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I am hearing the "n" either noted or not heard, but I don't hear murmur. sm

Posted By: JenniMT on 2007-11-27
In Reply to: Could also be "a systolic murmur is heard" - mmk

Subject: I am hearing the "n" either noted or not heard, but I don't hear murmur. sm

I just don't hear "murmur" though. He is a heavy ESL so it could be murmur I guess. He says this on several patients and I cannot hear murmur in any. I will keep listening.


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Murmur grades are 1 through 6. I myself have never heard of a 3/5 murmur
Subject: Murmur grades are 1 through 6. I myself have never heard of a 3/5 murmur


Where is the murmur heard best? nm
Subject: Where is the murmur heard best? nm


Could be "systolic murmur is not heard"
Subject: Could be "systolic murmur is not heard"


Could also be "a systolic murmur is heard"
Subject: Could also be "a systolic murmur is heard"


Ever heard of a medicine called Fercon? (systolic murmur)
Subject: Ever heard of a medicine called Fercon? (systolic murmur)

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Heart: Regular rate and rhythm, no murmur, s/l (no extra beat) is hear
Subject: Heart: Regular rate and rhythm, no murmur, s/l (no extra beat) is hear


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


Could you be hearing comprensive 16 point ROS was ====? Hear that sometimes.nm
Subject: Could you be hearing comprensive 16 point ROS was ====? Hear that sometimes.nm


I'm sorry, it appears I am a total goober and was hearing heard it all wrong. Thx for your help.
Subject: I'm sorry, it appears I am a total goober and was hearing heard it all wrong. Thx for your help. nm


If not hearing a drug like epi here, then you'd normally hear a needle gauge and size like an
Subject: If not hearing a drug like epi here, then you'd normally hear a needle gauge and size like an

s
are you hearing hypoxemia (common to hear in the medical field). nm
Subject: are you hearing hypoxemia (common to hear in the medical field). nm

s

Thank you, but it still sounds like mod changes noted or motive changes noted. Maybe he shortened.
Subject: Thank you, but it still sounds like mod changes noted or motive changes noted. Maybe he shortened.


1-2/6 murmur load; load should be heard.
Subject: 1-2/6 murmur load; load should be heard.

.
probably saying, ŗ/6 SEM best heard on right..." I hear that a lot.
Subject: probably saying, ŗ/6 SEM best heard on right..." I hear that a lot.

x
never heard of "fish"...any possible way you can hear "sheath"? nm
Subject: never heard of "fish"...any possible way you can hear "sheath"? nm


s/l two-four murmur
Subject: s/l two-four murmur

Doctor states:  "She has a grade 2/6 (s/l two-four) murmur heard at the left upper sternal border." 


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TIA


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Subject: murmur

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murmur
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Subject: Systolic murmur

Hi! I have a rather simple (I hope) question. I have an ESL that always dictates 2/6 systolic murmur **at LLB and apex**. Is LLB correct? Every time she says this I try to look it up again, but it is a little difficult to search. Thanks for any advice on this!
Could it be flow murmur?
Subject: Could it be flow murmur?


Thanks, but I figured it out. To-fro murmur. NM
Subject: Thanks, but I figured it out. To-fro murmur. NM

nm
without ectopy or murmur
Subject: without ectopy or murmur

I would have to hear myself what you are hearing as
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Subject: s/l trasis??? murmur

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Subject: holosystolic murmur NM

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Subject: Heart murmur grades 2 or II

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Subject: Heart murmur, esh and no palpatation

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Any help out there?


Sorry. ESM is ejection systolic murmur. sm
Subject: Sorry. ESM is ejection systolic murmur. sm

ISH is isolated septal hypertrophy, ASH is asymmetric septal hypertrophy, but I doubt these. Maybe she's making a word out of abbreviations, again doubt. I'd leave a blank and flag it unless someone else has an idea. She may have started to say something like "ischemia" but cut herself off. Doubt if she'd say "murmurish." That wouldn't make any sense. I'll keep thinking about it. Please let us know what you find out.

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Subject: Could be - 2/6 systolic "ejection" murmur


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Subject: Doc dictates 3/5 systolic murmur (sm)

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Subject: murmur "lows" and a T S1, S2 somewhat irregular?????

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type of flow murmur?
Subject: type of flow murmur?

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murmur "blowing out S1" is more common...nm
Subject: murmur "blowing out S1" is more common...nm


hole systolic murmur
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Subject: 1/6 vs 1/VI systolic ejection murmur.

Hi Ginny,

Actually, both are technically correct. However, for us it depends on client. Some want it with regular numbers and some want the roman numeral. As per the AHDI book of style 2 though "arabic v roman numerals
There is a trend away from the use of roman numerals and toward the use of arabic numerals. A good example of this is in diabetes terminology, where an international expert committee dropped the roman numerals in favor of arabic, noting the danger of a roman numeral II being misread as an arabic number 11. In addition, the AMA Manual of Style states, "Avoid the use of roman numerals except when part of established nomenclature." Copyright (c) 2002 American Association for Medical Transcription"
That being said, I would use 1/6 unless otherwise specified by client or boss.
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Subject: Systolic ejection murmur...

He does have a 2/6 systolic ejection murmur s/l "ena cranst as 4".
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Subject: Systolic ejection murmur

MTPockets
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Subject: Short harsh systolic murmur? NM


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Subject: Is holosystolic murmur grade *4/6* correct?


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Subject: Patient has a 3/4 holosystolic murmur s/l blurring out S1. nm


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Subject: Could it be "regular rate and rhythm without murmur"

xx
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Subject: heart murmur with roman numerals?

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Subject: Heart: (“cephalic ejects”) murmur?

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