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Heart sounds "when to heard" normal

Posted By: Kelley on 2009-04-17
In Reply to:

Subject: Heart sounds "when to heard" normal

S/l Pulses are regular; heart sounds "when to" heard normal.  No murmurs, "droops" or gallops.  "droops is said very unclearly. 


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Heart sounds were normal intensity 1 and 2. *No S3 or S3 heard.* sm
Subject: Heart sounds were normal intensity 1 and 2. *No S3 or S3 heard.* sm

Could one of these S3s be F3? or something with a similar s/l? I can't document F3 though. New doc, but clearly states above.


Thanks for any help.


Heart sounds were normal in intensity, S1 and S2. No S3 or S4 heard.
Subject: Heart sounds were normal in intensity, S1 and S2. No S3 or S4 heard.


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


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


An EKG was normal except the **rate rolls** of a rapid heart
Subject: An EKG was normal except the **rate rolls** of a rapid heart

An EKG was normal except the **rate rolls** of a rapid heart.
fetal heart sound normal, s/l "good axils, no D cells" ?
Subject: fetal heart sound normal, s/l "good axils, no D cells" ?


Heart sounds..
Subject: Heart sounds..

"when to" could be S1, S2 if speaking very fast. Droops are probably "rubs."
Anyone heard of a "bottle-shaped" heart, please? Thanks for any help..
Subject: Anyone heard of a "bottle-shaped" heart, please? Thanks for any help..


heart sounds can be tympanitic
Subject: heart sounds can be tympanitic


s/l nuclear heart sounds
Subject: s/l nuclear heart sounds

No JVD or bruits, s/l "nuclear" heart sounds are normal.
Could it be regular heart sounds?
Subject: Could it be regular heart sounds?


"Metallic"?? heart sounds...is that right??
Subject: "Metallic"?? heart sounds...is that right??


Heart sounds were regular. She has a s/l pector 6 con-vat-um SM
Subject: Heart sounds were regular. She has a s/l pector 6 con-vat-um SM

which is probably somewhat restrictive of pulmonary function.
Distinct or Distant Heart Sounds?
Subject: Distinct or Distant Heart Sounds?

What is more commonly said?  Thanks!
No distinct heart sounds. Irregular.
Subject: No distinct heart sounds. Irregular.

Would a doctor ever say "No distinct heart sounds"?


I have always used and seen S1, S2, two separate heart sounds during auscultation......nm
Subject: I have always used and seen S1, S2, two separate heart sounds during auscultation......nm

nm
I have always used and seen S1, S2, two separate heart sounds during auscultation......nm
Subject: I have always used and seen S1, S2, two separate heart sounds during auscultation......nm

nm
Phrase: Heart: No edit sounds
Subject: Phrase: Heart: No edit sounds

Thank you guys!
lab data - (s/l CSH) was normal. is that right? i've never heard it before - nm
Subject: lab data - (s/l CSH) was normal. is that right? i've never heard it before - nm


believe they mean no clicks, rubs, gallops, etc (heart sounds)
Subject: believe they mean no clicks, rubs, gallops, etc (heart sounds)

n.m
I have it dictated as "no added heart sounds"...nm
Subject: I have it dictated as "no added heart sounds"...nm

nm
"When the Name of the Game is Saving Keystrokes" or sm
Subject: "When the Name of the Game is Saving Keystrokes" or sm

apparently the new edition is simply "Saving Keystrokes," both by Diana Rolland, if I remember correctly. The older version used to come as a spiral-bound workbook/video combo, but the new version appears to be a trade paperback. I assume the info is largely the same.
sounds like a normal "CS troponin" value to me... nm
Subject: sounds like a normal "CS troponin" value to me... nm


5/5 sounds like normal motor strength...but sm
Subject: 5/5 sounds like normal motor strength...but sm

...i have no idea about your s/l... "overall motor strength"? there's also an OMA score (or OMAS)=Olerud & Molander Ankle Score but 5/5 power doesn't match that...?? =(
Anybody heard of canpath? Autoimmune disease resulting from heart/lung transplant. TIA. nm
Subject: Anybody heard of canpath? Autoimmune disease resulting from heart/lung transplant. TIA. nm

nm
Heart sounds: No rubs, gallops, heaves, thrills or *livs*
Subject: Heart sounds: No rubs, gallops, heaves, thrills or *livs*


Sounds like "chiller" venous veins appear normal. sm
Subject: Sounds like "chiller" venous veins appear normal. sm

The patient is moribund. She is unable to speak at the current time and does not respond to sternal rub. "Chiller" venous veins appear normal. Site of the PEG tube is normal without any evidence of exudates.

She is 92 years old and comfort-care only. Here is some past history:

Past medical history is significant for progressive dysphagia leading to frequent bouts of aspiration secondary to a prior cerebrovascular accident in 1997, recent admission for probable aspiration bronchitis/pneumonia, history of hypertension, history of thyroid replacement therapy, history of possible dehydration. She has a prior history of cataract, prior history of gallbladder surgery, recent PEG placement in 11/2005, status post TAH-BSO at age 40 and eyelid surgery in January 2002, history of chest pain admission in February 1996, history of cerebrovascular accident of the right internal capsule in June 1997, and history of TIA in August 2003.
sounds like "car po mace a peen" level was normal.
Subject: sounds like "car po mace a peen" level was normal.


PE normal breath sounds in s/l in excursion, in discursion...I know it's something easy, thanks
Subject: PE normal breath sounds in s/l in excursion, in discursion...I know it's something easy, thanks


He has a whistling type 3/6 systolic ejection murmur best heard at the left *heart or hard* border.
Subject: He has a whistling type 3/6 systolic ejection murmur best heard at the left *heart or hard* border.

He has a whistling type 3/6 systolic ejection murmur best heard at the left *heart or hard* border. nm


Thank you, sounds right. Heard it before but could not remember..nm
Subject: Thank you, sounds right. Heard it before but could not remember..nm

x
Anyone heard of what sounds like C-rom for colds?
Subject: Anyone heard of what sounds like C-rom for colds?

Thanks help...
Has anyone heard of what sounds like a Tagumax
Subject: Has anyone heard of what sounds like a Tagumax

x
Anyone heard of sounds like coker's point?
Subject: Anyone heard of sounds like coker's point?

nm
Has anyone heard of "rhonchorous" breath sounds? nm
Subject: Has anyone heard of "rhonchorous" breath sounds? nm

Can't


Ever heard of what sounds like a "COLOWING" goiter???
Subject: Ever heard of what sounds like a "COLOWING" goiter???


re: Anyone heard of sounds like coker's point?
Subject: re: Anyone heard of sounds like coker's point?

Yes I have, it was performed on my sister Caroline.


I believe this was a part of a step in a whole procedure performed by a team of Swiss doctors flown into Loyola University Chicago in 1981.  Normally a procedure is named after the doctor whom performs the "new" technique, but in the case of a team working on a patient with a chance of high mortality, which does survive.  In late 1979 my sister was diagnosed with hydrocephalus.  She was 16.  The neuron surgeon here in Chicago (more so Arlington Heights, IL) at Northwest Community Hospital consulted with doctors overseas in regards to the procedure as a temporary solution till they reviewed the case.  She was being considered for a new medical treatment for hydrocephalus.  Most children diagnosed with hydrocephalus die at a young age prior to this time as there was no long term treatment.  Those who developed this later on, mostly in their teens is a result of growth spurs from puberty, or a tumor located on or near the Cerebral Aqueduct (of Sylvius).  This is what my sister’s condition was.  The tumor was slow growing, and located above the pituitary gland and near the Cerebral Aqueduct (of Sylvius).  The Doctor not understanding the procedure totally as explained in the overseas phone consult, mis-preformed the procedure.  Instead of entering the skull from the occipital (rear), he entered from the right side of the brain.  No noticeable damage at the time was done.  However, on April 1st, 1981, my sister after having a shunt implanted in her brain by the same doctor, whom performed her first surgery to relieve the pressure on the brain, had a stroke.  This now cause alarm as we believed she was out of danger.  She was rushed to Loyola University Chicago, where after extensive testing and numerous doctors overseeing her condition, they consulted with the doctors whom where developing the Cerebral Shunt for hydrocephalus.  The team from Switzerland were flown in and looked over all the tests and scans at that time, and in about 15 minutes or so, they say the problem was, a tumor in the previously mentioned spot.  The tumor was missed by my sister’s first doctor.  He also in his notes on the first surgery stated his entry point (on the right side of the skull) and that there was no blood in the cerebral fluid when drained to relieve pressure.  Although, the latest scans from when she was recently admitted, showed damage in the area of the entry point on the right side of the brain, a blood clot.  Not to mention, the shunt was laid on top of the tumor.  In all the doctors from Switzerland removed the tumor, corrected the position of the shunt, and reinserted the drainage tube from the shunt that had also become wrapped around my sister appendix the previous November which caused her to have Appendicitis.  For 2 years our family went thru hell from 1 bad doctor who most like was better off in a butcher shop.  I remember all this as I was young and my parents, mostly my mother, kept me around since it was the only way I was able to see her and my sister and father.  My memory, and I paraphrase what was said when my sister was released, that they (the doctors from Switzerland) would work on making sure that in the future, the procedure for relieving pressure on the brain from cerebral fluid would be understood clearly that the entry point would be from the rear, and in between the left and right lobes of the brain.  To my surprise, when I was online and looking up my family’s name, that the Kocher’s Point was the exact procedure that was to be made clear for other doctor’s.


 


In the end, The Doctor was sued, and lost his medical license, and ordered by the court not to pursue a career in the medical field and was barred from and contact from a position he would dispense any and all medical assistance.  My sister is still alive went to college, got married and has had 5 children even though she was advised to never have children due to the radiation treatment for the cancer/tumor, and the pressure on the shunt from labor.  In years past she has shown that her short term memory is weak and sometimes forgets things if she does not repeat what is said to her.  She is now in 2009, 46 years old.


Has anyone ever heard of a solution sounds like "Roxar" SM
Subject: Has anyone ever heard of a solution sounds like "Roxar" SM

for injection in the knee after total knee arthroscopy? Some kind of anesthetic/antiseptic mixture I guess. Thanks
Never heard global in 20 yrs in reference to lung sounds.
dd
Sounds all right. Have heard "hooked to gravity flow" before. (nomsg)
Subject: Sounds all right. Have heard "hooked to gravity flow" before. (nomsg)

xx


Has any one ever heard of what sounds like William Pussington Wright disease or syndrome.
Subject: Has any one ever heard of what sounds like William Pussington Wright disease or syndrome.


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


normal motility? normal motilities? nm
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                         


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


Never heard of it as part of an exam, but have heard of punch biopsy?
Subject: Never heard of it as part of an exam, but have heard of punch biopsy?


HEART:
Subject: HEART:

Sounds like, "The PMI 2L SV."  Is this correct?  Thank you. 


Heart
Subject: Heart

Both heart tones present without murmurs, lifts, heels or gallops.


Is that right?