Hannah Geiger (X) Sep 7, 2015:

Stephen,

Thanks. I did not express myself clearly. I should have said that the +ˇ+ probably means that it is 'present on palpation', but I am sure you understood.

Stephen R Schoening (asker) Sep 7, 2015:

I think you're right Hannah,

I think you're right based on the context. Also, elsewhere in report it says heart activity is normal, no mention of atrial fibrillation. Now I remember that ++ (I think often it has a slash between: +/+) means both sides; I had forgotten that because sometimes it means a lab reading, etc. is excessive.
Why don't you put your entry as an answer, then I can choose it later unless some other answer seems more plausible.

Thanks,

Stephen

Hannah Geiger (X) Sep 7, 2015:

since it is followed by the groin, I would say it is arteria femoralis i.e. femoral artery pulse, the two ++ might be indicating bilaterally, I have seen it written like this Then of course there might be a connection between difficulties breathing and atrial fibrillation,(sometimes lazily written like this), but I don't see it from the way it is placed, I suppose you would know.