If it is used in heading, as in Diagnosis: XXX, then yes, but if just in body of report in sentence,
Posted By: Cyndiee on 2009-01-25
In Reply to: GC/Chlamydia - mt
Subject: If it is used in heading, as in Diagnosis: XXX, then yes, but if just in body of report in sentence, ...sm
you can abbreviate, depending on acount specifics and what your company or doctor wishes. Hope this helps!
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- GC/Chlamydia - mt
- If it is used in heading, as in Diagnosis: XXX, then yes, but if just in body of report in sentence, - Cyndiee
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Is it in the operative diagnosis or in the body of the report?
Subject: Is it in the operative diagnosis or in the body of the report?
Is the account verbatim? Abbreviations are not acceptable (most places) if they are used in the diagnosis headings, but are okay if in the body of the report, unless the facility has requested otherwise.
In what kind of report? Body part mentioned? The sentence? nm
Subject: In what kind of report? Body part mentioned? The sentence? nm
s
Is it in the heading or in a sentence?
Subject: Is it in the heading or in a sentence?
I wouldn't change it in the heading, but if it sounds awkward in the sentence and your client doesn't want verbatim....
What part of the body, diagnosis or in reference to ?
Subject: What part of the body, diagnosis or in reference to ?
Yes, as the first word of a sentence or leading heading, you would capitalize. .. see message
Subject: Yes, as the first word of a sentence or leading heading, you would capitalize. .. see message
The following is taken from the Centers for Disease Control website also... note in the middle of the sentence, gray is not capitalized. :)
Primer on Radiation Measurement
In the aftermath of a radiological emergency the public will see radiation and its potential hazards described in many different and sometimes confusing ways. This primer is intended to help journalists and community leaders understand these terms.
Activity or radioactivity is measured by the number of atoms disintegrating per unit time. A becquerel is 1 disintegration per second. A curie is 37 billion disintegrations per second, which is the number of disintegrations per second in 1 gram of pure radium. A disintegrating atom can emit a beta particle, an alpha particle, a gamma ray, or some combination of all these, so becquerels or curies alone do not provide enough information to assess the risk to a person from a radioactive source.
Disintegrating atoms emit different forms of radiation–—alpha particles, beta particles, gamma rays, or x-rays. As radiation moves through the body, it dislodges electrons from atoms, disrupting molecules. Each time this happens, the radiation loses some energy until it escapes from the body or disappears. The energy deposited indicates the number of molecules disrupted. The energy the radiation deposits in tissue is called the dose, or more correctly, the absorbed dose. The units of measure for absorbed dose are the gray (1 joule per kilogram of tissue) or the rad (1/100 of a gray). The cumulative dose is the total absorbed dose or energy deposited by the body or a region of the body from repeated or prolonged exposures.
Alpha particles, beta particles, gamma rays, and x-rays affect tissue in different ways. Alpha particles disrupt more molecules in a shorter distance than gamma rays. A measure of the biologic risk of the energy deposited is the dose equivalent. The units of dose equivalent are sieverts or rem. Dose equivalent is calculated by multiplying the absorbed dose by a quality factor.
Sometimes a large number of people have been exposed to a source of ionizing radiation. To assess the potential health effects, scientists often multiply the exposure per person by the number of persons and call this the collective dose. Collective dose is expressed as “person-rem” or “person-sieverts.”
Got a body part? Report type? Something before and after this???nm
Subject: Got a body part? Report type? Something before and after this???nm
s
Hate those things. I put them after the body of the report. sm
Subject: Hate those things. I put them after the body of the report. sm
but before the signature. Makes it easier. We typed our reports on sticky paper and that way it did not get separated from the main report etc. But I did not do BOS. nm
Got a name of a body part or system? Is this a history or an op report? nm
Subject: Got a name of a body part or system? Is this a history or an op report? nm
s
what part of the body does the report reference. More info. is helpful, as
Subject: what part of the body does the report reference. More info. is helpful, as
x
should dept. (neurology, neurosurgery) be capped in the body of a report?
Subject: should dept. (neurology, neurosurgery) be capped in the body of a report?
TIA
What is the sentence or where are you i the body?
Subject: What is the sentence or where are you i the body?
What is the whole sentence and what par to the body?
Subject: What is the whole sentence and what par to the body?
What area of body is being described? What comes after this sentence? nm
Subject: What area of body is being described? What comes after this sentence? nm
s
Could you give the whole sentence or where you are in the body?
Subject: Could you give the whole sentence or where you are in the body?
Whole sentence please. What part of the body?
Subject: Whole sentence please. What part of the body?
Sentence please or part of body please.
Subject: Sentence please or part of body please.
What is the whole sentence, and what part of body?
Subject: What is the whole sentence, and what part of body?
What's the sentence?...Diagnosis? nm
Subject: What's the sentence?...Diagnosis? nm
nm
What is the diagnosis or sentence ? nm
Subject: What is the diagnosis or sentence ? nm
x
Is there any sentence with it or diagnosis?
Subject: Is there any sentence with it or diagnosis?
Do you have a sentence or diagnosis?
Subject: Do you have a sentence or diagnosis?
Is there a sentence or diagnosis?
Subject: Is there a sentence or diagnosis?
No sentence or diagnosis . . . just
Subject: No sentence or diagnosis . . . just
This is just a list of drugs in the report. I thougth Effexor, but I am not hearing the "r".
More info - area of the body, how is it used in the sentence? nm
Subject: More info - area of the body, how is it used in the sentence? nm
nm
Complete sentence please or what part of body?
Subject: Complete sentence please or what part of body?
What part of the body is this? or give the sentence.
Subject: What part of the body is this? or give the sentence.
What is the exact sentence? and diagnosis?
Subject: What is the exact sentence? and diagnosis?
Is it in a sentence? Got a dose or a diagnosis? Thx. nm
Subject: Is it in a sentence? Got a dose or a diagnosis? Thx. nm
s
Is there more info or a sentence or diagnosis?
Subject: Is there more info or a sentence or diagnosis?
Complete sentence or what is the diagnosis?
Subject: Complete sentence or what is the diagnosis?
Any more information, sentence, diagnosis etc.? nm
Subject: Any more information, sentence, diagnosis etc.? nm
.
Can we have the sentence, please? Area of body? Context helps! :) nm
Subject: Can we have the sentence, please? Area of body? Context helps! :) nm
s
I wrote SM, meaning the rest of the sentence was in the body.... :-)
Subject: I wrote SM, meaning the rest of the sentence was in the body.... :-)
:-)
pt is on s/l cy-ta-mo 25 mcg daily. sm for diagnosis and complete sentence. TIA. sm
Subject: pt is on s/l cy-ta-mo 25 mcg daily. sm for diagnosis and complete sentence. TIA. sm
Upon surgery this was diagnosed as papillary thyroid carcinoma affecting the left lobe with involvement of 2 lymph nodes in the neck (details not available). She underwent radioactive iodine ablation on 09/17/07 and is currently on cytomo 25 mcg daily.
Could you tell us what the diagnosis is or the full sentence please, there are many "retic" dr
Subject: Could you tell us what the diagnosis is or the full sentence please, there are many "retic" drugs.
Could you give the whole sentence and diagnosis/condition please, thanks.
Subject: Could you give the whole sentence and diagnosis/condition please, thanks.
I found it: Capsulitis and metatarsalgia ... it was the diagnosis so no sentence. Thanks though!!!
Subject: I found it: Capsulitis and metatarsalgia ... it was the diagnosis so no sentence. Thanks though!!!
yeah would not remove any body part with bacitracin. do give us the next sentence please. nm
Subject: yeah would not remove any body part with bacitracin. do give us the next sentence please. nm
.
What's the sentence, what kind of report, what are sx.
Subject: What's the sentence, what kind of report, what are sx.
How about giving anything other than what you believe you heard?
In what part of the report? Can we have the sentence please? nm
Subject: In what part of the report? Can we have the sentence please? nm
s
That was the sentence . . . accident report
Subject: That was the sentence . . . accident report
The DW 25 shoot, dated 07/13/2006
Children's cardiology report, sentence is.....
Subject: Children's cardiology report, sentence is.....
Examination of his chest, abdomen, and extremities was unremarkable. He had a well healed mid sternotomy incision with some mild s/l cubuloid appearance.
Thanks for your help
Welcome. don't know if that helps finish the sentence on your report or not.
Subject: Welcome. don't know if that helps finish the sentence on your report or not.
how about typing Past Medical History heading and then typing what he says under the heading nm
Subject: how about typing Past Medical History heading and then typing what he says under the heading nm
xx
demonstrated? Is there more to the sentence? I-131 whole body scan after TSH demonstrated...
Subject: demonstrated? Is there more to the sentence? I-131 whole body scan after TSH demonstrated...
x
I've heard "limited due to body habitus" or "difficult due to body habitus." Not sur
Subject: I've heard "limited due to body habitus" or "difficult due to body habitus." Not sure.
x
cor is the heading. sm
Subject: cor is the heading. sm
Some say Cardiac: S1 S2 etc. Some say COR: which means heart. They are just using that heading instead of CARDIAC, HEART,etc.
What heading would you use?
Subject: What heading would you use?
Okay to add headings on OP report. MD states: "Staples for skin" in the upper area with diagnoses, complications, condition....
Thanks.
Under what heading would you SM
Subject: Under what heading would you SM
put inguinal hernia in a PE? Would it be abdomen?
TIA
EKG can be a Heading
Subject: EKG can be a Heading
I would put under EKG alone as
EKG: EKG today show no ST wave changes.
Heading?
Subject: Heading?
This is for a psych. consult. After saying "New paragraph", he says "Review of past medical records." and then launches into: Doctor diagnosed tachycardia..etc.
I haven't seen a consult. with a heading, main or sub, with Review of Past Medical Records. Past Medical History, yes, but not the other. Any ideas?
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