| HEART:Posted By: Physical Exam Help on 2005-09-12In Reply to:
 
 Subject: HEART:
 
 
 Sounds like, "The PMI 2L SV."  Is this correct?  Thank you.   
 
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 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 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 
 
 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.
 
  
 
   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.
   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 exam
 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....
   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
 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
 
 
 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?
 ? heart or lung diseases
 Subject: ? heart or lung diseases
 
 LOL!  Cute the way you typed it phonetically.
 
 s/l Unremarkable for heart or lung diseases.
 COR for coronary/heart exam.
 Subject: COR for coronary/heart exam.
 
 
 s/l porcelain heart valve
 Subject: s/l porcelain heart valve
 
 
 I'v heard of Teflon, but I'm not sure about a porcelain heart valve. 
 Thanks for any help porcine heart valve (nm)
 Subject: porcine heart valve (nm)
 
 x
 Maybe CoQ10? Sometimes taken by heart patients. nm
 Subject: Maybe CoQ10? Sometimes taken by heart patients. nm
 
 s
 yes, gated heart scan would be right (nm)
 Subject: yes, gated heart scan would be right (nm)
 
 zzzz
 concerning congestive heart failure
 Subject: concerning congestive heart failure
 
 The patient was being operated on for a gastric bypass.  She developed congestive heart failure.  The doctor says he "swan-ed" her and "A-lined" her.  I'm not familiar with either of these terms.  How do type these terms?
   
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