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Heart: Regular rate and rhythm, no murmur, s/l (no extra beat) is hear

Posted By: Lisa on 2008-12-14
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Subject: Heart: Regular rate and rhythm, no murmur, s/l (no extra beat) is hear




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HEART: Regular rate and rhythm, S1 and S2 s/l plus zero?
Subject: HEART: Regular rate and rhythm, S1 and S2 s/l plus zero?

nm
Heart regular rate and rhythm?
Subject: Heart regular rate and rhythm?


Could it be "regular rate and rhythm without murmur"
Subject: Could it be "regular rate and rhythm without murmur"

xx
The heart rate was regular without fills?,
Subject: The heart rate was regular without fills?,

The heart rate was regular without fills?, murmurs, clicks, or rubs.
On PE heart section doc says "Heart irregular rate regular"?? is that right
Subject: On PE heart section doc says "Heart irregular rate regular"?? is that right

pt with afib

Phys. Exam on 2 yr - Heart regular rate. s/l vascularity or back appears intact? r
Subject: Phys. Exam on 2 yr - Heart regular rate. s/l vascularity or back appears intact? r


Phys exam on 2 yr old - Heart regular rate. ?? s/l vascularity appears intact or back appears int.
Subject: Phys exam on 2 yr old - Heart regular rate. ?? s/l vascularity appears intact or back appears int.


regular RS might be regular rhythm strip if the doc is old fashioned. nm
Subject: regular RS might be regular rhythm strip if the doc is old fashioned. nm

s
is this correct for HEART; occasional s/l topic beat?
Subject: is this correct for HEART; occasional s/l topic beat?

HEART: Regular in rhythm and rate, with an occasional topic beat.



 


Heart rhythm question - sm
Subject: Heart rhythm question - sm

Is there a rhythm - regularly regular? I know there is regularly irregular, etc., but I have never heard anyone say regularly regular (seems rather redundant). I cannot find it documented anywhere. Thanks in advance for any help.


 


Becky


Could it be regular heart sounds?
Subject: Could it be regular heart sounds?


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: S1, S2 regular. S/l systolic is noted
Subject: Heart: S1, S2 regular. S/l systolic is noted

Or maybe systolic ____ is not heard.

Heart sounds were regular. She has a s/l pector 6 con-vat-um SM
Subject: Heart sounds were regular. She has a s/l pector 6 con-vat-um SM

which is probably somewhat restrictive of pulmonary function.
Heart murmur grades 2 or II
Subject: Heart murmur grades 2 or II

Has this been changed yet from roman numerals to Arabic as far as AAMT guidelines?
Heart murmur, esh and no palpatation
Subject: Heart murmur, esh and no palpatation

what is esh, can't find it?


Any help out there?


mono heart murmur?
Subject: mono heart murmur?

A report came back with:  mono heart murmur; cannot find in google or my Steman's cardio book..  Wondering whether to enter this in my expander.  Any feedback appreciated.


 


heart murmur with roman numerals?
Subject: heart murmur with roman numerals?

I have always typed heart murmur (ex: 2/6 ejection murmur).  However, I have a new NP who states it using roman numerals (II/VI ejection murmur).  Which is correct?  Thanks!
Heart: (“cephalic ejects”) murmur?
Subject: Heart: (“cephalic ejects”) murmur?

Heart: (“cephalic ejects”) murmur, same mumbling Dr. anyone know what he is trying to say?
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! 
for the first - heart rate 80 - not sure about second. nm
Subject: for the first - heart rate 80 - not sure about second. nm

nm
heart rate
Subject: heart rate

nm
heart rate 60 beating in...
Subject: heart rate 60 beating in...

14 METS a minute?  sounds like "beating in fortreemets a minute".  New doc to me, he obviously says this over and over.


Ttarget heart rate between 60-143 bpm
Subject: Ttarget heart rate between 60-143 bpm


Irregular heart rate
Subject: Irregular heart rate

Here's my question, can a patient have an irregular heart rate and rhythm but have a normal S1 and S2 with no murmur? The patient does have recurrent atrial fibrillations. Thanks.

meant target heart rate between
Subject: meant target heart rate between

though that seems to be a wide range for a target
HEART: revealed a s/l "night" rate........
Subject: HEART: revealed a s/l "night" rate........

Under Physical exam, in the HEART section, doc says "revealed a s/l "night" rate of 96, no murmur."


Can anyone think of a word that sounds like "night," that makes sense here?


Thanks,


 


Abby


Heart rate 60, breathing in 14 breaths a minute?
Subject: Heart rate 60, breathing in 14 breaths a minute?

x
Her orthostatics are positive. Upon lying, her heart rate is 68.
Subject: Her orthostatics are positive. Upon lying, her heart rate is 68.


All I can think of/document would be "flow rate" heart failure.....sm
Subject: All I can think of/document would be "flow rate" heart failure.....sm

if you think about it, when a patient is severely hypotensive, obviously the flow rate of the blood and return to the heart would be very slow, because of low pressure, and subsequently caused by low pressure; if you listen and it sounds like this, it physiologically would make sense, although I have not come across the exact phrase yet, they always throw new ones at ya!! Hope this is of some help! 
An EKG was normal except the **rate rolls** of a rapid heart
Subject: An EKG was normal except the **rate rolls** of a rapid heart

An EKG was normal except the **rate rolls** of a rapid heart.
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


Your Lispro sentence might be "with" her regular..& you usually hear
Subject: Your Lispro sentence might be "with" her regular..& you usually hear

s
Ever hear of a regular "spadolence" followup for breast cancer...?
Subject: Ever hear of a regular "spadolence" followup for breast cancer...?


I am hearing the "n" either noted or not heard, but I don't hear murmur. sm
Subject: I am hearing the "n" either noted or not heard, but I don't hear murmur. sm

I just don't hear "murmur" though. He is a heavy ESL so it could be murmur I guess. He says this on several patients and I cannot hear murmur in any. I will keep listening.
usually hear heart disease after that phrase. sm
Subject: usually hear heart disease after that phrase. sm

or maybe cardiac event?
Ever hear of medication s/l Cardipel...heart med.
Subject: Ever hear of medication s/l Cardipel...heart med.


Usually hear regularly irregular or irregularly irregular. Regular
Subject: Usually hear regularly irregular or irregularly irregular. Regular

s
Murmur grades are 1 through 6. I myself have never heard of a 3/5 murmur
Subject: Murmur grades are 1 through 6. I myself have never heard of a 3/5 murmur


ANA (antinuclear antibody) and sed rate (sedimentation rate)
Subject: ANA (antinuclear antibody) and sed rate (sedimentation rate)


don't beat yourself up, your are not alone
Subject: don't beat yourself up, your are not alone

and ou would find may little sticky notes on a lot of monitors because we all get a thing in our minds that is hard to break!
could be in beat run.
Subject: could be in beat run.


end beat run?
Subject: end beat run?


ectopic beat nm
Subject: ectopic beat nm

nm
One-beat clonus?
Subject: One-beat clonus?


probably saying an 8-beat run of ventricular
Subject: probably saying an 8-beat run of ventricular

tachycardia.  That's the usual phrase.
Good day CL :) Beat me to it! Was getting link lol
Subject: Good day CL :) Beat me to it! Was getting link lol


Okay folks... end of the day and I am beat and brain dead please help
Subject: Okay folks... end of the day and I am beat and brain dead please help

PA states The patient was admitted for a ________ graft posterior tibial artery distal to previous anastomosis. s/l gem or gen graft (not jump graft).


She says it clear twice during same dictation 


Or possibly multi-beat clonus :-) nm
Subject: Or possibly multi-beat clonus :-) nm

nm
I agree. I was about to post the same thing, but you beat me to it.
Subject: I agree. I was about to post the same thing, but you beat me to it.