Transcript MR290 Medical Transcription Externship and Evaluation

MR260 MEDICAL
TRANSCRIPTION II
Week 2
Chapter 7 Pulmonary Medicine
Instructor:
Kathleen A. Bishop, MS, PHD
3 Breaths
This is a stress relaxation exercise that can
be done anywhere anytime, with your
eyes open or closed!
• Step 1
– Get relaxed/comfortable in your chair
• Step 2
– Take a slow breath through your nose,
exhale slowly out your mouth
• Step 3
– Do this two more times
• Step 4
– If that is not enough do it a few more
times.
• Step 5
– Think about how you feel now in mind
and body and how and when you
can use this technique.
How do the lungs work?
• The Workings of the Lung
Anatomy
• Describe the process that
occurs when we inhale
and exhale.
• Tell us what jobs are
performed by these words:
–
–
–
–
Alveoli
Pleura
Visceral layer
Parietal layer
Answer Key
• See page 184 for
“Anatomy in Brief” section.
Terminology
• Choose two of the words
on the list that you do NOT
know and tell us what they
mean and why it is
important to know these
specific words.
Answer Key
• See page 184 for the list of
words and their meanings.
Diseases
• Name the diseases that
are reviewed in the
textbook along with one
treatment associated with
each disease.
Answer Key
• See pages 187-192 in the
textbook for possible
treatments.
• Acute Bronchitis
• Chronic Bronchitis
• Asthma (Reactive Airways
Disease, RAD)
• Pneumonia (Pneumonitis)
• Influenza
Answer Key Cont.
• Pulmonary Tuberculosis
• Emphysema
• Pulmonary Embolism and
Infarction
• Pleural Effusion
• Spontaneous
Pneumothorax
• Bronchogenic Carcinoma
What does smoking do?
• Smoking and Lung Disease
Diagnostic & Surgical
Procedures
• Create a list of the
diagnostic and surgical
procedures and chose one
of them to define that you
had NOT heard of before.
Answer Key
• See pages 192-193 for
descriptions.
• Bronchoalveolar lavage
(BAL)
• Bronchoscopy
• Cardiopulmonary
resuscitation (CPR)
• Chest x-ray (CXR)
• FEV1 (Forced expiratory
volume in one second)
Answer Key Cont.
• Fi02
• FVC (forced vital capacity)
• History & Physical
Examination (H&P)
• IMV (intermittent
mandatory ventilation)
• Imaging studies
• Mantoux test
• 02 Saturation
Answer Key Cont.
•
•
•
•
pH
Pleural or lung biopsy
PPD test
Pulmonary function tests
(PFTs)
• Sputum examination
• Tine test
• Ventilation-perfusion (V-P)
scan
Laboratory Procedures
• List the laboratory
procedures associated
with Pulmonary Medicine
and chose one of them to
define that you had NOT
heard of before.
Answer Key
• See page 193 for words
and definitions.
• ABGs
• Acid-fast stain
• Agglutinins, cold
• Agglutinins, febrile
• Arterial blood gasses (ABGs)
• Blood gases
• Electrolytes, sweat
Pharmacology
• List the types of
medications associated
with this specialty and
chose one of them to list
the medications that you
will hear when transcribing
the reports.
• List both the
pharmaceutical name and
the trade name, if there is
one.
Answer Key
• See pages 193-195.
• Bronchodilators
• Leukotriene receptor
antagonists
• Corticosteroids
• Mast cell inhibitors
• Antituberculosis drugs
• Drugs used to treat AIDS
patients
• Surfactants
Transcription Tips
• Chose one tip that you
think will help you the most
when transcribing these
reports.
• Tell us why and how it will
help.
Reports
• List the types of reports (as
shown in the Sample
Reports section of the
chapter) that you may be
transcribing if you work in
this specialty.
• Will reviewing these reports
before you begin
transcribing help you? If
so, how? If not, why not?
Answer Key
• Pages 201-205
• Pulmonary Medicine
Consultation
• Chart Note
• Emergency Department
Report
• Operative Report
Your Favorite Blooper!
• Share your favorite Blooper
from the list with the class!
• If you have a Pulmonary
Blooper of your own share
that instead!
Book of Style
For Medical Transcription
Chapter 23 (pgs. 441-449)
Pulmonary/Respiratory
Primary Symbols used
• List the primary symbols
used in pulmonary and
respiratory terminology.
• What is the warning you
are given about the use of
abbreviations in rule
23.1.1?
Answer Key
• C concentration
• F fractional concentration
in dry gas
• P or p pressure or partial
pressure
• Q volume of blood
• V volume of gas
• D diffusing (diffusion
capacity
Answer Key Cont.
• R resistance or gas
exchange ratio
• S Saturation
• sG specific conductance
Answer Key Cont.
• It is important to note that
the same letter may stand
for one entity in respiratory
mechanics and for
another entity in gas
exchange (e.g. P stands
for pressure in respiratory
mechanics but stands for
partial pressure in gas
exchange).
Classification Systems
• What is the MallampatiSamsoon
• What is the Epworth
Sleepiness Scale?
• How are the numbers
transcribed and what do
they each stand for?
Answer Key
• Mallampati-Samsoon is the
classification system used
by anesthesiologists and
emergency medical
personnel to assess the
airway for ease or difficulty
of intubation.
Answer Key Cont.
• class I
– Uvula, faucial pillars, and soft
palate can be visualized
• class II
– Only faucial pillars and soft
palate can be visualized
• class III
– Only the soft palate can be
visualized
• class IV
– Only the hard palate can be
visualized
Answer Key Cont.
• Epworth Sleepiness Scale
classification system uses a
questionnaire to measure
daytime sleepiness on a
scale of 1 to 24 for the
purposes of assessing
potential sleep disorders,
especially those related to
apnea.
Answer Key Cont.
• The patient uses the
following scale to choose
the most appropriate
number for each situation.
• 0= would never doze or sleep
• 1=slight chance of dozing or
sleeping
• 2=moderate chance of dozing
or sleeping
• 3=high chance of dozing or
sleeping
Thanks for being here!
• Good night everyone!
• Have a great evening and
I look forward to seeing
you again next week,
same time—same place!