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Figured it out - he's just saying systolic

Posted By: Thanks on 2008-09-05
In Reply to: Cardio s/l need help please - Thank you

Subject: Figured it out - he's just saying systolic




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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!
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


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


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!
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
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
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.

Short harsh systolic murmur? NM
Subject: Short harsh systolic murmur? NM


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


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 
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

:)
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


s/l “the hell with systolic anterior motion of the anterior mitral leaflet is noted.”
Subject: s/l “the hell with systolic anterior motion of the anterior mitral leaflet is noted.”

From a TEE report (doctor with thick Indian accent):


s/l “the hell with systolic anterior motion of the anterior mitral leaflet is noted.”


 


 


Figured it out.
Sorry, I hate it when I make it more difficult than it really is.  I was thinking he was saying something more scientific, but he was actually just saying: As is his sister and parents.
figured it out DUH
Subject: figured it out DUH

figured it out, its parentheses.  DUH
figured it out...
Subject: figured it out...

he is saying 'this is not increasing'. Duh! Thanks everyone.
Thanks all but I just figured it out...sm
Subject: Thanks all but I just figured it out...sm

It is Ticlid. She was pronouncing the "i" as a "y". Just went to snatch a cup of coffee and it came to me, lol. Have a good 4th.
I figured it out. It is EPS. Thanks.
Subject: I figured it out. It is EPS. Thanks.


Thanks I figured it out.
Subject: Thanks I figured it out.


Figured it out!
Subject: Figured it out!

She was saying "hyper - h-y-p-e-r- kalemia.
I just figured that out. Thank you:)
Subject: I just figured that out. Thank you:)

xx
figured it out!
Subject: figured it out!

multiple endocrine neoplasia (MEN)
Yahoooo!
Ahh I figured it out..
Subject: Ahh I figured it out..

polyarticular JRA
I figured it out... DUH!
Subject: I figured it out... DUH!

It's tall kneeling!  Jeez....I guess I'm too tired to be typing...every time I looked up about tall mewing I just got information about cats! 
Thanks to both of you, I figured they were both used
Subject: Thanks to both of you, I figured they were both used

Thanks

Tx everybody figured it out
Subject: Tx everybody figured it out


figured it out. Thanks anyway. nm
Subject: figured it out. Thanks anyway. nm

....
Figured it out. nm
Subject: Figured it out. nm


I figured it all out.
Subject: I figured it all out.

Okay, i figured this whole sentence out.
I figured it out sm
Subject: I figured it out sm

HFN - high flow nebulizer
I think I figured it out sm
Subject: I think I figured it out sm

"watch ticks" !!!!
Thanks, I should have figured that out. nm
Subject: Thanks, I should have figured that out. nm

nm

Figured it out
Subject: Figured it out


Figured it out - IPV
Subject: Figured it out - IPV


Figured it out.
Subject: Figured it out.


Thanks. I figured it had to be something like that
Subject: Thanks. I figured it had to be something like that

Of course, she always says AVSS afebrile, which makes it kind of redundant, but why should that surprise me?


I figured it out - Ery-Tab 333 nm
Subject: I figured it out - Ery-Tab 333 nm


That's it. Should have figured that out when sm
Subject: That's it. Should have figured that out when sm

he went on to say the patient thought she had "patchitis" (pouchitis).


Thank you!!


figured it out
Subject: figured it out


I think I figured it out. Thanks.
Subject: I think I figured it out. Thanks.

Persantine.  I just found referance to a Persantine stress test.  That would explain the cardiologist being involved. 
Figured it out. Thanks
Subject: Figured it out. Thanks

Sub-Tenon injection