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Systolic ejection murmur...

Posted By: Kelley on 2009-04-20
In Reply to:

Subject: Systolic ejection murmur...

He does have a 2/6 systolic ejection murmur s/l "ena cranst as 4".


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Sorry. ESM is ejection systolic murmur. sm
Subject: Sorry. ESM is ejection systolic murmur. sm

ISH is isolated septal hypertrophy, ASH is asymmetric septal hypertrophy, but I doubt these. Maybe she's making a word out of abbreviations, again doubt. I'd leave a blank and flag it unless someone else has an idea. She may have started to say something like "ischemia" but cut herself off. Doubt if she'd say "murmurish." That wouldn't make any sense. I'll keep thinking about it. Please let us know what you find out.

1/6 vs 1/VI systolic ejection murmur.
Subject: 1/6 vs 1/VI systolic ejection murmur.

Hi Ginny,

Actually, both are technically correct. However, for us it depends on client. Some want it with regular numbers and some want the roman numeral. As per the AHDI book of style 2 though "arabic v roman numerals
There is a trend away from the use of roman numerals and toward the use of arabic numerals. A good example of this is in diabetes terminology, where an international expert committee dropped the roman numerals in favor of arabic, noting the danger of a roman numeral II being misread as an arabic number 11. In addition, the AMA Manual of Style states, "Avoid the use of roman numerals except when part of established nomenclature." Copyright (c) 2002 American Association for Medical Transcription"
That being said, I would use 1/6 unless otherwise specified by client or boss.
Systolic ejection murmur
Subject: Systolic ejection murmur

MTPockets
ejection (or early) systolic murmur at the anterior ascending right and (or "or") left lower s
Subject: ejection (or early) systolic murmur at the anterior ascending right and (or "or") left lower sternal border (?)


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


Systolic murmur
Subject: Systolic murmur

Hi! I have a rather simple (I hope) question. I have an ESL that always dictates 2/6 systolic murmur **at LLB and apex**. Is LLB correct? Every time she says this I try to look it up again, but it is a little difficult to search. Thanks for any advice on this!
systolic murmur
Subject: systolic murmur


Could also be "a systolic murmur is heard"
Subject: Could also be "a systolic murmur is heard"


Could be - 2/6 systolic "ejection" murmur
Subject: Could be - 2/6 systolic "ejection" murmur


Doc dictates 3/5 systolic murmur (sm)
Subject: Doc dictates 3/5 systolic murmur (sm)

I always thought the last number was 6.  Does this make sense?  TIA!
hole systolic murmur
Subject: hole systolic murmur

Has anyone heard of a hole systolic murmur?  The doctor dictates that it is a hole systolic at the apex. 
Short harsh systolic murmur? NM
Subject: Short harsh systolic murmur? NM


Ever heard of a medicine called Fercon? (systolic murmur)
Subject: Ever heard of a medicine called Fercon? (systolic murmur)

I can't find it in my drug list and the only thing that comes up is Google/WebMD but it doesn't give anything about it at all.  Anyone know what Fercon is/where I can find the info on it at?  TIA 
Murmur grades are 1 through 6. I myself have never heard of a 3/5 murmur
Subject: Murmur grades are 1 through 6. I myself have never heard of a 3/5 murmur


S/D/M = systolic, diastolic, mean. sm
Subject: S/D/M = systolic, diastolic, mean. sm

SDNN = standard deviation of normal to normal beats.

Do either of these fit?

There is no SBN as far as I know.
Possible end-systolic dimension
Subject: Possible end-systolic dimension


Figured it out - he's just saying systolic
Subject: Figured it out - he's just saying systolic


ejection
Subject: ejection


Ejection
Subject: Ejection

Maybe this will help clarify....He is referring to the ejection fraction of 2/6, so it is an ejection murmur caused by the noted fraction. 
S/L Shorharz systolic mumur nt
Subject: S/L Shorharz systolic mumur nt


what about "on the order of" 170 systolic.
Subject: what about "on the order of" 170 systolic.

Meaning - for example
ejection fraction. nm
Subject: ejection fraction. nm


ejection fraction? (nm)
Subject: ejection fraction? (nm)

x
maybe 50% ejection fraction
Subject: maybe 50% ejection fraction


EF - ejection fraction
Subject: EF - ejection fraction

NM
ejection fraction: .66
Subject: ejection fraction: .66

do I place a zero in front of the number making it 0.66?
ejection fraction? I know it's not a lab, but ...
Subject: ejection fraction? I know it's not a lab, but ...

just a guess.
injection vs ejection
Subject: injection vs ejection

Does these two sentences sound right?


Her throat was injected with evidence of prior uvulectomy


There is still some injection in the throat


would it be EF--ejection fraction? nm
Subject: would it be EF--ejection fraction? nm

x
Ejection fraction
Subject: Ejection fraction


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.

Not injection but ejection fraction
Subject: Not injection but ejection fraction


cardiology.... retained systolic function and no change in her.....
Subject: cardiology.... retained systolic function and no change in her.....

s/l end D and D systolic dimension from her last echo


Tc99m for gallbladder ejection fraction
Subject: Tc99m for gallbladder ejection fraction

Sounds like Tc99m "Coltek" was injected.  Thanks.
In radiology reports...is it ejection 'fracture'?
Subject: In radiology reports...is it ejection 'fracture'?


Cardiac cripple. His ejection fraction...perhaps. NM
Subject: Cardiac cripple. His ejection fraction...perhaps. NM

x
Blood pressure elevated in the s/l orders of 170 systolic - placed on atenolol
Subject: Blood pressure elevated in the s/l orders of 170 systolic - placed on atenolol


acute and chronic left ventricular systolic function
Subject: acute and chronic left ventricular systolic function

:)
ejection fraction ______ (titer? hi duct?)
Subject: ejection fraction ______ (titer? hi duct?)

CLueless here.... The patient had right upper quadrant pain and the ultrasound did not show gallbladder disease.  Says we may need to do an ejection fraction _____.  titer? hi duct?  Can't make out any better than that.  Ideas?


She had a history of an ejection fraction approximately 52% s/l BYNEE,
Subject: She had a history of an ejection fraction approximately 52% s/l BYNEE,

She had a history of an ejection fraction approximately 52% BYNEE,
LVEF = left ventricular ejection fraction
Subject: LVEF = left ventricular ejection fraction

x
LVEF left ventricular ejection fraction
Subject: LVEF left ventricular ejection fraction


s/l two-four murmur
Subject: s/l two-four murmur

Doctor states:  "She has a grade 2/6 (s/l two-four) murmur heard at the left upper sternal border." 


Anyone know what this is?


TIA


murmur
Subject: murmur

2/6 systolic murmur???


murmur
Subject: murmur

grade 2/6 soft ejection murmur?
AH murmur
Subject: AH murmur

Anyone ever hear , "2/6 systolic "AH" murmur heard best . . . What's AH?? Arterial hypertension, perhaps?? thanks

2/6 murmur
Subject: 2/6 murmur

x
murmur
Subject: murmur

I keep getting conflicting feedback from supervisor - 1/6 or I/VI systolic ejection murmur???  thanks!
Is renal function clear? Maybe wall motion or ejection fraction? nm
Subject: Is renal function clear? Maybe wall motion or ejection fraction? nm

s
heart murmur
Subject: heart murmur

San Felipo type A?
heart murmur
Subject: heart murmur

thanks so much -- saved me about 4 blanks in 1 report!!