Heart: S1, S2 regular. S/l systolic is noted
Posted By: JenniMT on 2007-11-27
In Reply to:
Subject: Heart: S1, S2 regular. S/l systolic is noted
Or maybe systolic ____ is not heard.
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Could it be regular heart sounds?
Subject: Could it be regular heart sounds?
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 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?
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
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.”
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
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
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
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.
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
Figured it out - he's just saying systolic
Subject: Figured it out - he's just saying systolic
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
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
:)
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.
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 (?)
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