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Could it be regular heart sounds?

Posted By: 99MT on 2007-11-05
In Reply to: s/l nuclear heart sounds - Dee

Subject: Could it be regular heart sounds?




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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.
HEART: Regular rate and rhythm, S1 and S2 s/l plus zero?
Subject: HEART: Regular rate and rhythm, S1 and S2 s/l plus zero?

nm
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.

Heart regular rate and rhythm?
Subject: Heart regular rate and rhythm?


The heart rate was regular without fills?,
Subject: The heart rate was regular without fills?,

The heart rate was regular without fills?, murmurs, clicks, or rubs.
On PE heart section doc says "Heart irregular rate regular"?? is that right
Subject: On PE heart section doc says "Heart irregular rate regular"?? is that right

pt with afib

Heart: Regular rate and rhythm, no murmur, s/l (no extra beat) is hear
Subject: Heart: Regular rate and rhythm, no murmur, s/l (no extra beat) is hear


Phys. Exam on 2 yr - Heart regular rate. s/l vascularity or back appears intact? r
Subject: Phys. Exam on 2 yr - Heart regular rate. s/l vascularity or back appears intact? r


Sounds like - regular haint (?) dilators were used for D&C.
Subject: Sounds like - regular haint (?) dilators were used for D&C.

 
Phys exam on 2 yr old - Heart regular rate. ?? s/l vascularity appears intact or back appears int.
Subject: Phys exam on 2 yr old - Heart regular rate. ?? s/l vascularity appears intact or back appears int.


regular RS might be regular rhythm strip if the doc is old fashioned. nm
Subject: regular RS might be regular rhythm strip if the doc is old fashioned. nm

s
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


s/l nuclear heart sounds
Subject: s/l nuclear heart sounds

No JVD or bruits, s/l "nuclear" heart sounds are normal.
"Metallic"?? heart sounds...is that right??
Subject: "Metallic"?? heart sounds...is that right??


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*


Probably regular
Subject: Probably regular

since everything else was normal
s/l S1, S2, regular RS
Subject: s/l S1, S2, regular RS

Is that right?  One of my infamous ESLs that I always makes me want to pull my hair out!  TIA


30 R (regular) and 60 NPH
Subject: 30 R (regular) and 60 NPH


look in your regular dictionary
Subject: look in your regular dictionary

there is a word syncopize, derivative of syncopate, derivative of syncope.
As a regular helper here, thank YOU both!! nm
Subject: As a regular helper here, thank YOU both!! nm

x
Need a regular dictationary for this one!
Subject: Need a regular dictationary for this one!

The correct word is "integral". It means "pertaining to an essential part of the whole".
Okay, QA says regular insulin
Subject: Okay, QA says regular insulin

Is this correct? I was taught it the R was capitalized, but maybe things have changed. My Stedman's says Regular, but I know I read in my company newsletter that it was a small R.  I don't want to get a critical error. Guess where I work????


TIA!!


Regular insulin
Subject: Regular insulin

I've seen regular insulin typed both capitalized (Regular) and small (regular).  Anyone know for sure which is correct?  Anyone know which one the AAMT prefers?  Thanks in advance! 


Tammy


Regular insulin
Subject: Regular insulin

Thank you!  I didn't think it should be but you never know.  I know the brand names like Humulin and Lantus are but it kind of puzzled me to see "regular" capitalized. 


 


 


How about regular insulin?
Subject: How about regular insulin?

Maybe?
No - he definitely is saying "regularly regular"
Subject: No - he definitely is saying "regularly regular"

x
s/l occasional DE regular.
Subject: s/l occasional DE regular.

Vitals: Height 5 foot 2 inches. Weight 334 pounds. Pulse 76 and s/l occasional DE regular. Respiratory rate is about 18 per minute.

TIA!!
i would go with regular also in view of the overall sentence
Subject: i would go with regular also in view of the overall sentence


That's a regular word, gamut.
Subject: That's a regular word, gamut.

nm
s/l S1, S2, regular. RS lungs: Clear
Subject: s/l S1, S2, regular. RS lungs: Clear

He runs the whole thing together with a heavy accent, so not sure if the RS goes with the S1, S2 or if it is RS lungs. TIA!


alternative to regular placement nm
Subject: alternative to regular placement nm


Just a regular old-fashioned IVP. They rarely do those.
Subject: Just a regular old-fashioned IVP. They rarely do those.


s/l "kitshocks" with regular insulin coverage
Subject: s/l "kitshocks" with regular insulin coverage

s/l "kitshocks" with regular insulin coverage
elected to use a regular 3- to 5-cm *MDS* catheter. (cannot document) nm
Subject: elected to use a regular 3- to 5-cm *MDS* catheter. (cannot document) nm


Your Lispro sentence might be "with" her regular..& you usually hear
Subject: Your Lispro sentence might be "with" her regular..& you usually hear

s
Patient has not used Advair or s/l humulair on a regular basis. sm
Subject: Patient has not used Advair or s/l humulair on a regular basis. sm

Asthma exacerbation.  Pt is on prednisone, albuterol, Atrovent, Clarinex, and Augmentin. 


Would use telemetry. Cardiac patients often go there before hitting the regular floors. nm
Subject: Would use telemetry. Cardiac patients often go there before hitting the regular floors. nm

s
nope, regular great dictator, very clear. Spells: A-L-O-N.
Subject: nope, regular great dictator, very clear. Spells: A-L-O-N.


Ever hear of a regular "spadolence" followup for breast cancer...?
Subject: Ever hear of a regular "spadolence" followup for breast cancer...?


couching? laying down a thread and fastening it with small stitches at regular intervals
Subject: couching? laying down a thread and fastening it with small stitches at regular intervals