discharge diagnosis after delivery

My question is about headings. Is it principle diagnosis or principal diagnosis? I have typed it "principle" for 10 years. The person doing our QA says it is principal. Has this changed? 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. ...

s/l ... ciesis at term, onset of labor pains... Thanks! ...

s/l marichoo delivery technique ...

Do any of you print out the dictation for your clinics and deliver them? If so what do you charge for that, if anything? If you do not, what to you think is a fair charge for this service? My clinic (5-7 providers daily transcribed) is about 2 miles away from my house. Thank you. ...

inspection of the infant noted correct "blade" placement....??? ...

He says: There was a loose ? cord that I reduced after delivery. I can't make it out. This is a obstetrics report. Thanks ...

After 3 doses of Cytotec, her cervix dilated to 2 to 3 cm and the head came down to "minus one zero" station. Is it -1, 0 ? ...

Anyone know of a good site for labor and delivery terms? I can't seem to find one that has anything beyond laymen terms. Thanks in advance! ...

that is much more than I am currently making! wow! ...

and then using suprapubic pressure and a slightly "marso smelly bite" hold, the baby's head was easily delivered atraumatically. Doc says something before marso but it's so garbled, sounds like "altered," but my question is what's in quotes in first sentence. TIA ...

Guess they took over for the stork? My ASR has also taken a holiday from all small words today: is, was, the, and, then, etc. I guess it has been threatened to be more productive also. Just skip half the words and voila -- twice the production. That gets really tedious hour after hour. Disclaimer: I am happy to have a job. Do not wish to find another one. Too old for career change. Thank you. ...

I have a shot at picking up a (small) local account. The doctor hasn't called me yet to talk about it, and I have no idea whether he's equipped for digital transmission or not (believe me, I will do my best to talk him into it if he's not). But... just in case he insists upon pickup and delivery service, how much extra should I tell him that's going to cost? Flat rate? Mileage? How much? (The local phone directory is not clear on where his office actually is located at ...

Just curious if anyone thinks that's a good deal. And ad states "mini" cassette tapes too. I did that 14 years ago and couldn't fathom going through it again. Let alone for $10 per hour -- $20/hr big maybe, but not $10. The driving, the typing, and the time to print +cost of printer ink/toner etc. Doesn't add up to a great profit. I know money is money, but am I thinking maybe $15 per hour might sound a little better? Just wondering if t ...

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!!! ...

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. ...

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. ...

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 ...

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. ...

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? ...

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 : ...

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. ...

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

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

discharge diagnosis after delivery - kjr

Could be tocolysis? - mt No message

maybe tocolysis? - enie

Word is most likely "paralysis" - mtanon

are you kidding? - No paralysis was administered?

tocolysis - Hammer

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