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s/l nuclear heart sounds

Posted By: Dee on 2007-11-05
In Reply to:

Subject: s/l nuclear heart sounds

No JVD or bruits, s/l "nuclear" heart sounds are normal.


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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


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.
Distinct or Distant Heart Sounds?
Subject: Distinct or Distant Heart Sounds?

What is more commonly said?  Thanks!
No distinct heart sounds. Irregular.
Subject: No distinct heart sounds. Irregular.

Would a doctor ever say "No distinct heart sounds"?


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*


are you sure the doc is saying nuclear
Subject: are you sure the doc is saying nuclear

He could be using doc shortspeak by saying "myo" for myocardial and then following it with perfusion scan.

Have never heard of a myonuclear scan, but have definitely heard of myocardial perfusion scans.

maybe nuclear SPECT, not sure on other (nm)
Subject: maybe nuclear SPECT, not sure on other (nm)

x
Nuclear Med Renogram
Subject: Nuclear Med Renogram

The doc says T one-half of clearance from peak activity..  What is the correct way to type this?  TIA


3+ nuclear sclerosis or three plus nuclear sclerosis
Subject: 3+ nuclear sclerosis or three plus nuclear sclerosis

nm
first s/l is nuclear sclerosis. Second is dermatochalasis. nm
Subject: first s/l is nuclear sclerosis. Second is dermatochalasis. nm

x
s/l IV **identosy** nuclear study... sm
Subject: s/l IV **identosy** nuclear study... sm

Patient has an IV **_____** nuclear study which suggests underlying ischemic heart disease. 


 


THANKS!


Can you hear nuclear sclerotic? nm
Subject: Can you hear nuclear sclerotic? nm

nm
anti-nuclear antibodies?
Subject: anti-nuclear antibodies?


Black nuclear grade
Subject: Black nuclear grade


nuclear motion loss?
Subject: nuclear motion loss?

Could it be? 
never mind figured it out ... NS (nuclear sclerotic). Thanks
Subject: never mind figured it out ... NS (nuclear sclerotic). Thanks


PTC singlets in nuclear stress test?-sm
Subject: PTC singlets in nuclear stress test?-sm

Stress testing was positive for subjective epigastric pain during exercise. There were no ST changes, but there were ______________________ with stress. Sounds like "PTC or PDC singlets."
nuclear sclerotic lesions came up a bit on google? nm
Subject: nuclear sclerotic lesions came up a bit on google? nm

..
What part of body? There are Myoview and nuclear
Subject: What part of body? There are Myoview and nuclear

scans of heart.
Probably mumbling a Myoview nuclear scan...nm
Subject: Probably mumbling a Myoview nuclear scan...nm

nm
Ceretec is correct if it is a nuclear medicine study nm
Subject: Ceretec is correct if it is a nuclear medicine study nm

.
Fuhrman nuclear grading system or classification.
Subject: Fuhrman nuclear grading system or classification.

:)
NM- nuclear medicine white blood cell scan
Subject: NM- nuclear medicine white blood cell scan

Y could be white
nuclear medicine lung perfusion/ventilation **s/l technetium-99m MA**...sm
Subject: nuclear medicine lung perfusion/ventilation **s/l technetium-99m MA**...sm

I'm questioning the MA.  I can't document it anywhere. 


Thank you for any help... 


Has anyone heard of s/l Lexy Scan nuclear study (cardiac). nm
Subject: Has anyone heard of s/l Lexy Scan nuclear study (cardiac). nm

x
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