To be perfectly honest, I have never seen it with periods before and I have been transcribing for 34
Posted By: MT50 on 2007-11-11
In Reply to: I know CVA tenderness is what is used, .my question was when was it changed from c.v.a. tenderness? - Old and out of it
Subject: To be perfectly honest, I have never seen it with periods before and I have been transcribing for 34 years, but I too still have to learn new things every day. Guess that is what keeps me motivated.
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that's perfectly okay feel better! nm
Subject: that's perfectly okay feel better! nm
"wise" is actually a suffix and perfectly...sm
Subject: "wise" is actually a suffix and perfectly...sm
acceptable. Cardiacwise is used all the time. Hate it, don't do it myself, but it is acceptable. Every doc I've ever transcibed for has used it. It's even in the Stedman's spellcheck.
Yes, sounds perfectly fine to me. -nm
Subject: Yes, sounds perfectly fine to me. -nm
x
As I said, I am perfectly aware of exactly where the perineum is
Subject: As I said, I am perfectly aware of exactly where the perineum is
I misspoke, okay? I usually associate the word with abdominal/pelvic CTs because that is when I usually hear it. I was trying to help, and I didn't expect to be jumped on. I have been doing medical transcription since 1971, so I do have a little experience.
And re "peroneal," I happen to hear that most often when transcribing CTs or MRIs of the knee. Per Wheeless' Textbook of Orthopaedics (below) the peroneal nerve branches off the sciatic nerve and runs almost the entire length of the leg. And I won't even get into the peroneal arteries and veins (which run from the knee to the ankle), muscles (peroneus longus and brevis), and tendons (which are the only part that is confined only to the ankle area, as mentioned above).
- Anatomy:
- common peroneal nerve is derived from (L4, L5, S1, S2) as a part of the sciatic nerve;
- posterior component, supplies short head of biceps femoris in thigh, crosses posterior to lateral head of gastrocnemius, and becomes subcutaneous behind head of fibula;
- it penetrates the posterior intermuscular septum, and becomes closely opposed to the periosteum of the proximal fibula;
- it then divides into superficial & deep peroneal nerves;
- the nerve also gives off a lateral sural cutaneous brach which joins with the the medial sural cutaneous nerve (from tibial nerve) to form the sural nerve;
- superficial peroneal nerve:
- supplies lateral compartment of leg, first passing between peroneus longus
- passes in a straight line from the common peroneal nerve;
- along the length of the proximal one third of the fibula, the superficial peroneal nerve is on the lateral cortex of the fibula;
- passes between peroneus longus & peroneus brevis;
- superficial sensory nerves:
- subcutaneous superficial sensory branch lies between peroneus brevis and EDL msucles.
- superficial peroneal nerve is accompanied by a true vascular axis that is supplied by tibialis anterior artery along its course.
- about 10-12 cm above the tip of the lateral malleolus, the superficial peroneal nerve pierces the fascia;
- about 6-7 cm distal to the fibula, the superficial peroneal nerve bifurcates into intermediate and medial dorsal cutaneous nerves;
- location of cutaneous nerves: (from Huene and Bunnell 1995)
- branches of the superficial peroneal nerve or the sural nerve may be injured during ORIF of Ankle frx;
- these nerves are most at risk at the junction of the distal and middle thirds of the lateral border of the fibula;
- in 22% of legs, braches of either nerve will cross the frx site;
- in 54% of legs, branches of superficial peroneal will lie within 5 mm of the anterolateral border of the fibula;
- safest interval is 12 mm posterior to the anterolateral border of the fibula at 10 cm from the fibular tip, and 10 mm posterior to the anterolateral border at 5 cm proximal to the tip
Thanks ya it can be heard so and fits perfectly
Subject: Thanks ya it can be heard so and fits perfectly
Thanks
You have to (LOL); "malaise" fits the blank perfectly.
Subject: You have to (LOL); "malaise" fits the blank perfectly.
Great job, FT MT!
step-off is perfectly fine and in the Sted's. nm
Subject: step-off is perfectly fine and in the Sted's. nm
s
nope, perfectly fine as frontoparietotemporal.
Subject: nope, perfectly fine as frontoparietotemporal.
.
Bless your heart. Been looking all nite. Fits perfectly too with pmh. :)
Subject: Bless your heart. Been looking all nite. Fits perfectly too with pmh. :)
VAC no periods...
Subject: VAC no periods...
actually, it is q.4h. (with the 2 periods)
Subject: actually, it is q.4h. (with the 2 periods)
nm
M.D. and MS-periods?
Subject: M.D. and MS-periods?
I am supposed to be typing M.D. with periods. I have M.S. in the same report. Are there supposed to be periods for Jane Doe, M.S.?
I am transcribing
Subject: I am transcribing
That is a very good point. I will type it the way she dictates. Thanks for the help.
well your QA was wrong...never been w/periods
Subject: well your QA was wrong...never been w/periods
no, maybe not - maybe they're transcribing ESL doc
Subject: no, maybe not - maybe they're transcribing ESL doc
are you transcribing or coding?
Subject: are you transcribing or coding?
If you are transcribing, the correct way is:
V code: Parent-child conflict.
Unless you are a certified coder, it would be wise to avoid inserting the actual code into the transcription as the MD/psychologist did not dictate it. The codes can change from year to year and you could enter the wrong code depending on the date of the service and which coding resource you are using.
I am transcribing a report
Subject: I am transcribing a report
on a child. The doctor is stating that she gave s/l 2 to 1 neb? Is this what I am hearing? TIA
I have been transcribing "supertherapeutic." (sm)
Subject: I have been transcribing "supertherapeutic." (sm)
super = excess, above, but often the same usage as "supra." (Stedman's).
on my account can only type PRN, no periods. sm
Subject: on my account can only type PRN, no periods. sm
Everything can't come from the BOS. Some things we do have to 'wing it' so to speak. I have a verbatim account and can only type PRN, no periods, all caps, so that's how it would be done. P.r.n. Tylenol doesn't look right, so I would have to put it PRN Tylenol.
Since it's verbatim, how about w/o periods? Prn Tylenol. I don't think that looks bad. nm
Subject: Since it's verbatim, how about w/o periods? Prn Tylenol. I don't think that looks bad. nm
x
IV for intravenous (one word) therefore no periods
Subject: IV for intravenous (one word) therefore no periods
Page 8 under Abbreviations in BOS II, says to keep the periods
Subject: Page 8 under Abbreviations in BOS II, says to keep the periods
s
Also, with the periods it would be 3 separate words, which it is not...
Subject: Also, with the periods it would be 3 separate words, which it is not...
cerebrovascular accident always has been CVA (hard to keep up with so many new rules).
Have done it that way as it is the trademark name, but has come back from QA without the periods (go
Subject: Have done it that way as it is the trademark name, but has come back from QA without the periods (go figure).
i type them all with periods, not caps.
Subject: i type them all with periods, not caps.
guidewire is 1 word, but use the periods 0.018
Subject: guidewire is 1 word, but use the periods 0.018
nm
I would keep it as you have it, (3 diagnoses) just put periods at the end of each sentence. :)
Subject: I would keep it as you have it, (3 diagnoses) just put periods at the end of each sentence. :)
Are you by chance transcribing a dictation of Dr. A. S?
Subject: Are you by chance transcribing a dictation of Dr. A. S?
help transcribing measurement STAT
Subject: help transcribing measurement STAT
I know that I know this somewhere in my head, but I can't think of it to save my life
How do I transcribe "twelve one-hundreths of an inch"?
TIA!!
Advice for transcribing lens
Subject: Advice for transcribing lens
I am new and have an ophthalmology account. I am not having much trouble with the terms, but I'm unsure how to punctuate and/or format the lens prescriptions. Does anyone know of a good website that explains this or provides examples? Thanks!
Thank you so much! I now realize I have at times been transcribing wrong. nm
Subject: Thank you so much! I now realize I have at times been transcribing wrong. nm
!
I never heard strandy until I started transcribing sm
Subject: I never heard strandy until I started transcribing sm
for one of my current radiologists. He says "strandy" plain as day, so that's what I put. Grates on my nerves, but he's the radiologist.
When transcribing "Sister so-and-so, when dictator refers
Subject: When transcribing "Sister so-and-so, when dictator refers
to patient as "sister" throughout report, is "sister" capitalized or not? Neither way looks correct to me.
Just a guess...Could be stumbling and saying "these ummm periods...
Subject: Just a guess...Could be stumbling and saying "these ummm periods...
transcribing about NIDDM. Sounds like sulfanuria and glybizone.
Subject: transcribing about NIDDM. Sounds like sulfanuria and glybizone.
I've come across a dictation that is talking about NIDDM. It sounds like he's saying "he was initially of sulfanuria and switched insulin in Puerto Rico". The other part is "He has never been on metformin or glybizone." Any suggestions??
In eight years of transcribing ortho, I've never heard this term...
Subject: In eight years of transcribing ortho, I've never heard this term...
Impression:
1. Left de Quervain tendinitis.
2. Left carpal tunnel syndrome.
Will get EMGs. The patient has evidence of s/l palmarthrorheumatosis. He runs it together, so it may be palm (or palmar) arthrorheumatosis.
Any help is appreciated. :)
Correction: Cytotec (ulcer med).It's the lateness of the hour. Thought I was transcribing alone.
Subject: Correction: Cytotec (ulcer med).It's the lateness of the hour. Thought I was transcribing alone.
x
Transcribing ESL. He is pretty clear, but does 15 cc fluid restriction sound a little severe??? (nm)
Subject: Transcribing ESL. He is pretty clear, but does 15 cc fluid restriction sound a little severe??? (nm)
x
Pleural catheter placement - proper way to type an 018 guidewire? Any periods/dashes/etc?
Subject: Pleural catheter placement - proper way to type an 018 guidewire? Any periods/dashes/etc?
when transcribing "baby girl Smith" should baby girl be capitalized?
Subject: when transcribing "baby girl Smith" should baby girl be capitalized?
if the doctor says 'Aczone top', then type 'Aczone top', no periods...nm
Subject: if the doctor says 'Aczone top', then type 'Aczone top', no periods...nm
nm
We have been caught by our QA for transcribing Toprol XL instead of Toprol-XL Since there is
Subject: We have been caught by our QA for transcribing Toprol XL instead of Toprol-XL Since there is
technically not a drug called Toprol should this be transcribed as Toprol-XL though dictated as only Toprol. Have not been called on this yet, but just wondering what others do.
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