murmur "lows" and a T S1, S2 somewhat irregular?????
Posted By: Sue on 2008-07-16
In Reply to:
Subject: murmur "lows" and a T S1, S2 somewhat irregular?????
I have two questions on a cardiology transcription I am doing, if you could help. Dictator first says "heart: a T S1, S2 somewhat irregular", the t is throwing me off...what is she meaning by that. Also, she says he has a grade 1-2/6 murmur "lows" emphasis on the S so low SS, if that makes any sense...any ideas on what either of these things mean? I appreciate the help!
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Usually hear regularly irregular or irregularly irregular. Regular
Subject: Usually hear regularly irregular or irregularly irregular. Regular
s
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
Irregular
Subject: Irregular
Could be saying that as well
thanks it was irregular!!!
Subject: thanks it was irregular!!!
It should be irregularly irregular.
Subject: It should be irregularly irregular.
Probably regularly irregular.
Subject: Probably regularly irregular.
Irregular heart rate
Subject: Irregular heart rate
Here's my question, can a patient have an irregular heart rate and rhythm but have a normal S1 and S2 with no murmur? The patient does have recurrent atrial fibrillations. Thanks.
Might be irregularly irregular.. rhythm all over the place. nm
Subject: Might be irregularly irregular.. rhythm all over the place. nm
s
No distinct heart sounds. Irregular.
Subject: No distinct heart sounds. Irregular.
Would a doctor ever say "No distinct heart sounds"?
No, he says "joint erosions that are RATTY and irregular." NM
Subject: No, he says "joint erosions that are RATTY and irregular." NM
Verrucous lesions have an irregular or velvety surface. nm
Subject: Verrucous lesions have an irregular or velvety surface. nm
.
On PE heart section doc says "Heart irregular rate regular"?? is that right
Subject: On PE heart section doc says "Heart irregular rate regular"?? is that right
pt with afib
Patient complains of a very large, irregular, *brufus* mass to her knee....TIA
Subject: Patient complains of a very large, irregular, *brufus* mass to her knee....TIA
xxxx
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!
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!!
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!
Could it be flow murmur?
Subject: Could it be flow murmur?
Thanks, but I figured it out. To-fro murmur. NM
Subject: Thanks, but I figured it out. To-fro murmur. NM
nm
Where is the murmur heard best? nm
Subject: Where is the murmur heard best? nm
without ectopy or murmur
Subject: without ectopy or murmur
I would have to hear myself what you are hearing as
"GYN: Morbid hemoglobin, but it's just "Bowel sounds were active throughout." GYN doesn't go at the end of that sentence.
Could you be hearing the next subheading of the exam, possibly
Genitalia: Something or other? Maybe "Genitalia: Normal."
With "hemoglobin" starting the lab section?
s/l trasis??? murmur
Subject: s/l trasis??? murmur
I cannot make out this word clearly... Slow in rate with a trasis murmur
holosystolic murmur NM
Subject: holosystolic murmur NM
xx
systolic murmur
Subject: systolic murmur
Heart murmur grades 2 or II
Subject: Heart murmur grades 2 or II
Has this been changed yet from roman numerals to Arabic as far as AAMT guidelines?
Heart murmur, esh and no palpatation
Subject: Heart murmur, esh and no palpatation
what is esh, can't find it?
 Any help out there?
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 be "systolic murmur is not heard"
Subject: Could be "systolic murmur is not heard"
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!
I wonder if he means grade 3/6-5/6 murmur
Subject: I wonder if he means grade 3/6-5/6 murmur
mono heart murmur?
Subject: mono heart murmur?
A report came back with: mono heart murmur; cannot find in google or my Steman's cardio book.. Wondering whether to enter this in my expander. Any feedback appreciated.
type of flow murmur?
Subject: type of flow murmur?
soft, 1/6, aortic "gout" flow murmur but otherwise no murmurs, rubs or gallops.
murmur "blowing out S1" is more common...nm
Subject: murmur "blowing out S1" is more common...nm
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.
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
Is holosystolic murmur grade *4/6* correct?
Subject: Is holosystolic murmur grade *4/6* correct?
outflow murmur? can be pulmonary or aortic. nm
Subject: outflow murmur? can be pulmonary or aortic. nm
Patient has a 3/4 holosystolic murmur s/l blurring out S1. nm
Subject: Patient has a 3/4 holosystolic murmur s/l blurring out S1. nm
Could it be "regular rate and rhythm without murmur"
Subject: Could it be "regular rate and rhythm without murmur"
xx
heart murmur with roman numerals?
Subject: heart murmur with roman numerals?
I have always typed heart murmur (ex: 2/6 ejection murmur). However, I have a new NP who states it using roman numerals (II/VI ejection murmur). Which is correct? Thanks!
Heart: (“cephalic ejects”) murmur?
Subject: Heart: (“cephalic ejects”) murmur?
Heart: (“cephalic ejects”) murmur, same mumbling Dr. anyone know what he is trying to say?
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