| IMPRESSION probPosted By: yuneci on 2007-02-02In Reply to:
 
 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....   
 
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 no prob
 Subject: no prob
 
 nm
 the last one is prob either 3-0 PGS or 2-0 PGS
 Subject: the last one is prob either 3-0 PGS or 2-0 PGS
 
 
 ... its prob GGT
 Subject: its prob GGT
 
 
 prob. femtoliters  sm
 Subject: prob. femtoliters  sm
 
 
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 no prob...glad to help nm
 Subject: no prob...glad to help nm
 
 
 prob menarche
 Subject: prob menarche
 
 :)
 no prob, glad to help
 Subject: no prob, glad to help
 
 
 we certainly don't have to worry about senility in this profession:  our minds are continuously challenged, always learning more, no matter how long we've been at it. 
 
 no prob, bob -- glad to help
 Subject: no prob, bob -- glad to help
 
 
   Ah! Prob said glut med!  Thanks! nm
 Subject: Ah! Prob said glut med!  Thanks! nm
 
 
 no prob - by the way, what is that in your avitar? - nm
 Subject: no prob - by the way, what is that in your avitar? - nm
 
 
 my 2 cents and prob. way too late, but
 Subject: my 2 cents and prob. way too late, but
 
 It's prob a doc back-forming hemangioma into a word  - hemangiated; assuming he might mean that it has vascularized and or taken on the appearance/characteristics of a hemangioma.  I would have flagged it though; let your QA deal with doc's made-up words.
 dysphagia is all I can think of, prob w/swallowing
 Subject: dysphagia is all I can think of, prob w/swallowing
 
 
   prob has something to do with sending it thru like an IV, or Cath or
 Subject: prob has something to do with sending it thru like an IV, or Cath or
 
 something.  do have you any more info on the patient?
 On further thought, it is prob symmetrical.  nm
 Subject: On further thought, it is prob symmetrical.  nm
 
 
 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.
 prob "manual muscle testing"
 Subject: prob "manual muscle testing"
 
 thanks
 prob is Cymbalta.  Alprazolam is not a capital "a"  nm
 Subject: prob is Cymbalta.  Alprazolam is not a capital "a"  nm
 
 .
 its prob hair pull test.
 Subject: its prob hair pull test.
 
 just a guess
 no prob -- this is the only place i get to feel helpful
 Subject: no prob -- this is the only place i get to feel helpful
 
 
   differential 5 types of..(so prob. will define which
 Subject: differential 5 types of..(so prob. will define which
 
 A differential determines the percentage of each of the five types of mature white blood cells.
 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
 
 
 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.
 No prob, CAMT.  I get corrected all the time!  Have a good day.  nm
 Subject: No prob, CAMT.  I get corrected all the time!  Have a good day.  nm
 
 x
 prob "proximal" see link pictures cor. arteries
 Subject: prob "proximal" see link pictures cor. arteries
 
 http://www.clevelandclinic.org/heartcenter/pub/guide/disease/cad/cad_arteries.htm
 prob..lateral portion tumor resection of the
 Subject: prob..lateral portion tumor resection of the
 
 right colon
 prob villous polyp.  dr might be saying villo for short
 Subject: prob villous polyp.  dr might be saying villo for short
 
 :)
 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.
 
 
 I bet dictator forgot already said scar prob. says it both ways at times  nm
 Subject: I bet dictator forgot already said scar prob. says it both ways at times  nm
 
 .
 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
 
 
 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).
 grafts are either straight or curved, so perhaps saying, "U-type" (describing the shape)? prob
 Subject: grafts are either straight or curved, so perhaps saying, "U-type" (describing the shape)? probably not UTI... nm
 
 
 
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