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I have always used and seen S1, S2, two separate heart sounds during auscultation......nm

Posted By: Cyndiee on 2009-01-26
In Reply to: S1-S2 or S1, S2 - slooowMT

Subject: I have always used and seen S1, S2, two separate heart sounds during auscultation......nm

nm


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  • S1-S2 or S1, S2 - slooowMT
    • I have always used and seen S1, S2, two separate heart sounds during auscultation......nm - Cyndiee

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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
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.
Could it be regular heart sounds?
Subject: Could it be regular heart sounds?


"Metallic"?? heart sounds...is that right??
Subject: "Metallic"?? heart sounds...is that right??


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.
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"?


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*


without murmurs on auscultation.
Subject: without murmurs on auscultation.

Murmurs are auscultated.
Lungs are clear to auscultation....sm
with ?GLOBAL? diminished breath sounds throughout.
Auscultation of the chest reveals
Subject: Auscultation of the chest reveals

s/l sonorus noises. 


I know that I have seen this one before but am drawing a total blank.


Respiratory: Lungs clear to auscultation - NM
Subject: Respiratory: Lungs clear to auscultation - NM

a
Could he be moving on to LUNGS: Clear to auscultation?
Subject: Could he be moving on to LUNGS: Clear to auscultation?


Word Help - Auscultation of chest question
Subject: Word Help - Auscultation of chest question

Sorry, I am new at this.  The word I needed help with was dalmas.  Thanks!
They are separate. sm
Subject: They are separate. sm

The common bile duct is the duct formed by the union of the cystic duct (from the gallbladder) and the hepatic duct, which is formed by the intrahepatic biliary tree.
Separate them. nm
Subject: Separate them. nm

s
It should be separate, SAD/DCR or SAD-DCR, or SAD, DCR
Subject: It should be separate, SAD/DCR or SAD-DCR, or SAD, DCR

Shoulder arthroscopic debridement and distal clavicle resection.  Gotta love these docs and their neverending shortcuts, just lazy behinds. LOL


No they do not go together. Separate
Subject: No they do not go together. Separate

x
I personally would just separate
Subject: I personally would just separate

by a slash 500/500/250/500, but that's just me :)
Could he mean separate consult?
Subject: Could he mean separate consult?


Ugh..can you separate your s/l into syllables for us, please? Thx. nm
Subject: Ugh..can you separate your s/l into syllables for us, please? Thx. nm

s
Well, BOS pg 12 says use a comma to separate 2 or
Subject: Well, BOS pg 12 says use a comma to separate 2 or

v
Can you separate your s/l into syllables for us? nm
Subject: Can you separate your s/l into syllables for us? nm

s
Yes, 2 separate items. nm
Subject: Yes, 2 separate items. nm

s
No they are three separate views.
Subject: No they are three separate views.

No they are 3 separate views.
It is the sentence structure that is confusing. Three individual views, but once the word views gets put into the sentence it becomes plural and without the word views it is regarded as singular. I don't necessarily agree, but I believe this is why the QA department and your manager keep changing your grammar.
I believe tumor is separate...
Subject: I believe tumor is separate...

"s/l H nerve, tumor, or other..."
I keep them separate, i.e. mid portion.
Subject: I keep them separate, i.e. mid portion.

x
Seems like that goes with Nystatin and not a separate drug -
Subject: Seems like that goes with Nystatin and not a separate drug -

x
it is prothrombin time, to separate....sm
Subject: it is prothrombin time, to separate....sm

When it is really prothrombin time, it makes NO sense to type pro time as 2 words....I really don't care what BOS says about this one particular issue.  The word really is prothrombin time and MDs say protime....I give them protime.  Just my take on it. 


Sorry. Put answer on separate entry. nm
Subject: Sorry. Put answer on separate entry. nm


Could your s/l be something separate from "cardiac disease," sm
Subject: Could your s/l be something separate from "cardiac disease," sm

such as whatever it is, cardiac disease, and congestive heart failure. Any clues in the rest of report?

This has got me stumped.
I believe the are 2 separate diagnoses and would transcribe as such.
Subject: I believe the are 2 separate diagnoses and would transcribe as such.

.
Are you hearing this with an accent? Can you separate it into
Subject: Are you hearing this with an accent? Can you separate it into

s
Also, with the periods it would be 3 separate words, which it is not...
Subject: Also, with the periods it would be 3 separate words, which it is not...

cerebrovascular accident always has been CVA (hard to keep up with so many new rules).
can only find two separate angles. sm
Subject: can only find two separate angles. sm

metatarsus adductus angle, and intermetatarsal angle.  You probably already knew that, and it probably doesn't help decipher what your doc really means.
2 separate vital signs nm
Subject: 2 separate vital signs nm

nm
I agree, 3 separate things. nm
Subject: I agree, 3 separate things. nm

.
If not dictated separate, then combine.
Subject: If not dictated separate, then combine.

x
Depends on what your QA says, but I separate out the entities and only use headings if
Subject: Depends on what your QA says, but I separate out the entities and only use headings if

s
Just means 2 separate entities. It would fit. Or maybe it's "continued?" nm
Subject: Just means 2 separate entities. It would fit. Or maybe it's "continued?" nm

s
maybe "sent separately" - as in a separate specimen
Subject: maybe "sent separately" - as in a separate specimen


The doc says, through a separate subfascial skin incision when...sm
Subject: The doc says, through a separate subfascial skin incision when...sm

harvesting iliac crest during a spinal fusion. It doesn't make sense to me. I would think it would need to be either a separate subfascial incision or a separate skin incision. I have never heard it described this way before and I don't think it makes sense his way.
antinuclear antibody is separate test from CBC...sm
Subject: antinuclear antibody is separate test from CBC...sm

may be saying antinuclear antibody assay and CBC?