Home     Contact Us    
Main Board Job Seeker's Board Job Wanted Board Resume Bank Company Board Word Help Medquist New MTs Classifieds Offshore Concerns VR/Speech Recognition Tech Help Coding/Medical Billing
Gab Board Politics Comedy Stop Health Issues
ADVERTISEMENT




Serving Over 20,000 US Medical Transcriptionists

Psychiatric reports.

Posted By: Diana Mejia on 2006-07-23
In Reply to:

Subject: Psychiatric reports.

I have a question in regards to psychiatric evaluations.  Would diagnosis or diagnoses be used when typing out Axis I, Axis II, Axis III, etc.? 


Complete Discussion Below: marks the location of current message within thread

The messages you are viewing are archived/old.
To view latest messages and participate in discussions, select the boards given in left menu


Other related messages found in our database

Psychiatric pt was in s/l "Enbalston" Acute Inpatitent Psychiatric Unit. sm
Subject: Psychiatric pt was in s/l "Enbalston" Acute Inpatitent Psychiatric Unit. sm

I can't seem to locate this facility.  The pt is from Californiai and has been in Riverview Psychiatric Unit, St. Francis Psychiatric Unit, and Loma Linda Medical Center. 


Just can't find the "Enbalsta, Enbalston, anbolston, inbalston" place. 


Any help? 


Psychiatric help, please!!
Subject: Psychiatric help, please!!

Objective: Thought process within normal limits.  No s/l SIH or psychosis. 


Does anyone know of this (or a close) psychiatric abbreviation?


Thanks.


Psychiatric
Subject: Psychiatric

Am filling in for psych account. Anybody have any good reference sites for this?  TIA
Psychiatric drug help please....
Subject: Psychiatric drug help please....

I am working on a psychiatric progress note and he says ... "Our plan at this time is to increase the ~foquan or zoquan~ to 20 milligrams a day"  This doesn't sound familiar to me and didn't know if it may be new or if someone can offer any help.  Thanks in advance.


Tami


 


RE: Psychiatric drug help please
Subject: RE: Psychiatric drug help please

I am probably not correct, but I thought about Etrafon -
A shot in the dark (?)

ETRAFONŽ Preparations
Schering
Amitriptyline HCl - Perphenazine
Antidepressant - Antipsychotic

Indications And Clinical Uses: The treatment of patients with anxious or agitated depression. Particularly indicated in patients with depression associated with marked psychomotor unrest and anxiety. Etrafon has also been used in some schizophrenic patients who have associated symptoms of depression and in depressed patients suffering from marked agitation, anxiety and tension, which may respond to a phenothiazine agent.


is this a psychiatric report? If so, probably
Subject: is this a psychiatric report? If so, probably


Maybe Google psychiatric
Subject: Maybe Google psychiatric

facilities in Michigan?
Psychiatric dictation help please
Subject: Psychiatric dictation help please

Dictator states very clearly "The patient is allergic to erythromycin and tetracillin." What is that???... mixture of tetracycline and a cillin drug??? This is a new one on me HELP!
S/L psychiatric CONVICTION services.
Subject: S/L psychiatric CONVICTION services.

The dictator is saying "He will continue with psychiatric s/l "conviction" services.  That doesn't make sense to me - or am I missing something??  I can't find anything else that would fit either.  HELP!! and THANKS!! 
psychiatric counseling services? sm
Subject: psychiatric counseling services? sm

Individual, Group and Psychiatric Counseling Services




The Counseling Center is a short-term, focused treatment agency offering individual counseling, group counseling and psychiatric services.
www.bsu.edu/students/cpsc/services/ - 23k - Cached - Similar pages

Psychological and psychiatric counseling services for Clergy ...




Psychological and psychiatric counseling services for Clergy, Priests and Religious professionals.
www.slbmi.com/psychology_religion/index.htm - 27k - Cached - Similar pages

[10 years of social psychiatric counseling services in Hannover]




[10 years of social psychiatric counseling services in Hannover] [Article in German] Gephart W.MeSH Terms Community Psychiatry* Counseling* Germany, West ...
www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve& db=PubMed&list_uids=6218442&dopt=Abstract - Similar pages


psychiatric outpatient services, maybe? nm
Subject: psychiatric outpatient services, maybe? nm

x
Psychiatric - Hindru Intox
Subject: Psychiatric - Hindru Intox

Context: He was found to be in rhabdomyolysis and hindru intox was positive for amphetamines, benzos, opiates, and THC.  Thanks!!!!!
s/l blunted acid (psychiatric)
Subject: s/l blunted acid (psychiatric)

MENTAL STATUS EXAM:  This is a 39-year-old white male who is alert; oriented to person, place, and partially to date; cooperative; somewhat restless; with blunted s/l acid; normal speech; thought precesses goal-directed; thought contents significant for paranoid delusions of visual hallucinations; insight and judgement poor; cognition not assessed.  Could this be blunted affect or something else?  Thanks!
Format & Capitalization (psychiatric)
Subject: Format & Capitalization (psychiatric)

Capitalize verbal, performance, and full-scale?  Should I leave the subtest scores in a vertical list arrangement or use a different format?


On this administration of the Wechsler Adult Intelligence Scale-III, Mr. ___ obtained a verbal IQ of 57 (range 53-63), a performance IQ of 64 (range 59-73), and a full-scale IQ of 56 (range 53-61). These scores fall within the mild range of mental deficiency.


The following scatter of subtest scores was obtained:
VERBAL:
Vocabulary: 2
Similarity: 3
Arithmetic: 2
Digit Span: 3
Information: 3
Comprehension: 2


PERFORMANCE:
Picture Completion: 4
Digit Symbol: 4
Block Design: 4
Matrix Reasoning: 5
Picture Arrangement: 4


All the scores above fall within the mentally deficient range and are relatively even.


psychiatric terminology question
Subject: psychiatric terminology question

Dictated as, "Her thought process was linear, logical, and goal directed," or should it be "Her thought process was linear logical and goal directed"?  Since I am unsure, I googled the key words and hit a dead end; that is, never figured out if it is "linear logical" or "linear, logical." 


TIA for advice!!!


I need some assistance on a psychiatric term please. sm
Subject: I need some assistance on a psychiatric term please. sm

It is listed in the Assessment portion of the dictation, and the preceeding text gives no indication as to what this could be.  Any and all help is greatly appreciated.


s/l "Fixed allusion (or illusion) s/l naparecytosis. 


TIA.


Psychiatric - s/l Wahdahlian responses (nm) TIA
Subject: Psychiatric - s/l Wahdahlian responses (nm) TIA

x
Do you mean anhedonia? Is it a psychiatric report?
Subject: Do you mean anhedonia? Is it a psychiatric report?


psychiatric test s/l YBOX
Subject: psychiatric test s/l YBOX

for patient with OCD in anxiety disorders clinic
QUID score psychiatric? nm
Subject: QUID score psychiatric? nm


? psychiatric addiction services -- just a guess. (nm)
Subject: ? psychiatric addiction services -- just a guess. (nm)

x
_____ status? (Psychiatric word help)
Subject: _____ status? (Psychiatric word help)

Mr... appears for this appointment neatly and appropriately dressed and groomed.  He is cooperative.  His speech is fully understandable to the examiner.  He smiles much of the time; he is cooperative.  ______ status revealed that he knew that George Bush was the current president and that Bill Clinton preceded him.  He denies hearing any voices.  He denies any other significant psychiatric problems.  He did not show any unusual or bizarre behaviors or manorisms.  He is not currently on any medication.


(Sorry, I posted this yesterday but am still unclear and think I may have been misleading in my wording)


Thanks!


abbrev. acronym help - 2 questions - psychiatric
Subject: abbrev. acronym help - 2 questions - psychiatric

I cannot restart a Depakote due to increased LSTs.  I will recheck ACPK in a.m. -- Is this LST or LSP or other?  ACPK or ACBK or other?  Thanks!!!


Format/Grammar/Punctuation Help (psychiatric)
Subject: Format/Grammar/Punctuation Help (psychiatric)

DIAGNOSTIC ASSESSMENT:
AXIS I: Psychosis NOS, schizoaffective disorder, bipolar type versus bipolar I disorder versus a drug induced psychosis, also polysubstance abuse.     Should the word versus be transcribed as a slash or another format in this example?  Thanks!


psychiatric patient receiving s/l HCT as outpatient.
Subject: psychiatric patient receiving s/l HCT as outpatient.


FDA: Chantix May Pose Psychiatric Risks
Subject: FDA: Chantix May Pose Psychiatric Risks


Pt on s/l "lovera dash 20 a one". Psychiatric pt with asthma. nm
Subject: Pt on s/l "lovera dash 20 a one". Psychiatric pt with asthma. nm


psychiatric report for a child, on the physical exam......
Subject: psychiatric report for a child, on the physical exam......

He says something that sounds very garbled and I cannot figure out what it is.  Here is the paragraph:


PHYSICAL EXAMINATION: Weight is 52 pounds. Height 49.25 inches. Head circumference 52 c m. S/L palpeple fishery 27 mm bilaterally.  Cranial nerves and cerebellar function were intact.


Thanks for any ideas.


Ascenda? anyone hear of this medication, give possibly as a psychiatric med
Subject: Ascenda? anyone hear of this medication, give possibly as a psychiatric med


Thank you! (New at these Op Reports!!)
Subject: Thank you! (New at these Op Reports!!)


Reports. (SM)
Subject: Reports. (SM)

The posts containing the reports have been removed and the poster was notified about not posting such information in the future.

Please feel free to contact the administrator (admin@mtstars.com) or myself (goldbird@mtstars.com) if you have any questions.

Your comments and postings are very much welcome here.

Let me know if I can help you,

Goldbird
Reports
Subject: Reports

I only got help for 2 reports, and the people that helped me wanted to help me.

No one was forced and I greatly appreciate their help. I just needed help in some areas that I was having some trouble in that is all.

You and Milton Red Stapler have a nice day.
and in my reports...I put....sm
Subject: and in my reports...I put....sm

*in regard to*, not *in regards to*....and as far as *alot* goes, I am used to my word program separating that out as a lot, and since this message board program does not do that, oh well....get off it already. sheesh. nitpickers!
new to op reports
Subject: new to op reports

I am new to op reports and looking for any good reference sites to refer to when needing help. My ops mostly consist of General surgery, orthopedic, ENT, ophthalmology, gyn and plastic surgery.

Any guidance would be appreciated. I have a M&S Equipment words book and an ortho book. Would like some good websites.

Thanks in advance

fractions in reports
What is acceptable, 1/4 or one-fourth?   Thanks.
Newbie's reports
Subject: Newbie's reports

The area in which you most need help is in how to decide what is ethical. The moderator herself does not allow such reports to be posted here. You should have known better. Now you do.
sample reports
Subject: sample reports

MT daily has sample reports, I need a C-section.  Know where I can get one.  Thanks in advance.


 


Does anyone do insurance reports?
Subject: Does anyone do insurance reports?

I called you requesting additional information in order to find out if there is any medical s/l: conjournigation OR conjure negation to work on a full-time basis. 


Thanks for any help!


help new to ortho reports
Subject: help new to ortho reports

Can a person have full finger flexion at the volar wrist?

This is just a statement made in the Objective portion of the report. She is stating he has full dorsiflexion, palmar flexion and radial and ulnar deviation of the wrist. THen goes on to say "finger flexion at the volar wrist irriation with clicking"

This is not a verbatim account and she is somewhat scatterbrained sometimes so you have to fill in the blanks at times.
Tenses in reports

Do the majority of y'all change tenses when the docs dictate them incorrectly?  Normally I'm inclined to, but there are times when I question it.  Of course, my pet peeve is dictating a surgery that already happened, yet everything is present tense!


In this case, here's what I'm questioning: 


The patient was evaluated previously, and a left inguinal hernia is reducible.


Thanks in advance!


Echocardiogram Reports
Subject: Echocardiogram Reports

I need help.  I have been thrown the lions den, this man garbles his words and I am not used to typing echoes.  I need to know how to is it end diastolic or in diastolic?  Is only the left side measured? 
Thank you! I don't do many ortho reports.
Subject: Thank you! I don't do many ortho reports.

tx
psych reports
Subject: psych reports

Just wondering if GAF on psych diagnosis should be expanded to Global Assessment of Functioning?  Or just GAF
more on psych reports
Subject: more on psych reports

When there are multiple items under an AXIS, should #1 start two spaces after AXIS I, or hit return and start #1 at the left margin?
Thanks so much! I'm new to Physical Therapy reports. nm
Subject: Thanks so much! I'm new to Physical Therapy reports. nm

x
DO NOT POST COPIES OF REPORTS. (SM)
Subject: Please kindly do not post reports (sm) 


Please kindly do not post reports from your employer on this site.  I have also made the Administrator aware of this.


Goldbird (Moderator)


Newbie posting reports
Subject: Newbie posting reports

Newbie, this is the stuff of which lawsuits are made. Get informed. Get some ethics. Get a clue. Good thing you do not work for my company or you would be out in a New York minute.
Can you access old reports to see if it's something used routinely? nm
Subject: Can you access old reports to see if it's something used routinely? nm

s
Can you access any of the old reports to see if he "normally" says something here? nm
Subject: Can you access any of the old reports to see if he "normally" says something here? nm

s
Thanks a bunch, now I do not have any blanks in none of my reports
Subject: Thanks a bunch, now I do not have any blanks in none of my reports


exam reports as having no problems..
Subject: exam reports as having no problems..