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

Posted By: Sue on 2008-07-16
In Reply to:

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!


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Usually hear regularly irregular or irregularly irregular. Regular
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Subject: thanks it was irregular!!!


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Subject: It should be irregularly irregular.


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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.

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Subject: Might be irregularly irregular.. rhythm all over the place. nm

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Subject: No distinct heart sounds. Irregular.

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Subject: s/l two-four murmur

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TIA


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Subject: Could it be flow murmur?


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Subject: Where is the murmur heard best? nm


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Subject: s/l trasis??? murmur

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Subject: holosystolic murmur NM

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systolic murmur
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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 "blowing out S1" is more common...nm


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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"
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Systolic ejection murmur...
Subject: Systolic ejection murmur...

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


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Subject: outflow murmur? can be pulmonary or aortic. nm


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

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heart murmur with roman numerals?
Subject: heart murmur with roman numerals?

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

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