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I would go with minus 2-degree axis

Posted By: nm on 2006-02-23
In Reply to: EKG help see message - how to type -2 degree axis

Subject: I would go with minus 2-degree axis

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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.


Pt does have a 70 degree popliteal angle. Would the 70 degree be correct? sm
Subject: Pt does have a 70 degree popliteal angle. Would the 70 degree be correct? sm

I know with the tibiofemoral angle it is usually 7 degrees (or low numbers).
Thanks
Axis I: Axis II: etc. in list form.
Subject: Axis I: Axis II: etc. in list form.

x
minus to 40, maybe
Subject: minus to 40, maybe

nm
Yes, that is what he is saying, minus a few syllables. Thanks.
.
How do you type it when doc says plus minus, tia
Subject: How do you type it when doc says plus minus, tia

xxx
Ophthalmology - 20/40 minus or -?
Subject: Ophthalmology - 20/40 minus or -?

Is it correct to type out the word minus or do you use -?
Per BOS - plus/minus written out unless
Subject: Per BOS - plus/minus written out unless

x
plus/minus headache--I think
Subject: plus/minus headache--I think

Doc is dictating intake report and says the patient has "some s/l plus/minus headache along with weakness."  Is there such a thing as a plus/minus headache?  If so, how would I type it? Please help as all my QA editors seem to be having PMS or a midlife crisis and I'd like to avoid sending this one in :-)


Per BOS2 - plus/minus not "+/-"
Subject: Per BOS2 - plus/minus not "+/-"

x
We went with "minus 1-mm to minus 1.5-mm…" (nm)
Subject: We went with "minus 1-mm to minus 1.5-mm…" (nm)

x
Cervix 690 minus 1 with swelling. sm
Subject: Cervix 690 minus 1 with swelling. sm

Should I type this as 6.90 minus 1 with swelling? Just had the same doctor with another patient coming in with labor, and she says "Cervix is 390 and 0." That should be 3.90, meaning the cervical length, right? But what about this patient of 690 minus 1 with swelling? Is that cervical length of 6.90? Thank you.
thanks, is the minus a logical word tho?
Subject: thanks, is the minus a logical word tho?

x
how do you write left shoulder minus 30 ER?
Subject: how do you write left shoulder minus 30 ER?

how do you write left shoulder minus 30 ER?
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"
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


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.


 


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. 
maybe "long axis" ??
Subject: maybe "long 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.
ligamental axis? guessing only here....
Subject: ligamental axis? guessing only here....


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 :-)


WAG but kind of looks like celiac axis. nm
Subject: WAG but kind of looks like celiac axis. nm


Axes- plural of axis- pronounced
Subject: Axes- plural of axis- pronounced

xx
"something"... PR interval, normal axis (sm)
Subject: "something"... PR interval, normal axis (sm)

I can't figure out the ADP part either
Psychology - Axis II - s/l cluster B traits? TIA
Subject: Psychology - Axis II - s/l cluster B traits? TIA

xx
Axis format but employer prevails
Subject: Axis format but employer prevails

I go like so


Axis   I


          xxxxx


          xxxxx


          xxxxx


Axis   II


 


Axis  III


 


Axis   IV


 


Axis   V



 


 


 


yes..maybe"QRS axis 43 and PR interval 163 msec" ? nm
Subject: yes..maybe"QRS axis 43 and PR interval 163 msec" ? nm


s/l 30/70 0 degree
Subject: s/l 30/70 0 degree

cystoscopic lenses. Is this correct?
If you go by BOS, it is 1st-degree.
Subject: If you go by BOS, it is 1st-degree.

x
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!


Never mind guys, figured out she was saying AXIS I....geesh
Subject: Never mind guys, figured out she was saying AXIS I....geesh


it's apical axis guide or guid or guidewire. nm
Subject: it's apical axis guide or guid or guidewire. nm

x
second-degree AV block or 2nd-degree AV block or
Subject: second-degree AV block or 2nd-degree AV block or

second degree AV block (without hyphen) or 2nd degree AV block. 


second-degree A-V block
Subject: second-degree A-V block

This is how it is written in the Stedman's Cardiology book.
degree sign
Subject: degree sign

According to the new AAMT guidelines, it states that the degree symbol should not be used as it can easily be not seen or mistaken as a dot on the paper.  90-degrees.


70 degree ----- hopkins rod
Subject: 70 degree ----- hopkins rod

I need help with an ENT word. He says a 70 degree ----(??rigid??) Hopkins rod was used.. Any ideas.. bb


0-degree laparoscope?
Subject: 0-degree laparoscope?

Is this correct wording for the doctor to say this this way "0-degree laparoscope".  The doctor is performing a laparoscopic hiatal hernia repair procedure using a visiport trocar and a "0-degree laparoscope".


Should it really be a "10 mm 0-degree laparoscope?  Please help


should you put a degree symbol...
Subject: should you put a degree symbol...

when transcribing temperatures? i.e., temperature was 100 (degree symbol?)


or write out the word, degrees?


TIA


I have the BOS degree info fer ya!
Subject: I have the BOS degree info fer ya!

BOS 2nd edition page 386:


Use the degree symbol if available, immediately followed by the abbreviation for the temperature scale.  If the degree symbol is not available, write out degrees (and the temperature scale name, if dictated) 


98ºF or 98 degrees Fahrenheit.


 


10-degree increase or 10 degree increase? TIA nm
Subject: 10-degree increase or 10 degree increase? TIA nm