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Heart exam

Posted By: PTS79 on 2008-01-09
In Reply to:

Subject: Heart exam

Doctor is using his own form of shorthand.  Any idea what Grade 2/6 rough ESM at AA RLLSB is?  It's a heart exam, so I'm assuming grade 2/6 rough ejection systolic murmur at....


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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



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.
COR for coronary/heart exam.
Subject: COR for coronary/heart exam.


Not saying COR as a heading? for heart exam etc? nm
Subject: Not saying COR as a heading? for heart exam etc? nm


can someone tell me what I just typed..don't know what it means. heart exam. sm
Subject: can someone tell me what I just typed..don't know what it means. heart exam. sm

HEART:  PMI 5th ICSMCL: Normal. S1 and S2: Normal.  No S3 or S4 murmur.  Normal sinus rhythm.
Physical exam - heart with some s/l perianter or preanter beats
Subject: Physical exam - heart with some s/l perianter or preanter beats


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.


Throat exam is normal, as were the rest of her neck, face, and skull exam.
Subject: Throat exam is normal, as were the rest of her neck, face, and skull exam.


Eye exam: s/l "sub-lamp" exam shows left side has multiple small punctations in the cornea.(t
Subject: Eye exam: s/l "sub-lamp" exam shows left side has multiple small punctations in the cornea.(thanks)


Physical exam on eye exam, s/l Cardinal Welk's space?? noted.NM
Subject: Physical exam on eye exam, s/l Cardinal Welk's space?? noted.NM


What kind of doc is doing the exam? And where in the exam is this test mentioned? nm
Subject: What kind of doc is doing the exam? And where in the exam is this test mentioned? nm

s
Question about eye exam...when everting lids on eye exam (sm)
Subject: Question about eye exam...when everting lids on eye exam (sm)

It is EVERT, not AVERT, right? I have always typed it with an E but I have a PA who keeps insisting it is A.  I always thought Avert applied to gaze, as if to look away.  Just want to make sure everting the eyelid is the right term.  TIA. 
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 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.



 


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
okay guys, another one. HEART
Subject: okay guys, another one. HEART

Normal S1, S2, s/l monaray rales sinus rhythm 64 a minute.
Heart Surgery help
Subject: Heart Surgery help

Patient had an OPCAB with left IM graft to LAD, etc.


Sentence reads. IMA was measured and beveled....A soft dog was placed proximally.  Soft dog?  This is an ASR report and that's what the software had put in and that is exactly what I am hearing too.  I am way too tired to be doing this.  Anybody?


heart sound
Subject: heart sound

doc says ... rubs and rales in the right base, heart without a ....dripsalsa....Any ideas?
heart failure
Subject: heart failure


Heart Rhythms - Please SM
Subject: Heart Rhythms - Please SM

I have a doctor who very distinctly dictates that the heart is "regularly regular" - for just about every single patient. I don't think this is how it should be typed and I have been leaving blanks.


Is there a "regularly regular" rhythm - wouldn't it just be "regular"? He is not saying any of the other rhythms, i.e. irregularly irregular, regularly irregular, etc.


Thanks for any input.


heart tones?
Subject: heart tones?


Heart surgery
Subject: Heart surgery

Past medical history:  Patent S/L "adductus" valve at 3 weeks of age.  Can it be something else or is that right
maybe it is i n S2 ? Is there a heart sound ES2?
Subject: maybe it is i n S2 ? Is there a heart sound ES2?


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 scan
Subject: heart scan

It is a heart scan, so probably myonuclear is correct then?
yes, heart problems
Subject: yes, heart problems

Yes, the patient is morbidly obese with heart problems
Bless you heart!
Subject: Bless you heart!

That's what I call a brain fart!  Thank you!
heart procedure help.
Subject: heart procedure help.

Left ventricular angiography was done in the right anterior oblique projection using 30 mL of contrast with the s/l Medrad showing normal left ventricular size. 


Sounds like Med-Rad or Mid-Rad?  


Medication being used after heart
Subject: Medication being used after heart

transplant, sounds like "Epical"  TIA


hung heart?
Chest x-ray performed today revealed hyperinflated chest, flattened diaphragms, s/l hung heart?
? heart tones
Subject: ? heart tones


Heart sounds..
Subject: Heart sounds..

"when to" could be S1, S2 if speaking very fast. Droops are probably "rubs."
heart rate
Subject: heart rate

nm