Got first one - he says in impression "flow limiting stenosis"
Posted By: PoodleLady on 2008-12-20
In Reply to: Carotid duplex study question - SM - PoodleLady
Subject: Got first one - he says in impression "flow limiting stenosis"
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limiting plates
Subject: limiting plates
Could they be slurring cerebral artery stenosis or some other stenosis? nm
Subject: Could they be slurring cerebral artery stenosis or some other stenosis? nm
s
cervical stenosis is spinal stenosis in the neck...sm
Subject: cervical stenosis is spinal stenosis in the neck...sm
It should actually be called
cervical spinal stenosis.
"flow" something
Subject: "flow" something
I know there is "right heart catheterization with forearm blood flow study", but he is definitely saying some part of a word after the s/l flow part.
s/l "flow pattern." I am not sure.
Subject: s/l "flow pattern." I am not sure.
a
Could part of the word be "flow"? nm
Subject: Could part of the word be "flow"? nm
It certainly could be "flow pattern". See link in message.
Subject: It certainly could be "flow pattern". See link in message.
http://ajrccm.atsjournals.org/cgi/reprint/167/5/702
All I can think of/document would be "flow rate" heart failure.....sm
Subject: All I can think of/document would be "flow rate" heart failure.....sm
if you think about it, when a patient is severely hypotensive, obviously the flow rate of the blood and return to the heart would be very slow, because of low pressure, and subsequently caused by low pressure; if you listen and it sounds like this, it physiologically would make sense, although I have not come across the exact phrase yet, they always throw new ones at ya!! Hope this is of some help! 
mid stenosis, mid-stenosis, midstenosis?
Subject: mid stenosis, mid-stenosis, midstenosis?
Right coronary artery with 80% mid stenosis.
Is this transcribed correctly? Does mid mean middle?
95% LAD stenosis, 50% mid s/l circ stenosis. nm TIA
Subject: 95% LAD stenosis, 50% mid s/l circ stenosis. nm TIA
x
is is neuro foraminal stenosis or neural foraminal stenosis
Subject: is is neuro foraminal stenosis or neural foraminal stenosis
x
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
Extrinsic impression ? on the sigmoid colon
Subject: Extrinsic impression ? on the sigmoid colon
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
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!
mid stenosis
Subject: mid stenosis
Yes, it does mean middle and I would type it as mid stenosis.
What about stenosis? nm
Subject: What about stenosis? nm
nm
for Rah:......stenosis...s/m
Subject: for Rah:......stenosis...s/m
As CAD nmeans Coronary Artery disease, maybe it is 'artery stenosis.
Nitro relieves stenosis (narrowing) in the coronary arteries.
Just a guess.
pulmonary stenosis sometimes goes along with that. nm
Subject: pulmonary stenosis sometimes goes along with that. nm
s/l rayonal stenosis??
Subject: s/l rayonal stenosis??
Neck pain; diagnosis of herniated cervical disc and disc bulging with s/l rayonal stenosis
I think I got it thanks, it must be foraminal stenosis
Subject: I think I got it thanks, it must be foraminal stenosis
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