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hole systolic murmur

Posted By: mschweikl on 2008-10-29
In Reply to:

Subject: hole systolic murmur

Has anyone heard of a hole systolic murmur?  The doctor dictates that it is a hole systolic at the apex. 


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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


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.

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!
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
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 
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


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


bur hole or burr hole?? Have seen it
Subject: bur hole or burr hole?? Have seen it

spelled both ways, can it be either?


 


Thanks so much!!  ');>


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


hole lap
Subject: hole lap

The patient is going to have a TURP, but he was offered a "hole lap" too.. help
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
s/l weep hole (sm)
Subject: s/l weep hole (sm)

There is noted left ventricular hypertrophy with ___ abnormalities.  s/l weep hole 


 


TIA


Is he saying four five or forty five, if he is saying four five hole then it is 4.5, but if he is sa
Subject: Is he saying four five or forty five, if he is saying four five hole then it is 4.5, but if he is saying forty five then I would put 45.


s/l hole-men-shine
Subject: s/l hole-men-shine

On exam, s/l (hole-men-shine) is negative.
s/l hole-men-shine
Subject: s/l hole-men-shine

Homans’ Sign in the Diagnosis of Deep Venous Thrombosis
burr-hole bag?
Subject: burr-hole bag?


Burr Hole
Subject: Burr Hole

No it cannot be either. There are a lot of misspellings out there.


 


http://www.cancer.gov/templates/db_alpha.aspx?CdrID=269437


Lilly


Bur hole or burhole?
Subject: Bur hole or burhole?

I can't seem to find a conclusive determination as to whether this is 1 or 2 words...

Sentence is...

The Hudson brace was used for bur hole placement.
bur hole per Stedman's
Subject: bur hole per Stedman's


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.

macular hole stage IV....
Subject: macular hole stage IV....

Working on Ophthalmology operation. Anyone know whether stage IV should be roman number or not?

Also, s/l Olk pick

"s/l Olk pick was reintroduced to try to elevate what may have represented an ILM."

TIA.
Ya but you can still get a lime wedge in the hole
Subject: Ya but you can still get a lime wedge in the hole

right?!...just tryin' to keep pace with the badness is all    
Bur (or burr) hole is usually in the skull
Subject: Bur (or burr) hole is usually in the skull

You said it could possibly be "bleb" - how about "defect"?
aperture (hole or slit)
Subject: aperture (hole or slit)


Stryker does make a No-Hole cup. sm
Subject: Stryker does make a No-Hole cup. sm



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    Subject: acute and chronic left ventricular systolic function

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    may be saying pinpoint hole (size of opening left) ? nm
    Subject: may be saying pinpoint hole (size of opening left) ? nm


    The high-speed drill was then used to make a burr hole SM
    Subject: The high-speed drill was then used to make a burr hole SM

    on the left frontotemporal area, and then carefully resecting the midline, a craniotomy flap was turned all around the mapped tumor area using intraoperative neuronavigation again. A subdural "clock" was noted and evacuated.

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    Subject: To clarify, the word "port hole" is NEVER correct. Always type portal


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    Subject: A 2-mm s/l Twistro was then utilized to create a pilot hole.in teeth 19, 20, and 22 position.

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

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    TIA


    murmur
    Subject: murmur

    2/6 systolic murmur???