Doc dictates 3/5 systolic murmur (sm)
Posted By: tiff on 2007-12-13
In Reply to:
Subject: Doc dictates 3/5 systolic murmur (sm)
I always thought the last number was 6. Does this make sense? TIA!
Complete Discussion Below:  marks the location of current message within thread
The messages you are viewing
are archived/old.
To view latest messages and participate in discussions, select
the boards given in left menu
Other related messages found in our database
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!
systolic murmur
Subject: systolic murmur
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 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
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
MTPockets
Short harsh systolic murmur? NM
Subject: Short harsh systolic murmur? NM
Ever heard of a medicine called Fercon? (systolic murmur)
Subject: Ever heard of a medicine called Fercon? (systolic murmur)
I can't find it in my drug list and the only thing that comes up is Google/WebMD but it doesn't give anything about it at all. Anyone know what Fercon is/where I can find the info on it at? TIA 
ejection (or early) systolic murmur at the anterior ascending right and (or "or") left lower s
Subject: ejection (or early) systolic murmur at the anterior ascending right and (or "or") left lower sternal border (?)
He has a whistling type 3/6 systolic ejection murmur best heard at the left *heart or hard* border.
Subject: He has a whistling type 3/6 systolic ejection murmur best heard at the left *heart or hard* border.
He has a whistling type 3/6 systolic ejection murmur best heard at the left *heart or hard* border. 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
S/D/M = systolic, diastolic, mean. sm
Subject: S/D/M = systolic, diastolic, mean. sm
SDNN = standard deviation of normal to normal beats.
Do either of these fit?
There is no SBN as far as I know.
Possible end-systolic dimension
Subject: Possible end-systolic dimension
Figured it out - he's just saying systolic
Subject: Figured it out - he's just saying systolic
S/L Shorharz systolic mumur nt
Subject: S/L Shorharz systolic mumur nt
what about "on the order of" 170 systolic.
Subject: what about "on the order of" 170 systolic.
Meaning - for example
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.
cardiology.... retained systolic function and no change in her.....
Subject: cardiology.... retained systolic function and no change in her.....
s/l end D and D systolic dimension from her last echo
Blood pressure elevated in the s/l orders of 170 systolic - placed on atenolol
Subject: Blood pressure elevated in the s/l orders of 170 systolic - placed on atenolol
acute and chronic left ventricular systolic function
Subject: acute and chronic left ventricular systolic function
:)
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!
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!!
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
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?
Could be "systolic murmur is not heard"
Subject: Could be "systolic murmur is not heard"
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
Under PMH. MD dictates: sm
Subject: Under PMH. MD dictates: sm
Status post trauma/repair to patient’s eye.
Would you leave this as is with the slash or change it? I am permitted to change things when necessary. Thanks.
What do you do when the doc dictates sm
Subject: What do you do when the doc dictates sm
... and I gave the patient 50 "mikes" of whatever medication. One said to spell it m-i-q-u-e-s, one said to use m-i-k-e-s, and one hospital said not to use it at all. So, does it stand for micrograms? Should we use slang? Aghh! Help, please.
I would put as doc dictates..sm
Subject: I would put as doc dictates..sm
if he says "calcium one every day" I would not input the q.d., but I would expand it as "calcium, one tablet every day." jmo and how I have been doing it with no complaints.
Exactly the way MD dictates it
Subject: Exactly the way MD dictates it
If the patient could see anything at all (I had one today where the patient could see 20/1760), then the MD would have given the value, but when there is nothing there, you just type nothing. I have a verbatim account, but even if I didn't, I still would not change it to 20/0 as that lone "0" could be mistaken as something else.
If a Dr. dictates
Subject: If a Dr. dictates
"posterior tib", meaning posterior tibial artery, do you type the abbreviation or go ahead and type out tibial?
if that's the way he/she dictates it...then yes I would. nm
Subject: if that's the way he/she dictates it...then yes I would. nm
xxx
|
