The dictation after just went straight into the impression, so I didn't include it. nm
Posted By: Tweet on 2008-04-06
In Reply to: It would help if we could get the dictation after this.... nm - Shosh
Subject: The dictation after just went straight into the impression, so I didn't include it. nm
nm
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I did Google it, but I didn't know it was a hearing test it didn't pop up. Sorry to bother you
Subject: I did Google it, but I didn't know it was a hearing test it didn't pop up. Sorry to bother you.
No, I didn't mean that as a slam that you didn't research!!!
Subject: No, I didn't mean that as a slam that you didn't research!!!
I just meant that it's checked and verified for you. Shitzoo showed up on Google, too. LOL
You always include the 0 before a
Subject: You always include the 0 before a
decimal point. Too easy to read as 17% versus 0.17% -- quite a difference in value.
sorry, meant to also include...
Subject: sorry, meant to also include...
the only SVC I know of is superior vena cava, so SVT is probably the correct term as nana said.
oops, meant to include BOS, pg 83
Subject: oops, meant to include BOS, pg 83
please include more context next time for better help nm
Subject: please include more context next time for better help nm
Is your time given to include the seconds on the end? nm
Subject: Is your time given to include the seconds on the end? nm
s
please include the surrounding context......
Subject: please include the surrounding context......
The likely etiologies of hematemesis include
Subject: The likely etiologies of hematemesis include
peptic ulcer disease versus m*** versus ***losum. Any ideas appreciated. ESL doc is mumbling.
Better include "cultures" in the blank, too. Let us know what you find out. nm
Subject: Better include "cultures" in the blank, too. Let us know what you find out. nm
x
Quotations should include ONLY the actual words sm
Subject: Quotations should include ONLY the actual words sm
lifted directly from the study/exam/whatever.
Allergies include s/l pair it a deen. nm
Subject: Allergies include s/l pair it a deen. nm
This = xerostomia and tongue soreness. sorry if I do not include.
Subject: This = xerostomia and tongue soreness. sorry if I do not include.
a
medications include s/l vobenzin and artron TIA
Subject: medications include s/l vobenzin and artron TIA
xx
does she want you to put in a heading, or include more in prior paragraph
Subject: does she want you to put in a heading, or include more in prior paragraph
nm
No idea, given as part of med list. Dxs include
Subject: No idea, given as part of med list. Dxs include
myasthenia gravis, respiratory failure, currently intubated.
s/l surgeries include "hylanitive" cysts
Subject: s/l surgeries include "hylanitive" cysts
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.
Include your email, and I'll send you the page. sm
Subject: Include your email, and I'll send you the page. sm
It's too long to put here.
Meant to include that pt has systemic lupus erythematosus.
Subject: Meant to include that pt has systemic lupus erythematosus.
Cardiovascular problem signs include swelling
Subject: Cardiovascular problem signs include swelling
x
Apparently, charley-horse CAN include bruise, etc.
Subject: Apparently, charley-horse CAN include bruise, etc.
Again, give it a shot with Google. :)
how I keep it straight
Subject: how I keep it straight
neuro- is a combining form referring to a system of an anatomical part, be it the entire body or the system of specific an anatomical part,
neural -- Relating to any structure composed of nerve cells or their processes, or that on further development will evolve into nerve cells
Since the foramen (foramina-pl) is a specific structure, the combining form would be incorrect.
can someone please get me straight
Subject: can someone please get me straight
on CONN or KHAN catheter ???
Thanks again...tried that but didn't get anything because I didn't know how to spell it. (nm)
Subject: Thanks again...tried that but didn't get anything because I didn't know how to spell it. (nm)
x
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!
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.
medications to which Acinetobacter is usually sensitive include the following:. Meropenem. Colistin.
Subject: medications to which Acinetobacter is usually sensitive include the following:. Meropenem. Colistin. Polymyxin B ...
med help - Include Nexium, frolic, repinazide, Pepcid, lactose
Subject: med help - Include Nexium, frolic, repinazide, Pepcid, lactose
List of meds for patient with heart condition. First word s/l Lexium, but thought must be Nexium. Can't understand s/l frolic and repinazide.
How about straight leg raising
Subject: How about straight leg raising
does that sound like it now?
That is what they usually say.
Straight leg raising
Subject: Straight leg raising
STL STRAIGHT leg raising?
Subject: STL STRAIGHT leg raising?
,
straight leg raise, maybe?
Subject: straight leg raise, maybe?
S/L Straight kokers?
Subject: S/L Straight kokers?
This OP report is killing me today! It is in regards to a C-section and I am not very firmiliar with OP reports..the dictator is saying "the lower edge of the fascia was _______ (masked?) with s/l straight kokers?????
Any ideas??
It's SLR = straight leg raising
Subject: It's SLR = straight leg raising
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
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