Transcript MR260 Medical Transcription II Week 5

MR260 Medical Transcription II
Week 5
Orthopedic Practice
Instructor: Deb B West, MEd.
How the class will work…
• This is an open book Seminar.
• Be prepared to respond to the questions on
each slide, where indicted.
• Be prepared to share your thoughts with the
other class participants.
• After the questions slide you will see an answer
slide so you can check to see how you did.
Review
• 40 mg – not 40mg
• 4 x 4 – not 4x4
• x3 – not x 3
• p.o. , b.i.d,
• Gravida, para
• Noncontributory
• Capitalization of first letter after heading: (None)
Is everyone ready?
H&P Orthopedic Practice
• “There has been some increasing elevation of
the 5th toe, with a callous/calculus over the
dorsolateral/dorsallateral aspect of the toe at
the PID/PIP joint.”
• “He has tenderness of the lower cervical/cervix
spine and over the left trapezius/trapzoid, but
he has full range of motion of his C-spine.
• Medications:
• The patient received a codeine/cortisone
injection to relieve the inflammation
• The patient was given Biaxin/Vioxx for his bone
infection.
ANSWER
• “There has been some increasing elevation of
the 5th toe, with a callous over the dorsolateral
aspect of the toe at the PIP joint.”
• “He has tenderness of the lower cervical/cervix
spine and over the left trapezius, but he has
full range of motion of his C-spine.
• Medications:
• The patient received a cortisone injection to
relieve the inflammation.
• The patient was given Biaxin for his bone
infection.
More Orthopedics
• Last week Mary had surgery to excise a deep,
soft cystic mass in the area of the 1st dorsal
interosseous/interoccular. The procedure went
well and she is recovering nicely.
• The nail bed on the right great toe is healing
well following removal of the nail for
paronychia/phalangeal infection.
• Procedures:
• Arthroplasty/aromatherapy/arteriogram
• Lipofuscin/laminectomy/laparoscope
ANSWERS
• Last week Mary had surgery to excise a deep,
soft cystic mass in the area of the 1st dorsal
interosseous. The procedure went well and
she is recovering nicely.
• The nail bed on the right great toe is healing
well following removal of the nail for
paronychia infection.
• Procedures:
• Arthroplasty
• Laminectomy
More Questions
1. Number the lumbar vertebral discs.
2. What does the AC joint stand for?
3. What does the acronym MRI stand for?
4. You hear: Dorsiflexion is ten to fifteen degrees
with plantar flexion to twenty-five degrees.
You transcribe as:
ANSWERS
1. Number the lumbar vertebral discs. L1, L2, L3,
L4, L5
2. What does the AC joint stand for?
acromioclavicular joint, articulation between
acromion and clavicle
3. What is Vicodin? trade name for an opioid
analgesic
4. What does the acronym MRI stand for?
Magnetic Resonance Imaging
5. You transcribe as: Dorsiflexion is 10-15
degrees with plantar flexion to 25 degrees.
Define the words below:
1. Acromion
2. Apophysis
3. Calcaneus
4. Colles fracture
5. Crepitus
6. Debridement
7. Fusiform
8. Genu varum
9. Metatarsus
10. osteophyte
ANSWERS
1. Acromion: a spinous projection off the scapula
2. Apophysis: any outgrowth or swelling; a
process or projection of a bone
3. Calcaneus: the heel bone or os calcis
4. Colles fracture: a fracture of the distal end of
the radius with displacement of the hand
backward and upward
5. Crepitus: a grating sound of bone fragments
rubbing together
ANSWERS
6. Debridement: the removal of dead or
damaged tissue
7. Fusiform: a spindle-shaped structure that is
tapered at both ends
8. Genu varum: bowleg
9. Metatarsus: any of the five long bones of the
foot between the ankle and the toes
10. Osteophyte: an outgrowth of bone that is
usually found around a joint
Abbreviations
What do the following abbreviations stand for?
• ORIF
• NSAID
• TKA
• THA
• DJD
• ESR
• DEXA
• EMG
Abbreviation - answers
• ORIF – Open reduction and internal fixation
• NSAID- Nonsteroidal Anti-inflammatory Drugs
• TKA – Total knee arthroplasty
• THA – Total hip arthroplasty
• DJD – degenerative joint disease
• ESR - erythrocyte sedimentation rate
• DEXA – Dual-energy x-ray absorptiometry
• EMG - Electromyography
• Well that’s all for tonight!
• Thanks for joining us. I hope you learned
something to help you in your transcription
career.
• See you next week! Same time—same
place!
• Bye for now!