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COR: S1, S2, etc. - Just like LUNGS:, HEENT: , etc. (nm)

Posted By: KM on 2008-01-22
In Reply to: COR see attached - crissy

Subject: COR: S1, S2, etc. - Just like LUNGS:, HEENT: , etc. (nm)

x


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Lungs!
Subject: Lungs!

Her lungs reveal some prolonged expiratory breath sounds and occasional perihollow wheezing.  The bold is what it sounds like.  Any ideas? 


Thanks.


lungs cor RSR... please sm... ty
Subject: lungs cor RSR... please sm... ty

Doc is very hard to understand... i've been doing this for a long time, and I have always thought that cor belonged in heart exam.  This doc speaks very low, but s/l he continually says on physical exams, ...


lungs cor rsr.  I figured lung exam was separate and i was missing something he said, and then i should type .... Cor, RSR (for regular sinus rhythm).  Can somebody please clarify for me?  I saw another transcriptionists report that said ... lungs cor rsr.  That does not look correct to me and many of these other MT's make a lot of mistakes.


 


Please help!  Thank you much!


Could you put Lungs/Cor: RSR?
Subject: Could you put Lungs/Cor: RSR?

xx
Lungs
Subject: Lungs

Lungs
lungs
Subject: lungs

Lungs, very harsh type cough with no s/l "eediae" changes.  Could it be ETA changes?
LUNGS:
Subject: LUNGS:

What should this be?


Lungs: Clear and s/l resident.


LUNGS
Subject: LUNGS

my guess would be resonant.
Lungs - S/L CORE
Subject: Lungs - S/L CORE

PE:  Lungs are clear.  CORE is of regular rate and rhythm.  Is that correct??


Question regarding lungs....sm..
Subject: Question regarding lungs....sm..

CT scan of her lungs, which showed interstitial fibrotic changes suggestive of ____ (s/l insip) and had progressed since the July 12, 1999 exam. 


TIA


sonesent? lungs.
Subject: sonesent? lungs.

the impression is

Ventilator-dependent respiratory failure partially due to her age and chronic obstructive pulmonary disease and ? lungs.  Thanks.


There are fissures in the lungs.
Subject: There are fissures in the lungs.

x
Yes, you can have TB other places besides the lungs. sm
Subject: Yes, you can have TB other places besides the lungs. sm

There is a link at the end of this.

Active Tuberculosis
To diagnose TB of the respiratory tract, 3 to 5 sputum specimens are collected first thing in the morning on different days when they are most likely to contain the most mycobacteria. If extrapulmonary TB is suspected, samples are collected based upon where in the body the infection is likely to be. Multiple samples of gastric (stomach) washings/aspirates or urine may be collected and submitted to the laboratory. Sometimes cerebrospinal fluid (CSF), biopsied tissue, or other body fluids are also collected.


http://www.labtestsonline.org/understanding/conditions/tuberculosis-3.html
Lungs are clear to auscultation....sm
with ?GLOBAL? diminished breath sounds throughout.
s/l S1, S2, regular. RS lungs: Clear
Subject: s/l S1, S2, regular. RS lungs: Clear

He runs the whole thing together with a heavy accent, so not sure if the RS goes with the S1, S2 or if it is RS lungs. TIA!


no - pleurisy involves the lungs.....nm
Subject: no - pleurisy involves the lungs.....nm


The pleura is the lining of the lungs sm
Subject: The pleura is the lining of the lungs sm

And pleuritis is inflammation of the pleura.


Definitely pruritis.


Lungs have no stridor or STURDOR?
Subject: Lungs have no stridor or STURDOR?

I cannot document this word anywhere; he is definitely saying "Sturdor", but only Stridor comes up.


Or running together Lungs: Clear. Cor: RSR. nm
Subject: Or running together Lungs: Clear. Cor: RSR. nm

s
lungs raymondly hypoexpanded
raymondly... Is this right????
lungs are diffusely s/l rhoncherous ?? sm
Subject: lungs are diffusely s/l rhoncherous ?? sm

This one is new to me!  I've typed many times "lungs with rhonchi", but is there even such a word as "rhoncherous"??


 


TIA


There are some **coarse** or ** course** rhonchi throughout the lungs
Subject: There are some **coarse** or ** course** rhonchi throughout the lungs


Lungs _____ at the bases???
Subject: Lungs _____ at the bases???

geez.  anyway it sounds like "Lungs ___tric at the bases"?


thx everyone.


Respiratory: Lungs clear to auscultation - NM
Subject: Respiratory: Lungs clear to auscultation - NM

a
lungs shows s/l scattered ? crackles 2/3 above the
Subject: lungs shows s/l scattered ? crackles 2/3 above the

lung fields
Could he be moving on to LUNGS: Clear to auscultation?
Subject: Could he be moving on to LUNGS: Clear to auscultation?


chest and lungs: S/L phenyl kyphosis??
Subject: chest and lungs: S/L phenyl kyphosis??


Lungs, harsh cough with no s/l "E to A" changes, but a few rhonchi. nm
Subject: Lungs, harsh cough with no s/l "E to A" changes, but a few rhonchi. nm


Lungs Fillled with afibber nesectionanted?
Subject: Lungs Fillled with afibber nesectionanted?


LUNGS


Multiple sections of lungs show large distended alveolar spaces filled with "afibber nesecionated."


 


ANY IDEAS? Thanks!


 


CT of the apical lungs to check for a PANTOSE tumor.
Subject: CT of the apical lungs to check for a PANTOSE tumor.


Please tell me there are no jugular veins in the lungs. Did this doctor go med school?
Jugular veins end at bottom of the neck to subclavian veins, so how in the heck are there jugular veins in the lungs? He has to be in the neck!!!
patient says her lungs feels _____(natty)?
Subject: patient says her lungs feels _____(natty)?

x
Heart size equal. Lungs are clear.
Subject: Heart size equal. Lungs are clear.


Lungs have clear apices with some faint wheezes. (?)
Subject: Lungs have clear apices with some faint wheezes. (?)


And by the way, PLEURAL refers to thelining of the lungs, PLURAL means ore than one. have not heard
Subject: And by the way, PLEURAL refers to thelining of the lungs, PLURAL means ore than one. have not heard of pleural effusion, etc????

nm
HEENT:
Subject: HEENT:

Left TM is still slightly red.  There is no drainage or discharge present in the canal.  No crusting.  No pain of the pinna or __tagus__. 
HEENT
Subject: HEENT

tragus
HEENT
Subject: HEENT

Pterygium.
Please help with HEENT
Subject: Please help with HEENT

The HEENT exam is positive for tenderness on tapping around the right eye, and there is definite tympanic membrane retraction noted bilaterally, with prominence of the s/l inca and stabies on this exam.    


 


TIA!


HEENT
Subject: HEENT

fundi? EOM?
HEENT
Subject: HEENT


HEENT ??...sm
Subject: HEENT ??...sm

Can someone help. Does this sentence sound correct?

Physical exam revealed slight injection of the palpebral and scleral conjunctiva.

I'm not sure if I'm typing it correctly because what he's saying s/l palpebral and scleral laconjunctiva.
HEENT
Subject: HEENT

HEENT:  Early chalazion is present.


Chalazion:  A chronic inflammatory granuloma of a meibomian gland.  Syn:  Chalaza, tarsal cyst.  A sty.


 


HEENT
Subject: HEENT

Examination was within normal limits except examination of the pharynx revealed s/l global stall pattern. 
HEENT
Subject: HEENT

Mucosa is moist and unremarkable except for ??__________. It kind of sounds like pallored but he goes into his next sentence so quick it's hard to know.



HEENT - need help with 2 s/l - thanks
Subject: HEENT - need help with 2 s/l - thanks

HEENT: No AV S/l nick and no s/l tear in optic discs.
HEENT
Subject: HEENT

head, eyes, ears, nose and throat
HEENT
Subject: HEENT

s/l "little ann grojy", no dizziness or vertigo.


HEENT help!!
Subject: HEENT help!!

s/l eyes clear and elade or laid? Any suggestions would be appreciated.
HEENT Help!
Subject: HEENT Help!

It does not sound like that, unfortunately! Thanks for the suggestion.... Any other ideas?
HEENT
Subject: HEENT

HEENT:  Neck is supple, no thyromegaly, no carotid bruit. Throat is normal. Nose is congested. She has some s/l trinal tenderness.


 


Need help with above term...thnks


SL Dye in HEENT?
Subject: SL Dye in HEENT?

HEENT:  She wears glasses.  She does dye and talk with a speech impediment due to a childhood illness. 


This is a fairly clear dictator who has never mentioned dye in this context before.  Does anyone have a better idea what this might be?  Thanks.