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Author Question: Correct the following transcription errors: a. The patient was found to have nonobstructed ... (Read 20 times)

KWilfred

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on: Jun 27, 2018
Correct the following transcription errors:
 
  a. The patient was found to have nonobstructed azoospermia.
  b. Endometrial thickness is 13 mm trilaminar fibroid measuring 53 X 53 mm.
  c. Severe atheromatous plaquing of the distal aorta or bilateral iliac arteries.
  d. I will order non-invasive vascular studies and carotid Doppler.
  e. The patient's mother has no heart disease and has undergone angioplasty and stenting twice.
  f. Gallbladder ultrasound from All Saints Medical Center revealed cholecystolithiasis and no ductile dilatation.

Question 2

How can information dictated within the Plan section be relevant for clarifying a medication or medication dose?
 
  What will be an ideal response?


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leeeep

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Reply #1 on: Jun 27, 2018
Answer to Question 1

a. nonobstructive
b. Endometrial thickness is 13 mm, trilaminar, with a fibroid measuring 53 x 53 mm.
Note: There are several ways this sentence can be corrected, but the key point is that trilaminar does not describe the fibroidit describes the endometrial (stripe) thickness.
c. aorta and bilateral
d. noninvasive
e. known heart disease
f. ductal

Answer to Question 2

Based on the patient's current symptoms and objective findings, medications may be altered (increased, decreased, or discontinued). Changes to medication regimens are dictated in the Plan section of a report, so medication names that were dictated in the medication list may be repeated in the Plan.


KWilfred

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Reply 2 on: Jun 27, 2018
Wow, this really help

ryansturges

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Reply 3 on: Yesterday
Excellent

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