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Noted from a patient with dyspnea on exertion "During ventricular systole, the valve is dome-shap

Posted By: MT50 on 2008-02-15
In Reply to: pulmonary valve which s/l domes during systole? TIA - charlie

Subject: Noted from a patient with dyspnea on exertion "During ventricular systole, the valve is dome-shaped with a small central orifice... "




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DOE (dyspnea on exertion) for UE nm
Subject: DOE (dyspnea on exertion) for UE nm

x
Dyspnea on exertion nm
Subject: Dyspnea on exertion nm


S/L *anginopectris* and dyspnea on exertion.
Subject: S/L *anginopectris* and dyspnea on exertion.

/
s/l ten block dyspnea on exertion
Subject: s/l ten block dyspnea on exertion

cannnot find these words connected, not sure if a comma divides them . the man has Marfans syndrome with DOE and chest pain, on Inderal, also has mitral prolapse and regurgitation. can you help? thanks
Pt with dyspnea on exertion. Test s/l macro allogetted albumen lung scans"
Subject: Pt with dyspnea on exertion. Test s/l macro allogetted albumen lung scans"

The patient went through an extensive workup that included cardiopulmonary exercise testing, __ lung scans, CT angiograms, cardiocatheterization, echocardiograms, and pulmonary function testing.


pulmonary valve which s/l domes during systole? TIA
Subject: pulmonary valve which s/l domes during systole? TIA

xx
yeah, if the patient has had a valve replacement(nm)
Subject: yeah, if the patient has had a valve replacement(nm)


there are high and low dome patellar implants if you search. Might be looking for a brand name,
Subject: there are high and low dome patellar implants if you search. Might be looking for a brand name,

s
Thank you, but it still sounds like mod changes noted or motive changes noted. Maybe he shortened.
Subject: Thank you, but it still sounds like mod changes noted or motive changes noted. Maybe he shortened.


Mitral valve replacement with a #27 St. Jude valve.. or 27..thank you
Subject: Mitral valve replacement with a #27 St. Jude valve.. or 27..thank you


systole
Subject: systole


in systole. nm.
Subject: in systole. nm.

nm.
end systole?
Subject: end systole?


de-systole
Subject: de-systole

Intraoperatively, the patient had desystole.  This corrected with epinephrine and atropine. 


I can't find desystole, and my spell check is suggesting dyssystole, which I can't find either.  Anybody know what the correct spelling would be?  


no, clearly says DE-systole
Subject: no, clearly says DE-systole

x
systole
Subject: systole


I would agree with mmk and end-systole
Subject: I would agree with mmk and end-systole


So...is it 'in' or 'end' systole.
Subject: So...is it 'in' or 'end' systole.


end-systole - I just looked it up and it is hypenated
Subject: end-systole - I just looked it up and it is hypenated


Cardiovascular: No S3, ??rev, or early systole
Subject: Cardiovascular: No S3, ??rev, or early systole

Anyone know if its REV, rev, RAV, rav, etc..  Can't figure it out. 


dyspnea ?
Subject: dyspnea ?

n
dyspnea?
Subject: dyspnea?


dyspnea
Subject: dyspnea

Yes, thanks... I don't know why I didn't hear that... Duh
sounds like dyspnea
Subject: sounds like dyspnea


10-block dyspnea
Subject: 10-block dyspnea

He probably means 10-block dysnea, meaning the patient gets dyspnea when walking 10 blocks
? exertional dyspnea
Subject: ? exertional dyspnea


premature auricular systole? pulmonary artery stenosis? nm
Subject: premature auricular systole? pulmonary artery stenosis? nm


paroxysmal nocturia ON dyspnea? is that ok? or
Subject: paroxysmal nocturia ON dyspnea? is that ok? or

paroxysmal notcuria or dyspnea?
Could it be Paroxsymal nocturnal dyspnea?
Subject: Could it be Paroxsymal nocturnal dyspnea?


paroxysmal nocturnal dyspnea
Subject: paroxysmal nocturnal dyspnea


paroxysmal nocturnal dyspnea. NM
Subject: paroxysmal nocturnal dyspnea. NM

x
paroxysmal nocturnal dyspnea (nm)
Subject: paroxysmal nocturnal dyspnea (nm)

xx
Google "block dyspnea" in quotes like that. nm
Subject: Google "block dyspnea" in quotes like that. nm


maybe BDI (baseline dyspnea index) a score of 1 would indicate severe impairment. Just a guess.
Subject: maybe BDI (baseline dyspnea index) a score of 1 would indicate severe impairment. Just a guess.

x
ventricular septoplasty (VSD) perhaps?
Subject: ventricular septoplasty (VSD) perhaps?


Thank you, you are right for the "left ventricular' sm
Subject: Thank you, you are right for the "left ventricular' sm

part. I am just not certain that my thinking is right when it comes to some of this stuff. The 2-D is very nice of you to point out. You may be very well correct about that as well. I will have to once again go back and listen.

Thank you so much.
right ventricular strain? nm
Subject: right ventricular strain? nm


probably saying an 8-beat run of ventricular
Subject: probably saying an 8-beat run of ventricular

tachycardia.  That's the usual phrase.
ventricular tachycardia
Subject: ventricular tachycardia


Rapid ventricular rate nm
Subject: Rapid ventricular rate nm

//
it's V-tach for ventricular tachycardia.
Subject: it's V-tach for ventricular tachycardia.


It would be left ventricular hypertrophy
Subject: It would be left ventricular hypertrophy

and I would expand it.

Hyperplasia is an excess of normal tissue. Specifically, it is the increased cell production in a normal tissue or an organ. Hyperplasia may be a sign of precancerous changes.


No a ventricular brain drain. nm
Subject: No a ventricular brain drain. nm

.
mono....ventricular tachycardia
Subject: mono....ventricular tachycardia

That's monomorphic ventricular tachycardia.  Have a good evening.
distal ventricular tachycardia?
Subject: distal ventricular tachycardia?

I am struggling with what sounds like either distal or dysvul or something like that - ventricular tachycardia wtih an implantable difibrillator- any ideas? 
as in ventricular tachycardia? or spelled out VTAC?
Subject: as in ventricular tachycardia? or spelled out VTAC?


s/l plusteral lateral ventricular branch
Subject: s/l plusteral lateral ventricular branch

it's only my second day so if this is something i'm going to go "oh, duh!" about please don't tear me a new one! :-D
left ventricular frontal lobe (NM)
Subject: left ventricular frontal lobe (NM)

dd
it's usually "left ventricular filling pressures"
Subject: it's usually "left ventricular filling pressures"


Acute "onchronic" left ventricular
Subject: Acute "onchronic" left ventricular


Could it be PLVB - posterolateral ventricular branch
Subject: Could it be PLVB - posterolateral ventricular branch