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I was pretty sure about the axis part, but...

Posted By: PAMT~MDM on 2006-09-26
In Reply to: normal axis is correct. On an EKG usually it's either rightward axis, leftward axis, or SM - MissouriMT

Subject: I was pretty sure about the axis part, but...

he slurrs his sentences all together.  What about low transition LVH by voltage?  I couldn't find that anywhere, not that I am even sure that is what he is saying!!!




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normal axis is correct. On an EKG usually it's either rightward axis, leftward axis, or SM
Subject: normal axis is correct. On an EKG usually it's either rightward axis, leftward axis, or SM

no axis deviation which is some times dictated as "normal axis."
the carbo part was pretty clear
Subject: the carbo part was pretty clear

who knows though - it could be gabapentin. Maybe the doctor can't read the patient's handwriting or the patient made up their own name for it. I am just going to flag it, since it's an allergy.
In Stedman's I have cephalocaudal axis aka long axis of the body.
Subject: In Stedman's I have cephalocaudal axis aka long axis of the body.


Axis I: Axis II: etc. in list form.
Subject: Axis I: Axis II: etc. in list form.

x
Is there more of the sentence? The 'que' part might be part of a dosage like q.12, etc. nm
Subject: Is there more of the sentence? The 'que' part might be part of a dosage like q.12, etc. nm

s
Axis
Subject: Axis

Active range of motion is normal in all Axis?  Should it be plural, and if so, how is it typed?   Thanks!


Axis
Subject: Axis

Cool.  That's what I thought.  Thanks.


Axis
Subject: Axis

I type Axis then double space on the same line. 


Axis I-VI
Subject: Axis I-VI

"diagnoses"
axis.......nm
Subject: axis.......nm

nm
QRS axis -43 is this always (-)??
Subject: QRS axis -43 is this always (-)??


axis 1????
Subject: axis 1????


DIAGNOSES


Axis one adjustment disorder with anxiety moderate in degree.


Psychogenic amnesia.


Axis two diagnoses deferred


Axis three heart disease, pulmonary disease, hypertension. complications from steroid medication. Neuritis and cerebral frontal atrophy.


Axis? four degree of psychosocial stresses are moderate to severe due to illness within herself.


Axis?? five highest level of adaptive functioning has been fair socially, poor occupationally for at least 5 years.


 


by saying this is he just listing it? like should it just be.


1.


2.


3.


4. so on so on?...


Axis
Subject: Axis

Took this from a sample report:

Assessment
Axis I -- Major depression, recurrent.
Axis II -- Deferred.
Axis III -- Head injury aged three. ? post-traumatic seizure disorder. Rule out pseudoseizures.
Axis IV -- Moderately-severe psychosocial stress.
Axis V -- GAF is 55.
hope this helps would be : after each axis not those dashes
Axis IV . . . help please
Subject: Axis IV . . . help please

What does it mean when the doc says, "Axis IV:  1, 2, 3."  And how would I type that. 


TIA


QRS axis? nm
Subject: QRS axis? nm


Diagnosis re Axis
Subject: Diagnosis re Axis

What is the most recent rule regarding diagnosis?


Axis 1:


Axis I:


AXIS I:


Do you run the diagnosis right after axis, or begin a new left at the left margin underneath the Axis?


I am having some reports changed to:


AXIS I:


BIPOLAR DISORDER (rather than putting it on the same line as AXIS).


Thanks very much.


 


s/l capsular axis
Subject: s/l capsular axis

A capsular tension ring was placed and removal of the bulk of the lens was accomplished without evidence of capsular tear.  After removal of the lens, the (s/l capsular axis) appeared to be eccentric. 
maybe "long axis" ??
Subject: maybe "long axis" ??


I would go with minus 2-degree axis
Subject: I would go with minus 2-degree axis

/
EKG: ADP NP (or) and P are interval normal axis.
Subject: EKG: ADP NP (or) and P are interval normal axis.

I hate abbreviations.

The only thing that shows up in my cardiology book is adenosine diphosphage, and that doesn't tell me what the next NP or and P would mean. I wish they'd just say what they mean instead of abbreviating, because if I can't figure them out I'm blanking them.
ligamental axis? guessing only here....
Subject: ligamental axis? guessing only here....


Skin Axis / Access
Subject: Skin Axis / Access

In a mammogram, doc dictates: "At ultrasound, this does correspond to a smooth, oval, hypoechoic, well-defined nodule, which is parallel to the skin axis/access, measuring 14 x 4 x 9 mm. "


Is it "axis" or "access?"  Thanks in advance :-)


WAG but kind of looks like celiac axis. nm
Subject: WAG but kind of looks like celiac axis. nm


Axes- plural of axis- pronounced
Subject: Axes- plural of axis- pronounced

xx
"something"... PR interval, normal axis (sm)
Subject: "something"... PR interval, normal axis (sm)

I can't figure out the ADP part either
Psychology - Axis II - s/l cluster B traits? TIA
Subject: Psychology - Axis II - s/l cluster B traits? TIA

xx
Axis format but employer prevails
Subject: Axis format but employer prevails

I go like so


Axis   I


          xxxxx


          xxxxx


          xxxxx


Axis   II


 


Axis  III


 


Axis   IV


 


Axis   V



 


 


 


yes..maybe"QRS axis 43 and PR interval 163 msec" ? nm
Subject: yes..maybe"QRS axis 43 and PR interval 163 msec" ? nm


2-part, 3-part, or 4-part possibly - nm
Subject: 2-part, 3-part, or 4-part possibly - nm


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!


Never mind guys, figured out she was saying AXIS I....geesh
Subject: Never mind guys, figured out she was saying AXIS I....geesh


it's apical axis guide or guid or guidewire. nm
Subject: it's apical axis guide or guid or guidewire. nm

x
sentence... His ECG does suggest multis criteria for the LVH in the left axis. thank you
Subject: sentence... His ECG does suggest multis criteria for the LVH in the left axis. thank you


Pt with severe headache - will obtain s/l F E axis before sending to hospital. nm
Subject: Pt with severe headache - will obtain s/l F E axis before sending to hospital. nm


echocardiogram - A very technically difficult study. Images 'without' or 'out of' axis
Subject: echocardiogram - A very technically difficult study. Images 'without' or 'out of' axis sm

Do either of these make sense?  He cuts off a lot of his words and I've never heard this phrase before.


Images out of axis?  Images without axis?


TIA


oops, ignore "or guid" (extra typing), but it is axis not access. nm
Subject: oops, ignore "or guid" (extra typing), but it is axis not access. nm

x
Pretty certain this one is not it....
Subject: Pretty certain this one is not it....

I am probably not even giving a good sounds like because it is so hard to hear. Thanks!
That's it I'm pretty sure...thanx!
Subject: That's it I'm pretty sure...thanx!


Pretty much that.
Subject: Pretty much that.

She has the diagnosis of s/l sarcoidosis from a transbronchoscopic lung biopsy showing focal noncaseating granuloma
Yes, I'm pretty sure he is still
Subject: Yes, I'm pretty sure he is still

in the abdomen on PE
Pretty sure that's what they mean..sm
Subject: Pretty sure that's what they mean..sm

Thanks for taking a stab at it.    Been MT'g for a very long time and this is a first.  New account and so far 3 docs have dictated it as 40 and 4 weeks.   
Thanks for your help. No, he says it pretty clearly.
Subject: Thanks for your help. No, he says it pretty clearly.


pretty sure no e on the end
Subject: pretty sure no e on the end


pretty clearly (sm)
Subject: pretty clearly (sm)

He often slurs words but this is pretty clear. It's possible it doesn't begin with "t" but I do hear the "r", pretty sure of the "eye" sound and "n". It sounds like "Tree-in" long i. I really appreciate all your help.
I'm pretty sure that is it!
Subject: I'm pretty sure that is it!

It's those southern accents! Thanks guys!
No, he pretty
Subject: No, he pretty

clearly said "the LOUsee" clamp several times in the report. I'm not new to OPs, but I'm at a loss on this one. I would really like to know out of curiosity, so I'm hoping QA knows!
I'm pretty sure
Subject: I'm pretty sure

those are British/English terms. :-)
That's a sounds like! Pretty bad, huh?
Subject: That's a sounds like! Pretty bad, huh?

x
I really don't think so. He was pretty clear. Thank you for your help
Subject: I really don't think so. He was pretty clear. Thank you for your help

:-)
Thanks. I believe that is it. It's pretty close to what he is saying.
Subject: Thanks. I believe that is it. It's pretty close to what he is saying.

/
pretty sure it could be sulindac
Subject: pretty sure it could be sulindac