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Heart size equal. Lungs are clear.

Posted By: MT50 on 2007-11-21
In Reply to: Heart size s/l epalims are clear - Hello

Subject: Heart size equal. Lungs are clear.




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Heart size s/l epalims are clear
Subject: Heart size s/l epalims are clear


Lungs are clear to auscultation....sm
with ?GLOBAL? diminished breath sounds throughout.
s/l S1, S2, regular. RS lungs: Clear
Subject: s/l S1, S2, regular. RS lungs: Clear

He runs the whole thing together with a heavy accent, so not sure if the RS goes with the S1, S2 or if it is RS lungs. TIA!


Or running together Lungs: Clear. Cor: RSR. nm
Subject: Or running together Lungs: Clear. Cor: RSR. nm

s
Respiratory: Lungs clear to auscultation - NM
Subject: Respiratory: Lungs clear to auscultation - NM

a
Could he be moving on to LUNGS: Clear to auscultation?
Subject: Could he be moving on to LUNGS: Clear to auscultation?


Lungs have clear apices with some faint wheezes. (?)
Subject: Lungs have clear apices with some faint wheezes. (?)


Heart size epsilons are normal. I found it
Subject: Heart size epsilons are normal. I found it


Yep changes in size of vessels, i.e. segmental size, plaque size, etc.
Subject: Yep changes in size of vessels, i.e. segmental size, plaque size, etc.


Fancy way to type this? Zoloft 20 mg per cc equal to 100 mg equal 5 cc p.o. q.a.m.
Subject: Fancy way to type this? Zoloft 20 mg per cc equal to 100 mg equal 5 cc p.o. q.a.m.


S equal Z
Subject: S equal Z

This would be the way I would type is as if: S was the "set score" and Z was the "score equal to the normal mean"...per American Heart Association journal
moderate size or moderate-size implants - sm
Subject: moderate size or moderate-size implants - sm

Google has it both ways. Which would you use?


Thank you...


yes it is equal to 1.5 liters but.....sm
Subject: yes it is equal to 1.5 liters but.....sm

if dictator said *a liter and a half* that's what you give the dictator........
symmetrical and equal
Subject: symmetrical and equal

Possibly symmetrical and equal
Cardio pulses are equal.
Subject: Cardio pulses are equal.

It sounds like she is saying cardio pulses are equal bilaterally.  Could this be right.  Is the 'cardio pulses' correct?
Would this be correct? A2 is equal to P2 in intensity?
Subject: Would this be correct? A2 is equal to P2 in intensity?


If you are talking about right/left equal use it is
Subject: If you are talking about right/left equal use it is

x
I don't think so. PERL is pupils are equal
Subject: I don't think so. PERL is pupils are equal

and reactive to light. What type of surgery is he referring to??
"as well as" does not equal "and"
Subject: "as well as" does not equal "and"

i.e., the phrase isn't a conjunction and doesn't get treated the same way in a sentence. So your first choice is correct. I find that a lot of docs dictate w, x, y as well as z. I always change this to w, x and y as well as z.

Good catch.
"as well as" does not equal "and"
Subject: "as well as" does not equal "and"

i.e., the phrase isn't a conjunction and doesn't get treated the same way in a sentence. So your first choice is correct. I find that a lot of docs dictate "w, x, y as well as z." I always change this to w, x and y as well as z.

Good catch.
It is so clear Fair a con FE, can't get Femcon FE, it is just so clear. :(
Subject: It is so clear Fair a con FE, can't get Femcon FE, it is just so clear. :(


could be generic and would use Ŗ:2:2 solution, equal parts...."
Subject: could be generic and would use Ŗ:2:2 solution, equal parts...."

x
Peripheral pulses are 1-2 (s/l with one) symmetrically equal. sm
Subject: Peripheral pulses are 1-2 (s/l with one) symmetrically equal. sm

Does that make sense.  It doesn't sound like it, but I have listened to it over and over.
no cogwheeling. Deep tendon reflexes are equal. nm
Subject: no cogwheeling. Deep tendon reflexes are equal. nm

xx
equal distribution? If you can't get even a sound alike, I would leave a blank. nm
Subject: equal distribution? If you can't get even a sound alike, I would leave a blank. nm

.
Sure, they probably did blood pressure in both arms and it was equal and there was good capillary re
Subject: Sure, they probably did blood pressure in both arms and it was equal and there was good capillary refill upon release of the cuff.


Lungs!
Subject: Lungs!

Her lungs reveal some prolonged expiratory breath sounds and occasional perihollow wheezing.  The bold is what it sounds like.  Any ideas? 


Thanks.


lungs cor RSR... please sm... ty
Subject: lungs cor RSR... please sm... ty

Doc is very hard to understand... i've been doing this for a long time, and I have always thought that cor belonged in heart exam.  This doc speaks very low, but s/l he continually says on physical exams, ...


lungs cor rsr.  I figured lung exam was separate and i was missing something he said, and then i should type .... Cor, RSR (for regular sinus rhythm).  Can somebody please clarify for me?  I saw another transcriptionists report that said ... lungs cor rsr.  That does not look correct to me and many of these other MT's make a lot of mistakes.


 


Please help!  Thank you much!


Could you put Lungs/Cor: RSR?
Subject: Could you put Lungs/Cor: RSR?

xx
Lungs
Subject: Lungs

Lungs
lungs
Subject: lungs

Lungs, very harsh type cough with no s/l "eediae" changes.  Could it be ETA changes?
LUNGS:
Subject: LUNGS:

What should this be?


Lungs: Clear and s/l resident.


LUNGS
Subject: LUNGS

my guess would be resonant.
HEENT: Pupils Equal, round, reactive to light and accomendation and ______ intact. thank you
Subject: HEENT: Pupils Equal, round, reactive to light and accomendation and ______ intact. thank you


Lungs - S/L CORE
Subject: Lungs - S/L CORE

PE:  Lungs are clear.  CORE is of regular rate and rhythm.  Is that correct??


Question regarding lungs....sm..
Subject: Question regarding lungs....sm..

CT scan of her lungs, which showed interstitial fibrotic changes suggestive of ____ (s/l insip) and had progressed since the July 12, 1999 exam. 


TIA


COR: S1, S2, etc. - Just like LUNGS:, HEENT: , etc. (nm)
Subject: COR: S1, S2, etc. - Just like LUNGS:, HEENT: , etc. (nm)

x
sonesent? lungs.
Subject: sonesent? lungs.

the impression is

Ventilator-dependent respiratory failure partially due to her age and chronic obstructive pulmonary disease and ? lungs.  Thanks.


There are fissures in the lungs.
Subject: There are fissures in the lungs.

x
Yes, you can have TB other places besides the lungs. sm
Subject: Yes, you can have TB other places besides the lungs. sm

There is a link at the end of this.

Active Tuberculosis
To diagnose TB of the respiratory tract, 3 to 5 sputum specimens are collected first thing in the morning on different days when they are most likely to contain the most mycobacteria. If extrapulmonary TB is suspected, samples are collected based upon where in the body the infection is likely to be. Multiple samples of gastric (stomach) washings/aspirates or urine may be collected and submitted to the laboratory. Sometimes cerebrospinal fluid (CSF), biopsied tissue, or other body fluids are also collected.


http://www.labtestsonline.org/understanding/conditions/tuberculosis-3.html
no - pleurisy involves the lungs.....nm
Subject: no - pleurisy involves the lungs.....nm


The pleura is the lining of the lungs sm
Subject: The pleura is the lining of the lungs sm

And pleuritis is inflammation of the pleura.


Definitely pruritis.


Lungs have no stridor or STURDOR?
Subject: Lungs have no stridor or STURDOR?

I cannot document this word anywhere; he is definitely saying "Sturdor", but only Stridor comes up.


lungs raymondly hypoexpanded
raymondly... Is this right????
lungs are diffusely s/l rhoncherous ?? sm
Subject: lungs are diffusely s/l rhoncherous ?? sm

This one is new to me!  I've typed many times "lungs with rhonchi", but is there even such a word as "rhoncherous"??


 


TIA


There are some **coarse** or ** course** rhonchi throughout the lungs
Subject: There are some **coarse** or ** course** rhonchi throughout the lungs


Lungs _____ at the bases???
Subject: Lungs _____ at the bases???

geez.  anyway it sounds like "Lungs ___tric at the bases"?


thx everyone.


lungs shows s/l scattered ? crackles 2/3 above the
Subject: lungs shows s/l scattered ? crackles 2/3 above the

lung fields
chest and lungs: S/L phenyl kyphosis??
Subject: chest and lungs: S/L phenyl kyphosis??


Lungs, harsh cough with no s/l "E to A" changes, but a few rhonchi. nm
Subject: Lungs, harsh cough with no s/l "E to A" changes, but a few rhonchi. nm


Lungs Fillled with afibber nesectionanted?
Subject: Lungs Fillled with afibber nesectionanted?


LUNGS


Multiple sections of lungs show large distended alveolar spaces filled with "afibber nesecionated."


 


ANY IDEAS? Thanks!