Phys exam on 2 yr old - Heart regular rate. ?? s/l vascularity appears intact or back appears int.
Posted By: Lisa on 2008-12-13
In Reply to:
Subject: Phys exam on 2 yr old - Heart regular rate. ?? s/l vascularity appears intact or back appears int.
Complete Discussion Below:  marks the location of current message within thread
The messages you are viewing
are archived/old.
To view latest messages and participate in discussions, select
the boards given in left menu
Other related messages found in our database
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
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)
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
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.
That appears to be a company...
Subject: That appears to be a company...
Had that one wrong it appears (nm)
Subject: Had that one wrong it appears (nm)
x
Currently appears stable?
Subject: Currently appears stable?
 Where there are no other instructions after that sentence, i.e. ordering a test or medication, the word "stable" comes to my mind.
Sorry, appears to be hemoglobin...nm
Subject: Sorry, appears to be hemoglobin...nm
x
It appears that the has now ___ s/l defervesced....Is this right?
Subject: It appears that the has now ___ s/l defervesced....Is this right?
x
the patient has what appears to be a "vertig"
Subject: the patient has what appears to be a "vertig"
fracture of the right eighth rib.
Metabolic: Currently appears _________ -sm
Subject: Metabolic: Currently appears _________ -sm
Listed in the impression of consult by nephrology doctor. Here is what is before and after:
4. DIABETES MELLITUS. Continue insulin.
5. METABOLIC: Currently appears s/l "sensible" or "extensible."
6. ANEMIA MANAGEMENT. We will add Epogen. The patient’s hemoglobin and hematocrit are below goal.
However at this time clinically, she appears....
Subject: However at this time clinically, she appears....
too many commas for me
Did you receive my email containing the link? It appears to
Subject: Did you receive my email containing the link? It appears to
So, sorry. I tried to help you. Guess she felt it wasn't noteworthy.
It appears to be a correct term for a type of MRI
Subject: It appears to be a correct term for a type of MRI
T1W High-Resolution Isotropic Volume Examination
This 4 year, 10-month-old child appears her stated age
Subject: This 4 year, 10-month-old child appears her stated age
PAR-Q appears to be some kind of health history per Google. nm
Subject: PAR-Q appears to be some kind of health history per Google. nm
x
rotator cuff s/l intensity appears normal.
Subject: rotator cuff s/l intensity appears normal.
I'm sorry, it appears I am a total goober and was hearing heard it all wrong. Thx for your help.
Subject: I'm sorry, it appears I am a total goober and was hearing heard it all wrong. Thx for your help. nm
s/l BTV? status post appendectomy (this appears in a list of diagnoses)
Subject: s/l BTV? status post appendectomy (this appears in a list of diagnoses)
Pleural fluid appears to be s/l ex hit ta tive with an LDH of 589.. see message pleez :)
Subject: Pleural fluid appears to be s/l ex hit ta tive with an LDH of 589.. see message pleez :)
ultra-sound guided thoracentesis was performed in the clinic with the removal of 1.6 liters of serosanguineous pleural fluid. The fluid appears to be "ex hit a tive" with an LDH of 589, protein of 3.6, pH of 7.8, and glucose of 79. The pleural fluid cytology is pending at the time of dictation.
pt with dental pain - on PE, states "...'OROBUCCAL (1 word?) SYMPOSIN' appears to be normal
Subject: pt with dental pain - on PE, states "...'OROBUCCAL (1 word?) SYMPOSIN' appears to be normal"
Abnormal CT scan: Lesion that appears to be "an algomized" effusion or soft tissue. sm
Subject: Abnormal CT scan: Lesion that appears to be "an algomized" effusion or soft tissue. sm
She has a pleural-based lesion in the right lower lobe that appears to be either an algomized effusion or soft tissue. She also has multiple pulmonary nodules bilaterally suggestive of either a metastatic neoplastic disease or granulomatis changes.
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.
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
|
