ejection (or early) systolic murmur at the anterior ascending right and (or "or") left lower s
Posted By: Viggo lover on 2008-01-09
In Reply to: Heart exam - PTS79
Subject: ejection (or early) systolic murmur at the anterior ascending right and (or "or") left lower sternal border (?)
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- Heart exam - PTS79
- ejection (or early) systolic murmur at the anterior ascending right and (or "or") left lower s - Viggo lover
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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
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...
He does have a 2/6 systolic ejection murmur s/l "ena cranst as 4".
Systolic ejection murmur
Subject: Systolic ejection murmur
MTPockets
s/l “the hell with systolic anterior motion of the anterior mitral leaflet is noted.”
Subject: s/l “the hell with systolic anterior motion of the anterior mitral leaflet is noted.”
From a TEE report (doctor with thick Indian accent):
s/l “the hell with systolic anterior motion of the anterior mitral leaflet is noted.”
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 
probably means left anterior descending. Instead of saying LAD, just saying left AD.
Subject: probably means left anterior descending. Instead of saying LAD, just saying left AD.
x
acute and chronic left ventricular systolic function
Subject: acute and chronic left ventricular systolic function
:)
LVEF = left ventricular ejection fraction
Subject: LVEF = left ventricular ejection fraction
x
LVEF left ventricular ejection fraction
Subject: LVEF left ventricular ejection fraction
Left ventricular S/L"Obb V" reveald ejection fraction of S/L "four to zero percent" TIA
Subject: Left ventricular S/L"Obb V" reveald ejection fraction of S/L "four to zero percent" TIA
nm
left lower limb?
Subject: left lower limb?
x
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?
?MOFFET? for the left lower extremity sm
Subject: ?MOFFET? for the left lower extremity sm
Dr. is stating for a woman with MS that he gave her a prescription for home physical therapy as well as a S/L moffit or mophet" and she is not to ambulate without it. I cannot find anything in any of my resources. Could really use some help. thanks
LAD left anterior descending (branch)
Subject: LAD left anterior descending (branch)
On NSAIDs for left lower extremity DVT prophylaxis?
Subject: On NSAIDs for left lower extremity DVT prophylaxis?
on ______ (s/l NSCD?) to the left lower extremity for DVT prophylaxis
Subject: on ______ (s/l NSCD?) to the left lower extremity for DVT prophylaxis
Not sure if he's referring to some kind of stocking, but her discharge medications include aspirin, enteric-coated.
Thanks.
Pt has hemosiderin staining of both lower extremities with severe s/l lipodermosclerosis on left.
Subject: Pt has hemosiderin staining of both lower extremities with severe s/l lipodermosclerosis on left.
x
The left lower extremity is negative "raw growth." Am I hearing this right????
Subject: The left lower extremity is negative "raw growth." Am I hearing this right????
Median sternotomy created using s/l Realtrak retractor of the left anterior chest wall.
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
Use "or": There are no palpable ...
Subject: Use "or": There are no palpable ...
.
"or itching"?
Subject: "or itching"?
Is it in the skin portion of the physical exam? No rashes, itching, or lesions usually pops up with my dictators.
do you hear anterior flexion (anterior west makes no sense) nm
Subject: do you hear anterior flexion (anterior west makes no sense) nm
Ascending cellulitis, perhaps.
Subject: Ascending cellulitis, perhaps.
nm
oops, ignore "or guid" (extra typing), but it is axis not access. nm
Subject: oops, ignore "or guid" (extra typing), but it is axis not access. nm
x
probably should be ascending thoracic aorta....nm
Subject: probably should be ascending thoracic aorta....nm
xx
Hosteral ascending colon?
Subject: Hosteral ascending colon?
The doctor is discussing the results of a CAT scan and states what sounds like there was thickening of the "hosteral" ascending and transverse colon. I am assuming she is actually saying postural? but I just thought I would see if anyone knows of a word that sounds like hosteral or has some feedback/thoughts on this one.
hostral ascending colon
Subject: hostral ascending colon
I am pretty sure what you are looking for is "haustral".
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.
sorry another?, egd and colonoscopy were done revealing s/l grya-dysplasias? of ascending colon
Subject: sorry another?, egd and colonoscopy were done revealing s/l grya-dysplasias? of ascending colon
he says The colonoscope is advanced in the hepatic flexure, ascending colon, and ileocecum.
Subject: he says The colonoscope is advanced in the hepatic flexure, ascending colon, and ileocecum.
Appendiceal cystocele is noted.
Funny thing, I had this yesterday and left 3 blanks that QA also left blank.
Subject: Funny thing, I had this yesterday and left 3 blanks that QA also left blank.
x
pain over the left hip and a biopsy of the left s/l SA pablum showed adenocarcinom
Subject: pain over the left hip and a biopsy of the left s/l SA pablum showed adenocarcinom
n
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
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