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Might be irregularly irregular.. rhythm all over the place. nm

Posted By: passing thru on 2007-09-23
In Reply to: On PE heart section doc says "Heart irregular rate regular"?? is that right - PE help heart

Subject: Might be irregularly irregular.. rhythm all over the place. nm

s


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Usually hear regularly irregular or irregularly irregular. Regular
Subject: Usually hear regularly irregular or irregularly irregular. Regular

s
It should be irregularly irregular.
Subject: It should be irregularly irregular.


Irregular
Subject: Irregular

Could be saying that as well

thanks it was irregular!!!
Subject: thanks it was irregular!!!


Probably regularly irregular.
Subject: Probably regularly irregular.


Irregular heart rate
Subject: Irregular heart rate

Here's my question, can a patient have an irregular heart rate and rhythm but have a normal S1 and S2 with no murmur? The patient does have recurrent atrial fibrillations. Thanks.

murmur "lows" and a T S1, S2 somewhat irregular?????
Subject: murmur "lows" and a T S1, S2 somewhat irregular?????

I have two questions on a cardiology transcription I am doing, if you could help. Dictator first says "heart: a T S1, S2 somewhat irregular", the t is throwing me off...what is she meaning by that. Also, she says he has a grade 1-2/6 murmur "lows" emphasis on the S so low SS, if that makes any sense...any ideas on what either of these things mean? I appreciate the help!
No distinct heart sounds. Irregular.
Subject: No distinct heart sounds. Irregular.

Would a doctor ever say "No distinct heart sounds"?


No, he says "joint erosions that are RATTY and irregular." NM
Subject: No, he says "joint erosions that are RATTY and irregular." NM


Verrucous lesions have an irregular or velvety surface. nm
Subject: Verrucous lesions have an irregular or velvety surface. nm

.
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

Patient complains of a very large, irregular, *brufus* mass to her knee....TIA
Subject: Patient complains of a very large, irregular, *brufus* mass to her knee....TIA

xxxx
sinus rhythm?
Subject: sinus rhythm?

SR = sinus rhythm
Aginal rhythm
Subject: Aginal rhythm

Basically, when the monitor shows a persistent flat line (asystole) or a prolonged pulseless anginal rhythm in different leads, the patient is ...

Heart rhythm question - sm
Subject: Heart rhythm question - sm

Is there a rhythm - regularly regular? I know there is regularly irregular, etc., but I have never heard anyone say regularly regular (seems rather redundant). I cannot find it documented anywhere. Thanks in advance for any help.


 


Becky


normal sinus rhythm
Subject: normal sinus rhythm

I believe
Rhythm ? Axilla without lymphadenopathy? nm
Subject: Rhythm ? Axilla without lymphadenopathy? nm

xx
s/l scabe junctional rhythm...sm
Subject: s/l scabe junctional rhythm...sm

One of these spells was accompanied by gradual slowing of sinus rate and a scabe junctional rhythm in the 30s.


monorevil sinus rhythm
Subject: monorevil sinus rhythm

I don't suppose normal sinus rhythm works here?
Meant to say angina rhythm
Subject: Meant to say angina rhythm


Probably means sinus rhythm...sounds right to me - nm.
Subject: Probably means sinus rhythm...sounds right to me - nm.

x
meaning "in sinus rhythm." nm
Subject: meaning "in sinus rhythm." nm


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
"accelerated idioventricular rhythm" is correct - sm
Subject: "accelerated idioventricular rhythm" is correct - sm

what is the "triple sensory" you are asking about. The sentence you gave does not have triple sensory in it - or am I missing something here
Heart regular rate and rhythm?
Subject: Heart regular rate and rhythm?


The probably jog as in "move with a jolting rhythm" per dictionary
Subject: The probably jog as in "move with a jolting rhythm" per dictionary


S/L Autronic atrial pacemaker rhythm? TIA
Subject: S/L Autronic atrial pacemaker rhythm? TIA


Electronic atrial pacemaker rhythm?
Subject: Electronic atrial pacemaker rhythm?

Can you perhaps hear this?
Could it be "regular rate and rhythm without murmur"
Subject: Could it be "regular rate and rhythm without murmur"

xx
ekg shows paced rhythm at 76 beats per minute, sm
Subject: ekg shows paced rhythm at 76 beats per minute, sm

should I type BMP bpm or beats/minute.  I dont' have a clue.  THANKS
the patient was successfully cardioverted to s/l "A2" sinus rhythm?
Subject: the patient was successfully cardioverted to s/l "A2" sinus rhythm?


EKG showed atrial paced rhythm with LVH and 2 inversions/ T inversios (sm)
Subject: EKG showed atrial paced rhythm with LVH and 2 inversions/ T inversios (sm)

EKG showed atrial paced rhythm with LVH and 2 inversions/T inversions in unilateral leads?  Is this correct?  Don’t have much cardiology experience
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


place
Subject: place


And thank you, CJ, that is all I was trying to do in the first place......sm
Subject: And thank you, CJ, that is all I was trying to do in the first place......sm

I have had doctors, very brilliant ones while practicing their craft, speak horrible grammar, and I have been told by many, many supervisors and HIM personnel, even in college, that if a doctor uses the correct term but just the incorrect grammatical form, as long as you check with your supervisor, it is correct to make that one change, you are not changing the context one bit, nor changing the doctor's medical knowledge, just making it read much better, seem much more intelligent, for the doctor's wellbeing, as other doctors, personnel, lawyers, etc, get to read the report, and every doctor wants to be well-represented. I have a dear, very old Swedish pediatric gastroenterologist/professor who often will say "poops" when fishing for the words stools or defecates....my boss is more than happy to have me replace that appropriately, as is the doctor himself, ESL is tough!
Whatever. I know that any place I have
Subject: Whatever. I know that any place I have

worked in the past 25+ years would have counted that off in a heartbeat as it is not correct. Guess you can type it that way if you choose.
I've been looking all over the place for your S/L's sm
Subject: I've been looking all over the place for your S/L's sm

and not coming up with anything helpful.  Could the valve be a Cimino, the head frame an Elekta or Medtronic stereotactic head holder?  I'll look a little while longer and see if I can come up with something. 
What do they do after they place this in the cavity? nm
Subject: What do they do after they place this in the cavity? nm

s
are you sure it's not C line well in place sm
Subject: are you sure it's not C line well in place sm

C for central line - especially if given IV meds.
Apostrophe one place to the right
Subject: Apostrophe one place to the right

Workers' Compensation.
Yay! That's it. Thank you! I love this place! nm
Subject: Yay! That's it. Thank you! I love this place! nm


You are welcome. I love this place too!
Subject: You are welcome. I love this place too!


Is it a med? a place? a diagnosis?
Subject: Is it a med? a place? a diagnosis?

f
Is he in the abdomen or some place else? nm
Subject: Is he in the abdomen or some place else? nm

s
.21 mCi. Do I place a zero before the decimal?
Subject: .21 mCi. Do I place a zero before the decimal?


and they are all over the place after a storm
Subject: and they are all over the place after a storm

they fall from the palm trees - and are EVERYWHERE during a storm on the roads....LOL
sorry wrong place..
Subject: sorry wrong place..

Thank you both. I was not sure...

if it affected your gait or not. Thank you very much.
SCDs in place........
Subject: SCDs in place........


Sorry wrong place
Subject: Sorry wrong place

Thank you :-)
Sorry - wrong place
Subject: Sorry - wrong place

Meant to post to MQ. Doh!
Where is the best place to look up doctor's addresses?
Subject: Where is the best place to look up doctor's addresses?

I get stuck on the doctor's name.  He does not spell it out and I get lost looking in google for a name... like a needle in a haystack...


Am I asking this question in the right section of MTstars or should I have placed it somewhere else?  Sorry...