Psychiatry Discharge Summary

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. ...

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 ...

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? ...

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. ...

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. ...

Im doing an assignment and its on psych, im getting lost because I don't know if I have to do between the tests , or . or? can someone just explain the rules my teacher never went over this, thanks for the help it's greatly appreciated; This current psychological evaluation, including a review of intellectual and memory processing was obtained in part, to evaluate for Social Security Disability services. Tests administered: Wexler adult intelligence scale. (W ...

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. ...

The 4-year-old child is being examined for inappropriate sexual contact. She is noted to be having self ______ behaviors. s/l comenistrative ...

The word I'm having trouble with isn't a medical term, but I'd still greatly appreciate any alternatives anyone can offer. The paragraph goes like this: This is a 44-year-old female, divorced 2 years, mother of 2 young adult children, currently living in an apartment by herself. She spends her time shopping, cooking, and housekeeping. She ("hates") visits with friends with whom she chats and shops with. I'm fairly certain the rest of the paragraph is corre ...

The word I need help with sounds like "inchus." Doctor dictates: "The patient's cortical plasticity with respect to synaptic pruning, and even now with (s/l inchus) and fractional anisotropy, have clearly reached the end of development." Thank you very, very much!! ...

About to start doing psychiatry and was wondering if anybody has any suggestions for good references and quick guides. ...

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

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 ...

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

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! ...

He is slightly [s/l dyslarselic] which waxes and wanes while talking to him. Cannot find reference for this word. It is a psychiatric account. ...

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

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

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. ...

Just curious if anyone has applied to and heard back from this company, or if anyone is familiar with the person doing the recruiting? TIA!!! ...

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

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!!! ...

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! ...

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! ð�� ...

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

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. ...

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? ...

Psychiatry Discharge Summary - alxmarsam

psych discharge summary - spitfire

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