Extrinsic impression ? on the sigmoid colon
Posted By: nm on 2007-10-19
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Subject: Extrinsic impression ? on the sigmoid colon
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Sigmoid colectomy with Hartmann's pouch and end sigmoid colostomy Op.
Subject: Sigmoid colectomy with Hartmann's pouch and end sigmoid colostomy Op.
There was a large perforation of the sigmoid colon present in an area markedly filled with stool. There was large s/l skivus stool present both in the colon and into the peritoneal cavity.
extrinsic compression
Subject: extrinsic compression
extrinsic? extensive? nm
Subject: extrinsic? extensive? nm
extrinsic compression? Just a guess. nm
Subject: extrinsic compression? Just a guess. nm
Sigmoid s/l epi-plew-ica. TIA. nm
Subject: Sigmoid s/l epi-plew-ica. TIA. nm
.
sigmoid epiploica
Subject: sigmoid epiploica
x
It would have to AND, flex sigmoid
Subject: It would have to AND, flex sigmoid
is done through the rectum. Rings would be found on EGD not a flex sig.
sigmoid tics (spasms)
Subject: sigmoid tics (spasms)
sounds like sigmoid intensity?
Subject: sounds like sigmoid intensity?
The official read of her MRI is that there is severe cervical spinal stenosis at the C6-7 level, with cord impingement in an area of high T2 **s/l sigmoid** intensity at this level presenting edema or gliosis......
Sigmoid just doesnt make sense to me here. Any ideas?
s/l missin pruzing adenocarcinoma of the sigmoid - ???
Subject: s/l missin pruzing adenocarcinoma of the sigmoid - ???
Surgical stapler for sigmoid colectomy
Subject: Surgical stapler for sigmoid colectomy
sounds like Eschelon stapler?
he says findings show a redudant sigmoid and
Subject: he says findings show a redudant sigmoid and
descending colon with approximately 150 mL of retained fluid from her prep suggesting a s/l slow transfer? constipation
thank you all for all of your help. I couldn't do this without you. You're the best!
Resection of sigmoid with ring of s/l sorrow x2. NM - TIA
Subject: Resection of sigmoid with ring of s/l sorrow x2. NM - TIA
x
CT of abdomen and pelvis shows a few small sigmoid s/l ticks.
Subject: CT of abdomen and pelvis shows a few small sigmoid s/l ticks.
Thanks :-)
Help with IMPRESSION
Subject: Help with IMPRESSION
Should this be dictated like this?
1. Hyponatremia, rule out subdural hematoma.
OR
1. Hyponatremia.
2. Rule out subdural hematoma.
impression
Subject: impression
type it with a semicolon in between.
Impression
Subject: Impression
Hi Shirl -
Hang in there, this will be old hat to you after a while. Radiology reports are usually pretty standard. Same phrases/terms used by all radiologists.
Some usual headings in a radiology report are:
CLINICAL INDICATION: or INFORMATION: or HISTORY, or variations of any of these.
FINDINGS: or RESULTS:
IMPRESSION: or OPINION:
Start adding the common phrases, like "lung markings" and all the various possible headers as above, to whatever word expander program you have. You'll be flying through reports in no time!
Impression
Subject: Impression
In the impression the doctor says the patient probably has a small perforation of his colonic cancer.
Impression
Subject: Impression
Status post laceration, rigth wrist with repair of partial tear to the s/l FC or FCE tendon.
she may say it again in impression if you haven't got there. nm
Subject: she may say it again in impression if you haven't got there. nm
IMPRESSION prob
Subject: IMPRESSION prob
I have a problem under impression  ...
"D: IMPRESSION: Occipital neuralgia probable acute gastroenteritis"
question: how will I transcribe that? coz Occipital neuralgia is not related to "probable acute gastroenteritis" isn't it? or possibly there was a 2 impression. one, is occipital neuralgia and secondly, acute gastroenteritis?... What's the meaning by the dictator?
NOTE: but the dictator did not dictate any numbering....
Assessment or Impression
Is it an AAMT rule to automatically number the diagnoses in the Assessment or Impression of an H&P or soap even if the dictator does not? TIA!
No, but it is either part of the Impression, or
Subject: No, but it is either part of the Impression, or
the a new section after it.
Thanks :)
Impression - hypertension
Subject: Impression - hypertension
This is under impression on a history and physical examination.
It is a numbered list.
[Sodiunduradine] is hypertension.
Any suggestions would be great!
It was under the impression section
Subject: It was under the impression section
I have heard of that also, but it was under his impressions. This doctor is such a mumble mouth! *sigh*
On impression: MR say pat uremeia.
Subject: On impression: MR say pat uremeia.
Pt with mental retardation.
I would not abbrev it if it is in the IMPRESSION as the poster said.
Subject: I would not abbrev it if it is in the IMPRESSION as the poster said.
it's impression and lung markings....
Subject: it's impression and lung markings....
No, not as a listed diagnosis or impression.
Subject: No, not as a listed diagnosis or impression.
impression, SP - status post
Subject: impression, SP - status post
nm
GI help: Is it diaphragmatic compression or impression
Subject: GI help: Is it diaphragmatic compression or impression
Trying to distinguish between diaphragmatic compression or diaphragm and compression or diaphragmatic impression. Help appreciated.
Ahhh...that's diaphragmatic impression. nm
Subject: Ahhh...that's diaphragmatic impression. nm
Thanks. Duh. I have to spell out abbreviations in impression. Just could not think. NM
Subject: Thanks. Duh. I have to spell out abbreviations in impression. Just could not think. NM
ss
That is the complete sentence. It is his IMPRESSION.
Subject: That is the complete sentence. It is his IMPRESSION.
Could you post the impression? Might help to shed light. nm
Subject: Could you post the impression? Might help to shed light. nm
impression: bronchiolitis s/l sublets? or other process
Subject: impression: bronchiolitis s/l sublets? or other process
s/l ID or ID8 urine culture. for impression and plan
Subject: s/l ID or ID8 urine culture. for impression and plan
I was under the impression it was JCAH mandated to write ml instead of cc. NM
Subject: I was under the impression it was JCAH mandated to write ml instead of cc. NM
Got first one - he says in impression "flow limiting stenosis"
Subject: Got first one - he says in impression "flow limiting stenosis"
Impression: Right MPJ extensor hood rupture SM
Subject: Impression: Right MPJ extensor hood rupture SM
(s/l shrowd ligament rupture).
nevermind it's 'off' axis. He repeated it in the impression much more clearly!
Subject: nevermind it's 'off' axis. He repeated it in the impression much more clearly!
I was under the impression that VAC is an acronym for vacuum-assisted closure.
Subject: I was under the impression that VAC is an acronym for vacuum-assisted closure.
Both Stedmans acronyms and Tessier surgical have it as VAC.
saw the patient, and the impression was s/l brass sediment impaction?(
Subject: saw the patient, and the impression was s/l brass sediment impaction?(
Firstly, would it be Impression: (instead of "colon") Negative mammography...
Subject: Firstly, would it be Impression: (instead of "colon") Negative mammography...
The dictation after just went straight into the impression, so I didn't include it. nm
Subject: The dictation after just went straight into the impression, so I didn't include it. nm
nm
So, if I were to have this abbreviation in the impression or diagnosis, should I expand to carcinoma
Subject: So, if I were to have this abbreviation in the impression or diagnosis, should I expand to carcinoma
Lumbar spine MRI. He says: Impression - ?quiet? degenerative changes.
Subject: Lumbar spine MRI. He says: Impression - ?quiet? degenerative changes.
Cardio. Dictates ostium to TM in Impression. Can't find expansion...
Subject: Cardio. Dictates ostium to TM in Impression. Can't find expansion...
that makes sense in any references and nothing in rest of dictation that connects. Got any ideas?
Gracias!
Colon
Subject: Colon
...subsequent explortation was without discovery of any pathology with exception of extreme laxity of the mesentery of the entire colon and a tremendous amount of ridden in colon.
What is he possibly saying? Thank you as always-- you guys are great!
Something colon
Subject: Something colon
The patient had an abdominal aortic aneurysm repair following which he had a ____________ic colon. He needed a colostomy which has now been reversed.
Usually have no probs with this doctor, but his tape is skipping a lot.
Thank you again.
Sorry, that is a colon there, E:A.
Subject: Sorry, that is a colon there, E:A.
x
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