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It was under the impression section

Posted By: MTTOMANY on 2009-02-12
In Reply to: I have heard of "empty wall sign" in association - with ACL??? (NM)

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*


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quick section (as in frozen section) is correct.
Subject: quick section (as in frozen section) is correct.

x
C-section or cesarean section sm
Subject: C-section or cesarean section sm

Not cAesarean section - contrary to popular belief, it was not named after Julius Caesar.
C-section or cesarean section nm
Subject: C-section or cesarean section nm


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.
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!


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
GI help: Is it diaphragmatic compression or impression
Subject: GI help: Is it diaphragmatic compression or impression

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



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


Please help. It is in the ROS section (SM)

There has been no eye inflammtion.  No problems with alopecia.  There has been no eye inflammation.  No s/l "sick ahm plot" complex or oral lesions.


Can't figure this out.  Thank you for any help you might be able to offer.


Chickadee


c-section
Subject: c-section

pt with McDonald's cerclage and frank breech presentation with sl-ancervical dilatation.


C-section
Subject: C-section

At the time of cord clamp sl-all I can hear is "sol" at the end 2 grams is given in the OR to the patient
C section
Subject: C section

PAST SURGICAL HISTORY:  C section or C-section ? 
C-section. nm.
Subject: C-section. nm.

nm
please help with OB C-section
Subject: please help with OB C-section

I don't usually type OP reports, but I got this one and need a little help with a C-section. It's a primary low-flap transverse C-section due to breech presentation.


He says the rectus muscles were separated and taken down. Then: The superior most aspect of the s/l "perineum" was nicked. Thought this should be peritoneum.


Then: Bowel floor s/l "was placed" a low marginal incision.


any help?


Doing a C-section, doc says SM
Subject: Doing a C-section, doc says SM

the IFE was attached and removed after vertex was delivered. What is IFE? Thanks.


C-section help
Subject: C-section help


The scalpel was then used to make curvilinear hysterotomy, through which the infant was delivered and was s/l dooley ? suctioned.


c-section - nm
Subject: c-section - nm


C-section with s/l DPS?
Subject: C-section with s/l DPS?


Status post primary low transverse cesarean section with s/l DPS.


Other diagnoses include:


Uterine pregnancy at 39 weeks and 1 day gestation. 


Breech presentation. 


Multiparous desiring permanent sterilization. 


Anemia.


c-section or C-section?
Subject: c-section or C-section?


Caesarean section
Subject: Caesarean section

I am having an extremely difficult time understanding a doctor with an accent. The fascia was opened in the tremboralis manner. I'm not sure if he's saying in, on or under and the other word, I have no clue. Help! Thanks.
cesarean section
Subject: cesarean section

temporalis fascia??
permanent section?
Subject: permanent section?