I would keep it as you have it, (3 diagnoses) just put periods at the end of each sentence. :)
Posted By: me on 2009-04-13
In Reply to: is this 2 or 3 diagnoses? - mt3
Subject: I would keep it as you have it, (3 diagnoses) just put periods at the end of each sentence. :)
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- is this 2 or 3 diagnoses? - mt3
- I would keep it as you have it, (3 diagnoses) just put periods at the end of each sentence. :) - me
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listed in diagnoses, no sentence
Subject: listed in diagnoses, no sentence
.
context, sentence? - diagnoses?....nm
Subject: context, sentence? - diagnoses?....nm
I'm not sure of the sentence but is he stating 2 diagnoses or symptoms, i.e. UA with efflux
Subject: I'm not sure of the sentence but is he stating 2 diagnoses or symptoms, i.e. UA with efflux
VAC no periods...
Subject: VAC no periods...
actually, it is q.4h. (with the 2 periods)
Subject: actually, it is q.4h. (with the 2 periods)
nm
M.D. and MS-periods?
Subject: M.D. and MS-periods?
I am supposed to be typing M.D. with periods. I have M.S. in the same report. Are there supposed to be periods for Jane Doe, M.S.?
well your QA was wrong...never been w/periods
Subject: well your QA was wrong...never been w/periods
on my account can only type PRN, no periods. sm
Subject: on my account can only type PRN, no periods. sm
Everything can't come from the BOS. Some things we do have to 'wing it' so to speak. I have a verbatim account and can only type PRN, no periods, all caps, so that's how it would be done. P.r.n. Tylenol doesn't look right, so I would have to put it PRN Tylenol.
Since it's verbatim, how about w/o periods? Prn Tylenol. I don't think that looks bad. nm
Subject: Since it's verbatim, how about w/o periods? Prn Tylenol. I don't think that looks bad. nm
x
IV for intravenous (one word) therefore no periods
Subject: IV for intravenous (one word) therefore no periods
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
Also, with the periods it would be 3 separate words, which it is not...
Subject: Also, with the periods it would be 3 separate words, which it is not...
cerebrovascular accident always has been CVA (hard to keep up with so many new rules).
Have done it that way as it is the trademark name, but has come back from QA without the periods (go
Subject: Have done it that way as it is the trademark name, but has come back from QA without the periods (go figure).
i type them all with periods, not caps.
Subject: i type them all with periods, not caps.
guidewire is 1 word, but use the periods 0.018
Subject: guidewire is 1 word, but use the periods 0.018
nm
To be perfectly honest, I have never seen it with periods before and I have been transcribing for 34
Subject: To be perfectly honest, I have never seen it with periods before and I have been transcribing for 34 years, but I too still have to learn new things every day. Guess that is what keeps me motivated.
Just a guess...Could be stumbling and saying "these ummm periods...
Subject: Just a guess...Could be stumbling and saying "these ummm periods...
Pleural catheter placement - proper way to type an 018 guidewire? Any periods/dashes/etc?
Subject: Pleural catheter placement - proper way to type an 018 guidewire? Any periods/dashes/etc?
I think it is only the diagnoses that need....
Subject: I think it is only the diagnoses that need....
to be spelled out. This part is more like the plan.
diagnoses
Subject: diagnoses
Axis I - VI are not arms of one diagnosis, but of many diagnoses, in different systems and considerations. They include psychiatric diagnoses, functional diagnoses, physical illness diagnoses, etc., etc.
Diagnoses...
Subject: Diagnoses...
Croup and bronchitis.
Procedures: nasogastric tube feed and OPM study. Also says that OPM study indicated silent aspiration.
Any other diagnoses?
Subject: Any other diagnoses?
diagnoses
Subject: diagnoses
Debility.
Dementia with acute confusional state.
Abrasion to shoulder.
Metastatic disease.
Dehydration.
End-stage COPD.
Arthritis.
SIADH.
Hypokalemia.
Hyponatremia.
Bowel obstruction, etiology undetermined.
Urinary tract infection.
Septic condition of blood.
diagnoses
Subject: diagnoses
Diagnoses as follows:
paroxysmal atrial fibrillation, end-stage renal disease, Lown-Ganong-Levine syndrome, hypertension, hypopituitarism, acromegaly, hyperparathyroidism, hypothyroidism, insulinoma.
does that help?
Diagnoses....
Subject: Diagnoses....
Hypertension, chronic edema, hypothyroidism, pacemaker placement, mitral valve prolapse, DVT, hyperlipidemia, GERD, proteinuria, right-sided heart failure
No, see diagnoses. Thanks.
Subject: No, see diagnoses. Thanks.
1. Acute left chest pain.
2. Esophagitis.
3. Coronary artery disease.
4. Hypertension, severe.
5. Probable renal artery stenosis.
6. Peripheral vascular disease.
7. AKI.
8. Malnutrition.
9. Anemia.
Two diagnoses nm
Subject: Two diagnoses nm
k
are these diagnoses...
Subject: are these diagnoses...
correct? He rambles them all together, not sure if I am correct with what I am hearing.
DIAGNOSES:
1. HARDWARE PAIN, RIGHT SECOND METATARSAL FUSION WITH A HISTORY OF DEEP INFECTION AFTER HAMMERTOE PROCEDURE, RIGHT SECOND TOE
2. PAIN AFTER KNEE REPLACEMENT
3. PAIN, LEFT FOOT
tia.
is this 2 or 3 diagnoses?
Subject: is this 2 or 3 diagnoses?
DIAGNOSES:
1. LEFT KNEE LATERAL MENISCUS TEAR
2. OSTEOCHONDRAL DEFECT
3. RIGHT KNEE DEGENERATIVE JOINT DISEASE
Not sure if Right knee degenerative joint disease should be number 3. tia.
I should have put the diagnoses which are..
Subject: I should have put the diagnoses which are..
1. GOUTY ARTHROPATHY
2. NEURALGIA PAIN
3. FAT PAD ATROPHY
Would it still be hallux shoes and also if so would Hallux be capitalized? Thanks for your help.
on diagnoses -diseases
Subject: on diagnoses -diseases
DISCHARGE DIAGNOSES
- Relapse acute myelomonocytic<soundslike> leukemia.
- Severe pancytopenia due to bone marrow hypopasia secondary to cancer chemotherapy.
- Sepsis, possibly due to staphylococcus lubdenensis.
- Ogroshong<soundslike> catheter exit site infection.
- Hypocholemia.
Any diagnoses for the patient? nm
Subject: Any diagnoses for the patient? nm
s
Doc says in diagnoses list...
Subject: Doc says in diagnoses list...
Status post PCIA with stents in the left anterior descending.
Can't find PCIA. Did find PCI - percutaneous coronary intervention. Or does he mean PTCA?
Are they receiving TPN? Or do you have any diagnoses? nm
Subject: Are they receiving TPN? Or do you have any diagnoses? nm
s
Any diagnoses on this patient? nm
Subject: Any diagnoses on this patient? nm
s
Yes, it's discharge diagnoses-First
Subject: Yes, it's discharge diagnoses-First
one is enterobacter septicemia due to line infection.
could definitely fit in with diagnoses and problems
Subject: could definitely fit in with diagnoses and problems
Thanks so much!
Have a great day!
any diagnoses or dosage?
Subject: any diagnoses or dosage?
one diagnosis or more diagnoses
Subject: one diagnosis or more diagnoses
DIAGNOSIS: INTERNAL DERANGEMENT, RIGHT KNEE
TEAR OF THE LATERAL MENISCUS, RULE OUT MEDIAL MENISCUS TEAR
EARLY DEGENERATIVE ARTHRITIS
Not sure if this is all one diagnosis or more. Any ideas. The only thing that I think makes it sound to be one is because he doesn't mention which knee for any of the others. If it is one how would you punctuate. Sorry for so many questions but I am confused..tia.
Final Diagnoses
Subject: Final Diagnoses
1. Congestive heart failure.
2. Cellulitis, right leg.
3. Cardiomyopathy.
4. Morbid obesity.
Do you know the diagnosis or diagnoses?
Subject: Do you know the diagnosis or diagnoses?
Normally, you don't number diagnoses
Subject: Normally, you don't number diagnoses
within an axis. We do this.
Axis I: xxxxx
xxxxxx
Axis II: xxxxx
etc. Each diagnosis is on a separate line, but not numbered.
The SSA was given in a list of diagnoses. sm
Subject: The SSA was given in a list of diagnoses. sm
Totally occluded bilateral SSA stenosis. Patent s/l "profundal" arteries.
Also in list is of diagnoses is the following....Coronary artery bypass graft and "SVG to LAD", "SVG to OM"... not sure on these abbreviations... can you tell I am completely lost....
It's a list of discharge diagnoses...
Subject: It's a list of discharge diagnoses...
DKA, then s/l Right leg varicose, then obesity. He says it later in the report and it definitely s/l varicose.
Was that a typo? I've never had VI diagnoses, only 5.nm
Subject: Was that a typo? I've never had VI diagnoses, only 5.nm
I believe the are 2 separate diagnoses and would transcribe as such.
Subject: I believe the are 2 separate diagnoses and would transcribe as such.
.
whats the diagnoses?---this ending could be a lot of
Subject: whats the diagnoses?---this ending could be a lot of
diff meds, first one that comes to my mind is
fluoxetine
Can you look in the pt's diagnoses for clues? Think your PT/INR phrase
Subject: Can you look in the pt's diagnoses for clues? Think your PT/INR phrase
s
can you give the patient's diagnoses?
Subject: can you give the patient's diagnoses?
Any past history or diagnoses? nm
Subject: Any past history or diagnoses? nm
s
any diagnoses or problem list?
Subject: any diagnoses or problem list?
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