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S1 and S2 normal, no S3, no S4

Posted By: Kathie on 2006-09-13
In Reply to: HEART: Regular rate and rhythm, S1 and S2 s/l plus zero? - nm Thanks!

Subject: S1 and S2 normal, no S3, no S4

this is what they usually say - might say S3 split or S3 or S4 blowing systolic murmur


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no dont think so, the two line prior are LFTS normal and Chem-7 was normal
Subject: no dont think so, the two line prior are LFTS normal and Chem-7 was normal


I would use saline since it's the solution he's changing from half-normal to normal, not the
Subject: I would use saline since it's the solution he's changing from half-normal to normal, not the

s
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Subject: normal Pap smear in there anywhere? Normal Pap in 2006?nm


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Subject: normal motility? normal motilities? nm


You are probably hearing normal BUS or normal BUSV. sm
Subject: You are probably hearing normal BUS or normal BUSV. sm

BUS                                       Bartholins/Urethra/Skene’s


 


BUSV                                     Bartholins/Urethra/Skene’s/vagina.


 


Here is abbrev link for you.       


 


http://www.healthsystem.virginia.edu/internet/obgyn-clerkship/UVA/Abbreviations.cfm                         


In LD says UA normal and then what sounds like C-MENT T is normal (maybe CMT)? nm
Subject: In LD says UA normal and then what sounds like C-MENT T is normal (maybe CMT)? nm


may be normal values or normal range? nm
Subject: may be normal values or normal range? nm

nm
limit of normal. sometimes hear "upper limit of normal", or "lower limit..." n/m
Subject: limit of normal. sometimes hear "upper limit of normal", or "lower limit..." n/m


Yes, a normal way they
Subject: Yes, a normal way they

Perhaps meaning borderline enlarged, but not to that point yet.
Normal?
Subject: Normal?

Best to give sentence here, but could he be saying normal rectal exam.
Could it be normal?
Subject: Could it be normal?

as in soft options of a normal diet, or even maybe 'normal or soft'
AST, ALT, GGT normal. sm
Subject: AST, ALT, GGT normal. sm

s/l alkalne isophosphatase enzymes have not been done. TIA
Normal GI -----? nm
Subject: Normal GI -----? nm


Yes, it's normal, I think :-) nm
Subject: Yes, it's normal, I think :-) nm


CVA is normal?
Subject: CVA is normal?

This is in regards to an elevated hematocrit. The doctor states there is no sign of bleeding and then says what sounds like the "CVA" or something DA -all I can tell is that it seems to end in D, KCDA?  Is normal, so that is encouraging as well. There is page turning going on that makes it impossible to hear properly! 


ESR can be 0-30 to be normal. nm
Subject: ESR can be 0-30 to be normal. nm


Actually, a 38 would be more normal on my research. nm
Subject: Actually, a 38 would be more normal on my research. nm

s
ESL~~~S/L left t's were normal
Subject: ESL~~~S/L left t's were normal

Her electrolytes showed that she was hypokalemia with potassium of 3.3, and her sugar was 40. *** were normal~~~I just can't make it out.  S/L left t's were normal any suggestions?  thank you all!!


Could be CPK and isoenzymes were normal. nm
Subject: Could be CPK and isoenzymes were normal. nm


Neither. I take it, and all my lab work is normal.
Subject: Neither. I take it, and all my lab work is normal.

I am taking it to shrink my thyroid which is enlarged.
normal lab values
Subject: normal lab values

That's really nice that you took time to list several options for me!  Thanks!
situation normal, all ------ up
Subject: situation normal, all ------ up


lipase normal? nm
Subject: lipase normal? nm


normal fimbria seen
Subject: normal fimbria seen


CPH MB normal values: less than 3%-5%
Subject: CPH MB normal values: less than 3%-5%


Normal AST and ALT levels.........
Subject: Normal AST and ALT levels.........

From Google:

What are normal levels of AST and ALT?

The normal range of values for ALT (SGPT) is from 7 to 56 units per liter of serum.

The normal range of values for AST (SGOT) is from 5 to 40 units per liter of serum (the liquid part of the blood).




Normal 10-66 but could be elevated in CKD.nm
Subject: Normal 10-66 but could be elevated in CKD.nm

nm
phallus normal? nm
Subject: phallus normal? nm

xxx
possibly..."(the) normal"..??
Subject: possibly..."(the) normal"..??

.
MM normal phenotype?
Subject: MM normal phenotype?

Does anyone know what this refers to? Is it MM or MN? 
would assume not normal
Subject: would assume not normal

not chronic for him, or something he doesn't normally show on his EKG. Sorry, probably has an accent, I assume.
Normal levels of CPK
Subject: Normal levels of CPK

are 38-174 units/L, so probably would be 13.91.
s/l GU: normal micterishid?
Subject: s/l GU: normal micterishid?

In the review of systems, the doc says "GU: normal micterishid? Has not noted any lumps in testicles..........."


Does this sound like anything real?


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Abby


EKG sl normal brain?
Subject: EKG sl normal brain?

Her repeat EKG showed some atrial flutter.  She had small vessel ischemic changes, significant atrophy but the normal brain otherwise without mass, acute infarct or hemorrhage.


Any ideas?


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Subject: Are they dictating "a TSH too is normal? nm


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Subject: probably normal LV function

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normal A and BUAs
Subject: normal A and BUAs

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Subject: WAG here but normal A and B waves? sm

http://www.meddean.luc.edu/lumen/meded/medicine/pulmonar/pd/pstep33.htm


 


At 0o jugular veins should be filled. An impulse visible just prior to S1 or the upstroke of the carotid is the "a-wave". This will be followed by a x-descent. The 'c' wave is usually not visible. The 'v' wave occurs after the start of the carotid upstroke and during ventricular systole (which is atrial diastole). When the tricuspid valve opens there is a brisk descent (y-descent).


Observe the


OB-GYN - "quad" screen normal? sm
Subject: OB-GYN - "quad" screen normal? sm

No slang allowed. Anyone know the full expansion for this screen?  TIA!


s/l LSKB within normal limits.......
Subject: s/l LSKB within normal limits.......

abdomen physical examination


Thanks


A troponin of 0.2 is still elevated with normal being
Subject: A troponin of 0.2 is still elevated with normal being

x
normal oral flora? (nm)
Subject: normal oral flora? (nm)


Neurological: Normal mero?
Subject: Neurological: Normal mero?

The patient is a 17-day-old infant


Neurological:  Normal ___.


Blank s/l normal ma-row perhaps mero?


SMAC normal, except......and the rest..sm
Subject: SMAC normal, except......and the rest..sm

Doubtful he is saying the meaning of SMAC....they don't usually, though they do with the CBC = complete blood profile.....


I think he/she is saying SMAC normal, except........etc., etc.


normal saline with Hibiclens? sm
Subject: normal saline with Hibiclens? sm

Buy Hibiclens Antiseptic, Antimicrobial Skin Cleanser, Liquid ...




Shop online for Hibiclens Antiseptic, Antimicrobial Skin Cleanser, Liquid at drugstore.com today, where you will find a huge selection of antiseptics ...
www.drugstore.com/qxp16541_333181_sespider/ hibiclens/antiseptic_antimicrobial_skin_cleanser_liquid.htm - 48k - Cached - Similar pages


Buy Hibiclens first aid products online


Normal Head CT w/ and w/out contrast... s/m
Subject: Normal Head CT w/ and w/out contrast... s/m

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I know these aren't even close... but I've listened so many times that is all I hear anymore... especially the 'pine needles'  


I would flag it, 5 mg b.i.d. is not a normal dose
Subject: I would flag it, 5 mg b.i.d. is not a normal dose

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Usual Dosage

Oral: Note: Treatment >4 months should be re-evaluated to determine the patient's continued need for the drug
Adults:
Anxiety: Immediate release: Effective doses are 0.5-4 mg/day in divided doses; the manufacturer recommends starting at 0.25-0.5 mg 3 times/day; titrate dose upward; maximum: 4 mg/day
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Panic disorder:
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Dosage Forms


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Tablet (Xanax®): 0.25 mg, 0.5 mg, 1 mg, 2 mg
Tablet, extended release (Xanax XR®): 0.5 mg, 1 mg, 2 mg, 3 mg
Tablet, orally-disintegrating (Niravam™): 0.25 mg, 0.5 mg, 1 mg, 2 mg [orange flavor]

EKG: ADP NP (or) and P are interval normal axis.
Subject: EKG: ADP NP (or) and P are interval normal axis.

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RA, ANA and normal uric acid
Subject: RA, ANA and normal uric acid

I think..
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Subject: seriously, do you not understand normal thinking?

nm