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Phrase: Heart: No edit sounds

Posted By: Ceanne on 2009-05-15
In Reply to: Phrase - Ceanne

Subject: Phrase: Heart: No edit sounds

Thank you guys!


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usually hear heart disease after that phrase. sm
Subject: usually hear heart disease after that phrase. sm

or maybe cardiac event?
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"?


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
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 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*


edit
Subject: edit

No increased dated degrudge, plus 2 without bruits. Lungs clear to auscultation
if you really want to know you have to use BOS 3rd edit, I still use 2nd, /nm
Subject: if you really want to know you have to use BOS 3rd edit, I still use 2nd, /nm

nm
edit: Probably LFT, right?
Subject: edit: Probably LFT, right?

I didn't hear the F but that's probably it, isn't it? D'oh!
I wouldn't .... I would edit (sm)
Subject: I wouldn't .... I would edit (sm)

to "history of multiple episodes of pharyngitis in the past"
thanks a lot! i think i'll jst have to let the doctor edit what he said. LOL!
Subject: thanks a lot! i think i'll jst have to let the doctor edit what he said. LOL!


I am allowed to edit and correct
Subject: I am allowed to edit and correct

I am allowed to make changes to what he says, which is why I asked the question. I am allowed to edit and change what the doctor says and how he says it - and I do a lot of that in the course of the day because some of the things he says are just a mess. "Retarded" did seem a little derogatory to me and I think I will put it in better terms than that.

I guess it comes down to what the rules are that you work by - whether you can edit or if you are verbatim. If it was verbatim I wouldn't have questioned it (even thought I personally feel it is insulting) but since I have the option to change it, I was just wondering what the correct term was now because I know it keeps changing. Thanks for all the opinions!
thinking on it, probably would sound better to edit to "high ammonia level" .nm
Subject: thinking on it, probably would sound better to edit to "high ammonia level" .nm


phrase
Subject: phrase

Sometimes hear pulses or DTRs are equal and strongA?
help with phrase
Subject: help with phrase

I'm probably just being thick, but I've heard a phrase over and over and I'm still not sure about it -- "phantom steel" incisions. I can't seem to find it anywhere, or anything that sounds like it. Help please. TIA.
help with phrase
Subject: help with phrase

I believe this is Pfannenstiel incision, I have many, many bad days!
what phrase comes before that?
Subject: what phrase comes before that?


phrase
Subject: phrase

? pulses synchronizes with his femoral pulses


 


Thanks.


Need help with phrase
Subject: Need help with phrase

Good respiratory effort.  She does have a dry, non-productive cough. No wheezing, rales, or rhonchi.  No ___________________________ s/l nasoflank or duractions.


Need help with phrase
Subject: Need help with phrase

Thank you so much!! I think that's it.  Thanks again!
What comes before the "C" phrase? nm
Subject: What comes before the "C" phrase? nm


What is the phrase? nm
Subject: What is the phrase? nm


What is an example of the phrase ? nm
Subject: What is an example of the phrase ? nm


phrase help
Subject: phrase help

Could you be hearing peroneal axonal neuropathy?
What comes before and after that phrase? nm
Subject: What comes before and after that phrase? nm


What phrase comes after the S/L? nm
Subject: What phrase comes after the S/L? nm


Do I phrase this this way.......
Subject: Do I phrase this this way.......

The nose was then packed with Merocel packs of the Kennedy type,
The phrase itself? sm
Subject: The phrase itself? sm

I just type air fluid gas exchange or the abbrev, AFGE or AFX.
Phrase help please . . .
Subject: Phrase help please . . .

This is from a physical therapy doctor.  There is no sounds like "rib spring" discomfort?  Have you heard of this term before?  I cannot find it anywhere. 


Help with a phrase please
Subject: Help with a phrase please

on an op note - cardiology - sounds like "rule track" was placed and the left pleural cavity entered.
thanks! Never that phrase before
Subject: thanks! Never that phrase before


What is the phrase? nm
Subject: What is the phrase? nm


phrase
Subject: phrase

cervical CAT scan showing some mild spinalosis at C5 6,
help with phrase please
Subject: help with phrase please

History of present illness:  Diabetes, hypercholesterolemia, ??? (no idea) thrombosis with pulmonary ??? (sounds like embolite)


Any help would be appreciated.  Thanks :)


We have a new phrase being used
Subject: We have a new phrase being used

by a resident for controlling hemostasis in surgery.  Arixtra _____ powder (s/l paopowder).  Any ideas???? 
Phrase help
Subject: Phrase help

transcribing "posterior pharynx shows 2+ tones" sounds like next work is enlarge. 
phrase help
Subject: phrase help

transcribing "sensations in tact in all extremities with mild s/l filoment testing."  Can anyone let me know what s/l filoment is? 
Phrase help.
Subject: Phrase help.

s/l 'amnestic 'true' event'.

This is an a report regarding a patient who had anmesia after a fall. Could 'true' be correct?
phrase
Subject: phrase

Gait and Stance: Shuffling noted with decreased rate arm swing. Maybe very slight retropulsion. _____ noted in the left upper extremity.
What is the phrase? nm
Subject: What is the phrase? nm