I transcribe well-nourished-appearing patient, as
Posted By: (sm) on 2008-11-05
In Reply to: compound modifiers preceding the subject - s.tate
Subject: I transcribe well-nourished-appearing patient, as
patient is the noun being modified
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Well-nourished appearing patient.
Subject: Well-nourished appearing patient.
the patient is thin appearing on today’s exam, almost s/l morphonoid like.
Subject: the patient is thin appearing on today’s exam, almost s/l morphonoid like.
well-nourished? nm
Subject: well-nourished? nm
nm
well-nourished
Subject: well-nourished
x
A well-developed, well-nourished man. BUT....
Subject: A well-developed, well-nourished man. BUT....
The man was well developed and well nourished.
Well-appearing.
Subject: Well-appearing.
Here is what I was taught. Well-appearing young man. Hyphen. The patient is well appearing. However, I have had some QA say the latter should also be well-appearing. I guess go with company rules. I personally do not use the hyphen after a verb.
Well appearing
Subject: Well appearing
Well-developed, well-nourished appearing male or female has nothing to do with the verb in the sentence.
non ill-appearing man.
Subject: non ill-appearing man.
nm
Well-appearing after the verb????
Subject: Well-appearing after the verb????
I'm so confused about this. The patient is well-appearing. Should there be a dash there even though it's after the verb? I think there should be because you can't be appearing so it seems like you'd have to make a compound word there. I think the BOS backs me up on this but that's a little confusing too. I know it shouldn't be there if the patient is well known, well hydrated, etc...Anybody know for sure?
Well-appearing after the verb????
Subject: Well-appearing after the verb????
I always put the dash there as in well-appearing patient.
nontoxic-appearing ? nm
Subject: nontoxic-appearing ? nm
medial-appearing maybe?
Subject: medial-appearing maybe?
x
Cachectic appearing?
Subject: Cachectic appearing?
x
something.... appearing skin lesion....
Subject: something.... appearing skin lesion....
There is erythema and almost s/l dexametaous appearing skin lesions noted. HELP anybody??
Thanks in advance for your help...
I personally would put "not ill-appearing". nm
Subject: I personally would put "not ill-appearing". nm
x
she still needs the hyphen in "ill-appearing" nm
Subject: she still needs the hyphen in "ill-appearing" nm
x
if no noun after appearing, then do not hyphen
Subject: if no noun after appearing, then do not hyphen
nm
wan-appearing means pale
Subject: wan-appearing means pale
Could it be FLESH-appearing lesion
Subject: Could it be FLESH-appearing lesion
the s/l media-appearing tissue
Subject: the s/l media-appearing tissue
The cervix is consistent with a multiparous cervix. The epithelial tissue appears to be normal. The transition zone is normal, and the s/l media-appearing tissue is actually glandular tissue from down below.
Thanks for any help!
LOL. I think I figured it out. Two benign appearing nevi LOL
Subject: LOL. I think I figured it out. Two benign appearing nevi LOL
numerous wretched appearing blood?
Subject: numerous wretched appearing blood?
The right ear shows the tympanic membrane to be erythematous and bulging with numerous _____ appearing blood
Blank s/l wretched, or ratchet?!
Assessment is bullous myringitis
TM is bullous-appearing? Does this make sense? tia nm
Subject: TM is bullous-appearing? Does this make sense? tia nm
x
Sorry sassee, you probably already knew that, but it is wan-appearing and he/she is prouncing it way
Subject: Sorry sassee, you probably already knew that, but it is wan-appearing and he/she is prouncing it wayne
appearing ill today? --- in demeanor (conduct) ? nm
Subject: appearing ill today? --- in demeanor (conduct) ? nm
Dictator says MVI for s/l "over appearing" headaches.
Subject: Dictator says MVI for s/l "over appearing" headaches.
Thanks for the help!!
:)
Abby
i know you already sent to QA, but my guess would be "numerous hemorrhagic-appearing bullae" n
Subject: i know you already sent to QA, but my guess would be "numerous hemorrhagic-appearing bullae" nm
DERM pendulous flush-appearing lesion????
Subject: DERM pendulous flush-appearing lesion????
pendulous flush-appearing lesion that is 1 centimeter in diameter. ?
He has a 4 mm nevus on his right cheek with some color variation and TYMPANINE appearing nevi of the
Subject: He has a 4 mm nevus on his right cheek with some color variation and TYMPANINE appearing nevi of the
He has a 4 mm nevus on his right cheek with some color variation and TYMPANINE appearing nevi of the neck. He also has lipomas which are nontender over the left flank and left posterior quad.
MD slurring his words again. any guess?
cardio.. Mitral valve significantly thickened and s/l mic-zoma-tus appearing..thanks
Subject: cardio.. Mitral valve significantly thickened and s/l mic-zoma-tus appearing..thanks
Leukonychia is a medical term for white discoloration appearing on nails
Subject: Leukonychia is a medical term for white discoloration appearing on nails
There is a healthy appearing biopsy site in the right breast with a small surrounding ecchymosis.
Subject: There is a healthy appearing biopsy site in the right breast with a small surrounding ecchymosis.
Is it "with a small surrounding ecchymosis" or "with small surrounding ecchymosis"?
how do you transcribe this??
Subject: how do you transcribe this??
Doctor says * cardiac-wise the patient is doing well * OR * GI-wise he has had, blah blah blah blah...
I personally do not like the phrase * dash wise * The only way around it, seems to me, is to add a bunch more words like * as far as his cardiac condition is concerned * which does not sound like the dictator.
What do you do?
I would transcribe it as pus-like...nm
Subject: I would transcribe it as pus-like...nm
nm
I transcribe it like so..
Subject: I transcribe it like so..
Last, First, M.D. But, I why? I just do. I have never had a complaint. But, I'll transcribe Last, Reverend First (pastor), or Last, Sister First (nun).
need to know the right way to transcribe....
Subject: need to know the right way to transcribe....
the doctor says---discharge medications and patient is still on--- Do I type it like this? DISCHARGE MEDICATION AND PATIENT IS STILL ON: or do I leave all caps and headings out and start a new paragraph?
Thank you-Is that how I transcribe it
Subject: Thank you-Is that how I transcribe it
too?
Tib-fib, how to transcribe it? Thanks. NM
Subject: Tib-fib, how to transcribe it? Thanks. NM
That's how I transcribe it
Subject: That's how I transcribe it
How would you transcribe this?
Subject: How would you transcribe this?
I'm doing a report on a hip arthroplasty, and the doctor says the Secur-Fit shell was driven into place in approximately 4520 parameter based off the sciatic notch.
Is that 45 x 20 or 45-20 or just as I have it above? I'm stumped!
How would you transcribe this?
Subject: How would you transcribe this?
I have a doctor who keeps saying axillosubclavian brachiocephalic vein as if this is one vein he is referring to, but I think it has to be two, so how would you transcribe it when he lists the procedures performed as:
1. Right axillosubclavian brachiocephalic vein mechanical venous thrombectomy using the Trellis-8 device.
2. Right axillosubclavian brachiocephalic vein balloon angioplasty using a 10 mm x 4-cm long balloon followed by 6 mm x 4-cm long balloon followed by 7 mm x 4-cm long balloon.
3. Supervision and interpretation of fluoroscopy for performance of right axillosubclavian brachiocephalic vein mechanical thrombectomy, thrombolytic therapy and balloon angioplasty.
He doesn't pause between the words axillosubclavian and brachiocephalic vein. Should there be a dash between the two or the word and?
how would you transcribe this
Subject: how would you transcribe this
8 instances of property damage level 1, 27 episodes of major noncompliance,
I transcribe it as
Subject: I transcribe it as
bilateral eye, bilateral knee replacement.
Transcribe 5.3
Subject: Transcribe 5.3
nm
Here is how I always transcribe it (sm)
Subject: Here is how I always transcribe it (sm)
Gram stain and gram-negative/gram-positive.
I would transcribe it exactly as you have it. nm
Subject: I would transcribe it exactly as you have it. nm
.
If that is what he says, that is what you transcribe.
Subject: If that is what he says, that is what you transcribe.
x
How would you transcribe this? (SM)
Subject: How would you transcribe this? (SM)
"Sublingual nitroglycerin 0.4 mg "q.5's" p.r.n. for chest pain."
Is it okay to leave as is?
Yes, transcribe as 4.0 (sm)
Subject: Yes, transcribe as 4.0 (sm)
If dictated as "four point oh," you would transcribe as 4.0.
The zero after the decimal indicates the precision of the measurement. In lab values, you would need to transcribe as dictated in order to avoid "changing" the measure.
If you transcribed it as 4, the reader would wonder what you left off. A zero in other locations might be optional or up to the preference of the facility, but not this one.
how do you transcribe this?
Subject: how do you transcribe this?
We will need some ongoing p.r.n.'s of the MSIR.
gotten - when a doc says this, what do YOU transcribe?
Subject: gotten - when a doc says this, what do YOU transcribe?
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