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RLSB? right lower sternal border

Posted By: shopaholic on 2008-01-09
In Reply to: Heart exam - PTS79

Subject: RLSB? right lower sternal border

maybe he just stuttered on the second L or drew it out a little?


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left sternal border
Subject: left sternal border

nm
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


Per Stedman's, LLB is left lower border, sm
Subject: Per Stedman's, LLB is left lower border, sm

as it lists LLBCD as left lower border of cardiac dullness, so LLB is probably okay for your doc's use. We usually hear LSB for left sternal border with regard to murmurs. Can you hear LSB?

Maybe ASA = above sternal angle. Have heard above sternal notch before for JVP. (nm)
Subject: Maybe ASA = above sternal angle. Have heard above sternal notch before for JVP. (nm)

xx
.....up about the sternal (s/l) 'Louie'??? is there another
Subject: .....up about the sternal (s/l) 'Louie'??? is there another

.
The lower convex curve in the lumbar spine was to the right, and the lower convex thoracic region to
Subject: The lower convex curve in the lumbar spine was to the right, and the lower convex thoracic region to the left

Is how I would do it.
Sternal notch to nipple distance (no hyphens)..nm
Subject: Sternal notch to nipple distance (no hyphens)..nm


border
Subject: border

Any chance tripping over interosseous border? 


Edge of a bone to which a fibrous (interosseous) membrane is attached, by which the bone becomes attached to another bone.


?? splenic border??
Subject: ?? splenic border??

NM
I would think scaling border rather than
Subject: I would think scaling border rather than

scalene border, too.

There are a lot of mistakes in this one little entry!
I think "STERNAL border" is correct. (n/m)
Subject: I think "STERNAL border" is correct. (n/m)

.
Ashuelot, NH, just over the MA/NH border on the west. nm
Subject: Ashuelot, NH, just over the MA/NH border on the west. nm

x
?? border ?? (not enough sentence provided -- nm)
Subject: ?? border ?? (not enough sentence provided -- nm)


antimesenteric border is correct - nm
Subject: antimesenteric border is correct - nm


If you hear it again in the meantime, listen for border
Subject: If you hear it again in the meantime, listen for border


A small enterotomy was made on the s/l *anti-mesenteric" border???
Subject: A small enterotomy was made on the s/l *anti-mesenteric" border???


The lateral border of the mesh was then injected in a fanciet distribution using 6 cc of a combinati
Subject: The lateral border of the mesh was then injected in a fanciet distribution using 6 cc of a combinati


Incision made from ulnar border of the transfer tendon from the ???epidical fold??
Subject: Incision made from ulnar border of the transfer tendon from the ???epidical fold??


I think that's correct; sternal sutures are sutures in the sternum, makes sense
Subject: I think that's correct; sternal sutures are sutures in the sternum, makes sense


He has a whistling type 3/6 systolic ejection murmur best heard at the left *heart or hard* border.
Subject: He has a whistling type 3/6 systolic ejection murmur best heard at the left *heart or hard* border.

He has a whistling type 3/6 systolic ejection murmur best heard at the left *heart or hard* border. nm


Maybe, sternal sutures or mediastinal sutures?
Subject: Maybe, sternal sutures or mediastinal sutures?

x
It would be lower case "w" sm
Subject: It would be lower case "w" sm

It is named after Augustus V. Waller.  The word wallerian is not a proper noun.  It's the same principle as applied to Parkinson disease when the dictator says "parkinsonism". 


I've seen a lot of text books and word books that have wrong spellings in them. 


CT Lower extremity
Subject: CT Lower extremity

Degenerative joint disease of the right [hellocele] sesamoid articulation is noted.  Thanks for the help.
yes, re-x-ray (lower case) (nm)
Subject: yes, re-x-ray (lower case) (nm)

x
lower case of course : )
Subject: lower case of course : )


A1c (c is lower case)
Subject: A1c (c is lower case)


Really? Do you just put it lower case? nm
Subject: Really? Do you just put it lower case? nm

x
lower lobe?? NM
Subject: lower lobe?? NM

x
Bilat. lower ext. u/s SM
Subject: Bilat. lower ext. u/s SM

He says:  Ankle-brachial index could be assessed s/l WITH A RIGHT O-SHIMMY. 
lower extremities
Subject: lower extremities

Could dictator be saying "gastrocs" for inner gastrocnemius muscles? Let us know, if you find out -- this is a doozy! Rosie

lower case letter L here
Subject: lower case letter L here

x
Lower extremity exam sm
Subject: Lower extremity exam sm

Patient has bilateral feet ulcers, poor or nonexistent pulses. Dr. says her skin is thin and atrophic with s/l "zarosis planoy".  I can find "xerosis" which does not seem to apply here.  Any ideas would be appreciated.  TIA.
colchicine - but lower case....
Subject: colchicine - but lower case....


lower lumbar question
Subject: lower lumbar question

extensive back surgery where he had a fusion and a ____ replaced in his lower lumbar area. 


 


Sounds like "heart".


 


 


I'd lower case it, it's in midsentence.....
Subject: I'd lower case it, it's in midsentence.....

if you began the sentence with that, I'd probably initial cap all 3 but since it's midsentence I would not. 
I used to type it lower case until MDs got on me.NM
Subject: I used to type it lower case until MDs got on me.NM


Lower back muscles...
Subject: Lower back muscles...

Yikes!  Patient had reduction mammoplasty and now has low back pain.  Doc states she has some tenderness in the low mid back, decreased range of motion with some muscle spasms particularly in the right s/l tibral muscle group. 


The only thing that comes close for me is tibial muscle group, I am hearing an "R" sound in the word.  Any clues? 


No caps, lower case
Subject: No caps, lower case


left lower limb?
Subject: left lower limb?

x
I always use lower case but have nothing to back that up.
Subject: I always use lower case but have nothing to back that up.


chlorambucil - lower case "c". nm
Subject: chlorambucil - lower case "c". nm

nm
I see. In this pt it's upper & lower extremities [SM]
Subject: I see. In this pt it's upper & lower extremities [SM]


and lower uterine segment? nm
Subject: and lower uterine segment? nm

.
lower case "c" (cholestyramine)
Subject: lower case "c" (cholestyramine)

And you are very welcome :-)
that would be lower case P, pentosan. Sorry
Subject: that would be lower case P, pentosan. Sorry


dopplered (lower case?) tks. nm
Subject: dopplered (lower case?) tks. nm

x
Lower extremities ? - could be pedal OR it
Subject: Lower extremities ? - could be pedal OR it

could just be plain ol' palpable.
Lower case if not accompanied by the
Subject: Lower case if not accompanied by the

species, or whatever it is called, i.e. enterococcus, but Enterococcus faecalis.
Lower unless beginning of sentence.
Subject: Lower unless beginning of sentence.

x
lower extremity exam
Subject: lower extremity exam

No s/l kalar in the extremities bilaterally.
low or lower transverse incision
Subject: low or lower transverse incision

Cesarean section was performed with a low transverse incision ... it's hard to hear if the Dr. is saying "low" or lower" transverse incision .. would it matter which one it is or should it be one over the other? thanks for help.