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Anyone heard of a "bottle-shaped" heart, please? Thanks for any help..

Posted By: Grace on 2008-05-28
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Subject: Anyone heard of a "bottle-shaped" heart, please? Thanks for any help..




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Heart sounds were normal intensity 1 and 2. *No S3 or S3 heard.* sm
Subject: Heart sounds were normal intensity 1 and 2. *No S3 or S3 heard.* sm

Could one of these S3s be F3? or something with a similar s/l? I can't document F3 though. New doc, but clearly states above.


Thanks for any help.


Heart sounds were normal in intensity, S1 and S2. No S3 or S4 heard.
Subject: Heart sounds were normal in intensity, S1 and S2. No S3 or S4 heard.


Heart sounds "when to heard" normal
Subject: Heart sounds "when to heard" normal

S/l Pulses are regular; heart sounds "when to" heard normal.  No murmurs, "droops" or gallops.  "droops is said very unclearly. 
Anybody heard of canpath? Autoimmune disease resulting from heart/lung transplant. TIA. nm
Subject: Anybody heard of canpath? Autoimmune disease resulting from heart/lung transplant. TIA. nm

nm
He has a whistling type 3/6 systolic ejection murmur best heard at the left *heart or hard* border.
Subject: He has a whistling type 3/6 systolic ejection murmur best heard at the left *heart or hard* border.

He has a whistling type 3/6 systolic ejection murmur best heard at the left *heart or hard* border. nm


Usually they are either s-shaped or c-shaped.
Subject: Usually they are either s-shaped or c-shaped.

Do you hear s-shaped or maybe somewhat s-shaped?  Is dictator stumbling over words?  Just never heard of sigmoid shape before.
? V-shaped
Subject: ? V-shaped


modeled (shaped)
Subject: modeled (shaped)

nm
a V-osteotomy as in V-shaped...nm
Subject: a V-osteotomy as in V-shaped...nm

s
I'm picturing them shaped like the ears! :) nm
Subject: I'm picturing them shaped like the ears! :) nm

s
Maybe 'delta' for triangle shaped? nm
Subject: Maybe 'delta' for triangle shaped? nm

s
high hat correct. Shaped like a top hat. nm
Subject: high hat correct. Shaped like a top hat. nm

.
crescentic -- crescent-shaped? nm
Subject: crescentic -- crescent-shaped? nm


bell-shaped curve?, sm
Subject: bell-shaped curve?, sm

Isometric grip strength has been measured in medical and occupational settings for many years. Bechtol reported the “bell-shaped curve” that is dependably obtained over the five grip spans that are tested with the JAMAR Hand Dynamometer.
"sigmoid-shaped" scoliosis?
Subject: "sigmoid-shaped" scoliosis?

s/l "prominent and sigmoid-shaped scoliosis"
It is sourcil - shaped like an eyebrow (curved) nm
Subject: It is sourcil - shaped like an eyebrow (curved) nm

"
I just could not think of that spiculated word, spike shaped etc. nm
Subject: I just could not think of that spiculated word, spike shaped etc. nm


Found refs to hat-shaped Specipan. sm
Subject: Found refs to hat-shaped Specipan. sm

Kendall Curity Specipan Measuring System by KENDALL | Health ...Kendall Curity Specipan Measuring System by KENDALL: This is a commode specimen collection unit for urine and stool samples or kidney stones.

T'd - in other words he made a T-shaped incision.
Subject: T'd - in other words he made a T-shaped incision.

x
odontoid technically just means shaped like a tooth
Subject: odontoid technically just means shaped like a tooth

sessamoid could be found in hand or could be skipping and saying rheumatoid.
Might be correct with the Y's if portions of the bone are missing and only Y-shaped pieces are
Subject: Might be correct with the Y's if portions of the bone are missing and only Y-shaped pieces are

s
There is uncinate (meaning shaped like a hook), don't know if it fits in this context?
Subject: There is uncinate (meaning shaped like a hook), don't know if it fits in this context?


Horseshoe config. of kidneys with s/l TALLULAH-FORM shaped tissue NM
Subject: Horseshoe config. of kidneys with s/l TALLULAH-FORM shaped tissue NM


found this. There are 3 lateral ankle ligaments and one broad, fan-shaped medial ligament. nm
Subject: found this. There are 3 lateral ankle ligaments and one broad, fan-shaped medial ligament. nm

.
Yes, vague. What tooth shaped bone in the hand would the dicator be referring to? Any bone could
Subject: Yes, vague. What tooth shaped bone in the hand would the dicator be referring to? Any bone could

tooth shaped from injury or what have you.  And like I said 9 times out of 10, odontoid refers to the "toothlike odontoid process in the second cervical vertebra."  That's pretty specific, dontcha think?  I've never heard a doctor refer to an "odontoid" in any other part of the body.
rostrum /ros·trum/ (rosītrum) pl. rosītra, rostrums [L.] a beak-shaped process.
Subject: rostrum /ros·trum/ (rosītrum) pl. rosītra, rostrums [L.] a beak-shaped process.


Never heard of it as part of an exam, but have heard of punch biopsy?
Subject: Never heard of it as part of an exam, but have heard of punch biopsy?


Yes there is V-shaped incision and an inverted T-incision, so maybe they converted from a V to T
Subject: Yes there is V-shaped incision and an inverted T-incision, so maybe they converted from a V to T


I think it should be machined bone, bone that's been shaped and
Subject: I think it should be machined bone, bone that's been shaped and

s
HEART:
Subject: HEART:

Sounds like, "The PMI 2L SV."  Is this correct?  Thank you. 


Heart
Subject: Heart

Both heart tones present without murmurs, lifts, heels or gallops.


Is that right?


Heart
Subject: Heart

Heart: Irregular rhythm with normal S1-S2 without murmurs, gallops or friction rubs.


I'm not sure if he said " a regular rhythm or irregular rhythm."


I figured I'd come to the you guys for the answer. You always come through for me. Thanks.


PE heart
Subject: PE heart

She states Heart: Adynamic s/l re-cor-gum


I know I have heard this before, but I am not finding it thanks


COR: ... (heart)
Subject: COR: ... (heart)


heart
Subject: heart

possibly ascending aorta (AA ?)
Heart
Subject: Heart

New account today.  Heart:  Trigger rates ______ (sounds like trigger rates "in general" without murmur?"  General MD doing basic physical exam.  Help please!!!
heart
Subject: heart

He has said that on previous patients on this tape.  However, for whatever reason he definately starts with "trigger" on this one!  Thanks.
Cor is heart.
Subject: Cor is heart.


heart.
Subject: heart.

x
heart
Subject: heart

There were (s/l mershersher gallops)

TIA!
Heart technique
Subject: Heart technique

s/l Poponey
heart murmur
Subject: heart murmur

San Felipo type A?
heart murmur
Subject: heart murmur

thanks so much -- saved me about 4 blanks in 1 report!!
heart stroke?
Subject: heart stroke?

Under family history... heart stroke
regurgitating heart?
Subject: regurgitating heart?

possibly mitral regurg
Heart Cath... sm
Subject: Heart Cath... sm

Catheterization complete at this point which revealed normal coronary arteries with LV systolic function normal and an injection s/l *pression* of 65%.  


 


Could be pressure, but not sure if that is appropriate...


 


Thanks in advance.


heart exam
Subject: heart exam

In heart exam:  Heart: regular rate and rhythm.  Loud S/L V2.  I know there are S1, S2, but never heard V being used before and I have never done cardiology.


Thanks



heart sound
Subject: heart sound

Thanks for the info.  I think it is P2.  He is a ESL Doc. 
I really appreciate it.  I think you helped me last week on another word.  Thanks again.



 


I'd probably put it after the heart exam, as has been
Subject: I'd probably put it after the heart exam, as has been

Or create a separate subheading - Musculoskeletal:   I think either would suffice, of course unless specifically stated insertion point.
heart rate 90 to ?
Subject: heart rate 90 to ?

Dictator says what sounds like heart rate 90 to "oneteen"  would that be the correct way to transcribe?  google says oneteen means 11 so would that mean  would be 111 in this context?  Thanks! 
You doing a heart cath or something else? Just might be
Subject: You doing a heart cath or something else? Just might be

s