I would write it as a decimal - keep it consistent nm
Posted By: MT on 2008-03-16
In Reply to: How to type depth of wound sm - Jan
Subject: I would write it as a decimal - keep it consistent nm
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Decimal question
Subject: Decimal question
QA here: 1.8 thousand (1.800)is typed 1,800 or you can type 1.8K (with K the appropriate approved abbrev for thousand). Personally I use 1.8K.
If it was 18,000, it would be 18K.
Never seen any that high and never with a decimal value, either. I'd
Subject: Never seen any that high and never with a decimal value, either. I'd
s
.21 mCi. Do I place a zero before the decimal?
Subject: .21 mCi. Do I place a zero before the decimal?
Do not, however, insert the decimal point and zero if they are not dictated.
Subject: Do not, however, insert the decimal point and zero if they are not dictated.
That's the way I was taught - never add a zero after the decimal unless it is dictated. (Title of post copied from BOS quote above.)
But do I have the decimal in the right place? That is what I was questioning. Sorry I was not cleare
Subject: But do I have the decimal in the right place? That is what I was questioning. Sorry I was not clearer.
Doesn't change the fact that .012 needs a zero before the decimal point, does it?
Subject: Doesn't change the fact that .012 needs a zero before the decimal point, does it?
nm
Rule ot thumb: When lab values/drug doses are less than 1, add a zero before the decimal point.
Subject: Rule ot thumb: When lab values/drug doses are less than 1, add a zero before the decimal point.
need an OB sign consistent with polyp
Subject: need an OB sign consistent with polyp
pt with hx of abnormal uterine bleeding and pelvic pain. She hs an ______ sign which is consistent with a probable endometrial polyp.
It sounds like it begins with an "M" like "melter".
Thanks,
d~
meant to type consistent. Sorry. nm
Subject: meant to type consistent. Sorry. nm
Visible tic s/l "ingrecking" consistent with Tourette's
Subject: Visible tic s/l "ingrecking" consistent with Tourette's
continuous flowing of the theta consistent
Subject: continuous flowing of the theta consistent
EET showed background flowing, continuous flowing of the "theta"
consistent with metabolic etiology.
Prominence of the supraclavicular notch consistent with a serical rib
Subject: Prominence of the supraclavicular notch consistent with a serical rib
Exam is consistent with pancreatitis. I seriously doubt s/l stumpitis
Subject: Exam is consistent with pancreatitis. I seriously doubt s/l stumpitis
Ortho - patient had bone scan consistent with - sm
Subject: Ortho - patient had bone scan consistent with - sm
loosening of her prosthesis and they recommended correlation with s/l "an NMY (or wide) self-scan if there is any suggestion of an infection."
Thanks for your help.
On EKG possible voltage s/l fraying?frame? criteria consistent with LVH
Subject: On EKG possible voltage s/l fraying?frame? criteria consistent with LVH
He has a rash on his feet consistent with s/l inia pedis?
Subject: He has a rash on his feet consistent with s/l inia pedis?
xx
There is a fetus of [s/l canrumplings consistent with a menstrual age of 12 weeks 1 day
Subject: There is a fetus of [s/l canrumplings consistent with a menstrual age of 12 weeks 1 day
CT of brain: s/l ventricles ensarcopertina prominant consistent with age-appropriate atrophy...TIAnm
Subject: CT of brain: s/l ventricles ensarcopertina prominant consistent with age-appropriate atrophy...TIAnm
nm
EEG large amount of *loval dysfact* activity consistent with dementia??? NM
Subject: EEG large amount of *loval dysfact* activity consistent with dementia??? NM
NM
MRI with white matter disease and division restriction consistent w/ "Handball" stroke. sm
Subject: MRI with white matter disease and division restriction consistent w/ "Handball" stroke. sm
The MRI of her brain was significant for white matter disease and an area of division restriction consistent with a handball stroke.
s/l Increasing intermetatarsal "ON POSS" consistent with hallux abductovalgus deformity left
Subject: s/l Increasing intermetatarsal "ON POSS" consistent with hallux abductovalgus deformity left foo
nodular liver contour with a prominent left lobe [s/l and cardache] consistent with cirrhosis
Subject: nodular liver contour with a prominent left lobe [s/l and cardache] consistent with cirrhosis
Either initial caps or camel caps are fine, just be consistent.
Subject: Either initial caps or camel caps are fine, just be consistent.
Thank you, I will also write this down.
Subject: Thank you, I will also write this down.
x
How do you write this....
Subject: How do you write this....
When the dictator says, "enclosure and copy cc to"...
Thanks!
how to write this.....
Subject: how to write this.....
one more question for today.........
How do I correctly write the 1-to-100,000 in this sentence?.........
2% Xylocaine with 1-to-100,000 epinephrine was injected subcutaneously
how to write something please....
Subject: how to write something please....
MRA: Abdominal aorta. No evidence for renal artery stenosis. OR
MRA abdominal aorta. No evidence for renal artery stenosis.
The doctor started out with the ECG findings then went to this. Or would this go under the ECG heading? Thanks
How to write it:
Subject: How to write it:
1:1,000 as a ratio
How to write Q.o.d.
Subject: How to write Q.o.d.
q. o.d. or Q.o.d. or qod?
I cannot find that one in BOS.
Thanks!
How would you write this? sm
Subject: How would you write this? sm
"When he Valsalvas I can appreciate the hernia..." Would it be Valsalva's or valsalvas, or what? TIA
Not sure how to write this
Subject: Not sure how to write this
generally a one-on-one student-faculty rotation. Should I have the hyphens between all of these or just one on one? Not sure which would be correct. This is a letter of recommendation and need to be correct with it.
Thanks
Write it out per BOS II. nm
Subject: Write it out per BOS II. nm
s
Thank you. I will write that one down!! nm
Subject: Thank you. I will write that one down!! nm
Don't know how to write this...
Subject: Don't know how to write this...
Patient has had recent diagnosis of diabetes with recent hemoglobin A1c over 12.
Thanks in advance!
how to write JVP
Subject: how to write JVP
JVP is estimated at 8-10 cm of water at 90 degrees? Is this correct? I have never heard this type of description before.
how would you write this?
Subject: how would you write this?
The final diagnosis was a "grade 2 of 3" mixed glioma
Would you write "2 of 3" or would you write 2/3?
I wasn't sure...thanks!
How do you write....
Subject: How do you write....
an expression of solution such as if dictated like one to one thousand, would I write is like this 1:1000?
how do I write this?
Subject: how do I write this?
How do I write the "eight two fraction" part???
The patient does have a hypochromic microcytic anemia and her hemoglobin electrophoresis does show a reduced hemoglobin A with an increased "8, 2 fraction" and increased hemoglobin F, all compatible with her history of beta thalassemia
How to write this . . . SM
Subject: How to write this . . . SM
Platelets are elevated at "twelve sixty eight"
12.68 ?
PSA - do you write this out?
Subject: PSA - do you write this out?
I am working on a History and Physical Examination, he dictated after the History the following: PSA, on Nilandron 150 mg daily, has been elevated but stable with last PSA 4.8. Do I need tp type it like this? Prostate-specific antigen (PSA), on Nilandron 150 mg daily, has been elevated but stable with last PSA 4.8. Since this is the first mention of the PSA or is that LAB where it should be understood?
how would you write this?
Subject: how would you write this?
She has an approximately [25 pack year history] of smoking...
Would you leave it like that or would you write [25-pack year history] or [25-pack-year history?]
Thanks!!!!
How would you write this...
Subject: How would you write this...
This just isn't sitting right with me, and I think the doctor's old service (his nurse) has been doing this wrong for awhile now. I just took over this account and have been reviewing and comparing old notes with current dictation.
"The patient was injected with "a quarter percent" Marcaine and morphine."
She was typing this as 25% - It should be 0.25% shouldn't it. I'm so tired right now I need to go to sleep, but have to turn this job in first. Thanks for helping. ME
Thanks so much! Will write it in my book. nm
x
how to write "..well-corticated..."
Subject: how to write "..well-corticated..."
Just a general question: It seems a significant percentage of radiologists will use the term "well corticated" to describe an accessory ossicle or perhaps old trauma to differentiate what may appear to be an acute fracture. Since "corticated" is not an actual word, can anyone help with an appropriate way to rephrase this? eg "At the distal tip of the fibula is a well-corticated bony lesion, likely an accessory ossicle or old trauma and not an acute fracture."
maybe "lesion with good cortical margins" or some such, but wondering if there are other suggestions.
Thanks.
yes, unless you want to write herniae instead.
Subject: yes, unless you want to write herniae instead.
x.
I would write it out even if it is verbatim
Subject: I would write it out even if it is verbatim
PPD is a test for tuberculosis. You aren't just writing a document to appease the doctor. You are writing a legal document that many other people may want to read, including an insurance auditor or a lawyer, neither of which may have any clue what PPD means EVEN IN THE CONTEXT OF THE SENTENCE and will have no inclination to look it up.
That's just me, someone who audits physician records and slaps them on the wrists for this like this, but you do want you want.
i always write the word out nm
Subject: i always write the word out nm
x
I write it as such, 3490
Subject: I write it as such, 3490
is the doc saying 3,490? I have been told no commas.
cardiology how to write something
Subject: cardiology how to write something
LVH with TRS widening and repolarization abnormality.
TRS is it TRS or TRs
Thank you
Deborah
Proper way to write T. Max? nm
Subject: Proper way to write T. Max? nm
TIA
how to write P0313
Subject: how to write P0313
He says she is a G4 P0313. Is this correct?
Thank you
Deborah
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