Would "MRI'd" be incorrect? Dr. wants to use abbreviations for this too. n/m
Posted By: MTToo on 2008-12-04
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n/m
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as far as the "mono" part, I'm thinking it's "MRI"
Subject: as far as the "mono" part, I'm thinking it's "MRI"
"MRI of the brain showed MS lesions, occipital capping"? nm
Subject: "MRI of the brain showed MS lesions, occipital capping"? nm
These are probably not abbreviations. sm
Subject: These are probably not abbreviations. sm
Is that the entire EKG interpretation? Check your BOS for help with EKG terms.
CT KUB/Abbreviations
Subject: CT KUB/Abbreviations
Check a TT SF CB DD CC....I wish they would just drop the abbreviations. All the "e" letters come across sounding alike as do the S's and F's. Then there are the B's and V's. There are about 35 abbreviations for CT,the most common of which is computerized tomography, but the list goes on and on. Cobra toxin is a good one!
Abbreviations.
Subject: Abbreviations.
2-3-day history of a pelvic pain along her bladder area. This pain is described as a constant crampy pressure pain, tender to touch, and is associated with urinary urgency and frequency. She denies any S/C/N/V/D/C.
New doctor for me. She likes to use a lot of abbreviations. Not sure what S/C/N/V/D/C is.
Also, doctor uses "MRC CUA" under plan. It is just by itself. Any clues????? 
Abbreviations (sorry not much help)
Subject: Abbreviations (sorry not much help)
According to Stedman's BSA= body surface area. BFA abbreviations do not make sense here (BFA= baby for adoption or bifemoral arteriogram.) Hope this helped a little anyway!
abbreviations...
Subject: abbreviations...
Don't you just love them: Let's see there is:
1. continuous performance test,
2. continuous primary tests,
3. chest physiotherapy,
4. clinical pharmacokinetics team,
hmmm, I wonder, which one sounds the best to you?
There are many abbreviations that have
Subject: There are many abbreviations that have
more than one meaning, if in doubt use the abbreviation, EVEN if it is in the diagnosis.
abbreviations AS, AI, MR??
Subject: abbreviations AS, AI, MR??
I have to expand these abbrevations, but I'm having a hard time finding which ones are the right ones. The sentence is "multiple murmurs of AS, AI, and MR"
Stedman's Abbreviations has it as
Subject: Stedman's Abbreviations has it as
T-MAX, Tmax, or T-max. but don't take my word for it. Ask the others on this site who know everything.
also in Stedmans abbreviations nm
Subject: also in Stedmans abbreviations nm
What abbreviations are and are not appropriate will be different for each account sm
Subject: What abbreviations are and are not appropriate will be different for each account sm
Go with what your QA tells you. It may be acceptable but the doctor may not like/want it done that way. I've found every account has different rules and preferences.
metric abbreviations- sm
Subject: metric abbreviations- sm
Is one form correct over another when abbreviating the measurement 'microgram?' I know I've seen it abbreviated as mcg, but in my chemistry background, we always used the symbol that looks like a funny letter 'u.' I can type that symbol in Word, but I'm not sure if it's necessary or preferred. This is the first time I've had the term 'microgram' dictated.
Side note, do you use upper or lower case 'L' to represent a liter? I've seen both used.
In the diagnosis, I would (no abbreviations)
Subject: In the diagnosis, I would (no abbreviations)
Unless you are to expand abbreviations
Subject: Unless you are to expand abbreviations
you transcribe it as dictated.
According to the Stedman's abbreviations
Subject: According to the Stedman's abbreviations
& Acronyms it is
geriatric assessment unit
Unless you have to expand all abbreviations
Subject: Unless you have to expand all abbreviations
don't waste your time worrying about it, just type it.
no, This dictator is big on abbreviations, but I just can't get it, nm
Subject: no, This dictator is big on abbreviations, but I just can't get it, nm
x
Expanding abbreviations
Subject: Expanding abbreviations
Are there any abbreviations that should NEVER be expanded on the diagnoses section of a hospital record? I was told that T-spine should never be expanded to thoracic spine; however I learned that ALL abbreviations are to be expanded and dont agree. Please help.
even though I, too, avoid using abbreviations in dx, I
Subject: even though I, too, avoid using abbreviations in dx, I
would have used the "B" - mainly because you just don't often see the term "beta" strep used - you always see "group B strep," so I think that's why they changed it.
dangerous abbreviations
Subject: dangerous abbreviations
Now please do not flame me for asking, but I am getting confused about some of these. The one for today is hs. Is it used at all? If so, is it hs or h.s.? I thought it was not used, but substitute "bedtime", but I do not find it in BOS and on page 463 of BOS 2 it lists "BT" as to not use but substitute "hs." Can anyone give me a definitive reply with citation of source? Thanks.
lung exam abbreviations
Subject: lung exam abbreviations
On lung exam is sound like he is saying "BS equals BO" or "PS equals PO." Anyone have any idea?
I checked my Stedman's Abbreviations
Subject: I checked my Stedman's Abbreviations
book on this and it was not in there (surprise!) but I put the abbreviations into google and it came right up. Maybe I had better get a newer book. lol
But cc is on the dangerous abbreviations list
Subject: But cc is on the dangerous abbreviations list
Most places want you to change to mL (or sometimes even milliliters).
Discharge Summary Abbreviations
Subject: Discharge Summary Abbreviations
Must we expand all abbreviations in the Discharge Summary (as you would in a diagnosis/impression), or type verbatim?
Stedman's 3rd abbreviations has it both ways.
Subject: Stedman's 3rd abbreviations has it both ways.
nm
"Metastases" according to Stedman's Abbreviations
Subject: "Metastases" according to Stedman's Abbreviations
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
With the dots as in b.i.d. but q.d. is now on Dangerous Abbreviations
Subject: With the dots as in b.i.d. but q.d. is now on Dangerous Abbreviations
s
Breakdown of ABG: Correct abbreviations? sm
Subject: Breakdown of ABG: Correct abbreviations? sm
When transcribing results of arterial blood gas tests, which abbreviation is correct: PAO2 or PaO2? Each of these has different meanings, according to the website I use for acronyms/abbreviations. Actually, I have always typed PAO2, don't know if this is correct, and have never heard otherwise.
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
This is how my medical abbreviations book has it
Subject: This is how my medical abbreviations book has it
z
Good site to look up abbreviations -
Subject: Good site to look up abbreviations -
http://mt911.com/site/search/abbreviation_search.asp
I couldn't find anything...but sometimes I check here for abbreviations that I don't get..sm
Subject: I couldn't find anything...but sometimes I check here for abbreviations that I don't get..sm
http://www.medilexicon.com
Abbreviations per book of style question - sm
Do you abbreviate mg, ml, 02 etc if the account instructions say to spell out abbreviations as per book of style?
Have ordered book, not here yet. Thanks in advance for help.
Rehab note. He is using a lot of abbreviations. I am not able to document what they mean. *sm*
Subject: Rehab note. He is using a lot of abbreviations. I am not able to document what they mean. *sm*
Please let me know if I have anything wrong. Thank you so very much!
MODALITIES: Transfers are minimum assist. Balance trunk is
fair to poor. Endurance fair to poor. PT goals are maximum
assist with TIF. Maximum assist with bed mobilities. Progress
toward weeks goals PT is EMO at times of HOA.
Clarification - Hopital Course - leave abbreviations?
Subject: Clarification - Hopital Course - leave abbreviations?
Oops! I meant, in the discharge summary under the hospital course heading must we expand dictated abbreviations as we would under the impression or diagnosis? Or is it acceptable to leave them verbatim.
Thanks!!!!!!
No, that's incorrect - SM
Subject: No, that's incorrect - SM
Principal diagnosis (noun or adjective and the one you use in medical transcription)
Principle (noun only), fundamental law, doctrine, assumption.
OP is incorrect. Please
Subject: OP is incorrect. Please
TIMI system
Thrombolysis in myocardial infarction. A grading system (grade 0 to 3) for coronary perfusion; evaluates reperfusion achieved by thrombolytic therapy. Lowercase grade and use arabic numerals.
The patient had TIMI grade 3 flow at 90 minutes following thrombolytic therapy.
Copyright (c) 2002 American Association for Medical Transcription
Actually it is incorrect to
Subject: Actually it is incorrect to
type protime, even when they dictate it. Set your expander to expand protime to prothrombin time because that is truly the correct way to type this on a medical report. That way when they undergo audit it will not come back to transcription who didn't type it with HIPAA correctness. I wish they would educate doctors to dictate things correctly in the first place to avoid all this, but I think even if they did the dictator would still dictate things the way he "thinks" in his head. It is hard to teach old dogs new tricks unless they are transcriptionists. If we don't learn new tricks they will replace us, right?
Incorrect
Subject: Incorrect
Not typed with small "h." This is from Dorland's:
bicarbonate (bi-kahr´bә-nât) any salt containing the HCO3− anion.
Lilly
Sorry, you are incorrect
Subject: Sorry, you are incorrect
From page 321 of the BOS, decubitus is an adjective, not a noun and does not have a plural form. The plural form of decubitus ulcer is decubitus ulcers.
D: decubiti
T: decubitus ulcers
They are incorrect. There is certainly
Subject: They are incorrect. There is certainly
not a comma before the which in the example you are given. It would make absolutely no sense with a comma there.
No, it stands for brain according to Medical Abbreviations 9th Edition and the
Subject: No, it stands for brain according to Medical Abbreviations 9th Edition and the
Laboratory Test Handbook, 2nd Edition.
Need good site for professional abbreviations such as NPCDE, etc nm
nm
This is from medilexicon list of abbreviations, I do not know if any fit in your context... and weir
Subject: This is from medilexicon list of abbreviations, I do not know if any fit in your context... and weirdly enough it says also electroconvulsive therapy, don't know why?
ETC
1-Ethyl-3-[3-(Trimethylammonio)Propyl]Carbodiimide Dict | PubMed | Wiki
Electroconvulsive Therapy Dict | PubMed | Wiki
Electron Transport Chain Dict | PubMed | Wiki
End Point Threshold Concentrations Dict | PubMed | Wiki
Esophageal Tracheal Combitude Dict | PubMed | Wiki
Estimated Time of Conception Dict | PubMed | Wiki
Extracellular Toxic Complex
The majority are incorrect
Subject: The majority are incorrect
:
definitely incorrect and the national is right..nm
Subject: definitely incorrect and the national is right..nm
x
definitely incorrect and national is right....NM
Subject: definitely incorrect and national is right....NM
ww
middleschmertz is incorrect
Subject: middleschmertz is incorrect
yes, internet can be wrong, so have to be careful. Need to invest in medical terminology books, but yet sometimes I find discrepancys in those also.
Sloan's Medical Word Book, under the section of ob/gyn, it has "middle-shmertz" Phonetic for mittelschmerz.
We all have to check and double check. Look in more than one source.
Yes, incorrect info indeed
Subject: Yes, incorrect info indeed
I came back on to read this post because I had given out the info on Lidoderm and wanted to see if the other word had been found. Then I saw LYDERM.
I have been reading the posts above. This "Kathie" person, with the bubble blowing gum head picture, seems to be giving out incorrect information. Hope she is not a QA person.
Example such as Caldwell-Luc thinking that would be for caudal vater syndrome????Where would you get that from?
That is too much guessing going on. If you don't
know, do not answer. Simple as that.
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