On PE heart section doc says "Heart irregular rate regular"?? is that right
Posted By: PE help heart on 2007-09-23
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Subject: On PE heart section doc says "Heart irregular rate regular"?? is that right
pt with afib
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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.
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 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.
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
Usually hear regularly irregular or irregularly irregular. Regular
Subject: Usually hear regularly irregular or irregularly irregular. Regular
s
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.
No distinct heart sounds. Irregular.
Subject: No distinct heart sounds. Irregular.
Would a doctor ever say "No distinct heart sounds"?
Could it be regular heart sounds?
Subject: Could it be regular heart sounds?
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.
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 rate 90 to ?
Subject: heart rate 90 to ?
Dictator says what sounds like heart rate 90 to "oneteen" would that be the correct way to transcribe? google says oneteen means 11 so would that mean would be 111 in this context? Thanks!
for the first - heart rate 80 - not sure about second. nm
Subject: for the first - heart rate 80 - not sure about second. nm
nm
heart rate
Subject: heart rate
nm
heart rate 60 beating in...
Subject: heart rate 60 beating in...
14 METS a minute? sounds like "beating in fortreemets a minute". New doc to me, he obviously says this over and over.
Ttarget heart rate between 60-143 bpm
Subject: Ttarget heart rate between 60-143 bpm
meant target heart rate between
Subject: meant target heart rate between
though that seems to be a wide range for a target
HEART: revealed a s/l "night" rate........
Subject: HEART: revealed a s/l "night" rate........
Under Physical exam, in the HEART section, doc says "revealed a s/l "night" rate of 96, no murmur."
Can anyone think of a word that sounds like "night," that makes sense here?
Thanks,
Abby
Heart rate 60, breathing in 14 breaths a minute?
Subject: Heart rate 60, breathing in 14 breaths a minute?
x
Her orthostatics are positive. Upon lying, her heart rate is 68.
Subject: Her orthostatics are positive. Upon lying, her heart rate is 68.
All I can think of/document would be "flow rate" heart failure.....sm
Subject: All I can think of/document would be "flow rate" heart failure.....sm
if you think about it, when a patient is severely hypotensive, obviously the flow rate of the blood and return to the heart would be very slow, because of low pressure, and subsequently caused by low pressure; if you listen and it sounds like this, it physiologically would make sense, although I have not come across the exact phrase yet, they always throw new ones at ya!! Hope this is of some help! 
An EKG was normal except the **rate rolls** of a rapid heart
Subject: An EKG was normal except the **rate rolls** of a rapid heart
An EKG was normal except the **rate rolls** of a rapid heart.
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
Nope...not "left sternal border" I really hear "hard" or "heart". #@!! agh. nm
Subject: Nope...not "left sternal border" I really hear "hard" or "heart". #@!! agh. nm
ANA (antinuclear antibody) and sed rate (sedimentation rate)
Subject: ANA (antinuclear antibody) and sed rate (sedimentation rate)
quick section (as in frozen section) is correct.
Subject: quick section (as in frozen section) is correct.
x
Irregular
Subject: Irregular
Could be saying that as well
thanks it was irregular!!!
Subject: thanks it was irregular!!!
It should be irregularly irregular.
Subject: It should be irregularly irregular.
Probably regularly irregular.
Subject: Probably regularly irregular.
C-section or cesarean section sm
Subject: C-section or cesarean section sm
Not cAesarean section - contrary to popular belief, it was not named after Julius Caesar.
C-section or cesarean section nm
Subject: C-section or cesarean section nm
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!
Might be irregularly irregular.. rhythm all over the place. nm
Subject: Might be irregularly irregular.. rhythm all over the place. nm
s
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
.
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
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
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