Phys. Exam on 2 yr - Heart regular rate. s/l vascularity or back appears intact? r
Posted By: Lisa on 2008-12-14
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Subject: Phys. Exam on 2 yr - Heart regular rate. s/l vascularity or back appears intact? r
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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.
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.
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
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
Is this right? No E-A changes (In Phys Exam). Thanks!
Subject: Is this right? No E-A changes (In Phys Exam). Thanks!
phys exam
Subject: phys exam
Today is not my day:
I am in the physical exam:
ABDOMEN: Soft and nontender. Bowel sounds are normoactive.
EXTREMITIES: No cyanosis, clubbing or edema.
The they says there is no nac or mac_______S/L _____rigidity
Phys exam
Subject: Phys exam
I am in the physical exam: VITALS: The vital signs were reviewed. No s/l carneys____ or Babinski sign. I do not hear McBurneys though .
Thanks
Phys Exam, Chest section
Subject: Phys Exam, Chest section
Dictator is Indian.
Chest: Decreased "ENtipul pieces" bilaterally, secondry effort. No rhonchi, no wheezes.
Could it be regular heart sounds?
Subject: Could it be regular heart sounds?
Does it make sense that Dr would say under Phys Exam: Neurologic: physiologic ?
Subject: Does it make sense that Dr would say under Phys Exam: Neurologic: physiologic ?
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
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.
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.
on exam, pt appears alert and s/l "infantating" (end of sentence)
Subject: on exam, pt appears alert and s/l "infantating" (end of sentence)
neuro exam - says intact sensation, "V-one, V-two,
Subject: neuro exam - says intact sensation, "V-one, V-two,
and V-three" - would that be VI, VII, VIII or V1, V2, V3 ??
Neuro doc under sensory exam says s/l staring nosia's intact. TIA!!!
Subject: Neuro doc under sensory exam says s/l staring nosia's intact. TIA!!!
I'm guessing here, but..."knee joint exam is intact with full range of motion"?
Subject: I'm guessing here, but..."knee joint exam is intact with full range of motion"?
x
On neuro exam, s/l "Lure EE ah" triangle, squares, and fist edge palm were intact. nm
Subject: On neuro exam, s/l "Lure EE ah" triangle, squares, and fist edge palm were intact. nm
heart exam
Subject: heart exam
In heart exam: Heart: regular rate and rhythm. Loud S/L V2. I know there are S1, S2, but never heard V being used before and I have never done cardiology.
Thanks
I'd probably put it after the heart exam, as has been
Subject: I'd probably put it after the heart exam, as has been
Or create a separate subheading - Musculoskeletal: I think either would suffice, of course unless specifically stated insertion point. 
Heart exam
Subject: Heart exam
Doctor is using his own form of shorthand. Any idea what Grade 2/6 rough ESM at AA RLLSB is? It's a heart exam, so I'm assuming grade 2/6 rough ejection systolic murmur at....
COR for coronary/heart exam.
Subject: COR for coronary/heart exam.
Not saying COR as a heading? for heart exam etc? nm
Subject: Not saying COR as a heading? for heart exam etc? nm
can someone tell me what I just typed..don't know what it means. heart exam. sm
Subject: can someone tell me what I just typed..don't know what it means. heart exam. sm
HEART: PMI 5th ICSMCL: Normal. S1 and S2: Normal. No S3 or S4 murmur. Normal sinus rhythm.
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
Back exam
Subject: Back exam
While transcribing the back exam, the doctor says what sounds like "no rotation or scoliosis noted." I'm not exactly sure if he is saying "rotation," but would that make sense? I've never heard that used in a back exam before.
Physical exam - heart with some s/l perianter or preanter beats
Subject: Physical exam - heart with some s/l perianter or preanter beats
back exam, s/l Stepoff's?
Subject: back exam, s/l Stepoff's?
no bruising or Stepoff's? Thanks so much to anyone who can help with this.
back exam for infant
Subject: back exam for infant
S/l - the back showed no toss (does not s/l loss) of hair.
s/l purpose - Neuro exam - Balance and purpose are shown intact? Is there such a thing?
Subject: s/l purpose - Neuro exam - Balance and purpose are shown intact? Is there such a thing?
in the physical exam s/l back, kethotic???
Subject: in the physical exam s/l back, kethotic???
exam of back reveals it to be symmetrical without s/l farming???
Subject: exam of back reveals it to be symmetrical without s/l farming???
vascularity ?
Subject: vascularity ?
Are you in the hands? The back? Doing an exam or talking about a patient's test? nm
Subject: Are you in the hands? The back? Doing an exam or talking about a patient's test? nm
f
Would "no costovertebral angle tenderness' be abdominal or back exam?
Subject: Would "no costovertebral angle tenderness' be abdominal or back exam?
ANA (antinuclear antibody) and sed rate (sedimentation rate)
Subject: ANA (antinuclear antibody) and sed rate (sedimentation rate)
It appears that the (sm)
Subject: It appears that the (sm)
measurement for lamotrigine level is mcg/mL. There is such a measurement as mg%, but I am not sure if that is how lamotrigine is measured.
It appears to be a (sm)
Subject: It appears to be a (sm)
term most often used with laparoscopic procedures. I found several sites mentioning an intraumbilical incision. Here is an excerpt from a sample report from another MT site:
OPERATIVE PROCEDURE: LAPAROSCOPIC BLADDER NECK SUSPENSION
Trocar placement may vary according to the preference of the surgeon. Usually, a 10-mm trocar is placed through an intraumbilical incision and another 10-mm trocar is placed suprapubically, followed by two 5-mm trocars placed laterally. Laparoscopes with different viewing angles are available. The selection of a straight or angled optic is the surgeon's personal choice. We prefer the straight, forward optic.
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