No, but it is either part of the Impression, or
Posted By: April on 2007-09-11
In Reply to: Symptomatology? Just a WAG nm - Rad MT
Subject: No, but it is either part of the Impression, or
the a new section after it.
Thanks :)
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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
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!
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
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).
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!
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!
Thanks, now for part 2...
Subject: Thanks, now for part 2...
Monarc procedure with s/l susquee.
Forgot this in my original post, sorry!
not sure about the first, but the second part may be right
Subject: not sure about the first, but the second part may be right
It is possible he is saying "of five to seven inches" or "site of seven inches" but that still leaves the first part. If it's the first one it sounds like "muce" or "moose" or "meese". For the second one it would end in an "a" sound like "meesa site" It sounds like he's saying "uh" in front of that, like he's thinking. But maybe it's part of the word "ameesa site" or something like that. And then again, maybe it's not even an "m". Could be an "n" or something else. I feel like I'm getting closer. I just wish he didn't have to talk so fast! Actually, you suggested adhesion and I just thought of "adhesive site". It doesn't sound like an "h" really, but would that make sense? "a moderate to severe adhesive site of seven inches with the radiation therapy?" Seven inches! That's really long.
maybe second part of #4
Subject: maybe second part of #4
is pus exudate
I know part of it!
Subject: I know part of it!
Last word is "atraumatically". Have to think about the other one. Anyone else care to guess in the meantime?
That is all part of the job.
Subject: That is all part of the job.
This is the reason we are so skilled in what we do. If we weren't, a monkey could do this job! LOL - I wouldn't let it bother you to the brink of insanity. Take it with stride...There's more to life really.
First part I would think is...
Subject: First part I would think is...
Bilateral inguinal hernia is right greater than left...
Second part I am thinking...
Uh - duh on my part! TY so much!
Subject: Uh - duh on my part! TY so much!
Thanks to both. Duh on my part. I am
Subject: Thanks to both. Duh on my part. I am
having a horrible day.
don't know about your s/l, but other part sm
Subject: don't know about your s/l, but other part sm
I wonder if the other part of the sentence should be "facet degenerative changes" rather than "of said degenerative changes"
This is part of his A/P . . .
Subject: This is part of his A/P . . .
and the only other thing he dictates is the left knee.
i.e.
Diagnosis 1. Possible grushen ligament injury, left knee.
does this help? Ooh wait . .
does this make sense:
cruciate ligament injury
maybe that is what he is saying. = ) Tx
Yes, that is it! Duh on my part. Thank you so much.
Subject: Yes, that is it! Duh on my part. Thank you so much.
Got part of it
Subject: Got part of it
**s/l - Sub-tox skin is curetted using a razor blade, then 3 freeze-thaw cycles at 10 seconds using liquid nitrogen applied.
What part of PE was this in?
Subject: What part of PE was this in?
What part of the physical exam section was this in (what body system)?
got part of it
Subject: got part of it
I've got nosocomial sepsis, but it still sounds like "par" nosocomial sepsis.
That's is part of it...
Subject: That's is part of it...
it s/l he's saying "anti-esamanxiolytic" medication. Can't figure it out!
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