A community of 30,000 US Transcriptionist serving Medical Transcription Industry


GYN discharge summary - cass


Posted: Nov 06, 2011

In the review of systems in a gyn discharge summary I hear, "10 point was negative except per HPI. Labs HN8 with 10 and 33 ___ her last pap smear in ___ was active with negative high risk APD." The blanks are for confidentiality purposes.

Hi Cass - Ancient MT

[ In Reply To ..]
Hi Cass, sorry but if you are a student and this is a question for a test or just in general, you cannot post on this board for help. If you look over to the left side of the board, there is a new MTs board, but even so on that board, you cannot post test-related or school-related questions -- its against the rules -- I will give you one clue though, it is NOT HN8.

Hope this helps.

Hi-Cass- Addendum - Ancient MT

[ In Reply To ..]
Just re-read the post and you have quite a few errors in there. Again, I cannot tell you what to correct, as it is against the rules of the board, but I would go over your work VERY carefully. Agai, hope this helps.


Similar Messages:


Psychiatry Discharge Summary
Dec 17, 2009

Working on a psych discharge summary from Allied. Not sure if there is a heading such as Psychiatric Examination. Anyone knows of this particular discharge summary, please give me a heads up. Thank you ...


Pediatrics Discharge Summary
Mar 11, 2010

I am dictating a periatric dischage summary under physcial examination sounds like rome tie.  It could be one word rometie in the chest.  The only thing I can find closed to the sound of the word is ROM TIE,  Please help, I am taking a transcription course and not doing well. Thank you, Nan ...


Scribing A Discharge Summary
Sep 21, 2011

Had a dictation this morning where the physician said "dictating a discharge summary" and then changed it to "scribing a discharge summary" and not sure what to think of that.  Any ideas? ...


Discharge Summary Medication Help
Mar 27, 2012

Hi, I am struggling on finding the medication in the blank below. This is from a discharge summary of someone who had deep venous thrombosis. Here is the sentences: DISCHARGE MEDICATIONS:  Warfarin 5 mg daily, Lovenox 60 mg daily for 4 more days, (___) 40 mg daily.  She will be on a low salt diet. * The blank sounds like nodwar, nodwarf, nodar?  Any help is appreciated :) Thanks.   ...


Postdischarge, Post-discharge, Or Post Discharge?
Nov 14, 2011

Which one do you guys use?  I find it all 3 ways on the net, with no clear indication as to what's correct.  Thx.   ...


Smart Summary
Apr 08, 2014

Still trying to figure out what purpose it serves. ...


Cardio Cath Summary
Jun 06, 2011

He is talking about hemodynamics.  A *semigaortic pressure was 115/70 with a mean of 86. ...


Summary Of Accomplishments - Hilarious
Dec 02, 2011

I was cracking up by the time I got to the end - who was this written for?  "database replication and application failover"??? I think they made that up! ...


Anyone Else Get The Smart Summary PDF File?
Feb 10, 2014

x ...


What Is The Purpose Of The Smart Summary?
May 08, 2015

Sometimes I wonder if Mmodal sends out these e-mails just to tell us that we will never measure up to what they expect.  ...


Cardiac Cath Summary - Politative Ventriculography
Mar 09, 2010

Under cardiac cath summary, heading is "Politative Ventriculography" but I can't find Politative anywhere, any ideas??  Thank you! ...


Cardiac Cath Summary - No Mitral Regurgitation
Jul 30, 2010

No mitral regurgitation. The R-R interval is 102 milliseconds. s/l Polintative ventriculography. There is mild anterolateral hypokinesis, otherwise the left ventricular appears to contract at normal coordinated fashion. ...


Plus Plus Discharge
Mar 02, 2011

he had plus plus discharge from the incision? ...


Discharge In The Eye
Apr 23, 2012

Doctor dictated "Mother is wiping pusy discharge from his eyes every 10 minutes since he awoke this morning."  The word in orange, I would normally change to "pus-like", as I don't think this is how "pus-e" discharge is spelled.  I keep thinking it should be "pussy", but that's clearly not how you pronounce it....LOL...HELP!!! ...


Discharge Med - Galan??
Feb 28, 2012

This was listed in discharge meds list for a cardiology discharge summary: *Galan* 100 mg at h.s. Cannot find "Galan" in any of my references or as a soundalike for another word. What could it be? Thanks! ...


Discharge Summaries
Jan 11, 2015

Hello, I was typing the "Final Diagnoses" part a discharge summary the other day. The doctor began listing them by number and for the last number of 9, he said, "Jehovah's Witness." How is that a diagnosis?? Shouldn't those words be in the body of the report instead?? What is the correct way/formatting of handling that when it comes to religion??  Any help would be appreciated! 😃 ...


Discharge Instructions
May 12, 2015

The patient was discharged on "4 IV ORI"  The patient is in for rehydration.  ...


Nasal Discharge Which Is Non-*prual*?? Thanks. Nm
Jun 29, 2010

nm ...


Discharge Diagnosis After Delivery
Jul 12, 2011

The doctor is saying the following .... Twenty units of Pitocin were administered postpartum. No pocalisis (????) was administered. I am not sure what the bold word is, it just sounds like this. ...


S/l Visible Smoking And Discharge
May 26, 2012

Dictator doing a progress note on a patient status post fem-pop bypass talking about the wound on his thigh. S/L a visible (or invisible) smoking and discharge from the medial aspect of the right thigh.... Does this make sense? ...


Who Can Dictate Discharge Summaries
Jun 24, 2014

I was wondering if anyone knows who can legally dictate a discharge summary.  I work for an Inpatient Rehab Facility in Louisiana and our Attending Physician will be on vacation for a week and he has fallen behind recently on dictating discharge summaries.  I was wondering if we could delegate someone else to dictate these to help us catch up.  Does anyone know where I could find any information on this?  I have researched for 2 days to no avail. Thanks : ...


Type Of Analysis For Nipple Discharge
Feb 10, 2011

It s/l he is saying sublogic or subologic analysis. ...who developed left nipple bleeding while on antiplatelet therapy for coronary artery disease with intracoronary stent placement with (subologic) analysis of nipple discharge from the left breast demonstrating findings consistent with a papillary lesion. Thanks. ...


Pinkish Discharge Noted On The S/l Fox Swab
Aug 14, 2013

there is a pinkish discharge noted on the s/l fox swab ...


Can Someone Plz Tell Me How To Write This? Vaginal Discharge Wet Prep DNA Obtained TIA
Mar 28, 2011

"Vaginal discharge wet prep DNA obtained"....I am not used to GYN stuff, so please help if you can....TIA! ...


Do You Spell Out PICC Line In Discharge Diagnoses?
Mar 20, 2012

Do you spell out every little thing, including PICC line and IV, or is that just such common knowledge?  I'm already expanding MRSA, but I wonder about common abbrev. ...


On Psych Discharge "__" Status: Voluntary After Initial Blue Sheet.
Dec 02, 2010

Just getting started with this contract, and I need the heading for this statement to make the template...for the life of me, I cant remember what the heading should be...??   "__" Status:  Voluntary or Involuntary.  ...


Does Anybody Even Look At Their "Smart Summary?" Does It Even
Jan 08, 2015

x ...


If We Are Forced To Quit For NJA, Do We Have A Case For "constructive Discharge"?
Aug 06, 2010

This is a followup to the issue of "constructive discharge" that was brought up in a thread on this board back on August 3.  The original poster stated, and I agree after googling and checking out several sites on the topic, that an employee can claim "constructive discharge" if forced to quit because (loosely quoted from more than one site) "...the employer has made working conditions intolerable.  Issues can include...... reduction in ........workload for reasons that are not tied to ...


"Constructive Discharge"
Jul 19, 2011

Did a google on being unpleasant working conditions and being forced to quit. It's called "Constructive Discharge."  Didn't have time to read thoroughly, but here's part of what I read: “Constructive Discharge” is a legal term meaning that you actually quit your job, but if you meet certain standards then the legal system might treat your resignation as if you were actually fired without good cause. Being fired without good cause is an Adverse Employment Action r ...