Child psych eval...please sm
Posted By: WImom on 2007-05-29
In Reply to:
Subject: Child psych eval...please sm
Psych eval for a 7-year-old student with ADHD...
He says the following:
He showed a moderately delayed score in the working memory area when he had difficulty recalling S/L: wrote, auditorily presented information. Weakness in this area may impact his ability to remember, recite, and manipulate sequences for academic tasks.
WROTE auditorily presented information? TIA
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Psych eval
Subject: Psych eval
This was under mental status:
Mood was stressed and angry with a S/L: VER-EH-BY affect.
I definately hear the long "i" sound at the end. Unless he is saying "variable" wrong...
Thanks!
Psych eval
Subject: Psych eval
Psych eval.
Scores were invalid during his testing because he refused to cooperate on certain tasks - doc dictates:
"Interpretation of WISC-IV scores for him is given consciously, due to the s/l: manual refusal behaviors noted during testing."
Manual refusal behaviors? Is this right? Thanks!
Psych eval question
Subject: Psych eval question
This patient is on Zoloft and has a history of Oppositional Defiant Disorder, ADHD, and anxiety.
This is under AXIS I:
1. Generalized Anxiety Disorder, 300.02.
2. S/L Dysplymic or Disemployment Disorder, 300.4.
It does not sound like dysthymic. Thanks,
Is this correct?? (Psych Eval)
Subject: Is this correct?? (Psych Eval)
Under Axis Formulation:
AXIS I: Schizoaffective Disorder, Bipolar s/l: subtag.
I have not encountered this word and tried to google subtag to no avail.
Thanks.
Psych eval question
Subject: Psych eval question
This is under the discussion part of the dictation and it is a continuation, of which I was not the typist for the first part of the evaluation...
My assessment of him reveals many strengths, including long-term friendships, good relations with family members, solidly normal intelligence including strong S/L: visual enhance auto reasoning, and absence of any “behavior problems” in the usual sense of the word.
Does this make sense??? Thanks for any help.
Psych eval - speech?
Subject: Psych eval - speech?
Speech, attention shows s/l circumstantially evasive and guarded. circumstantially?
Psych Eval. s/l *egomastria.* Please SM.
Subject: Psych Eval. s/l *egomastria.* Please SM.
She is in a state of emotional disequilibrium. This includes problems with depression, irritability, agitation, lassitude and malaise, as well as lack of s/l *egomastria,* indicating she has trouble with regard to clear thought processes associated with her disturbance in regards to her auditory hallucinations and delusional ideation. TIA
Any ideas on this one appreciated! Psych eval...
Subject: Any ideas on this one appreciated! Psych eval...
He has some mild anxiety about S/L: WALT issues but does not have any symptoms suggestive of an anxiety disorder.
He was diagnosed with ADHD and PDD.
TIA
psych eval - never heard of a similar word...sm
Subject: psych eval - never heard of a similar word...sm
I also believe the diagnosis of Disruptive Behavior Disorder Not Otherwise Specified should be ruled out for her given high levels of concerns of these types seen for her at school. However, it does seem possible that some of these behaviors are related to issues with attention span and/or learning, and in particular, auditory memory; conceivably, as these issues are successfully addressed, we may see less pronounced S/L: SUP-TUNE-IS on her part, at least in the classroom.
Child psych - about CAT test...
Subject: Child psych - about CAT test...
The Children’s Apperception Test (CAT) asks the child to create stories to a series of picture S/L: CAUGHT or CUT stimuli which depict cartoon animals in “storybook” scenarios.
Any ideas? Thanks in advance!
s/l *naw-vin* 10 mg bid (not Novolin or Darvon) - psych pt but may not be psych med - TIA - nm
Subject: s/l *naw-vin* 10 mg bid (not Novolin or Darvon) - psych pt but may not be psych med - TIA - nm
x
Psych note Axis III s/l VPS and neuropathy. No health history in the note. Only meds listed psych
Subject: Psych note Axis III s/l VPS and neuropathy. No health history in the note. Only meds listed psych
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Subject: ENT eval
Furuncle
PT eval
Subject: PT eval
The therapist is saying 1-1/2 fingers breath from the chest. How should this be typed? Fingersbreadth or fingerbreadths?
thought attrition?? Psy eval
Subject: thought attrition?? Psy eval
At this time, he denies any ideas of reference, no thought broadcasting, no thought ATTRITION??
if it is OB, could it be uterine infection eval?
Subject: if it is OB, could it be uterine infection eval?
nm
s/l liftlocks on shoes-OT eval
Subject: s/l liftlocks on shoes-OT eval
The patient is having an OT evaluation. He is in a wheelchair. The sentence is under ADLs and states, "He uses (s/l liftlocks or lislocks) on his shoes and these work well."
DNP, CBC to eval for s/l neocult anemia
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Subject: PT Eval - s/m emtican test? nm
Thanks!
Spacuda step test? Vestibular eval
Subject: Spacuda step test? Vestibular eval
S/L spacuda step testing. Football player with concussion after helmet-to-helmet hit, now complaining of dizziness and headaches.
The sentence is:
"His *Spacuda?* step testing was intact."
She is doing dynamic balance testing on him.
Thanks!
Patient had laparoscopic cholecystectomy. Returns for eval of "subsactal" wound ??
Subject: Patient had laparoscopic cholecystectomy. Returns for eval of "subsactal" wound ??
Please help, I'm clueless. Sounds like sub zactal, subsactal?? Thanks!
Social work eval s/l full-'scaled' or 'skilled' survey sm
Subject: Social work eval s/l full-'scaled' or 'skilled' survey sm
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Full-scaled survey seems to make the most sense- can anyone verify this?
TIA
ENT eval: she had a "fur-on-gole interior canal wall of her left ear which was opened & purulenc
Subject: ENT eval: she had a "fur-on-gole interior canal wall of her left ear which was opened & purulence
hard to hear this, she rattles it off so fast I could have it completely off.
maybe just before child???
Subject: maybe just before child???
nm
I would use mother's just as you did child's. nm
Subject: I would use mother's just as you did child's. nm
s
New one for me. Child? skeletal age? Just a WAG here. nm
Subject: New one for me. Child? skeletal age? Just a WAG here. nm
Is this child on a ventilator or something like that? nm
Subject: Is this child on a ventilator or something like that? nm
z
1 year old child. Please sm
Subject: 1 year old child. Please sm
"X-rays reviewed that show a s/l **bubble** type fracture to the radius on the right" Assessment: Right radius fracture. Thanks for any help! :)
Well-child check?
Subject: Well-child check?
GENITOURINARY: Bilaterally descended testis with a normal penis. He has s/l [10 and 1]. s/l He was normal side to side during this exam.
Is it a child? Maybe trying to pronounce RSV?
Subject: Is it a child? Maybe trying to pronounce RSV?
Respiratory syncytial virus.
died as a child maybe? nm
Subject: died as a child maybe? nm
Is it a child? Maybe PediOtic?
Subject: Is it a child? Maybe PediOtic?
Try Child B cirrhosis -sm
Subject: Try Child B cirrhosis -sm
Child-Turcotte-Pugh Scoring System for Cirrhosis
Down syndrome child with colostomy...sm
Subject: Down syndrome child with colostomy...sm
underwent "PSARP" ? two weeks ago. Very clear, but have not been able to find.
States colostomy is health and then states that the s/l "peroneum" is well healed........should that not be peritoneum? Thanks.
Child's PE s/l genus algus...........
Subject: Child's PE s/l genus algus...........
Here is the whole sentence:
His musculoskeletal exam shows 15 degrees genus algas bilaterally.
Thanks for any ideas.
Child Assistance Program
Subject: Child Assistance Program
.
Child- Pugh classification (duh), yes, that's it. Thanks! nm
Subject: Child- Pugh classification (duh), yes, that's it. Thanks! nm
for a child with cancer..under PE HEENT
Subject: for a child with cancer..under PE HEENT
Oropharynx is without erythma, s/l epistasis? , petechia, or s/l yeast?
does this seem right?
Child with Sickle cell
Subject: Child with Sickle cell
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Subject: child blood pressure
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Subject: child with respiratory distress
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The s/l <T4 or P4?> was around 150 to 200 over s/l <260 or 20 60?> at this time."
child or adult? What are some of pt's other problems? nm
Subject: child or adult? What are some of pt's other problems? nm
x
Thank you. Called Lyndebo as a child sm
Subject: Thank you. Called Lyndebo as a child sm
Because growing up, my name was Lyndia Beauregard. I kept my married name obviously, LOL. If I told you my middle name you'd know my mom was a fruitcake.
Child with necrotizing enterocolitis
Subject: Child with necrotizing enterocolitis
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Having a NSVD does not mean the child is living.
Subject: Having a NSVD does not mean the child is living.
EDGING: child psychiatry
Subject: EDGING: child psychiatry
what is edging?
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Subject: More info. Man woman child?
Child-Pugh score
Subject: Child-Pugh score
x
intranasal "redium" implants as a child. . TIA nm
Subject: intranasal "redium" implants as a child. . TIA nm
I am allowed to restate as 4 10/12-year-old child
Subject: I am allowed to restate as 4 10/12-year-old child
but my account is like that. Ask your QA person what the account wants JMO
How would you write the child was four years and eight months old
Subject: How would you write the child was four years and eight months old
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