of one or more abnormalities involving speech musculature, including weakness, paralysis, incoordination, sensory deprivation, exaggerated reflex patterns, uncontrollable movement activities, and excess or reduced tone. Generally speaking, the dysarthrias are considered motor speech disorders because speaking difficulties are largely due to breakdowns in movement control of one or more muscle groups that compose the speech mechanism. The name of each dysarthria subtype is partially derived from the basic characteristics of the overlying movement disturbances. Notably, normal speech production involves the integration and coordination of five primary physiological subsystems: respiration (breath support); phonation (voice production); articulation (pronunciation of words); resonation (nasal versus oral voice quality); and prosody (rate, rhythm, and inflection patterns of speech).


    Description

    Dysarthria


    Definition


    Dysarthria is a speech diagnostic term that can be used to classify various types of neuromuscular speech disturbances. Dysarthria results from notable degrees of one or more abnormalities involving speech musculature, including weakness, paralysis, incoordination, sensory deprivation, exaggerated reflex patterns, uncontrollable movement activities, and excess or reduced tone. Generally speaking, the dysarthrias are considered motor speech disorders because speaking difficulties are largely due to breakdowns in movement control of one or more muscle groups that compose the speech mechanism. The name of each dysarthria subtype is partially derived from the basic characteristics of the overlying movement disturbances. Notably, normal speech production involves the integration and coordination of five primary physiological subsystems: respiration (breath support); phonation (voice production); articulation (pronunciation of words); resonation (nasal versus oral voice quality); and prosody (rate, rhythm, and inflection patterns of speech).


    Description


    NEURO EXAM (s/l) dys-teri-arthritic posturing
    Subject: NEURO EXAM (s/l) dys-teri-arthritic posturing

    No focal weakness and moves spontaneously to pain but does have _______ posturing.


    Thank you in advance.


    Anyone heard of s/l *Avant garde* posturing in an infant??? TIA
    Subject: Anyone heard of s/l *Avant garde* posturing in an infant??? TIA


    Doc might be trying to say antalgic.
    Subject: Doc might be trying to say antalgic.

    Here's the definition:
    Antalgic Gait: painful gait, a limp is adopted to avoid pain on weight bearing structures (hip, knee, ankle)


    antalgic?
    Subject: antalgic?

    Could it be antalgic gait? (or non-antalgic)
    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


    antalgic/antalgia
    Subject: antalgic/antalgia

    Is this correct?  "Gait is without antalgia. "  Antalgia is not in my dictionary.  Should it be "Gait is not antalgic?"  


    Gait is not antalgic.
    Subject: Gait is not antalgic.

    .
    antalgic gait
    Subject: antalgic gait


    antalgic is correct.
    Subject: antalgic is correct.

    nm
    Possibly decerebrating, as in decerebrate posturing. Stroke/head trauma victim? (nm)
    Subject: Possibly decerebrating, as in decerebrate posturing. Stroke/head trauma victim? (nm)

    x
    semi-Fowler position one similar to Fowler's position but with the head less elevated
    Subject: semi-Fowler position one similar to Fowler's position but with the head less elevated


    antalgic gait posture?
    Subject: antalgic gait posture?

    does that sound right per the rest of the report?
    pt walks with an antalgic gait on the left and this is
    Subject: pt walks with an antalgic gait on the left and this is

    slightly decrased over the s/l Reflexes?? on the left leg.  Is the word Reflexes right?  Sorry guys for so many questions, having a tough day.
    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


    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

    ///
    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! 
    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.
    nEck pain and back pain
    Subject: nEck pain and back pain

    what a day!
    QA Position
    Subject: QA Position

    Does any one know of a full-time QA position that's open?


    [Sorry Administrator , if this message is in the wrong forum; didn't know where to post this message.]


     


    QA position
    Subject: QA position

    I have been transcribing over 10 years and am thinking of applying for QA.  Anybody have any similar experience and suggestions/comments on their experiences?  I work for MQ and get paid by the line -- have no idea how they pay their QA - is it by the report, hour or ??  Thanks so much!
    or perhaps "W" position.
    Subject: or perhaps "W" position.

    I know that does not start with a P but that is usually what they say to avoid, the W position where they sit with knees folded back and feet to the sides. And they tell them to sit in the "indian" position to correct it.
    POSITION
    Subject: POSITION

    Hi, thanks, that was one of my sounds like that I added to my comments when I sent it in. I guess they call the surgical table the "bed" now, maybe? I still think it is the same as reverse Trendelenburg (from the olden days when I worked in an OR), but I was not there now, right? Thanks and when I find out I'll let you know. Sometimes I feel so old and deaf! (But then again he was not the best "enunciator" on the block either).
    Maybe one-position?
    Subject: Maybe one-position?


    Position
    Subject: Position

    Yes, it is a beach chair position.
    Position
    Subject: Position

    Head upright recumbent position.  Just check this out.
    s/l HS position?
    Subject: s/l HS position?

    spot of tenderness just outside anal verge on buttock at about 5'clock in an HS position. 
    s/l pedrosal position for TAH

     Gotta get that Stedman's! 


    The dorsal position.
    Probably just saying "in the dorsal position."
    No cap. It's just the way they position the patient. nm
    Subject: No cap. It's just the way they position the patient. nm

    x
    maybe DISI position
    Subject: maybe DISI position


    Yes, Rose position. You got it.
    Subject: Yes, Rose position. You got it.

    xx

    9 o'clock position
    Subject: 9 o'clock position


    ? supine position
    Subject: ? supine position

    Young boy is having surgery on toe. Placed in s/l calva supine position. It almost sounds like he might be saying careful or covered or comfortable. Any ideas? Thanks
    dependent position
    Subject: dependent position

    hanging down to the side
    Surgical position
    Subject: Surgical position

    Lap chole and after the second set of trocars were placed he states, "The patient was then placed in the head upright _________ position." Sounds like beta,  Is this the same as reverse Trendelenburg?  He continues on with the rest of the case.  Somebody save me here.  I think I need a Miracle Ear. 
    nevermind... it is a position
    Subject: nevermind... it is a position


    He says more than once "amigo" position.
    Subject: He says more than once "amigo" position.


    s/l "semi fal er" position
    Subject: s/l "semi fal er" position

    For left temporal sebaceous cyst removal, patient placed in "semi fal er" position


     


    thanks


    Position of mass - help?
    I know if we're doing a location of something on the body, we type 1 o'clock.  I have a mass at one-thirty.  How is that typed?  Thanks!