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Cardiovascular problem signs include swelling

Posted By: of extremities (nm) on 2008-03-05
In Reply to: isn't it suppose to be about cardiovascular? - gina

Subject: Cardiovascular problem signs include swelling

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isn't it suppose to be about cardiovascular?
Subject: isn't it suppose to be about cardiovascular?


cardiovascular exam
Subject: cardiovascular exam


Distant heart sounds. There is no S3 or S4 that I can appreciate at the time of my exam. He is not short of breath either. There are no s/l wisps or hues.


The patient does have a history of heart problems including afib, coronary artery occlusive disease, ischemic cardiomyopathy, stents, etc. 


it's ASCVD - arteriosclerotic cardiovascular ds.
Subject: it's ASCVD - arteriosclerotic cardiovascular ds.


or atherosclerotic cardiovascular ds...both correct
Subject: or atherosclerotic cardiovascular ds...both correct

ASCVD - my mother died of that and states this on her death certificate
? eructating nausea. ........ Cardiovascular:
Subject: ? eructating nausea. ........ Cardiovascular:


pediatric cardiovascular help needed please
Subject: pediatric cardiovascular help needed please

In the history, the doc dictates "We initially saw this young man with an episode of **sid-nims-corrhea** in 2003. There is nothing else to help me figure this out, and I have tried multiple spellings. He is a very clear doctor most of the time, but I am totally stumped. Any guidance would be greatly appreciated!
Could it be Labetalol (Trandate) for Cardiovascular
Subject: Could it be Labetalol (Trandate) for Cardiovascular

system and hypertension?
Cardiovascular: No S3, ??rev, or early systole
Subject: Cardiovascular: No S3, ??rev, or early systole

Anyone know if its REV, rev, RAV, rav, etc..  Can't figure it out. 


maybe HTN? (hypertension) with hypertensive cardiovascular disease
Subject: maybe HTN? (hypertension) with hypertensive cardiovascular disease


COR is an acceptable heading for Heart/Cardiovascular.
Subject: COR is an acceptable heading for Heart/Cardiovascular.

x
You always include the 0 before a
Subject: You always include the 0 before a

decimal point. Too easy to read as 17% versus 0.17% -- quite a difference in value.
I found Ashman beats in Stedman's Cardiovascular Words (NM)
Subject: I found Ashman beats in Stedman's Cardiovascular Words (NM)

x
Stedman's Cardiovascular has words hyphenated, hope this helps! Nm
Subject: Stedman's Cardiovascular has words hyphenated, hope this helps! Nm

nm
sorry, meant to also include...
Subject: sorry, meant to also include...

the only SVC I know of is superior vena cava, so SVT is probably the correct term as nana said. 
Is it a cardiac patient? CVICU (Cardiovascular Intensive Care Unit?)
Subject: Is it a cardiac patient? CVICU (Cardiovascular Intensive Care Unit?)


oops, meant to include BOS, pg 83
Subject: oops, meant to include BOS, pg 83


please include more context next time for better help nm
Subject: please include more context next time for better help nm


Is your time given to include the seconds on the end? nm
Subject: Is your time given to include the seconds on the end? nm

s
please include the surrounding context......
Subject: please include the surrounding context......


The likely etiologies of hematemesis include
Subject: The likely etiologies of hematemesis include

peptic ulcer disease versus m*** versus ***losum.  Any ideas appreciated.  ESL doc is mumbling.
Better include "cultures" in the blank, too. Let us know what you find out. nm
Subject: Better include "cultures" in the blank, too. Let us know what you find out. nm

x
Quotations should include ONLY the actual words sm
Subject: Quotations should include ONLY the actual words sm

lifted directly from the study/exam/whatever.
Allergies include s/l pair it a deen. nm
Subject: Allergies include s/l pair it a deen. nm


This = xerostomia and tongue soreness. sorry if I do not include.
Subject: This = xerostomia and tongue soreness. sorry if I do not include.

a
medications include s/l vobenzin and artron TIA
Subject: medications include s/l vobenzin and artron TIA

xx
does she want you to put in a heading, or include more in prior paragraph
Subject: does she want you to put in a heading, or include more in prior paragraph

nm
No idea, given as part of med list. Dxs include
Subject: No idea, given as part of med list. Dxs include

myasthenia gravis, respiratory failure, currently intubated.
s/l surgeries include "hylanitive" cysts
Subject: s/l surgeries include "hylanitive" cysts


Word help Constitutional, eyes, ears, nose, throat, cardiovascular, s/l *tory. This is 12-point ros
Subject: Word help Constitutional, eyes, ears, nose, throat, cardiovascular, s/l *tory. This is 12-point ros


Include your email, and I'll send you the page. sm
Subject: Include your email, and I'll send you the page. sm

It's too long to put here.
Meant to include that pt has systemic lupus erythematosus.
Subject: Meant to include that pt has systemic lupus erythematosus.


The dictation after just went straight into the impression, so I didn't include it. nm
Subject: The dictation after just went straight into the impression, so I didn't include it. nm

nm
Apparently, charley-horse CAN include bruise, etc.
Subject: Apparently, charley-horse CAN include bruise, etc.

Again, give it a shot with Google. :)
Swelling?
Subject: Swelling?

I've done orthopedic examinations where "symmetrical with no swelling" was used.  I know that doesn't sound like "farming," but a lot of doctors don't speak clearly and if you listen to it again with "swelling" in mind, see if it could possibly be swelling.
swelling?
Subject: swelling?

swelling?
medications to which Acinetobacter is usually sensitive include the following:. Meropenem. Colistin.
Subject: medications to which Acinetobacter is usually sensitive include the following:. Meropenem. Colistin. Polymyxin B ...


med help - Include Nexium, frolic, repinazide, Pepcid, lactose
Subject: med help - Include Nexium, frolic, repinazide, Pepcid, lactose

List of meds for patient with heart condition.  First word s/l Lexium, but thought must be Nexium.  Can't understand s/l frolic and repinazide.
lymphoid swelling nm
Subject: lymphoid swelling nm

x
Maybe corona swelling?
Subject: Maybe corona swelling?


could he be stumbling over swelling?
Subject: could he be stumbling over swelling?

just a guess
nuncal swelling?
Subject: nuncal swelling?

Anyone ever hear of this?  I'm pretty sure it's not knuckle.  Sentence is as follows:


 


Neck:  Supple, non-tender.  There is no cervical lymphadenopathy, nunkal swelling, thyromegaly, or JVD. 


collection swelling?
Subject: collection swelling?

It sounds like the doctor is saying the patient has "collection swelling" over the olecranon bursa area.  Would this make sense or seem proper?  I assume he is saying there is a collection of fluid. 
is it anchor swelling?
Subject: is it anchor swelling?

sounds like ankle or anchor but it doesn't sounds right. "CV: No chest pain, palpitation or anchor swellling." thank u for your help
ankle swelling nm
Subject: ankle swelling nm


Oops! Swelling.
Subject: Oops! Swelling.

It does sound like presacral, but is dictated in the extremities portion of an H & P.  Thank you anyway.


med - s/l subsusporin for leg swelling of 11 yo
Subject: med - s/l subsusporin for leg swelling of 11 yo


no infection, just swelling. Thanks for your help!
Subject: no infection, just swelling. Thanks for your help!


I agree - Symptoms of early or mild dehydration include: elevated BUN
Subject: I agree - Symptoms of early or mild dehydration include: elevated BUN


s/l sulfa methoxycil causes swelling.
Subject: s/l sulfa methoxycil causes swelling.


Cervix 690 minus 1 with swelling. sm
Subject: Cervix 690 minus 1 with swelling. sm

Should I type this as 6.90 minus 1 with swelling? Just had the same doctor with another patient coming in with labor, and she says "Cervix is 390 and 0." That should be 3.90, meaning the cervical length, right? But what about this patient of 690 minus 1 with swelling? Is that cervical length of 6.90? Thank you.
s/l ardemitous aparidic swelling...
Subject: s/l ardemitous aparidic swelling...

Isn't erythematous.  Distinctly sounds like *are dema tus*


The patient does have an ***ardematous aparidic*** swelling on the dorsum web space of the left hand.  Suspected to be an allergic reaction to insect bite.