A community of 30,000 US Transcriptionist serving Medical Transcription Industry
Under "Review of Past Medical History" he says "Doctor diagnosed, etc." Is this - kc
Posted: Sep 12, 2010
Under "Review of Past Medical History" he says "Doctor diagnosed, etc." for several paragraphs. Is this a heading or does it need a colon after "diagnosed?"
I probably woudn't use a colon - see message
[ In Reply To ..]
Without the full sentence I can just guess, but I assume your report looks like this:
REVIEW OF PAST MEDICAL HISTORY
Doctor diagnosed happy feet, ticklish thumb, and exploding brain syndrome.
If that's the case, no colon. I'm just guessing here as to your format, though.
Past medical history is given as below. Not sure if the s/l goes where I put it or not since I don't know what he is talking about.
Paraplegia secondary to spinal cord ischemia.
status post stenting aortic aneurysm.
Iliac artery aneurysms bilaterally.
Esophagitis.
Umbilical hernia repair.
transurethral resection of the prostate.
Thoracic aortic stent s/l 6 of 18.
Excisional debridement of sacral ulcer right hip ulceration.
...
I have heard this before, but I'm drawing a total blank and every way I spell it I keep getting spanish words or names of Saints back (argh)!
The full sentence reads: (the blank s/l inacious, ignatus, or something similar)
No significant chest pain or troubles breathing during exercise. No specific history of arrhythmias in the past. Does not appear to be _____. No history of stroke, diabetes, coronary artery disease, congestive heart failure.
Appreciate any help,
Thanks,
M ...
First time actually turned out to be social history, second time started out sort of sound like medical history which was basically noncontributory, but then turned into the review of systems, and now the third time may actually be the charm.
Now I've just got a lot of heavy breathing while he figures out what's next. Thank goodness my night is over in another hour or so. ...
Psychiatric Consultation under Review of past medical records...
There's a list of 8 paragraphs that begin with "Doctor diagnosed... " and then a list of conditions that the patient had/has follows each. Would Doctor-diagnosed be hypenated in this case? Thanks! ...
ED is dictated several times a few of the instances are:
Hospitalizations: 1. ED age 13 St. Clair Hospital Monroe
2. 15 years old ED November of that year.
4. 1996 3-week hospitalization in Racine was transferred to Mendota Mental Health Institute on an ED where she remained between May and September of 1996.
What does ED stand for? ...
Does anyone work for this company or had worked for this company doing medical review work? I do review work for a local IME doctor and I love it. I would love to find more of this type of work. This company sounds interesting, but all I have found are negative comments. However, none of the comments come from people who have actually worked for the company. ...
history or any actual conditions. Medication s/l Imodium lac D??? Possible that it is Imodium, s/l lac D (or maybe not Imodium at all and it is one word?) omeprozole is in list so he does have stomach issues. I'm stumped. Extremely fast dictator!!! ...
Doctor dictates "OB history" and "GYN history" on a Discharge Summary, under Past Medical history. Should I spell out Obstetric and Gynecological is it okay to leave as dictated. I forgot. jn ...
20 years ago when the DRG's hit the hospitals, one was complaing to the other... "they treat doctors like a bunch of old dogs now". Well, that's how MTs are being treated now. Why on God's green earth do the MT services require all MT's to work at least one weekend day every week (Friday's and Monday's don't count). Every ad I see on the Job Seeker board requires weekends. Are they sadistic or something. Why do we put u ...
diagnosed with ductal carcinoma in "slide two" of the right breast, and is getting ready to undergo a lumpectomy.
Just wondering if this slide two is correct?
Thanks,
Abby ...
I am a new MT who has only been in the business since March. I still review every single one of my reports...I did stop listening to them again since I am comfortable with that part...My question is what is a normal amount of time to auctally stop going over the reports again?...I do understand sometimes that it is necessary to sometimes go back over them. Problem is work is picking up and I simply can not keep spending too much time going back over them, not to mention that it dips into p ...
"Bilobed microsystem is noted by the pancreas with abduction of the body and tail immediately adjacent to normal pancreatic duct. "
The sentences immediately preceeding this are "Common bile duct and intrahepatic ducts appear normal. No obstructions are noted." The sentence after it is "Early developing cystic neoplasm is considered likely; typically these are benign or nonaggressive."
So it would go: "Common bile duct and intrahepatic ducts appear normal. No ob ...