nevermind it's 'off' axis. He repeated it in the impression much more clearly!
Posted By: tiny on 2007-01-06
In Reply to: echocardiogram - A very technically difficult study. Images 'without' or 'out of' axis - tiny
Subject: nevermind it's 'off' axis. He repeated it in the impression much more clearly!
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normal axis is correct. On an EKG usually it's either rightward axis, leftward axis, or SM
Subject: normal axis is correct. On an EKG usually it's either rightward axis, leftward axis, or SM
no axis deviation which is some times dictated as "normal axis."
In Stedman's I have cephalocaudal axis aka long axis of the body.
Subject: In Stedman's I have cephalocaudal axis aka long axis of the body.
Axis I: Axis II: etc. in list form.
Subject: Axis I: Axis II: etc. in list form.
x
we will check in the morning 'off all diuretics'..nm
Subject: we will check in the morning 'off all diuretics'..nm
nm
Geeze sorry. She repeated it later it is actually....sm
Subject: Geeze sorry. She repeated it later it is actually....sm
Patellofemoral syndrome. She is in too big a hurry to slow down.......
Do you have a med list on him? Is it repeated
Subject: Do you have a med list on him? Is it repeated
s
She just repeated it again further down in the report
Subject: She just repeated it again further down in the report
and clearly said Lamborghini. Plain as day! Guess I'll just flag it.
Help with a word repeated in the note.
Subject: Help with a word repeated in the note.
hepatic congestive ?? s/l hyp-oth-opathy
In a patient with increased LFTs. Thanks.
So sorry I jumped the gun, he repeated it shortly after...
Subject: So sorry I jumped the gun, he repeated it shortly after...
It is lateral mass screws. This report is due quickly, so I got in a hurry. Thank you!!
See, I told you it has been a long day. I repeated myself. LOL
Subject: See, I told you it has been a long day. I repeated myself. LOL
Patella baja (no r) Dr. repeated large or spelled.
Subject: Patella baja (no r) Dr. repeated large or spelled.
Hmmm. Dunno. Is it repeated in the plan section of the report? sm
Subject: Hmmm. Dunno. Is it repeated in the plan section of the report? sm
It may just be a little English word.
pt has hypercalcemia..A bone density test will be repeated in therapy with a bisphosphonate & sm pls
Subject: pt has hypercalcemia..A bone density test will be repeated in therapy with a bisphosphonate & sm pls
A bone density test will be repeated in therapy with a bisphosphonate and s/l sit-ter-rid
Axis
Subject: Axis
Active range of motion is normal in all Axis? Should it be plural, and if so, how is it typed? Thanks!
Axis
Subject: Axis
Cool. That's what I thought. Thanks.
Axis
Subject: Axis
I type Axis then double space on the same line. 
Axis I-VI
Subject: Axis I-VI
"diagnoses"
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.
axis.......nm
Subject: axis.......nm
nm
QRS axis -43 is this always (-)??
Subject: QRS axis -43 is this always (-)??
axis 1????
Subject: axis 1????
DIAGNOSES
Axis one adjustment disorder with anxiety moderate in degree.
Psychogenic amnesia.
Axis two diagnoses deferred
Axis three heart disease, pulmonary disease, hypertension. complications from steroid medication. Neuritis and cerebral frontal atrophy.
Axis? four degree of psychosocial stresses are moderate to severe due to illness within herself.
Axis?? five highest level of adaptive functioning has been fair socially, poor occupationally for at least 5 years.
by saying this is he just listing it? like should it just be.
1.
2.
3.
4. so on so on?...
Axis
Subject: Axis
Took this from a sample report:
Assessment
Axis I -- Major depression, recurrent.
Axis II -- Deferred.
Axis III -- Head injury aged three. ? post-traumatic seizure disorder. Rule out pseudoseizures.
Axis IV -- Moderately-severe psychosocial stress.
Axis V -- GAF is 55.
hope this helps would be : after each axis not those dashes
Axis IV . . . help please
Subject: Axis IV . . . help please
What does it mean when the doc says, "Axis IV: 1, 2, 3." And how would I type that.
TIA 
QRS axis? nm
Subject: QRS axis? nm
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
Diagnosis re Axis
Subject: Diagnosis re Axis
What is the most recent rule regarding diagnosis?
Axis 1:
Axis I:
AXIS I:
Do you run the diagnosis right after axis, or begin a new left at the left margin underneath the Axis?
I am having some reports changed to:
AXIS I:
BIPOLAR DISORDER (rather than putting it on the same line as AXIS).
Thanks very much.
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 :)
s/l capsular axis
Subject: s/l capsular axis
A capsular tension ring was placed and removal of the bulk of the lens was accomplished without evidence of capsular tear. After removal of the lens, the (s/l capsular axis) appeared to be eccentric.
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.
maybe "long axis" ??
Subject: maybe "long axis" ??
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.
I would go with minus 2-degree axis
Subject: I would go with minus 2-degree axis
/
I was pretty sure about the axis part, but...
Subject: I was pretty sure about the axis part, but...
he slurrs his sentences all together. What about low transition LVH by voltage? I couldn't find that anywhere, not that I am even sure that is what he is saying!!!
EKG: ADP NP (or) and P are interval normal axis.
Subject: EKG: ADP NP (or) and P are interval normal axis.
I hate abbreviations.
The only thing that shows up in my cardiology book is adenosine diphosphage, and that doesn't tell me what the next NP or and P would mean. I wish they'd just say what they mean instead of abbreviating, because if I can't figure them out I'm blanking them.
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
ligamental axis? guessing only here....
Subject: ligamental axis? guessing only here....
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.
Skin Axis / Access
Subject: Skin Axis / Access
In a mammogram, doc dictates: "At ultrasound, this does correspond to a smooth, oval, hypoechoic, well-defined nodule, which is parallel to the skin axis/access, measuring 14 x 4 x 9 mm. "
Is it "axis" or "access?" Thanks in advance :-)
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