No distinct heart sounds. Irregular.
Posted By: Terry.Mac on 2009-01-26
In Reply to:
Subject: No distinct heart sounds. Irregular.
Would a doctor ever say "No distinct heart sounds"?
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Distinct or Distant Heart Sounds?
Subject: Distinct or Distant Heart Sounds?
What is more commonly said? Thanks!
Irregular heart rate
Subject: Irregular heart rate
Here's my question, can a patient have an irregular heart rate and rhythm but have a normal S1 and S2 with no murmur? The patient does have recurrent atrial fibrillations. Thanks.
On PE heart section doc says "Heart irregular rate regular"?? is that right
Subject: On PE heart section doc says "Heart irregular rate regular"?? is that right
pt with afib
Usually hear regularly irregular or irregularly irregular. Regular
Subject: Usually hear regularly irregular or irregularly irregular. Regular
s
Heart sounds..
Subject: Heart sounds..
"when to" could be S1, S2 if speaking very fast. Droops are probably "rubs."
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.
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!
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.
believe they mean no clicks, rubs, gallops, etc (heart sounds)
Subject: believe they mean no clicks, rubs, gallops, etc (heart sounds)
n.m
Heart sounds "when to heard" normal
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.
I have it dictated as "no added heart sounds"...nm
Subject: I have it dictated as "no added heart sounds"...nm
nm
Heart sounds: No rubs, gallops, heaves, thrills or *livs*
Subject: Heart sounds: No rubs, gallops, heaves, thrills or *livs*
There is a very distinct "k" sound. Thank you!
Subject: There is a very distinct "k" sound. Thank you!
nm
distinct prodrome
Subject: distinct prodrome
Irregular
Subject: Irregular
Could be saying that as well
thanks it was irregular!!!
Subject: thanks it was irregular!!!
It should be irregularly irregular.
Subject: It should be irregularly irregular.
Probably regularly irregular.
Subject: Probably regularly irregular.
murmur "lows" and a T S1, S2 somewhat irregular?????
Subject: murmur "lows" and a T S1, S2 somewhat irregular?????
I have two questions on a cardiology transcription I am doing, if you could help. Dictator first says "heart: a T S1, S2 somewhat irregular", the t is throwing me off...what is she meaning by that. Also, she says he has a grade 1-2/6 murmur "lows" emphasis on the S so low SS, if that makes any sense...any ideas on what either of these things mean? I appreciate the help!
Might be irregularly irregular.. rhythm all over the place. nm
Subject: Might be irregularly irregular.. rhythm all over the place. nm
s
No, he says "joint erosions that are RATTY and irregular." NM
Subject: No, he says "joint erosions that are RATTY and irregular." NM
Verrucous lesions have an irregular or velvety surface. nm
Subject: Verrucous lesions have an irregular or velvety surface. nm
.
Patient complains of a very large, irregular, *brufus* mass to her knee....TIA
Subject: Patient complains of a very large, irregular, *brufus* mass to her knee....TIA
xxxx
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?
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!
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