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outflow murmur? can be pulmonary or aortic. nm

Posted By: Txczech on 2008-10-21
In Reply to: type of flow murmur? - MTme

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




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outflow or outflow tract maybe - nm
Subject: outflow or outflow tract maybe - nm


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


outflow tract
Subject: outflow tract

outflow tract gradient?
retardation of the venous outflow in a part.
Subject: retardation of the venous outflow in a part.

x
Does it sound like possibly outflow obstruction and hypokinesis is usually in an area describing the
Subject: Does it sound like possibly outflow obstruction and hypokinesis is usually in an area describing the movement, i.e.

apical hypokinesis
left ventricular hypokinesis
segmental
etc.

aortic?
Subject: aortic?


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." 


Anyone know what this is?


TIA


murmur
Subject: murmur

2/6 systolic murmur???


murmur
Subject: murmur

grade 2/6 soft ejection murmur?
AH murmur
Subject: AH murmur

Anyone ever hear , "2/6 systolic "AH" murmur heard best . . . What's AH?? Arterial hypertension, perhaps?? thanks

2/6 murmur
Subject: 2/6 murmur

x
murmur
Subject: murmur

I keep getting conflicting feedback from supervisor - 1/6 or I/VI systolic ejection murmur???  thanks!
aortic insufficiency
Subject: aortic insufficiency

1+ aortic insufficiency


I need help understanding the 1 plus. Any clues? This was on the pt's echocardiogram


HNE Aortic Aneurysm????
Subject: HNE Aortic Aneurysm????

Has anyone heard of this??
could it be aortic bifurcation
Subject: could it be aortic bifurcation

could it be aortic bifurcation
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!!
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!
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
Where is the murmur heard best? nm
Subject: Where is the murmur heard best? nm


without ectopy or murmur
Subject: without ectopy or murmur

I would have to hear myself what you are hearing as
"GYN: Morbid hemoglobin, but it's just "Bowel sounds were active throughout." GYN doesn't go at the end of that sentence.

Could you be hearing the next subheading of the exam, possibly
Genitalia: Something or other? Maybe "Genitalia: Normal."

With "hemoglobin" starting the lab section?




s/l trasis??? murmur
Subject: s/l trasis??? murmur

I cannot make out this word clearly...  Slow in rate with a trasis murmur
holosystolic murmur NM
Subject: holosystolic murmur NM

xx
systolic murmur
Subject: systolic murmur


aortic root is correct, plus SM
Subject: aortic root is correct, plus SM

probably "Mitral valve - grossly normal valve leaflet morphology and motion."

"Left ventricle - normal systolic and diastolic dimensions, grossly normal segmental wall motion and systolic function overall."

"Aortic valve - mildly sclerotic valve leaflets with no frank stenosis or regurgitation."

Where it says "Atrium normal.", listen for "Right atrium - normal."

Also maybe: "No significant effusion. Intracardiac masses or thrombi - none observed."

And a couple of other places where similar dashes would be appropriate.
maybe "preservation" of the aortic leaflets
Subject: maybe "preservation" of the aortic leaflets

or maybe effacing????
It could have been AFV (aortic flow velocity) or APV sm
Subject: It could have been AFV (aortic flow velocity) or APV sm

(average peak velocity). Also listed under "velocity" is aortic jet velocity and A-peak velocity, though there are no abbreviations provided with these.

ESLs should NOT abbreviate!

Wish I could be of more help.
HELP! Talking about aortic aneurysm
Subject: HELP! Talking about aortic aneurysm

The sentence is:


An ultrasound was done today, revealing it (aortic aneurysm) is now 4.9 cm and perhaps s/l chuck sterinal


s/l chuck stir eenal...???
I am sure I should know this...TIA


s/l thoratic aortic dissection....
Subject: s/l thoratic aortic dissection....

There is a history of hypertension, (s/l thoratic aortic dissection) ?


 


Thanks


It's thoracic aortic dissection
Subject: It's thoracic aortic dissection


Aortic valve type
Subject: Aortic valve type

Okay, my brain is tired.  ESL dict. ROS:  Cardiovascular:  He patient has an aortic __________ valve replacement.   He has a history of rheumatic fever.


S/L sen-chewed.


I know this is simple but it won't come to me.  This guy is a regular but I'm stumped. 


aortic or arteriosclerotic aneurysm?
Subject: aortic or arteriosclerotic aneurysm?


porquine aortic valve
Subject: porquine aortic valve

Has anyone come across this - he spells it for me "porquine" aortic valve.  I was thinking maybe porcine, but he spells it as above.  Please help!
Aortic valve replacement
Subject: Aortic valve replacement

s/l koprenthee a-overs valve
Heart murmur grades 2 or II
Subject: Heart murmur grades 2 or II

Has this been changed yet from roman numerals to Arabic as far as AAMT guidelines?
Heart murmur, esh and no palpatation
Subject: Heart murmur, esh and no palpatation

what is esh, can't find it?


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.

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"


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!
I wonder if he means grade 3/6-5/6 murmur
Subject: I wonder if he means grade 3/6-5/6 murmur


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!
mono heart murmur?
Subject: mono heart murmur?

A report came back with:  mono heart murmur; cannot find in google or my Steman's cardio book..  Wondering whether to enter this in my expander.  Any feedback appreciated.


 


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

soft, 1/6, aortic "gout" flow murmur but otherwise no murmurs, rubs or gallops.
murmur "blowing out S1" is more common...nm
Subject: murmur "blowing out S1" is more common...nm


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

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