Neuropsych examination blanks...sm
Posted By: Bella on 2007-08-22
In Reply to:
Subject: Neuropsych examination blanks...sm
Cranial nerves 2-12 S/l** pretty realstine thiatmean around ____ 59 15** No signs of a a/l ** false ictal state** are appreciated.
This is a patient with a question of seizure disorder.
Speed talking doctor on a subject I'm not very familiar with and my Neuro word book has not yet arrived. 
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R. Bands? neuropsych nm thanks!
Subject: R. Bands? neuropsych nm thanks!
xx
Abdominal examination - s/l no jaboya by examination? TIA
Subject: Abdominal examination - s/l no jaboya by examination? TIA
Blanks were just PHI that
Subject: Blanks were just PHI that
x
blanks
Subject: blanks
1st blank ... Hulka clips ....
2nd blank .... slowly...
Just a guess, hard to tell without hearing it for myself. Hope this helps! Good luck!
2 blanks - sm please
Subject: 2 blanks - sm please
Culture and sensitivity result which showed that the patient had isolation of E. Coli and s/l pro-tal-is mor-rab-a-lis both sensitive to amoxicillin and s/l clob-a-lonic acid.
Sorry foreign doctor and he is giving me a run for my money today. Thanks for any help.
Need help with blanks.
Subject: Need help with blanks.
On exam today, she ____ 20-30 degrees from the lower ____ when positioning her left shoulder. This is an exam for shoulder pain.
BLANKS
Subject: BLANKS
is it okay to put many blanks throughout the document if I'm not exactly sure what he is saying and some things he says make absolutely no sense? (sometimes 2 per paragraph in places) Is it okay to put a blank so he checks that word to make sure its right? these are 9 page long psych reports. It's not cut and dried medical terms and phrases. I'm thinking I should put blanks just to make sure it's right instead of typing what i think he is saying. what do you do
?
blanks
Subject: blanks
I agree with the other post. I have leaving blanks, but sometimes you have to. You absolute cannot guess at something. It is better to leave a blank than to guess, otherwise it is a bad reflection on you as an transcriptionist to try to guess and then have it be wrong.
I'll let you know. I sent it in with 14 blanks, all but one was whatever this is. ty!!
Subject: I'll let you know. I sent it in with 14 blanks, all but one was whatever this is. ty!!
.
several blanks, no clue
Subject: several blanks, no clue
..severe stenosis of a large circumflex marginal which was stented by (s/l 2 stent, sty-fer) which are (drac-oluded) stent
That makes sense... Thank you! Two blanks down, two to go....
Subject: That makes sense... Thank you! Two blanks down, two to go....
:)
Thanks a bunch, now I do not have any blanks in none of my reports
Subject: Thanks a bunch, now I do not have any blanks in none of my reports
thank you again, now I have no blanks in my reports. Thanks a bunch!!
Subject: thank you again, now I have no blanks in my reports. Thanks a bunch!!
I ended up leaving blanks and so did QA so who knows. Thanks though!
Subject: I ended up leaving blanks and so did QA so who knows. Thanks though!
x
Correct. Best bet is to leave blanks
Subject: Correct. Best bet is to leave blanks
never guess at what the doctor is saying.
Rad words/2 blanks 1 report
Subject: Rad words/2 blanks 1 report
Radiologist is saying what sounds like "Fluid is seen within the s/l entercies of the mesentery." The other word in the same report is: "High density within the dependent portion of the stomach surrounded by contrast measuring 36 Hounsfield units could reflect s/l embezel (2nd e with long e sound), blood products, or food particles."
genetics questions, 3 blanks
Subject: genetics questions, 3 blanks
Fragile X testing comparative _____ (geno mechipronazation??)
and _____ (snipe??) array testing
stopped all of his milk and wheat products, and started him on _____ (mucate?) instead
Thanks so much... Saved me from having to send this to report to QA with four blanks...
Occ health--shoulder exam (2 blanks) Pls help. SM
Subject: Occ health--shoulder exam (2 blanks) Pls help. SM
Adson maneuver is negative. *_________ (s/l controse) about the right
shoulder appear normal and symmetric with the left side. There is no
*___________ (s/l spinatahoss) atrophy and no focal tenderness to the suprascapular notch.
Whew! This was a LOOONG report. Thanks for your help.
Chickadee
nevermind - leaving some blanks - exasperated!!! nm
Subject: nevermind - leaving some blanks - exasperated!!! nm
I'll bet that was it. Sent to QA as sound was horrible and about 15 blanks.
Subject: I'll bet that was it. Sent to QA as sound was horrible and about 15 blanks.
that is what I put, thanks, report gone, thank goodness, but NO blanks ESL to boot. x
Subject: that is what I put, thanks, report gone, thank goodness, but NO blanks ESL to boot. x
x
Are you also missing words where you have blanks? Confusing post ...
.
I agree about him making it up. This clinic doesn't want blanks
Subject: I agree about him making it up. This clinic doesn't want blanks
nm
Unless treatment in the report indicates those conditions are present, would just leave blanks. nm
Subject: Unless treatment in the report indicates those conditions are present, would just leave blanks. nm
s
examination ?
Subject: examination ?
leg examination
Subject: leg examination
s/l Omin sign is negative.
any idea? The patient has calf muscle tendernes.
right knee examination...pls s/m. Thank you!!!
Subject: right knee examination...pls s/m. Thank you!!!
Patient did lack a "co-le-sure" extension of the left knee and was able to flex the knee about 100 degrees. (???) Thank you!!!
tissue examination
Subject: tissue examination
tissue for ERA, PRA, DNA, poly harvested in one slide.
HEENT examination
Subject: HEENT examination
under HEENT examination the doctor states -
Extraocular muscles intact. Bilateral "turigeum". Fundi not visualized.
TIA
This is in the physical examination. Thanx for trying
Subject: This is in the physical examination. Thanx for trying
TYPE OF EXAMINATION
Subject: TYPE OF EXAMINATION
I was wondering if anyone has heard of SIMM CARD EXAM positive for BV. I have searched the Internet and am not able to find this term. Thanks a bunch
Physical examination... sm
Subject: Physical examination... sm
Examination of female patient.
Musculoskeletal: No (s/l) keps, pains, or pedal edema...
Genitourinary: No (s/l) [cussforteeballing or maybe cusp or teeballing], or area tenderness.
Thanks in advance!
EUA--examination under anesthesia?
Subject: EUA--examination under anesthesia?
Physical Examination
Subject: Physical Examination
Happy Monday everyone! Hope you all had a great weekend! I'm doing a report and wondering if any of you can point me in the right direction!
"There is good capillary refill and s/l preson to cultures over both lower extremities." Any thoughts? Any good physical examination websites?
s/l physical examination
Subject: s/l physical examination
s/l chaos lesions (Skin, no evidence of ___ lesions)
examination? catheterization? nm
Subject: examination? catheterization? nm
.
neurologic examination
Subject: neurologic examination
sounds like doc is saying "neurologic examination higher critical function", but could she be saying "neurologic examination hilar cortical function"?
Exam/Examination
Subject: Exam/Examination
Is exam considered a complete word or just an abbreviation of examination?
No, this is a knee examination. :( nm
Subject: No, this is a knee examination. :( nm
nm
MVA accident examination- sm
Subject: MVA accident examination- sm
doc doing an examination on 14=year-old female and says, Her pelvis is stable to compression. She has negative, sounds like body roll bilaterally?? Has anybody every heard of that. Thanks!!!
CPX=complete physical examination nm
Subject: CPX=complete physical examination nm
Sorry, this should have been under heading Physical Examination.
Subject: Sorry, this should have been under heading Physical Examination.
BJE is Bones and Joints Examination
Subject: BJE is Bones and Joints Examination
BJE is Bones and Joints Examination
It is usually slit lamp examination
Subject: It is usually slit lamp examination
Lung examination... see message
Subject: Lung examination... see message
The doc is saying: The lungs are with diffuse rhonchi. No wheezes audible. S/L "IDE" 1:1.
i would say Examination and Evaluation needs to be put as a heading.
Subject: i would say Examination and Evaluation needs to be put as a heading.
just my thoughts.
s/l "Q2" pupillometer examination?
Subject: s/l "Q2" pupillometer examination?
BJE - Bone and joint examination
Subject: BJE - Bone and joint examination
nm
Could you have heard "EUA" for examination under anesthesia, or EOA sm
Subject: Could you have heard "EUA" for examination under anesthesia, or EOA sm
could be examination on admission, though that's not usually abbreviated.
A zero degree s/l *storascope* was used for intranasal examination. TIA
Subject: A zero degree s/l *storascope* was used for intranasal examination. TIA
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