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yes, Garden's classification of femoral neck fractures

Posted By: ltt on 2007-08-20
In Reply to: Ortho question, garden fracture, specifically garden IV, SM - BOS challenged

Subject: yes, Garden's classification of femoral neck fractures




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Garden femoral neck fracture - sm
Subject: Garden femoral neck fracture - sm

Per The Surgical Word Book -


Garden is capitalized and the clasification system is I-VI


 


 


Hmm. Usually femoral neck fractures are
Subject: Hmm. Usually femoral neck fractures are

described as Garden fractures, ranging from I through IV.

How does the sentence read and what type of report are you typing?
Hip fractures comprise two types—femoral neck (cervical or intracapsular)
Subject: Hip fractures comprise two types—femoral neck (cervical or intracapsular)


but...femoral neck and femoral shaft are 2 different
Subject: but...femoral neck and femoral shaft are 2 different

things, so maybe should be femoral neck/shaft or something ??
I think it is Ficat classification of femoral head osteonecrosis.
Subject: I think it is Ficat classification of femoral head osteonecrosis.

xxxxx
Ortho question, garden fracture, specifically garden IV, SM
Subject: Ortho question, garden fracture, specifically garden IV, SM

should this be 4 or IV? TIA
femoral neck fracture
Subject: femoral neck fracture

This fellow has a femoral neck fracture.
Left base of femoral neck fracture.
Subject: Left base of femoral neck fracture.

A longitudinal incision extending distally from the greater trochanter base was made and carried out through the subcutaneous tissue s/l (bew-te-gatrol) by (brody-er-cartery).
Anybody heard of s/l "beta-cervical" femoral neck fracture. TIA. nm
Subject: Anybody heard of s/l "beta-cervical" femoral neck fracture. TIA. nm

nm
The femoral neck shaft angle is noted to be in a *coxa vara* position.
Subject: The femoral neck shaft angle is noted to be in a *coxa vara* position.


There are spanning frames used for pilon fractures and also hip fractures.
Subject: There are spanning frames used for pilon fractures and also hip fractures.


physical exam: neck shows no s/l N-S-E? looking for a standard abbrev. used for neck. nm
Subject: physical exam: neck shows no s/l N-S-E? looking for a standard abbrev. used for neck. nm

d
There is neck dystonia (neurologic condition affecting the muscles of the neck)?
Subject: There is neck dystonia (neurologic condition affecting the muscles of the neck)?


well there IS a Garden wrist fracture I think....
Subject: well there IS a Garden wrist fracture I think....


Garden and Leamite tests
Subject: Garden and Leamite tests

two ortho tests:  Elbow: Garden, C-spine: Leamite.  Any ideas?
Pt. with Garden IV fx. The patient was placed in the s/l Montorell frame without any undue pressure
Subject: Pt. with Garden IV fx. The patient was placed in the s/l Montorell frame without any undue pressure

on any bony prominence....anyone?



? 4-1 fractures
Subject: ? 4-1 fractures

The doc states that the maxilla is free floating due to (what s/l) "lymph 4-1" fractures? 
fractures too
Subject: fractures too

Doc is saying TA compression fractures...... cannot find TA compression fractures.
rib fractures through a
Subject: rib fractures through a

preexisting "calacite"???  thanks!
s/l Jodi fractures
Subject: s/l Jodi fractures

sentence: The history for 'jodi' fractures involving her left upper extremity.
jodi fractures
Subject: jodi fractures

Only thing I can think of is Jones fracture or joint fracture
maybe LeFort II five fractures?
Subject: maybe LeFort II five fractures?

what you typed:  LeFort 2.5 fractures and disjunction of the facial bones from the cranium.


since there is an (s) after fracture(s), I believe he meant a LeFort II five fractures.


Also, isn't it dysjunction?  I could be DEAD_WRONG on that one though.  *lol*


classification
Subject: classification

T1,N0,M0 -- commas and no spaces, although if you put in the spaces that is not a big deal. It is as if it is being used as 1 word.
expanding vertebral fractures
Subject: expanding vertebral fractures

What is the right way to transcribe an L5 compression fracture? or C5-6 herniated nucleus pulposus? Do you just put L5 or fifth lumbar or lumbar 5?


Do you put cervical 5-6 ?  Any help is appreciated. Debbie


Phalanx fractures - word help
Subject: Phalanx fractures - word help

Review of his x-rays today shows that he has some fourth and fifth proximal phalanx fractures of the shaft, just a little oblique in nature.  The s/l 'ulnar-peri' was significantly displaced.


Hx: Fourth and fifth phalanx fractures.


how do you type Salter 1 fractures..
Subject: how do you type Salter 1 fractures..

Sprain of both the metacarpophalangeal joints of her index and long finger, possibly nondisplaced *s/l salter 1 fractures.*? tia.
Need help with cancer classification please!
Subject: Need help with cancer classification please!

Dictated as "T1CN0MX" and I am not finding much help with the Book of Style.  Would this be typed as T1 CN0 MX  ?


THanks!


Mallampati classification
Subject: Mallampati classification

xx
s/l Henche classification
Subject: s/l Henche classification

I am doing explor lap, Hartman procedure, colostomy, etc.  Dx is perforated diverticulitis (stage II s/l Henche classification).  I have been unable to locate this.  Any help would be appreciated.
a classification for leukemia maybe?
Subject: a classification for leukemia maybe?

This is a patient with IgG s/l coppa emga who is being followed in the leukemia clinic.  I'm thinking coppa may actually be kappa, but I don't have a clue what the emga is!!!  It may sound more like emguf.


Any ideas?


Wassel classification.....nm
Subject: Wassel classification.....nm

xx
ENT help - type of classification - see msg THX!!
Subject: ENT help - type of classification - see msg THX!!

Her oropharyngeal exam revealed a "s/l Frebin" class II with mild tonsillar hypertrophy.   Any help would be appreciated.  This doc mumbles something fierce.
Grade / Classification
Subject: Grade / Classification

which ones use Roman numerals? Grade or classification?


 


classification (as in drugs) ?
Subject: classification (as in drugs) ?


No step-offs. You will hear that a lot with fractures etc.sm
Subject: No step-offs. You will hear that a lot with fractures etc.sm

as per my old Stedman's Ortho and me, old ortho person here, before so many  hyphens etc. so I have to look things up to get things right for you guys.
oops, I meant LeFort II 5 fractures....
Subject: oops, I meant LeFort II 5 fractures....

sorry for MY error....
patient casted for s/l bifibular fractures? nm
Subject: patient casted for s/l bifibular fractures? nm

nm
grade 4. All grades are arabic. Fractures and
Subject: grade 4. All grades are arabic. Fractures and

stages are Roman numerals.
may be femoral condyle. They usually say medial femoral condyle.
Subject: may be femoral condyle. They usually say medial femoral condyle.


Drug search by classification
Subject: Drug search by classification

I'm back in acute care, and until the new Sauder's drug book comes out next month, are there any sites to look up drugs by category? I just want to put in a key word like "antibiotic" and have a list of them pop up. Ideally it would say what they were used for.

Surely there is such a thing as that?
mucocysteine is a drug classification
Subject: mucocysteine is a drug classification

is a mix up of saying Mucomyst and acetylcysteine
(Mucomyst is N-acetylcysteine). I could not document a US classification; only in Canada. The rest of the statement should be 100 mg per meter squared written as

100 mg/m2

I would suggest leaving a blank if you cannot document.

Breast cancer classification - s/l tra-vis-sol-lee
Subject: Breast cancer classification - s/l tra-vis-sol-lee

regarding her diagnosis of lobular neoplasia, plastic versus pleomorphic LCIS and the microcalcifications which were seen in her specimen.


He classified this under __tra-vis-sol-lee's_ category II of lobular neoplasia.


Child- Pugh classification (duh), yes, that's it. Thanks! nm
Subject: Child- Pugh classification (duh), yes, that's it. Thanks! nm


There's a Watson-Jones fx classification. nm
Subject: There's a Watson-Jones fx classification. nm

s
ELISA classification, google it.
Subject: ELISA classification, google it.

x
Rehab hospital........Lisfranc and metatarsal fractures
Subject: Rehab hospital........Lisfranc and metatarsal fractures

nm
I find pilon fractures assoc. with the tibula. I will QA it and see b/c she clearly says fibula. T
Subject: I find pilon fractures assoc. with the tibula. I will QA it and see b/c she clearly says fibula. Thanks.


fractures or osteophytes can cause "tenting" of the skin over the tibial spines sm
Subject: fractures or osteophytes can cause "tenting" of the skin over the tibial spines sm

of course it depends on if it fits the context of the dictation....
s/l "Goldberg" Classification in perioperative complications
Subject: s/l "Goldberg" Classification in perioperative complications

TIA!!


I did find a surgical Goldberg classification
Subject: I did find a surgical Goldberg classification


staging classification for multiple myeloma? (sm)
Subject: staging classification for multiple myeloma? (sm)

Sounds like "Dewey-Salmon" 3A??

Thanks.