What is a B2 heart sound?...

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Hi all,

I recently read a patient's chart in which his heart sounds were documented as S1 B2. I know this wasn't a mistake or a weirdly-written S or P because it was written legibly several times. Has anyone heard of a B2 heart sound?

Thanks!

Hey there everyone!

Thank you all for your responses! Angela, I think you may have hit it on the nose. He was documented as having AV block elsewhere in the chart, so S1 B2 could be referring to that. Unfortunately, I'm no longer in that facility, but I would have loved to grill those MDs about their charting! Thanks again everyone!

Mlr4

Edit: bad grammar.

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Specializes in PeriOp, ICU, PICU, NICU.
Thanks, everyone, for your responses! No, it was hand-written multiple times in the progress notes and very clearly and definitely said "B2." I have asked everyone and their mom about this and the closest I can get to an answer is a cardiologist who told me that he had never heard of it and that it was probably a "local euphemism." What good are euphemisms to people who come behind you?? It's like medicine's version of an inside joke. Except this inside joke could potentially hurt someone! Has anyone else ever seen local medical dialect or slang in their charts?

Very distasteful IMO. Hopefully it will not happen again. :)

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