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I'm hearing it now - premature beats

Posted By: Thanks on 2008-05-01
In Reply to: Physical exam - heart with some s/l perianter or preanter beats - Thanks

Subject: I'm hearing it now - premature beats




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Premature baby with A's and B's?
Subject: Premature baby with A's and B's?

Very premature baby, born with multiple problems, including A's and B's.
60% of 143 beats per minute?just
Subject: 60% of 143 beats per minute?just


Ashman beats?
Subject: Ashman beats?

got a doc stating EKG results. He spells "Aschmann's" beats, can't find any reference on google - only Ashman's beats. Any cardio MTs out there?
ectopic beats
Subject: ectopic beats

n/m
"a few beats of nystagmus..." ? nm
Subject: "a few beats of nystagmus..." ? nm


PT in premature labor was given betamethasone and
Subject: PT in premature labor was given betamethasone and

x
There is preemie for a premature baby. If
Subject: There is preemie for a premature baby. If

referring to mom he is probably using slang for primigravida.
whatever doc dictates. Would not use beats/minute tho. nm
Subject: whatever doc dictates. Would not use beats/minute tho. nm


EMLA cream used for premature ejaculation??
Subject: EMLA cream used for premature ejaculation??

It really sounds like that is what the doctor is saying, but I can't find any info regarding EMLA being used for that.


Anyone know? 


TIA


history of premature ??livery registrant???
Subject: history of premature ??livery registrant???

NM
I love it. Beats leafing through your books sometimes!!! nn
Subject: I love it. Beats leafing through your books sometimes!!! nn


might just be PROM, premature rupture of membranes. Is she early? nm
Subject: might just be PROM, premature rupture of membranes. Is she early? nm

s
ekg shows paced rhythm at 76 beats per minute, sm
Subject: ekg shows paced rhythm at 76 beats per minute, sm

should I type BMP bpm or beats/minute.  I dont' have a clue.  THANKS
tachycardia present with a rate of 175 s/l atropic beats
Subject: tachycardia present with a rate of 175 s/l atropic beats


premature 1 month old baby has a mild s/l do-co-cephalic head. nm
Subject: premature 1 month old baby has a mild s/l do-co-cephalic head. nm

d
premature auricular systole? pulmonary artery stenosis? nm
Subject: premature auricular systole? pulmonary artery stenosis? nm


I found Ashman beats in Stedman's Cardiovascular Words (NM)
Subject: I found Ashman beats in Stedman's Cardiovascular Words (NM)

x
Physical exam - heart with some s/l perianter or preanter beats
Subject: Physical exam - heart with some s/l perianter or preanter beats


NEW YORK (Reuters Health) - Topical anesthetic EMLA cream is effective in treating premature ejacula
Subject: NEW YORK (Reuters Health) - Topical anesthetic EMLA cream is effective in treating premature ejaculation...


T is term infants and PR is premature infants - nm
Subject: T is term infants and PR is premature infants - nm


With nystagmus, the eyeball might "jump." It beats from side to side, or middle to side, etc.
Subject: With nystagmus, the eyeball might "jump." It beats from side to side, or middle to side, etc. sm

Doubt antistigmatic--not a word. Astigmatism is something entirely different. There is no reference in Stedman's ophth for antistigmatic, but do believe they mean nystagmus for "eyes jump." Can you leave a blank? The author apparently doesn't know the correct word to use. Maybe the context of the sentence will help you.
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?