Skin Axis / Access
Posted By: chris on 2008-10-01
In Reply to:
Subject: Skin Axis / Access
In a mammogram, doc dictates: "At ultrasound, this does correspond to a smooth, oval, hypoechoic, well-defined nodule, which is parallel to the skin axis/access, measuring 14 x 4 x 9 mm. "
Is it "axis" or "access?" Thanks in advance :-)
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oops, ignore "or guid" (extra typing), but it is axis not access. nm
Subject: oops, ignore "or guid" (extra typing), but it is axis not access. nm
x
normal axis is correct. On an EKG usually it's either rightward axis, leftward axis, or SM
Subject: normal axis is correct. On an EKG usually it's either rightward axis, leftward axis, or SM
no axis deviation which is some times dictated as "normal axis."
In Stedman's I have cephalocaudal axis aka long axis of the body.
Subject: In Stedman's I have cephalocaudal axis aka long axis of the body.
Axis I: Axis II: etc. in list form.
Subject: Axis I: Axis II: etc. in list form.
x
Hyaloronic acid, humectant found in healthy skin....also used as injectible for skin wrinkles, defor
Subject: Hyaloronic acid, humectant found in healthy skin....also used as injectible for skin wrinkles, deformities, etc?
nm
"she has s/l keltic skin. -- I just so want to write in "hell thick skin"
Subject: "she has s/l keltic skin. -- I just so want to write in "hell thick skin"
pre-skin cancer - as in common skin lesions caused by sun exposure.
Subject: pre-skin cancer - as in common skin lesions caused by sun exposure.
Dermatology: Skin precancer or pre-skin cancer? I have a doc saying pre-skin cancer
Subject: Dermatology: Skin precancer or pre-skin cancer? I have a doc saying pre-skin cancer
They have tried applying (s/l Begbalm) to the skin to at least keep the skin from cracking
Subject: They have tried applying (s/l Begbalm) to the skin to at least keep the skin from cracking
skin breakdown and s/l massuration of the skin
Subject: skin breakdown and s/l massuration of the skin
CVT access
Subject: CVT access
Has anyone heard of CVT access? Chief complaint is "Need for CVT (?) access"
IV access?
Subject: IV access?
nm
I bet he's saying access catheter then!
Subject: I bet he's saying access catheter then!
Yes, the KVO allows easy access
Subject: Yes, the KVO allows easy access
warranted. In my experience, the KVO rate was used during a transesophageal echocardiogram wherein if the patient needed a bolus of a med, then the line was there to give it. Saline was given at a KVO rate, but I think it also (slow drip) allowed hydration for the patient while undergoing the procedure. I believe these drips given at KVO rate can be started a lot of times in the ER to allow venous access.
Cannot access the site? - sm
Subject: Cannot access the site? - sm
Tried googling http://ssrsurgical.com/index.html but no can find.
Is the MT able to access old records
Subject: Is the MT able to access old records
and saw this was the proper medication? That may be where the MT got it.
? Vascular access resistance
Subject: ? Vascular access resistance
s/l it, though VAR could stand for venoarteriolar reflex, venoarteriolar response, etc.
Can you access old reports to see if it's something used routinely? nm
Subject: Can you access old reports to see if it's something used routinely? nm
s
Can you access any of the old reports to see if he "normally" says something here? nm
Subject: Can you access any of the old reports to see if he "normally" says something here? nm
s
s/l mitrophenov access to the bladder?
Subject: s/l mitrophenov access to the bladder?
apical access guidewire?
Subject: apical access guidewire?
This is a bunionectomy. s/l apical access guidewire
s/l CCAP/CAPA Access Med Plus
Subject: s/l CCAP/CAPA Access Med Plus
We have given patient Access MedPlus number to CCAP/CAPA to see if she would qualify for any free services as she has no insurance. It may also be "CAP/CAPA"
Thanks,
Abby
IV access. S/l might be multi-lumen
Subject: IV access. S/l might be multi-lumen
Axis
Subject: Axis
Active range of motion is normal in all Axis? Should it be plural, and if so, how is it typed? Thanks!
Axis
Subject: Axis
Cool. That's what I thought. Thanks.
Axis
Subject: Axis
I type Axis then double space on the same line. 
Axis I-VI
Subject: Axis I-VI
"diagnoses"
axis.......nm
Subject: axis.......nm
nm
QRS axis -43 is this always (-)??
Subject: QRS axis -43 is this always (-)??
axis 1????
Subject: axis 1????
DIAGNOSES
Axis one adjustment disorder with anxiety moderate in degree.
Psychogenic amnesia.
Axis two diagnoses deferred
Axis three heart disease, pulmonary disease, hypertension. complications from steroid medication. Neuritis and cerebral frontal atrophy.
Axis? four degree of psychosocial stresses are moderate to severe due to illness within herself.
Axis?? five highest level of adaptive functioning has been fair socially, poor occupationally for at least 5 years.
by saying this is he just listing it? like should it just be.
1.
2.
3.
4. so on so on?...
Axis
Subject: Axis
Took this from a sample report:
Assessment
Axis I -- Major depression, recurrent.
Axis II -- Deferred.
Axis III -- Head injury aged three. ? post-traumatic seizure disorder. Rule out pseudoseizures.
Axis IV -- Moderately-severe psychosocial stress.
Axis V -- GAF is 55.
hope this helps would be : after each axis not those dashes
Axis IV . . . help please
Subject: Axis IV . . . help please
What does it mean when the doc says, "Axis IV: 1, 2, 3." And how would I type that.
TIA 
QRS axis? nm
Subject: QRS axis? nm
Here is a great educational site about IV access
Subject: Here is a great educational site about IV access
nm
May be Mediport infusion access device? nm
Subject: May be Mediport infusion access device? nm
Can you access file samples? They usually say procedures over
Subject: Can you access file samples? They usually say procedures over
s
Could he have meant central venous access? I don't know
Subject: Could he have meant central venous access? I don't know
what the CVP would be, though, unless central venous pressure line?
I would have to see what the patient's other problems were I guess. I have never heard this in an extremity exam before though.
Any chance you can access the radiology report and
Subject: Any chance you can access the radiology report and
s
diabetic taking insulin and access?
Subject: diabetic taking insulin and access?
Sounds clear enough, "patient is diabetic, taking insulin and access" ???
That was my first thought, but IV access makes sense. sm
Subject: That was my first thought, but IV access makes sense. sm
For more context, I should have mentioned pt has suspected meningitis - has the severe headache, fever, chills, nausea, and has a positive Brudzinski.
Diagnosis re Axis
Subject: Diagnosis re Axis
What is the most recent rule regarding diagnosis?
Axis 1:
Axis I:
AXIS I:
Do you run the diagnosis right after axis, or begin a new left at the left margin underneath the Axis?
I am having some reports changed to:
AXIS I:
BIPOLAR DISORDER (rather than putting it on the same line as AXIS).
Thanks very much.
s/l capsular axis
Subject: s/l capsular axis
A capsular tension ring was placed and removal of the bulk of the lens was accomplished without evidence of capsular tear. After removal of the lens, the (s/l capsular axis) appeared to be eccentric.
maybe "long axis" ??
Subject: maybe "long axis" ??
Pt that needs dialysis access with s/l AlphaSplit catheter insertion.
Subject: Pt that needs dialysis access with s/l AlphaSplit catheter insertion.
I know HemoSplit, Hickman, Niagara, but this one I can't find anywhere...help!!!!
I would go with minus 2-degree axis
Subject: I would go with minus 2-degree axis
/
I was pretty sure about the axis part, but...
Subject: I was pretty sure about the axis part, but...
he slurrs his sentences all together. What about low transition LVH by voltage? I couldn't find that anywhere, not that I am even sure that is what he is saying!!!
EKG: ADP NP (or) and P are interval normal axis.
Subject: EKG: ADP NP (or) and P are interval normal axis.
I hate abbreviations.
The only thing that shows up in my cardiology book is adenosine diphosphage, and that doesn't tell me what the next NP or and P would mean. I wish they'd just say what they mean instead of abbreviating, because if I can't figure them out I'm blanking them.
ligamental axis? guessing only here....
Subject: ligamental axis? guessing only here....
WAG but kind of looks like celiac axis. nm
Subject: WAG but kind of looks like celiac axis. nm
perhaps ൛-gauge, single-wall access needle" ? nm
Subject: perhaps ൛-gauge, single-wall access needle" ? nm
I do not have access to Blackwell Synergy but this is the article they have: Craniovascular Accompan
Subject: I do not have access to Blackwell Synergy but this is the article they have: Craniovascular Accompaniments of the Vascular Headache of the Migraine Type
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