48,436
edits
Difference between revisions of "Pathology reports"
Jump to navigation
Jump to search
→Onlinepathology formating recommendations
| Line 39: | Line 39: | ||
**Punctuation experts are somewhat divided on what to do here.<ref>URL: [http://www.businesswritingblog.com/business_writing/2012/01/punctuating-bullet-points-.html phttp://www.businesswritingblog.com/business_writing/2012/01/punctuating-bullet-points-.html]. Accessed on: 10 January 2014.</ref><ref>URL: [http://www.ossweb.com/article-bullets.html http://www.ossweb.com/article-bullets.html]. Accessed on: 10 January 2014.</ref> | **Punctuation experts are somewhat divided on what to do here.<ref>URL: [http://www.businesswritingblog.com/business_writing/2012/01/punctuating-bullet-points-.html phttp://www.businesswritingblog.com/business_writing/2012/01/punctuating-bullet-points-.html]. Accessed on: 10 January 2014.</ref><ref>URL: [http://www.ossweb.com/article-bullets.html http://www.ossweb.com/article-bullets.html]. Accessed on: 10 January 2014.</ref> | ||
**The advantage of using a period or semicolon is: the end the diagnostic line is clearly marked. | **The advantage of using a period or semicolon is: the end the diagnostic line is clearly marked. | ||
*The tissue type should be the first thing in the diagnostic line if it is not obvious from the diagnosis, e.g. ''gastric body-type mucosa''. | *The tissue type should be the first thing in the diagnostic line if it is not obvious from the diagnosis, e.g. ''gastric body-type mucosa''. | ||
*If several diagnoses are made, the most clinically important diagnosis should be listed first. | *If several diagnoses are made, the most clinically important diagnosis should be listed first. | ||
*The tissue type/site usually should be what the clinician submitted it as. | *The tissue type/site usually should be what the clinician submitted it as. | ||
**Lay terms are preferred in some circumstances (e.g. ''stomach'' instead of ''gastric''), as the patients often read their pathology reports. | **Lay terms are preferred in some circumstances (e.g. ''stomach'' instead of ''gastric''), as the patients often read their pathology reports. | ||
===Abbreviations=== | |||
*Abbreviations should not be used, e.g. [[LEEP]] should be written-out as ''loop electrosurgical excision procedure''. | |||
**Patients often read their reports. Abbreviations muddle things. | |||
===Microscopic=== | |||
*One should assume it isn't going to be read. | |||
*Immunostains should be reported as a comment in the ''diagnosis'' section. | |||
*Internal reviews/consults should likewise not be found here; they should be in a comment in the ''diagnosis'' section. | |||
==Report sections/elements== | ==Report sections/elements== | ||