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perhaps "etiology unclear"

Posted By: Marian on 2009-04-01
In Reply to: nausea - kz

Subject: perhaps "etiology unclear"




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Thanks for your help. It was so unclear so sent to QA. nm
Subject: Thanks for your help. It was so unclear so sent to QA. nm


unclear dictation
Subject: unclear dictation

The sentence reads:  One bottle out of four bottles of blood culture came back Staph coag negative positive.  Does that make sense? 
Very unclear, but could be. I think I will send it to QA. Thanks anyways! nm
Subject: Very unclear, but could be. I think I will send it to QA. Thanks anyways! nm


unclear on sentence
Subject: unclear on sentence

No increased dated degrudge, plus 2 without bruits, and clear to auscultation.

I am pretty sure I need to change the plus 2 to 2+, but does this sentence make sense? It doesn't to me, but I am new! Thanks!
Unclear word(s)
Subject: Unclear word(s)

What I am hearing is HEENT: Mild conjectile o-pal or mild conjectile or pallor.  What makes sense?
Unclear of word
Subject: Unclear of word

Typing a Urology/Nephrology report - unsure of a sentence


On digital rectal exam, the prostate is "flat" without firmness or nodularity.  The word also sounds like flass. What could it be?


 


Unclear sentence
Subject: Unclear sentence

I don't really like the way this is written but it's what is dictated. 


He is positive for a smoker 1/2 pack per day with a smoker's cough.  I'm hearing it exactly as is.  Does that sound right?


Thanks - it is so unclear, I will leave it blank
Subject: Thanks - it is so unclear, I will leave it blank


Maybe celebratory?? if 1st part unclear
Subject: Maybe celebratory?? if 1st part unclear


I believe it was Diprosone cream, but was very unclear. nm
Subject: I believe it was Diprosone cream, but was very unclear. nm

nm
I think I will just flag it. Too unclear and it is meds. Thanks anyways! nm
Subject: I think I will just flag it. Too unclear and it is meds. Thanks anyways! nm


That's a good guess, it was very unclear . . . sm
Subject: That's a good guess, it was very unclear . . . sm

so, I blanked it in the report, ""_____ dialysis"", and QA filled it in with ""Q-dialysis"", so I was just wondering where they got their information from.  This is not the first time I have found a questionable QA fill-in.
This is ESL, so unclear - He may be referring to range of motion pain but doesn't say.
Subject: This is ESL, so unclear - He may be referring to range of motion pain but doesn't say.

nm