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it's impression and lung markings....

Posted By: patience with newbies folks..if it is a newbie.. on 2007-02-25
In Reply to: Help w/ Radiology report - Shirl

Subject: it's impression and lung markings....




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perihilar lung markings. See refs.
Subject: perihilar lung markings. See refs.


Medcyclopaedia - Increased lung markings





PA chest radiograph showing increased lung markings in the perihilar area of the right lung due to a viral pneumonia in a 6-year-old child. ...
www.medcyclopaedia.com/library/topics/volume_v_1/i/increased_lung_markings.aspx - 14k - Cached - Similar pages

[PDF]

The diagnostic value of chest imaging in oral and maxillofacial ...





File Format: PDF/Adobe Acrobat
graph, such as: (1) lung apices, (2) the. perihilar region (Figure 3), ... Radiographically, heavy lung markings ... Heavy lung markings may be found in ...
www.springerlink.com/index/L5764463081165T8.pdf - Similar pages

Computer stutter :) - only found ruler markings used for corneal surgery not for blepharoplasty, sor
Subject: Computer stutter :) - only found ruler markings used for corneal surgery not for blepharoplasty, sorry!


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.

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.


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!


lung CA ? Is this ESL?
Subject: lung CA ? Is this ESL?

x
Lung disease
Subject: Lung disease

This is exactly how the Dr. dictated it-- The patient is a plethoric, tremulous, dyspneac looking like a patient with chronic obstructive lung disease or sleep apnea.


Did she mean to leave the a out before plethoric? That would make more sense but I know you guys would no better than I. I'm still in school and learning. Thanks for the help!


Please SM re lung disease
Subject: Please SM re lung disease

Sometimes an "uh" sounds very much like "a."

Here is how I would transcribe it: The patient is plethoric, tremulous, and dyspneic, looking like a patient with chronic obstructive lung disease or sleep apnea.
s/l lopis lung
Subject: s/l lopis lung

pt had a s/l lopis lung removed for scarring related to pneumonia


Thanks for any help


lung exam
Subject: lung exam

On the lung exam, the physician is saying "E to A" changes.  The company I work for does not want any abbreviations.  What would be the best way to transcribe this?   


 


 


 


 


lung exam
Subject: lung exam

sounds like:


Lungs are clear. No wheezing. (S/L) Yulit squeeze.


any ideas???


Thanks.


 


Thanks but no.. not for lung sounds, on x-ray...nm
Subject: Thanks but no.. not for lung sounds, on x-ray...nm

x
lung exam
Subject: lung exam

LUNGS: There are few s/l hypertations____ in the right base.


Thanks,


 


Maybe it's 'angiogram' (of the lung) ?
Subject: Maybe it's 'angiogram' (of the lung) ?


doesn't seem to be associated with the lung though
Subject: doesn't seem to be associated with the lung though

I'm wondering if any experienced MT could tell me if Brugada syndrome is a possibility??  I found it in Stedman's but am having a hard time finding out exactly what it is.  Does seem to be heart related though.


 


lung volumes
Subject: lung volumes

Doctor says lung volumes by s/l plasmography with a TLC of 6.72.
lung exam
Subject: lung exam

On a lung exam it sounds like he is saying no son or soncar basal rales???


lung exam
Subject: lung exam

There is diminished air movement air movement in all fields, but no clear s/l epintious sounds heard.


Lung sounds
Subject: Lung sounds

Lung sounds are somewhat coarse for his s/l "good air icks change" and frank rhonchi.
? tapped lung...see message...
PleurX catheter in manufactured by Denver biomedical. 

Hope this is helpful.