formatting for consultation report

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 ...

s/l Doctor with an accent is dictating Database: Chect x-ray slander cardiac silhouette. Please help. Thanks ...

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? ...

which of the 2 is correct: a.) Lasix 60 mg present by EMF b.)Lasix 60 mg present by EMS? ...

"A 1:1 solution of corticosteroid" Would this sentence be correct? Thanks! ...

I saw the patient for an extended neurological consultative on this day. Dr. Says Consultative twice in the report.. would you use that term? ...

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. ...

talking about infected cysts under her arm in the axilla. would this go under trunk or extremities? Thank you ...

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! ...

The patient is quite ____pathic with an INR of 10. It almost sounds like the doc is saying overpathic or homopathic....TIA ...

I did something and now I only have a half space between sentences - how can I get this back to normal??? ...

I am having trouble trying to figure out when, and when no to make a list, or heading. First, I know the headings, in the beginning, are ALL CAPS, like FAMILY HISTORY, MOTOR, REFLEXES, but then, the Neurologist begins listing (on the independent medical evaluation, under "Record Summary/Provider") tons and tons of dates like: 9/17/2010 PT. Dr. So and So. Same template. Chiropractic Assessment: Palpation L2, L3, L5, L5 and S1, taut and tender MS fibers and fixat ...

to format reports on VR, generally basic 4, every report? I get so sick and tired of not only fixing the stupid words but since there is no training by physicians, every report has to be formatted to meet specs. Just curious. ...

He says it pretty clearly but I haven't been able to find anything resembling. Thanks for helping!! ...

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 ...

I got a new computer. I do work for a local doc the old fashioned way (tapes) and would like to save his work on disks (used 3.5 on old computer). I tried to format the disk and things were going well until the last few seconds when a window popped up saying format could not be completed, but no reason why. I have tried several times since and the same thing happens. Can anyone tell me what I am doing wrong? I am using CD-RW disks. Thanks. ...

Okay I work in Dictaphone VR. The latest version. I have Word 2007. In VR, the physical exam and its subheadings are all double spaced. Anyway to highlight the paragraph and make it single spaced? I usually just use arrows and delete about 7 times a row to tidy it up, but I was hoping I could highlight and do a few keystrokes and be done. Thank you in advance for your help! It is double spaced like this: PHYSICAL EXAMINATION: VITAL SIGNS: Blood pr ...

When the doctor dictates a range for p.o., for instance "1/2 to 1 p.o.," do we write it as 0.5 to 1 or 1/2 to 1? Thank you for the help. ...

I work for TDD, and always get confused about their formatting. Can someone tell me if we are to transcribe their consults in paragraph form or not? TY ...

Doc is describing telemery strip and says "tachycardia which appears to be multiple calachional tachycardia. Any ideas? thanks. ...

There probably have been answers to my question out here before, but does anyone know what causes the formatting in an EditScript document of which I am either editing or transcribing? It tabs, bolds, changes font sizes, and messes up the spacing between lines.....things I did not manually do myself. Is there something I should be changing on my RTF? Or is it something else? Seems like I may have seen something about that, but I can't find it in my manual (which doesn ...

I am now totally confused. I've always been told the rule of thumb is that if there IS no #2, then there is no #1 to create a list. It should simply be Diagnosis: yada I have a dictator that for some unknown reason kept dictating Diagnosis: 1. UTI: A) Resolved after antibiotics. No number #2 so i just did not even number this, but I got it back QA'd , am I losing it or have been doing this wrong all along? Thanks much for the input. ...

I just recently switched to Word2003 and am having issues with formatting. I tried everything I can think of but color me DUHHHH because it is not working. I have to number impressions. I would like to somehow set ALL documents for this to line up the same way and I must be missing something because I have to do this each document. I went to numbers/bulletting and even made it custome, but again, each document has to have it redone. When you are doing 50, it is time consuming ...

Hello, When typing p.r.n. with my newly installed MS Word program, it automatically types p. R. n. Does anyone know the change I need to make in the program to correct this? Thanks in advance. ...

I'm an experienced MT, not a newbie straight out of school. If this belongs on the "word" board, then I apologize in advance (I wasn't sure where to post it). I am testing for a company that uses BOS3 (which I despise) and that is counted in the grading. In the physical exam section, the dictator gave a few headings (which of course I inserted) but not all. According to BOS3, inserting undictated headings is optional. Some sections begin as sentences (e.g., "He ...

Just starting DQS7.1 today and wondering about spacing between paragraphs. In ASR, when the dictator says next paragraph, it goes to the next line. Is this correct, or do I need to insert a hard return to make a like between the paragraphs? Anybody know? Don't want to mess up the formatting. ...

Greetings, I recently got a gig for Psychiatric clinic and I am a little confused as to the accepted formatting for DSM diagnoses under AXIS I... Here is what I have been doing, and it's different from examples I've seen online... I'm thinking I learned my current style from either CareerStep or working for Nuance; however, I'm not sure... My clinic doesn't really have any concrete formatting guidelines, but I want to be using best practices nonetheless. &nbs ...

Every once in a while I get the problem where the margins seem to have disappeared in that the output no longer stays in the window and I have to scroll horizontally to read the text. How do I get it back to normal? TIA ...

She brings with her a very good detailed consultation notes and other medical records from the Air Force including evaluation at the S/L FEZDA. ...

formatting for consultation report - ml

Subheadings in PMH. - MT

these are the sub headings - ml

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