Tendons
ligaments
Bones
physical Therapy
Misc
procedure input
surgeries/procedure
100
Achilles Tendon
100
Which ligament is highlighted in orange
Plantar Fascia Ligament
100
Name in bone highlighted in purple
Calcaneus Bone
100
Electric stimulator is used for what?
not dx but benefits of treatment
increase Healing, nerve function, circulation and relaxation of muscle spasms and decreases inflammation and discomfort
100
what is Dr. Batelli protocol for a new patient coming in with plantar fasciitis
1st visit NP, Xray, Dx ultrasound, injection, low dye, stretching exercises, and start PT in 2-3 days
2nd visit Pt estim-Us low dye,
100
how do you document a low dye
29540- strapping
Purpose, Materials -A/C tape , indication, Strain-deformity-fracture, location midfoot, Type of strapping Modified low dye, instructions leave ambulate as tolerated
100
partial avulsion set up
consent, 3cc marc, 1cc dex, pan kit, betadine or hibiclens, abx cream sterile gauze 1in coban, post op instructions
200
Peroneal Tendon
200
Which ligament is highlighted in Blue
CalcaneoFibular Ligament
200
Name the bones highlighted in Red
Metatarsals
200
Electric Stimulator
what are components that change treatment levels.
DX:
and why
Neuropathy
because they have decrease nerve sensation so it does not allow patient to feel machine properly and could cause increase pain or burn.
200
Are we allow to do consent form with pencil or any colored pen? and why
how do you undo mis-spelling or something incorrect on forms
No, its legal documentation and needs to be done in blue or black pen only
you also not allowed to scribble on forms to erase marks. you must cross through with straight line and initial it.
200
how do you document an Unna with Arch
29580- Application of paste boot
purpose, indication, location, materials used, additional padding, instructions
200
T&C set up
how long does bandage stay on
Consent, 3cc marc,1cc dex, beatdine, hibiclens 2 non fenestrated drapes one fenestrated drape, beaver handle, sterile gauze, 3in coban
bandage is waterproof and can be removed in 3 days
300
Posterior Tibial tendon
300
which ligament is highlighted in Blue
Anterior talofibular ligament (ATFL)
300
Name the bone highlighted in green
Cuboid
300
Ultrasound is used for what?
not dx but benefits to treatment
increase healing and circulation to a specific area to decrease pain and inflammation
300
What is Dr.Batelli protocol for s/p on 2nd visit
and what treatments are done
Xray for bone surgeries, DX US for others and Start PT estim-paraffin for bones and Estim-Us of tendon/ligaments
300
How do you Document a B12 injections
Joint injection, Ankle including tibial nerve, 1 cc marc, 1cc B12, under XR and DX imaging- Diagnostic ultrasound, needled guided ultrasound
300
chemical matrix with nail removal and burn same day.
consent, 3cc Marc, 1cc Dex, Hibiclens, betadine, pan kit, curette, turniquet, phenol, silvadene, sterile gauze 1in coban
400
flexor digitorum longus tendon
400
These 3 ligaments combine make one ligament called
Deltoid ligament
400
the correct name of bones highlighted in Green and each individual bone in the order from smallest to biggest
Phalanges
distal, middle, proximal
400
how do you properly put physical therapy in charts
Therapeutic intervention: purpose, Tx #, location, what modalities are being used
Procedures: Physical therapy - Purpose, Pain level, What modalities are being used, gait training, Eval/ start date
400
This condition, most often occurs as a complication of long term diabetes, is a progressive degenerative condition that affects the foot. It is characterized by nerve damage in the foot along with severely weakened foot bones that can lead to debilitating foot deformity
charcot
400
what is the difference between 76881 and 76882
76881 is used for NP or patient who have not been seen in over a yr insurance only covers this DX ultrasound every 3 months
76882 is used for c/u and therapeutic injections like B12 because there are no limits to how often you use it.
400
A-cell
set up step by step.
consent, 2 stickers one on consent one on a-cell log sheet, box a-cell, 3cc mar, 2cc mar mixed with acell solution replaced with 18gauge., Dx Ultrasound, Unna AFO boot.
500
Tendon furthest to the Right
flexor hallucis longus tendon
500
which ligament is highlighted in Purple
posterior talofibular ligament (PTFL)
500
Name the bones highlighted in Red
bonus: name them indvidually
Cuneiforms
Bonus
Medial, Intermediate, Lateral
500
paraffin is used for what?
not dx benefits
decrease inflammation, increase healing and does not target on specific area,
500
If a NP or Previous patient refuses X-ray, how would you address this.
Dr. Batelli likes to do a complete evaluation to confirm that the inside structures are not causing any of your pain and to determine why one foot has pain and not the other. Also gosh forbid you ever had to come back with a new problem we have something to compare too as well.
500
how do you document partial avulsion procedure
11730 avulsion Nail plate fill out boxes with correct cc's default, 29550 toe strap,
500
PRP set up step by step
Consent form, PRP kit box, Veniputre kit, remove one set from boxes, turniquet, band aids, Ultrasound betadine, hibiclens, 3cc Marc, 5cc syringe 25/18 gauge needle, AFO, Unna
600
tendon with Arrow furthest from the right
Extensor Hallucis Longus
600
which tendons is the red arrow emphasising
tibiofibular ligament anterior and inferior
600
Name the bone highlighted in yellow
Talus
600
when and why would Dr. Batelli use Ultrasound and Not paraffin and Vise versa
Bonus +300 points
Why do we put on a strapping for every Pt, what is the purpose
Paraffin is used for patient with metal plates, screws etc in foot, ultrasound can not be used with metal due to it causing metal to heat up and cause increase pain or even brake bone if treatment is for fracture.
Ultrasound is used for tendons and ligaments to target specific location
Strappings are placed after Pt to help alleviate pain and discomfort as well as since the muscles tendons ligaments are all relaxed it allows them to stay relaxed , if no strapping is applied it eliminates or makes ineffective the treatment that was just performed.
600
what 2 tendon will Dr. Batelli not injection and why
Achilles and posterior tibial tendon, because if injected incorrectly it could cause the tendon to completely rupture or tare
600
how do you document left plantar fascia injection
sheath injection- Left plantar fascia, needle guided 76942 plantar fibormatosis 76881 or 76882 for diagnositc ultrasound with plantar ligament
600
Graft application hospital or in office protocol
do not unwrap 1st -3rd visit, Provider is remove bandages, 1st visit, adaptic, abx multi- Ace is reapplied,2nd visit silicone layer is removed from suture removal kit and staple kit in room, curette, blade handle for debridement , 3rd visit regualr wound visit with instrument but do not unwrap bandage, patient will resume wound care hychol, abx, medihoney wraps.
700
Tendons further to the left
extensor digitorum longus tendon
700
Name these to area. what are they associated with
purple:Subcutaneous bursa
yellow: retrocalcaneal bursa
Achilles
700
Name the bone in Blue
Navicular
700
Scenero:
A patient comes in who is a s/p or had recent injury and we are treating them for currently for s/p or injury with physical therapy, but wound opens up on foot that was not there prior what do you do.
Do Not continue with PT,
inform provider, Xrays if needed and then after okied by provider start PT
700
An infection of the bone cells or bone marrow that can lead to death of bone tissue
Osteomyelitis
700
document how this injection would be inputted into chart
joint injection, Left small joint injection, ultrasound guided Left 1st MPJ 1cc dex, 1cc marc, 76882, ultrasound extensor tendon or flexor if at bottom of foot,76942 needle guided left foot