— so·no·rous·ly adverb
— so·no·rous·ness noun
maybe shortness of breath, wheezing?? nm
Subject: maybe shortness of breath, wheezing?? nm
did the pt have wheezing to begin with? maybe just a comma, sm
Subject: did the pt have wheezing to begin with? maybe just a comma, sm
Following review of this resolution of acute congestive failure, wheezing, ...
Just a thought.
wheezing sounds when sneezing? WAG here. nm
Subject: wheezing sounds when sneezing? WAG here. nm
Says Few mild expiratory wheezing rales on deep
Subject: Says Few mild expiratory wheezing rales on deep
expiration only but no retracting?? Not sure if sentence is acceptable? Heavy ESL dictator. 
sweating, wheezing, hemoptysis, fever, chills, or headaches??? nm
Subject: sweating, wheezing, hemoptysis, fever, chills, or headaches??? nm
.
policing eight may be *____* C8 or T8????
Subject: policing eight may be *____* C8 or T8????
____ 496 ohms (pacemaker)
Subject: ____ 496 ohms (pacemaker)
The R-wave was measured at 12.6 millivolts. Pacing threshold was 0.7 volts at 0.5 milliseconds, ____ 832 ohms. The second lead was then placed in the right atrium. P-waves measured 1.7. Pacing threshold was 1.1 volts at 0.5 milliseconds, ____ 496 ohms.
This doctor talks so fast I have no idea what he is saying. The two blanks are the same word but I have no clue what it even sounds like.
s/l ____ Morani maneuver. ?..sm
Subject: s/l ____ Morani maneuver. ?..sm
She is a little wobbly on Romberg. Hearing screen unremarkable. S/L ____ Morani maneuver positive to the right.
TIA 
Maybe ____ anginal symptoms? nm
Subject: Maybe ____ anginal symptoms? nm
Your blank might be ____ one half. nm
Subject: Your blank might be ____ one half. nm
s
A/P ____ transfer done at the same time.
Subject: A/P ____ transfer done at the same time.
The patient will necessitate a reverse shoulder arthroplasty with a s/l Laa ___ transfer done at the same time. ?
it's for a letter, Dear ____ (nm)
Subject: it's for a letter, Dear ____ (nm)
bracket ____ mutation
Subject: bracket ____ mutation
S/L bracket 2 mutation?
Thanks! 
s/l ____ strep-reactive arthritis? sm
Subject: s/l ____ strep-reactive arthritis? sm
Patient is a 13-year-old male with a
past medical history of rheumatic
fever and ---- strep-reactive
arthritis?
I am not sure about any of it really
after the rheumatic fever to the
reactive arthritis. The blank, I
don't know if it is a stuture or
not, but sounds like "spin". TIA
To SG re. post below ____ status (psych)
Subject: To SG re. post below ____ status (psych)
Hello again, just read your post on the s/l and that helped me. Here is how some docs break down the different categories of mental status exam--
Mental status exam
-Intellectual functions
A. Sensorium
1. Orientation to ....(person,place, time and situation)
I believe he is stating the word sensorium and I think I would use it because it would apply and that is what it sounds like. Listen for that again later. And here is one link on mental status exam that you could read through (is a powerpoint presentation so just slides, but easy to look at because is concise and brief with just key words) and let me know! Good luck!
http://www.thecolorsoftherainbow.com/MSE.pdf
drawing a ____ = meds S/L wor-phrene
Subject: drawing a ____ = meds S/L wor-phrene
The patient had CP monitoring, had thigh ____,and
Subject: The patient had CP monitoring, had thigh ____,and
recieved 1 g of Ancef prior to surgery.
Pt with PID will be treated with doxycycline and Flagyl per s/l ____ recommendations. sm
Subject: Pt with PID will be treated with doxycycline and Flagyl per s/l ____ recommendations. sm
Noisy in background and this is a new dictator to me so I'm not familiar with his quirks yet. Can't hear CDC. Can't hear "standard" May end with "vir."
the patient is S/P lumpectomy / ____ biopsy for breast cancer.
Subject: the patient is S/P lumpectomy / ____ biopsy for breast cancer.
This doc keeps saying what sounds like:
lumpectomy / "center node" biopsy or "sentinel" biopsy?
He is a mush-mouth. Any help appreciated!!!
Rough evening. Patient used ____ oxygen. (s/l) de-nel-e-sary
Subject: Rough evening. Patient used ____ oxygen. (s/l) de-nel-e-sary
Thanks in advance. I'm clueless.
WAG - follicular in situ ____ (lesions??) of atopic dermatitis? nm
Subject: WAG - follicular in situ ____ (lesions??) of atopic dermatitis? nm
.
Nl perineal body and "levitus" with very strong ____ contractions, 5/5 sm
Subject: Nl perineal body and "levitus" with very strong ____ contractions, 5/5 sm
Normal perineal body and "levitus" with very strong
____| QA MARKER: 159 |____ contractions 5/5, not tender and the patient was able to kegal exercises very well upon request.
Left ventriculography, Visipaque dye injected that ____ atomspheres. Can't make out 6 or 600. sm
Subject: Left ventriculography, Visipaque dye injected that ____ atomspheres. Can't make out 6 or 600. sm
Hopefully there is someone around who has done a lot of cath lab who can give me some idea of what sounds right or sounds like wayyyy too much. This is a very difficult ESL and I am learning cath lab on this very very difficult fellow.
Thanks for your help in advance.
The stereotaxis catheter was advanced to the ____ sheath and placed in the left atrium.
Subject: The stereotaxis catheter was advanced to the ____ sheath and placed in the left atrium.
TIA
Partial answer: ventricles and sulci are ____ prominent (mildly, moderately, severely?) nm
Subject: Partial answer: ventricles and sulci are ____ prominent (mildly, moderately, severely?) nm
.
Range of motion of his lower extremities was full in range accompanied by mild ____ sign
Subject: Range of motion of his lower extremities was full in range accompanied by mild ____ sign
.
supine ____ cuff stress test for stress incontinence
Subject: supine ____ cuff stress test for stress incontinence
x
Okay, I am hearing ____ formation, maybe crack formation
Subject: Okay, I am hearing ____ formation, maybe crack formation
She has a grayish, frothy discharge that is KOH ____ test positive. S/l 'with' test positive?
Subject: She has a grayish, frothy discharge that is KOH ____ test positive. S/l 'with' test positive? nm
..
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