He has a whistling type 3/6 systolic ejection murmur best heard at the left *heart or hard* border.
Posted By: Shasta on 2009-01-21
In Reply to:
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
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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 (?)
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.
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
Could also be "a systolic murmur is heard"
Subject: Could also be "a systolic murmur is heard"
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 
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
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!
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.
Short harsh systolic murmur? NM
Subject: Short harsh systolic murmur? NM
left sternal border
Subject: left sternal 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
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.
Per Stedman's, LLB is left lower border, sm
Subject: Per Stedman's, LLB is left lower border, sm
as it lists LLBCD as left lower border of cardiac dullness, so LLB is probably okay for your doc's use. We usually hear LSB for left sternal border with regard to murmurs. Can you hear LSB?
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 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?
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.
heart murmur with roman numerals?
Subject: heart murmur with roman numerals?
I have always typed heart murmur (ex: 2/6 ejection murmur). However, I have a new NP who states it using roman numerals (II/VI ejection murmur). Which is correct? Thanks!
Heart: (“cephalic ejects”) murmur?
Subject: Heart: (“cephalic ejects”) murmur?
Heart: (“cephalic ejects”) murmur, same mumbling Dr. anyone know what he is trying to say?
acute and chronic left ventricular systolic function
Subject: acute and chronic left ventricular systolic function
:)
LVEF = left ventricular ejection fraction
Subject: LVEF = left ventricular ejection fraction
x
LVEF left ventricular ejection fraction
Subject: LVEF left ventricular ejection fraction
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
Left ventricular S/L"Obb V" reveald ejection fraction of S/L "four to zero percent" TIA
Subject: Left ventricular S/L"Obb V" reveald ejection fraction of S/L "four to zero percent" TIA
nm
Where is the murmur heard best? nm
Subject: Where is the murmur heard best? nm
Could be "systolic murmur is not heard"
Subject: Could be "systolic murmur is not heard"
I am hearing the "n" either noted or not heard, but I don't hear murmur. sm
Subject: I am hearing the "n" either noted or not heard, but I don't hear murmur. sm
I just don't hear "murmur" though. He is a heavy ESL so it could be murmur I guess. He says this on several patients and I cannot hear murmur in any. I will keep listening.
hard to guess...LB could be left brachial, R could be radial, RT could be s/l for arterial sm
Subject: hard to guess...LB could be left brachial, R could be radial, RT could be s/l for arterial sm
brachial arterial lines and radial arterial lines are commonly used...
type of flow murmur?
Subject: type of flow murmur?
soft, 1/6, aortic "gout" flow murmur but otherwise no murmurs, rubs or gallops.
cardio.. An echo will assess left and right heart function....
Subject: cardio.. An echo will assess left and right heart function....
as well as (a) diastolic parameters (and) LVH.
It does not sound right with the a in there and I assume it is the word and, and not in. He does a New York accent and sometimes it is hard to tell. thank you
The patient had a heart cath taht did not show any s/l "mora" or gradient across teh left vent
Subject: The patient had a heart cath taht did not show any s/l "mora" or gradient across teh left ventricle.
Anyone heard of a "bottle-shaped" heart, please? Thanks for any help..
Subject: Anyone heard of a "bottle-shaped" heart, please? Thanks for any help..
Yikes. Meant to type hard to find. I will go now!!! nm
Subject: Yikes. Meant to type hard to find. I will go now!!! nm
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.
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.
Anybody heard of canpath? Autoimmune disease resulting from heart/lung transplant. TIA. nm
Subject: Anybody heard of canpath? Autoimmune disease resulting from heart/lung transplant. TIA. nm
nm
infant heart condition: s/l rastelli type B.
Subject: infant heart condition: s/l rastelli type B.
s/l left migroagoria, type of eye surgery
Subject: s/l left migroagoria, type of eye surgery
Type of incision below left clavicle
Subject: Type of incision below left clavicle
Procedure is dual-chamber pacemaker implantion. "Incision made below the left clavicle in a ? fashion." Sounds like park-pos.
Austin Moore *type* left hip?
Subject: Austin Moore *type* left hip?
Sure sounds like *type* or possibly *tight*.....can't find anything to back this up really.....any thoughts?
Austin Moore *type* left hip?
Subject: Austin Moore *type* left hip?
But the wouldn't it have to be Austin Moore-type left hip?
1-2/6 murmur load; load should be heard.
Subject: 1-2/6 murmur load; load should be heard.
.
Any body ever heard of this type of dosing ?
Subject: Any body ever heard of this type of dosing ?
This PA is prescribing an antibiotic for an infant. Diflucan. She is clearly stating mm instead of ml. ? I have never heard of using mm. Am I just mssing something here.
TIA
I type tonic-clonic a lot, and that's not there. So, no one has heard of clinical or changing sm
Subject: I type tonic-clonic a lot, and that's not there. So, no one has heard of clinical or changing sm
Clonic to clonical? Sigh.
Yes, I've heard of it and I would type it "lidocaine 1000 spray."
Subject: Yes, I've heard of it and I would type it "lidocaine 1000 spray."
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