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GI help: Is it diaphragmatic compression or impression

Posted By: Lulabell on 2007-08-10
In Reply to:

Subject: GI help: Is it diaphragmatic compression or impression

Trying to distinguish between diaphragmatic compression or diaphragm and compression or diaphragmatic impression.  Help appreciated.





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Ahhh...that's diaphragmatic impression. nm
Subject: Ahhh...that's diaphragmatic impression. nm


He might mean comp for compression, cercvical compression test (Spurling)
Subject: He might mean comp for compression, cercvical compression test (Spurling)


diaphragmatic?
Subject: diaphragmatic?

x
diaphragmatic
Subject: diaphragmatic

Yes, I think that is what he is saying - he is just saying it really fast!  Thanks!
WAG diaphragmatic breather ? nm
Subject: WAG diaphragmatic breather ? nm

nm
diaphragmatic breather?
Subject: diaphragmatic breather?

breathes via diaphragm?
Nevermind again... diaphragmatic leaves
Subject: Nevermind again... diaphragmatic leaves

It's diaphragmatic leaves... I thought I had had this come up before with this doctor and I had. You have to really open your mind and close your ears to hear leaves when he says this.
Incarcerated diaphragmatic hernia
Subject: Incarcerated diaphragmatic hernia

In the operations i have:


Redo right thoracotomy.


Reduction of incarcerated hernia.


Primary repair of diaphragmatic s/l avature or abiture.


I just can't get this.


Thanks for any help!!


compression as in extrinsic compression?
Subject: compression as in extrinsic compression?


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.
Spot view (or compression mammogram, spot view, cone view, or focal compression view? sm
Subject: Spot view (or compression mammogram, spot view, cone view, or focal compression view? sm

Here is great mammogram link. Views are on page 2.


 


http://imaginis.com/breasthealth/mammogram_report.asp


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.
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
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.


Could you post the impression? Might help to shed light. nm
Subject: Could you post the impression? Might help to shed light. nm


impression: bronchiolitis s/l sublets? or other process
Subject: impression: bronchiolitis s/l sublets? or other process


s/l ID or ID8 urine culture. for impression and plan
Subject: s/l ID or ID8 urine culture. for impression and plan


Extrinsic impression ? on the sigmoid colon
Subject: Extrinsic impression ? on the sigmoid colon


I was under the impression it was JCAH mandated to write ml instead of cc. NM
Subject: I was under the impression it was JCAH mandated to write ml instead of cc. NM


Got first one - he says in impression "flow limiting stenosis"
Subject: Got first one - he says in impression "flow limiting stenosis"


Impression: Right MPJ extensor hood rupture SM
Subject: Impression: Right MPJ extensor hood rupture SM

(s/l shrowd ligament rupture).
nevermind it's 'off' axis. He repeated it in the impression much more clearly!
Subject: nevermind it's 'off' axis. He repeated it in the impression much more clearly!


I was under the impression that VAC is an acronym for vacuum-assisted closure.
Subject: I was under the impression that VAC is an acronym for vacuum-assisted closure.

Both Stedmans acronyms and Tessier surgical have it as VAC.
saw the patient, and the impression was s/l brass sediment impaction?(
Subject: saw the patient, and the impression was s/l brass sediment impaction?(


Firstly, would it be Impression: (instead of "colon") Negative mammography...
Subject: Firstly, would it be Impression: (instead of "colon") Negative mammography...


The dictation after just went straight into the impression, so I didn't include it. nm
Subject: The dictation after just went straight into the impression, so I didn't include it. nm

nm
So, if I were to have this abbreviation in the impression or diagnosis, should I expand to carcinoma
Subject: So, if I were to have this abbreviation in the impression or diagnosis, should I expand to carcinoma


Lumbar spine MRI. He says: Impression - ?quiet? degenerative changes.
Subject: Lumbar spine MRI. He says: Impression - ?quiet? degenerative changes.


Cardio. Dictates ostium to TM in Impression. Can't find expansion...
Subject: Cardio. Dictates ostium to TM in Impression. Can't find expansion...

 that makes sense in any references and nothing in rest of dictation that connects.  Got any ideas?


Gracias!


Compression somewhere in there? nm
Subject: Compression somewhere in there? nm

nm
NGT Compression
Subject: NGT Compression

NGT (or maybe NGD) compression. The patient is in for intoxication with pancreatitis.

Thanks,

L
NGT compression
Subject: NGT compression

This should be NG decompression
cord compression
Subject: cord compression

I know "cords" are found in hernias.
Doc says: Subacromial and (s/l) sub-ACD compression. TIA
Subject: Doc says: Subacromial and (s/l) sub-ACD compression. TIA

x
compression is correct (nm)
Subject: compression is correct (nm)

.
No, compression is correct here because...sm
Subject: No, compression is correct here because...sm

doc is referring to a specific spot on the stomach "1-2 cm distal to the diaphragmatic ________." He/she is referring to the diaphragmatic immpression (also called the diaphragmatic indentation) where the diaphragm *indents* the esophagus, or in the case of someone with a hiatal hernia, the stomach.
extrinsic compression
Subject: extrinsic compression