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Lungs have clear apices with some faint wheezes. (?)

Posted By: MT50 on 2007-12-31
In Reply to: Lung exam- ABCs? - Tammy

Subject: Lungs have clear apices with some faint wheezes. (?)




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Lungs are clear to auscultation....sm
with ?GLOBAL? diminished breath sounds throughout.
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!


Or running together Lungs: Clear. Cor: RSR. nm
Subject: Or running together Lungs: Clear. Cor: RSR. nm

s
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?


Heart size equal. Lungs are clear.
Subject: Heart size equal. Lungs are clear.


s/l large "pericardial" diffuse wheezes
Subject: s/l large "pericardial" diffuse wheezes

the s/l pericardial part is a bit gargled, so I'm not sure if this is the right word or if this makes sense.. 


 


Thanks:)


Lung Exam apices
Subject: Lung Exam apices

That's it!  That's it!  Good grief.  Where is my brain today?


Thank you very very much.  You're a genius!  


 


decreased air entry over the apices bilaterally. nm
Subject: decreased air entry over the apices bilaterally. nm

nm
maybe faint (can barely see)? nm
Subject: maybe faint (can barely see)? nm


Faint s/l ipsicollaterals demonstrate
Subject: Faint s/l ipsicollaterals demonstrate

a hypoperfused and diseasd posterolateral system.....


I know ipsilateral.  Would this be right?


Thank you so much. I hear a very faint "ing" sound - nm
Subject: Thank you so much. I hear a very faint "ing" sound - nm

Don't know what I'm thinking. I type ortho but was not thinking about pain clinic doc doing the same test for some reason! A big "DUH". Thanks so much!!!!
Agree with 50, but distant sometimes used to be mean faint and hard
Subject: Agree with 50, but distant sometimes used to be mean faint and hard

s
Thanks both for helping. I finally was able to hear a very faint "ly" at the end of appropria
Subject: Thanks both for helping. I finally was able to hear a very faint "ly" at the end of appropriate.


It is so clear Fair a con FE, can't get Femcon FE, it is just so clear. :(
Subject: It is so clear Fair a con FE, can't get Femcon FE, it is just so clear. :(


Lungs!
Subject: Lungs!

Her lungs reveal some prolonged expiratory breath sounds and occasional perihollow wheezing.  The bold is what it sounds like.  Any ideas? 


Thanks.


lungs cor RSR... please sm... ty
Subject: lungs cor RSR... please sm... ty

Doc is very hard to understand... i've been doing this for a long time, and I have always thought that cor belonged in heart exam.  This doc speaks very low, but s/l he continually says on physical exams, ...


lungs cor rsr.  I figured lung exam was separate and i was missing something he said, and then i should type .... Cor, RSR (for regular sinus rhythm).  Can somebody please clarify for me?  I saw another transcriptionists report that said ... lungs cor rsr.  That does not look correct to me and many of these other MT's make a lot of mistakes.


 


Please help!  Thank you much!


Could you put Lungs/Cor: RSR?
Subject: Could you put Lungs/Cor: RSR?

xx
Lungs
Subject: Lungs

Lungs
lungs
Subject: lungs

Lungs, very harsh type cough with no s/l "eediae" changes.  Could it be ETA changes?
LUNGS:
Subject: LUNGS:

What should this be?


Lungs: Clear and s/l resident.


LUNGS
Subject: LUNGS

my guess would be resonant.
Lungs - S/L CORE
Subject: Lungs - S/L CORE

PE:  Lungs are clear.  CORE is of regular rate and rhythm.  Is that correct??


Question regarding lungs....sm..
Subject: Question regarding lungs....sm..

CT scan of her lungs, which showed interstitial fibrotic changes suggestive of ____ (s/l insip) and had progressed since the July 12, 1999 exam. 


TIA


COR: S1, S2, etc. - Just like LUNGS:, HEENT: , etc. (nm)
Subject: COR: S1, S2, etc. - Just like LUNGS:, HEENT: , etc. (nm)

x
sonesent? lungs.
Subject: sonesent? lungs.

the impression is

Ventilator-dependent respiratory failure partially due to her age and chronic obstructive pulmonary disease and ? lungs.  Thanks.


There are fissures in the lungs.
Subject: There are fissures in the lungs.

x
Yes, you can have TB other places besides the lungs. sm
Subject: Yes, you can have TB other places besides the lungs. sm

There is a link at the end of this.

Active Tuberculosis
To diagnose TB of the respiratory tract, 3 to 5 sputum specimens are collected first thing in the morning on different days when they are most likely to contain the most mycobacteria. If extrapulmonary TB is suspected, samples are collected based upon where in the body the infection is likely to be. Multiple samples of gastric (stomach) washings/aspirates or urine may be collected and submitted to the laboratory. Sometimes cerebrospinal fluid (CSF), biopsied tissue, or other body fluids are also collected.


http://www.labtestsonline.org/understanding/conditions/tuberculosis-3.html
no - pleurisy involves the lungs.....nm
Subject: no - pleurisy involves the lungs.....nm


The pleura is the lining of the lungs sm
Subject: The pleura is the lining of the lungs sm

And pleuritis is inflammation of the pleura.


Definitely pruritis.


Lungs have no stridor or STURDOR?
Subject: Lungs have no stridor or STURDOR?

I cannot document this word anywhere; he is definitely saying "Sturdor", but only Stridor comes up.


lungs raymondly hypoexpanded
raymondly... Is this right????
lungs are diffusely s/l rhoncherous ?? sm
Subject: lungs are diffusely s/l rhoncherous ?? sm

This one is new to me!  I've typed many times "lungs with rhonchi", but is there even such a word as "rhoncherous"??


 


TIA


There are some **coarse** or ** course** rhonchi throughout the lungs
Subject: There are some **coarse** or ** course** rhonchi throughout the lungs


Lungs _____ at the bases???
Subject: Lungs _____ at the bases???

geez.  anyway it sounds like "Lungs ___tric at the bases"?


thx everyone.


lungs shows s/l scattered ? crackles 2/3 above the
Subject: lungs shows s/l scattered ? crackles 2/3 above the

lung fields
chest and lungs: S/L phenyl kyphosis??
Subject: chest and lungs: S/L phenyl kyphosis??


Lungs, harsh cough with no s/l "E to A" changes, but a few rhonchi. nm
Subject: Lungs, harsh cough with no s/l "E to A" changes, but a few rhonchi. nm


Lungs Fillled with afibber nesectionanted?
Subject: Lungs Fillled with afibber nesectionanted?


LUNGS


Multiple sections of lungs show large distended alveolar spaces filled with "afibber nesecionated."


 


ANY IDEAS? Thanks!


 


CT of the apical lungs to check for a PANTOSE tumor.
Subject: CT of the apical lungs to check for a PANTOSE tumor.


Please tell me there are no jugular veins in the lungs. Did this doctor go med school?
Jugular veins end at bottom of the neck to subclavian veins, so how in the heck are there jugular veins in the lungs? He has to be in the neck!!!
patient says her lungs feels _____(natty)?
Subject: patient says her lungs feels _____(natty)?

x
And by the way, PLEURAL refers to thelining of the lungs, PLURAL means ore than one. have not heard
Subject: And by the way, PLEURAL refers to thelining of the lungs, PLURAL means ore than one. have not heard of pleural effusion, etc????

nm
talc insufflation!! They put talc in the lungs. nm
Subject: talc insufflation!! They put talc in the lungs. nm

c
just to be clear...
Subject: just to be clear...

I just want to be sure about whether since she specified it is left side only that extensor hallucis "is" and not extensor hallucis "are". If she said bilateral then it would read extensor hallucis are 4+/5 -- am I getting that part correct? TIA
To be clear?
Subject: To be clear?

Hallucis IS.......halluces ARE. You will know when she is talking about a different side or bilateral. Don't over-think your dictator, okay? I'm thinking you may be new (I hope) and these things will become more clear as you go.

I know you're trying to get it perfect, but she knows what she's doing with the foot/feet. :)
it is very clear
Subject: it is very clear

She keeps referring to white matter abnormalities with signal loss and T2 prolongation through the entire report, so I am thinking leuko (white) something....no idea
I wish...but it's very clear. Thanks
Subject: I wish...but it's very clear. Thanks


Just to be clear
Subject: Just to be clear

My "duh" in the other post was for ME, not you. Didn't want any misunderstanding. Thanks for your help!
Clear? Nm
Subject: Clear? Nm

nm
Yes, it is clear. Thank you!
Subject: Yes, it is clear. Thank you!

x