how write this ....... cardio question again

EKG is either sinus rhythm or a flutter with a 3:1 conduction.

Is it a flutter or A flutter??

Thank you

• how write this ....... cardio question again - debbie
  • Aflutter - IndyMT
  • Actually, I always write out "atrial flutter" - Cardiology MT
    • thank bunches again - debbie

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Please excuse if this is a simple question, but I cannot verify this:

She was recently found to have **interQ-waves** and the computer suggested possible inferior MI on 05/30/06 EKG. She notes easy fatigue and DOE with almost any activity, but denies orthopnea, PND, or angina.

PAST MEDICAL HISTORY: Reduced CEA, HBP, obese, 35% bilateral carotid disease 2003.

Thank you. This doctor slangs a lot, if that helps any

He has had quadruple bypass in 1994 and femoral artery bypass in 1999 with carotid artery  CLEAN OUTS and OJEERS as well. 

This does not make sense to me, so any advice appreciated! The pt is seen for chest pain. It is the "ST segment, plane, or depression" that is throwing me off. Could he be saying something other than plane that I am missing? Thanks again!

I have told him at this time, based on the duration of his exercise and no definite ST segment, plane, or depression, that he is in a relatively good prognosis category.

Doc is saying the patient had S/L "cord-atendony" rupture needing open heart surgery to repair that.

Thanks for any help! 

CABG 1998 and s/l CVAA SPVD status post right lower extremity amputation and hypertension < your statement.

What I think:

CABG 1998 and CVA (cerebrovascular accident), PVD (peripheral vascular disease) status psot right lower extremity amputation and hypertension.... 

Could this be it?    

Status post CABG 10 to 5.

How do I write the 10 to 5?  10-5, 10.0-5.0? 

Thanks for any help. 

Cardiac:  RRR.  I am unable to ausculatate a murmur at this time.  I tried s/l vervopular maneuvers.  Thanks

The patient has a history for sudden cardiac death status post AICD placement.  It sounds like he is saying death, but I don't think that makes sense as the patient is still alive ???? Definitely not talking about family history.

The patient is currently admitted ale monitor bed in deecee setting.

Once clinical ree pie status stable, na na no dicharge plan gun be der. 

This is from an Equilibrium Radionuclide Angiogram.  Not sure what doc is talking about or how to type this:

There was apical anteroapical apical inferoapical akinesis. 

Sounds crazy to me!  This is my first ERA so I am a little lost.  Not even sure these are spelled correctly!  Thanks! 

Pnt suffered inferior MI ... underwent percutaneous coronary vessel s/l " with sum of division times 2 "   ???

underwent percutaneous coronary vessel  s/l  "sum of division times 2" in the right coronary artery ( s/l strugglers and stents).   Thanks this is my first day on this account. 

Doc is saying:

The skin was consistent with s/l "ana lese" single vessel coronary disease. 

Can't figure out what he is saying!!  Please help! 

When the dictator says, "enclosure and copy cc to"...

Thanks!

one more question for today.........

How do I correctly write the 1-to-100,000 in this sentence?.........

2% Xylocaine with 1-to-100,000 epinephrine was injected subcutaneously

MRA: Abdominal aorta.  No evidence for renal artery stenosis.  OR

MRA abdominal aorta.  No evidence for renal artery stenosis.

The doctor started out with the ECG findings then went to this.  Or would this go under the ECG heading?  Thanks

q. o.d. or Q.o.d. or qod?

I cannot find that one in BOS.

Thanks!

generally a one-on-one student-faculty rotation. Should I have the hyphens between all of these or just one on one? Not sure which would be correct. This is a letter of recommendation and need to be correct with it.

Thanks

Patient has had recent diagnosis of diabetes with recent hemoglobin A1c over 12. 

Thanks in advance!

How do I write the "eight two fraction" part???

The patient does have a hypochromic microcytic anemia and her hemoglobin electrophoresis does show a reduced hemoglobin A with an increased "8, 2 fraction" and increased hemoglobin F, all compatible with her history of beta thalassemia

She has an approximately [25 pack year history] of smoking...

Would you leave it like that or would you write [25-pack year history] or [25-pack-year history?]

Thanks!!!!

This just isn't sitting right with me, and I think the doctor's old service (his nurse)  has been doing this wrong for awhile now.  I just took over this account and have been reviewing and comparing old notes with current dictation.

"The patient was injected with "a quarter percent" Marcaine and morphine."

She was typing this as 25% - It should be 0.25% shouldn't it.  I'm so tired right now I need to go to sleep, but have to turn this job in first.  Thanks for helping.  ME

Results of an exercise sestamibi stress test.....A long (s/l membrative septum) with attenuation artifact over the apex was appreciated.

On 10/07/05, off pump quadruple coronary artery bypass grafting (left internal mammary artery emulon reverse saphenous vein graft).  

ANy ideas of the emulon?

Abdominal aortic angiography with bilateral lower extremity runoff, endovascular repair of infrarenal abdominal aortic aneurysm using a s/l Cokevenous stent graft system, percutaneous transluminal artery stenting and bilateral common and external iliac arteries. 

She had a stent placed in the RCA.  She also had an OSTEO LEFT MAIN and moderate mid LAD lesion.

I was wondering if the Osteo left main is correct and if so, if that is how it is written.

Thanks

Deborah

Thank you so much.  I would have never found that one.  Lifesaver!!