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could you be hearing b-waves? sm

Posted By: Txczech on 2006-10-28
In Reply to: ophthalmology-discharge report... - CM

Subject: could you be hearing b-waves? sm

Webvision: Clinical Electrophysiology




24 Fundus photo and bright flash ERG of patient with retinoschisis. ... of a patient with a cone dystrophy exhibit good rod b-waves that are just slower. ...
webvision.med.utah.edu/ClinicalERG.html - 72k - Cached - Similar pages

Expression of X-Linked Retinoschisis Protein RS1 in Photoreceptor ...




Most persons with X-linked retinoschisis produce ERGs with normal a-waves originating from photoreceptors but reduced or absent b-waves. .




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Q-waves in I and aVL.
Subject: Q-waves in I and aVL.

xx
probably "inferior" Q waves nm
Subject: probably "inferior" Q waves nm

/
tertiary waves
Subject: tertiary waves


how to write..Q waves in one and L..thank you
Subject: how to write..Q waves in one and L..thank you


Wellen's T-waves
Subject: Wellen's T-waves

Thanks a bunch. I knew my fellow MTs would know what I was talking about.
Prominent Q waves in III and F. he just says F or should i put aVF??? thank u
Subject: Prominent Q waves in III and F. he just says F or should i put aVF??? thank u


"Q waves in leads II, III, and aVF?" or sm
Subject: "Q waves in leads II, III, and aVF?" or sm

He/she could just be saying "Q waves in II, III, and aVF." Perhaps?
WAG here but normal A and B waves? sm
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


S-waves do exist and so do S-wave changes.
Subject: S-waves do exist and so do S-wave changes.

Abby

EKG - No Q waves noted. *Que esteration* is 104 milliseconds
Subject: EKG - No Q waves noted. *Que esteration* is 104 milliseconds


EKG shows some s/l middle epic T waves
Subject: EKG shows some s/l middle epic T waves


EKG shows sinus brady at 57 with U waves
Subject: EKG shows sinus brady at 57 with U waves

Ok, I'm confused. I've never heard this before. What does it mean and how should it be transcribed? The hosptial I work for likes EKG to be expanded so I know I need to do that, I'm thinking "brady" needs to be "bradycardia" and maybe the 57 is referring to beats. So: "Electrocardiogram shows sinus bradycardia at 57 beats/min. with U waves." Is that right or am I way off?
I listened for skin, sounds like wings or maybe waves. Thank you
Subject: I listened for skin, sounds like wings or maybe waves. Thank you

x
Found polymorphic and monomorpic waves for EEG. Unimorphic is
Subject: Found polymorphic and monomorpic waves for EEG. Unimorphic is

not in the dictionary.
Yep, You are hearing one over four
Subject: Yep, You are hearing one over four

or 1/4. Could listen to see if there are any pluses in there though.
is it possible you are mis-hearing,
Subject: is it possible you are mis-hearing,

and he/she is saying 'MRCP'?,
ie, mental retardation/cerebral palsy...

?
could I be hearing this right?
Subject: could I be hearing this right?

Patient found to be hypotensive upon entry to the operating room. "Mass trousers" were placed. CPR was resumed.


This patient was in a car accident.  Thank you


Re: could I be hearing this right?
Subject: Re: could I be hearing this right?

MAST trousers (Military and/or Medical Antishock Trousers).
you sure you are not hearing O2 sat 92%?
Subject: you sure you are not hearing O2 sat 92%?

n/m
not sure if I'm hearing this right?
Subject: not sure if I'm hearing this right?

CT scan of the abdomen and pelvis showed a small s/l fat containing umbilical hernia.


s/l fat ?


OB..I do not know if I am hearing this even..
Subject: OB..I do not know if I am hearing this even..

to put it on here...


the cervix was prepped with acetic acid and s/l a few or a-sea-a white changes were noted in multiple areas int the 11:00 region..etc.  thank you


Are you hearing this as boy-yay or boy-ett? nm
Subject: Are you hearing this as boy-yay or boy-ett? nm

s
WAG but could be you be hearing sm
Subject: WAG but could be you be hearing sm

Decadron 8 mg IM?  Commonly given in our office for insect sting reactions etc. along with the other meds mentioned.
not hearing this right please help :)
Subject: not hearing this right please help :)

1. Status post CVA.
2.  Hypertension.
3.  Coronary artery disease.
4.  Obesity
5.  Parasystole S/L a-? relation


Are you hearing
Subject: Are you hearing

flumethasone?
Could you be hearing CVP for DVT there? No
Subject: Could you be hearing CVP for DVT there? No

s
thanks. i'm not hearing the "c" though.
Subject: thanks. i'm not hearing the "c" though.

tia
Thanks to both. Yes, I am hearing that now
Subject: Thanks to both. Yes, I am hearing that now

as it goes, never had this word before, believe or not.
Not sure if I am hearing this right.
Subject: Not sure if I am hearing this right.

she does have some s/l hemi -actric' fracture blisters that are in that area.


???


Wow. I was not sure what I was hearing
Subject: Wow. I was not sure what I was hearing

to begin with and never heard of that before. Thanks so much.
this is what im hearing now... please sm
Subject: this is what im hearing now... please sm

after listening to it a couple of times i think i can clearly hear **shrug shoulder**, tho i dont think "midline" (which is what the MD said) is the right term to use for it.
Now I'm hearing it, but...
Subject: Now I'm hearing it, but...

- nose erythematous mucosa with enlarged turbinates.

Does that make sense?
This is probably something I'm just not hearing right, but need help with s/l
Subject: This is probably something I'm just not hearing right, but need help with s/l

Patient has lupus, asthma, peptic ulcer disease, and depression. Complaining of dizziness,lightheadedness, feeling of about to collapse.

HEENT is negative. s/l dix-ell-pock is negative.

I'm totally stumped and appreciate any help. Thanks!
Are you maybe hearing...
Subject: Are you maybe hearing...

...phonophoresis?
Are you hearing
Subject: Are you hearing

pannus spondyloarthropathy?
Thanks, but just not sure. I am definitely hearing a T in there. Hopefully he will say it again.
Subject: Thanks, but just not sure. I am definitely hearing a T in there. Hopefully he will say it again.


Just go with it if that is what you are hearing. nm
Subject: Just go with it if that is what you are hearing. nm

x
second hearing...
Subject: second hearing...

If this works, she may benefit from ___ or ___(dASO) brace-type orthotic....

Now hearing as USBL or Arizona brace-type orthotic....found USBL in google but not Arizona
Am I hearing this right??? (sm)
Subject: Am I hearing this right??? (sm)

Patient is in for osteoarthritis of the hip. Doctor states- actually rather clearly for her- "Earlier this year he developed a left inguinal adenitis following some deep (s/l dental) cleaning procedure."

Since teeth seem to have nothing to do with your groin, I'm confused... that can't really be right- But I'm also stuck on not being able to hear anything else. :P Ideas?
Could you be hearing ...
Subject: Could you be hearing ...

Under ultrasound guidance, the patient underwent paracentesis of 3500 cc of a nonpurulent ascitic fluid.

A healed right proximal humeral fracture was present.
Not sure if I am hearing right.
Subject: Not sure if I am hearing right.

The following sentence is uclear for me.  This is what I am hearing:


Lungs: No loud wheezes or rhonchi.  Sometimes wheezes sounds like squeezes.  Does that make sense?


Not sure if hearing this right! sm
Subject: Not sure if hearing this right! sm

Patient has ED due to diabetes. He would like to try s/l archotherapy (erectotherapy)??

Anyone heard of this or something that sounds like? Thanks!
Could you be hearing this...
Subject: Could you be hearing this...

or is it definitely LAT?

OATS stands for 'osteochondral autograft transfer system,' and the technique is very similar to mosaicplasty. In the OATS procedure the plugs are usually larger, and therefore only one or two plugs are needed to fill the area of cartilage damage.
Could you be hearing...
Subject: Could you be hearing...

peg and dowel fusion?
Are you maybe hearing "snare"?
nm
Hearing tests
Subject: Hearing tests

There's a Lombard's test, and there's a Schwabach's test.
Where in the ROS "line up" are you hearing this? nm
Subject: Where in the ROS "line up" are you hearing this? nm

x
My ears are hearing a med that s/l...
Subject: My ears are hearing a med that s/l...

dy-no-sar-con-si-pro.  I do not have any context for it as it is just listed in the medications.  He doesn't have any illnesses except hypertension.  This doctor has a tendency to say meds incorrectly.


cannot tell which word I am hearing here...
Subject: cannot tell which word I am hearing here...

He has chronic low back pain, but without limb pain/limping.


 


Thanks.


Any chance your hearing
Subject: Any chance your hearing

asbestosis?
Are you sure you're not hearing...
Subject: Are you sure you're not hearing...

GPT instead of GDT?