Because of the combination of illnesses and particularly because of left arm weakness and s/l ("front coordination") as well as memory impairments she fells she cannot return to work doing clerical duties.
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At the end of the report the doctor says Axis I -Adjustment disorder with anxiety, moderate in degree. Then he says "New paragraph, Psychogenic amnesia", then he says Axis II . Do I skip a line after Axis I, then write Psychogenic amnesia? How do I set that up? Please help, Thanks. ...
"The turbinates were pink and there was no mucopurulence. Afrin/________ was applied."
It sounds like "PONT-uh-geen", but I've tried every spelling variation I can come up with. Thanks in advance! ...
working on a psychiatry consulation report and there are only a few headings dictated. "History of Present Illness", "Review of Past Medical Records", "Developmental Background", and "Diagnosis". Under "Review of Past Medical Records" there are several paragraphs dictated without headings and each one starts out with "Doctor (doctors name is cut off) diagnosed (or indicates) etc....., examples:
Doctor diagnosed head injury, loss of consciousness, bilateral clavicle fractures, right scapula ...
The patient is referred with fever, chills and progressive shortness of breath with a history of IV drug abuse and alcoholism. The patient is a poorly-nourished 44-year-old Hispanic male in "s/l seria desperator" distress and agitated. Could the doctor mean severe respiratory distress? ...
Cannot make sense of what dr is dictating here...gave a few of the sentences before and after so you can get the context from this consultation report.
Recurrent severe chest pain attributed to mitral valve prolapse increasing in frequency and intensity. History of global poor left ventricular function. Cannot rule out cardiomyopathy so I will be careful as regards negative. No trophic agents such as Inderal. Suggest that Inderal and Isordil be discontinued.&n ...