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cardiology.... retained systolic function and no change in her.....

Posted By: debbie on 2007-05-08
In Reply to:

Subject: cardiology.... retained systolic function and no change in her.....

s/l end D and D systolic dimension from her last echo




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acute and chronic left ventricular systolic function
Subject: acute and chronic left ventricular systolic function

:)
retained?
Subject: retained?


debris; retained
Subject: debris; retained

nm
retained hardware.
Subject: retained hardware.


? retained products of conception
Subject: ? retained products of conception

x
question...he does say retained products from then just goes into the will have a D&C. .....
Subject: question...he does say retained products from then just goes into the will have a D&C. .....

he never finishes after the products from.. so just put products, does that still made sense or should i put conception, thinking he just did not finish it?  Thank you
Could it be retained piece of glass?
Subject: Could it be retained piece of glass?


Patient had retained placental membrane or *chorthalidon*.....sm
Subject: Patient had retained placental membrane or *chorthalidon*.....sm

This doctor is foreign and really mispronounces words so I may be way off but it sounds like either *chorthalidon* or *cord thalidon*.
Systolic murmur
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!
S/D/M = systolic, diastolic, mean. sm
Subject: S/D/M = systolic, diastolic, mean. sm

SDNN = standard deviation of normal to normal beats.

Do either of these fit?

There is no SBN as far as I know.
Possible end-systolic dimension
Subject: Possible end-systolic dimension


Figured it out - he's just saying systolic
Subject: Figured it out - he's just saying systolic


systolic murmur
Subject: systolic murmur


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.

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


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


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

I always thought the last number was 6.  Does this make sense?  TIA!
S/L Shorharz systolic mumur nt
Subject: S/L Shorharz systolic mumur nt


what about "on the order of" 170 systolic.
Subject: what about "on the order of" 170 systolic.

Meaning - for example
hole systolic murmur
Subject: hole systolic murmur

Has anyone heard of a hole systolic murmur?  The doctor dictates that it is a hole systolic at the apex. 
1/6 vs 1/VI systolic ejection murmur.
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.
Systolic ejection murmur...
Subject: Systolic ejection murmur...

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

MTPockets
Heart: S1, S2 regular. S/l systolic is noted
Subject: Heart: S1, S2 regular. S/l systolic is noted

Or maybe systolic ____ is not heard.

Short harsh systolic murmur? NM
Subject: Short harsh systolic murmur? NM


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

I can't find it in my drug list and the only thing that comes up is Google/WebMD but it doesn't give anything about it at all.  Anyone know what Fercon is/where I can find the info on it at?  TIA 
Blood pressure elevated in the s/l orders of 170 systolic - placed on atenolol
Subject: Blood pressure elevated in the s/l orders of 170 systolic - placed on atenolol


ejection (or early) systolic murmur at the anterior ascending right and (or "or") left lower s
Subject: ejection (or early) systolic murmur at the anterior ascending right and (or "or") left lower sternal border (?)


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


LB or LD function
Subject: LB or LD function

The doc lists a number of pt. problems and throws in "normal LB or LD function."  Which would it be LB or LD?  thanks!
renal function
Subject: renal function

Doc says....


Her echo  showed a severely compromised ventricle as well as severely compromised renal function.


Can renal function be seen on an echocardiogram?


spontaneous function?
Subject: spontaneous function?


I would think it would be pulmonary function. - nm
Subject: I would think it would be pulmonary function. - nm

nm
I don't think in DocQscribe we have that function
Subject: I don't think in DocQscribe we have that function

I was told no underlining or bolding or suprascript/subcript can be used in the program DocQscribe (which some of us do use) - and is why I typed to the OP *10 to the 5th*


I saw another poster one day says it's *10X5*  but I don't like the way that looks


I asked a CMT a month ago (friend of mine who used to head a chapter of the AAMT) and she said she thought it was a good question and that she would use 10 to the 5th.


Just 2 opinions here...


well if F4 turns on and off a function....
Subject: well if F4 turns on and off a function....

Don't know what system you work on....but I think if one uses a function to turn something on, perhaps the same function you used to turn something on would/might turn the function off....


i.e., I use F4 for expansions but if I don't want something expanded I hit F4 to NOT expand something...like if an expansion is ER turning into emergency room but the dictator said ER and not stated emergency room, the F4 function would stop ER from expanding to emergency room.


Hope that explains things better......


kidney function
Subject: kidney function

Volume overload thought to be secondary to s/l allocuric acute kidney injury.


probably normal LV function
Subject: probably normal LV function

meaning left ventricular
Transient? Function coming and going?
Subject: Transient? Function coming and going?

dd
Voltaneous function of nodule?
Subject: Voltaneous function of nodule?

Observation of resolution or decrease in size of her nonfunctioning nodules as well as evidence of ___________ function in other nodules suggested that none of these are at significant increased risk for being malignant.


 


blank s/l voltaneous?


Re pulmonary function studies, s/l FED-1 - ?
Subject: Re pulmonary function studies, s/l FED-1 - ?

Doctor dictates... Prior to bronchodilator her FVC was 69% predicted and s/l FED-1 was 58% predicted.


Thanks!


Pulmonary function studies
Subject: Pulmonary function studies

It's "FEV-1". I think it means forced expiratory volume. FVC is forced vital capacity.
he had liver function tests in your....
Subject: he had liver function tests in your....

office which continued to show a mild elevation of his GGPT and CPK.


Is the GGPT correct?  Thank you


androgenic function level?
Subject: androgenic function level?

no message
pulmonary function test
Subject: pulmonary function test

Pulmonary function test is the first part. FVE1 and FEF25-75, FVC, are some of the terms used.
higher cortical function..........
Subject: higher cortical function..........

x
decreased renal function. His *EFR* was 49 ml
Subject: decreased renal function. His *EFR* was 49 ml


renal function panel?
Subject: renal function panel?

x
Pulmonary function test -- FEF
Subject: Pulmonary function test -- FEF

How would you transcribe this? Dr. dictates "FEV 25 75 is ____%" 


Thanks.


This is a shot in the dark, something like "cranial" function??? NM
Subject: This is a shot in the dark, something like "cranial" function??? NM

x
intact cranial NERVE function?
Subject: intact cranial NERVE function?


Probably "LFTs" - liver function tests. .nm
Subject: Probably "LFTs" - liver function tests. .nm

.