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No, not as a listed diagnosis or impression.

Posted By: nm on 2007-04-16
In Reply to: Consult - bizzyfingers

Subject: No, not as a listed diagnosis or impression.




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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


It is listed in the diagnosis section and (sm)
Subject: It is listed in the diagnosis section and (sm)

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status post kidney transplant following hydronephrosis due to posterior urethral valve, He underwent cystoscopy, right reimplantation of the ureter, stent placement and creation of a Mitrofanoff stoma catheterization, ureteral re-implant. Also hypertension.
ThanksCK
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!


It was under the impression section
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*
On impression: MR say pat uremeia.
Subject: On impression: MR say pat uremeia.

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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....


impression, SP - status post
Subject: impression, SP - status post

nm
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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


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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


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Subject: Got first one - he says in impression "flow limiting stenosis"


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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
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!


How is this used or listed? nm
Subject: How is this used or listed? nm

s
Thank you . . . this is just listed in the PE.
Subject: Thank you . . . this is just listed in the PE.

xx
Here is what BOS has listed (sm)
Subject: Here is what BOS has listed (sm)

Always capitalize genus names and their abbreviated forms when they are accompanied by a species name.


Lowercase genus names used in plural and ajectival forms and when used in the vernacular, for example, when they stand alone (without a species name).


KTP laser listed
Subject: KTP laser listed

in Steman's dictionary.
MPR has it listed postoperatively at 40 :o)
Subject: MPR has it listed postoperatively at 40 :o)


The second one you listed could be Strattera.
Subject: The second one you listed could be Strattera.

Learn about using Strattera, a non-stimulant medication, to treat children and adults with ADHD.

Well, now I see they have it listed both ways?
Subject: Well, now I see they have it listed both ways?

x
Hard to tell when it is just listed like that.
Subject: Hard to tell when it is just listed like that.

x
Quick Look has it listed as Adacel
Subject: Quick Look has it listed as Adacel

x
s/l gambera syndrome - listed in PMH...nm...TIA
Subject: s/l gambera syndrome - listed in PMH...nm...TIA

.
Sorry, no. It was just listed on the discharge meds; sm
Subject: Sorry, no. It was just listed on the discharge meds; sm

Patient has hypertension, has MI while admitted, anemia, tardive dyskinesia, SSS, and hypothyroidism; all the other meds listed seemed to have covered these problems. I did a google search and searched RXlist and came up with nothing. Also have the most recent version of quarterly drug index and can't find anything there either! TIA
listed in diagnoses, no sentence
Subject: listed in diagnoses, no sentence

.
Actually that is wrong. I just listed and it is more like "dermal" maybe?
Subject: Actually that is wrong. I just listed and it is more like "dermal" maybe?

xx
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Subject: It's listed under past procedures...

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More meds listed in this article. sm
Subject: More meds listed in this article. sm

http://www.emedicine.com/neuro/topic88.htm