baby heart examination

Heart exam, doctor dictates: "Heart: Regular rhythm without murmurs or gallops. 2 clicks heard at the apex" I don't understand the connection between "2" and "clicks" or what punctuation to use?? I'm new to this so any help would be much appreciated!! Thanks!! ...

doing labor and delivery, on prior report QA changed 9 lbs to 9lbs, which is correct or should pounds be spelled out? I was taught 9 lbs 15 oz but not sure if that is correct now? ...

She remains on flows of approximately 120 mL per kilo with PO2s in the 60s to 80s on 100% oxygen. Her --- sleep or sweep? ----is currently 0.4, and her PCO2s ...

Been doing this 30 years and this is a new one on me - dr going very fast, and no matter how I slow him down, it still s/l he is saying - ".....with the hip turned in internal rotation, a baby killer was placed into the neck with a Cobra placed medially....." I cannot document any type of instrument that s/l this on Google anywhere. Lots of stuff comes up, but nothing legitimate. Is this a nickname for something? Is this really what he is saying? ...

Doctor after each medication dosage says "as a baby". do they mean a baby dose or what?? ...

Hi all :) I wondered if I might be able to get some advice from those of you who have worked from home with a new baby. My baby was born in February and I'm due to start back to work soon. I have an older boy, but I worked outside the home with him. My baby is breast fed, which makes me wonder about how you handled frequent feedings. Also, I wanted to know what you used if you needed to keep typing but be able to hold the baby as well. I thought I would ...

Federal Agents Now Invade Hospital Exam Rooms, Thanks to HIPPA 15 Jun 2013 health care, the federal government by Stephen M Wahl MD in Share8 I recently endured my third round of invasion by the Joint Commission, or JCAHO (Joint Commission on Accreditation of Healthcare Organizations). I am still reeling from the experience. Without my consent and without warning, the investigator invited herself into the sanctum of our exam room, explaining that she had ver ...

I just had a baby 6 weeks ago and I am trying to start back working which I am finding impossible. I posted about this before I had my baby and a lot of you said that it was possible to work with a newborn......How!? I am so stressed out because I need to start back working because we need the money but everytime I try to she starts crying or needs something. For those of you who have experience with this, how did you work with a newborn in the house? Please any tips and ...

Guess they took over for the stork? My ASR has also taken a holiday from all small words today: is, was, the, and, then, etc. I guess it has been threatened to be more productive also. Just skip half the words and voila -- twice the production. That gets really tedious hour after hour. Disclaimer: I am happy to have a job. Do not wish to find another one. Too old for career change. Thank you. ...

What will all the big MTSOs do then? There are classes in my town for MT training and all have been suspended or eliminated due to lack of interest. No surprise there! I hit 60 in 2 more months and like some who posted below, I was going to keep working for years, even part time while getting my SS. With yet another "take over" by a huge MTSO (Nuance), I am just hanging on until I hit 62 or so, and then hanging this sorrowful profession up in the closet, where it surely h ...

Babies cannot take aspirin. I suggest a revolt. How about we starting transcribing "bear aspirin." Just need a smile today. ...

I cannot confirm this anywhere. She says it a few times. GI problems with baby developing medical neck. ...

Hi Guys, I'm having trouble figuring this dictation out. I am new to Ophthamology and I have a new doctor from Asia. Confrontation of visual fields are full to finger counting in both eyes. (Vergens) are full. Pen light examination is normal. The fundus examination of both eyes shows scattered, dark, and blood hemorrhages. There is no exudate in the posterior (pole) and both maculae appear to be normal. The words in parenthesis are the ones i' ...

Right thumb revision of amputation.... "On s/l gwen-e-ometer exam today he has full range of motion at his CMCJ." I feel like this may be random english words, but just want to make sure before I kill myself trying to figure it out. Thanks! ...

Typing on Physical Examination, I hear this: Abdomen was nontender; no liberetch, no spleen tip... "liberetch"?! I think I am going crazy. What is this? ...

what heading would you put that under? skin? HEENT? or what? kind of silly question I guess, but I just want to make sure. (Patient has thinning hair, btw) thanks ...

Patient called ("on later heart exam") as late as 2000. No murmurs, rubs, or gallops ("----") and moderate entry. Clear abdomen, soft nontender. It might say 1 over 2000? ...

Physical examination status post C-section, under "genitourinary" - Normal female external genitalia. _______ was mild. s/l luke hair or low care. ...

Hi there, anyone heard of linefeed examination, ie linefeed respiratory examination, linefeed abdomen. This happens to be on a infant. Could you tell me how to spell or abbreviate it? Thanks! ...

The false vocal cords, _________, and epiglottis also have no masses. SL retinoids Thanks in advance! ...

I hardly ever do prenatal exams, and cannot tell what Dr. is saying...HELP...."gravida 3, para 1-0-1-1, 39 with 2 service weeks by 6 and 20 week ultrasounds.... What is the "with 2 service weeks?" Any help appreciated! ...

s/l selective T exam, mentions heartburn. ...

While doing a physical exam of the back, the doc says: "On the left posterior midclavicular line, approximately s/l two-twelve region or 2/12 region, there is a 1-cm mass." How is the "two-twelve" part expressed? Or is this 2:12 like in o'clock? Never ran across this before and could use some help. Thanks! ...

This was in the exam portion of a report. Exam is of the shoulder, diagnosis of rotator cuff tear. "No s/l deep belly or debility sign." Thanks! ...

The lower extremities show marked peripheral varicosities. There are also some excoriated lesions of the lower extremities with some mild scarring secondary to __s/l "thorabnitis". Any ideas? This M.D. has a tendency to make up words, so he could be saying something totally different than how it sounds. Thanks ...

Cannot quite make out if dictator is saying, "form of thought disorganized" or "formal thought disorganized". I believe it would be form of thought......any ideas anyone???? Thanks. ...

I have not seen it, but reports say there is some weakness on the left side, at least onwarm ________ but not on cold, and they felt positional nystagmus when laying flat and on the left. s/l like the doctor is saying warm colorex but not on cold and 'they' felt positional nystagmus... ...

Doctor dictates "Breasts are absent. s/l "sess walls" are thin. I could feel no nodularity." Thank you very much! ...

The speculum was introduced into the vaginal vault. The cervix is cleansed. The anterior lip is grasped with the tenaculum and the s/l Piepill is inserted to approximately 8.5 cm. Thx! ...

baby heart examination - starstruck

Sounds like it could be pectus excavatum - Olive

Miss Olive, you have got some major smarts going on! - starstruck

Oh thanks. I love research. Lots of years, lots of years. My hospital does the Nuss - Olive

or possibly the lung exam--doesn't say which nm - starstruck

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