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Medical Transcription III MR270

Week 1. Medical Transcription III MR270. Dr. Kathleen A. Bishop, Instructor. Welcome to Week 1. Welcome from Dr. B Self-introductions: My hopes and expectations for this course are…. I am very interested in learning….

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Medical Transcription III MR270

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  1. Week 1 Medical Transcription III MR270 Dr. Kathleen A. Bishop, Instructor

  2. Welcome to Week 1 • Welcome from Dr. B • Self-introductions: • My hopes and expectations for this course are…. • I am very interested in learning…

  3. Be sure that you have your textbook and all of your resource books handy. • Stedman’s Advanced Medical Transcription Skill Builders (2008) • The Book of style for Medical Transcription 3rd Ed. AHDI • Medical Dictionary of your choice. • As usual, this is an open book study so speed is not important, but accuracy is. • Enjoy the hour!

  4. Cardiology

  5. A & P of the Heart What is this picture displaying?

  6. Answer Key • Pacemaker placed beneath skin in pectoral region.

  7. A & P of the Heart Cont. What is this a picture of? Define the word: Waveform

  8. Answer Key • Figure 5. Normal arterial waveform • Waveform: The representation of a wave on a graph (e.g., an arterial pressure or displacement wave; or the pacemaker pulse as demonstrated on an oscilloscope under a specified load).

  9. A & P of the Heart Cont. Posterior 7 6 5 Identify the valves of the heart (shown in the picture to the left) during diastole. ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ 1 2 3 4 9 8

  10. Answer Key • Chordae tendineae • Left AV valve open • Aortic valve closed • Coronary artery • Pulmonary valve closed • Cusps of pulmonary valve • Coronary artery • Cusps of aortic valve • Right AV valve open

  11. A & P of the Heart Cont. Identify the coronary arteries of the heart in the picture to the left. _________________ _________________ _________________ _________________ _________________ 1 2 3 5 4

  12. Answer Key • Left coronary artery (LCA) • Left circumflex coronary artery • Left anterior descending coronary artery (LAD) • Posterior descending coronary artery (PDA) • Right coronary artery (RCA)

  13. Vocabulary: Cardiology • Combine the common prefixes, suffixes and combing forms to create words that you will come across when transcribing cardiology reports. • You may use some of the parts more then once. • arteri/o- • brady- • cardi/o • dys • echo- • -grade • -gram • -plegia • -pnea • retro-

  14. Answer Key Vocabulary • You may have found some additional words but here are the ones I created: • retrograde • arteriogram • bradycardia • dyspnea • echocardiogram • cardioplegia

  15. Book of Style Chpt. 14 pgs. 317-326 • There are 4 sounds and 4 components assessed on auscultation of the heart what are they and how are they transcribed?

  16. Answer Key • First heart sound (S1 can be subscript as well) • Second heart sound (S2) • Third heart sound (S3) • Fourth heart sound (S4) • Aortic valve component (A2) • Mitral valve component (M1 • Pulmonic valve component (P2) • Tricuspid valve component (T1)

  17. Book of Style Chpt. 14 Cont. • Murmurs are graded from soft to loud how are they transcribed? • There is a virgule/slash placed between the murmur grade and the scale. How would you transcribe this phrase if the patient had a grade 2 murmur on a scale of 6?

  18. Answer Key • grade 1 barely audible, must strain to hear • grade 2 quiet, but clearly audible • grade 3 moderately loud • grade 4 loud • grade 5 very loud; audible with stethoscope partly off the chest • grade 6 so loud that it can be heard with stethoscope just above chest wall.

  19. Answer Key • 2/6 • It is not unusual for dictators to use “out of” or “over” to express these grades, so listen for both.

  20. Diagnostic Testing and Procedures • List the wide variety of radiologic and diagnostic procedures associated with the management of cardiovascular diseases.

  21. Answer Key • Electrocardiography • Vector cardiography • Electrophysiologic studies • Ultrasound • Nuclear cardiology • Radiology • Catheterization • Pulmonary function testing

  22. Diagnostic Testing and Procedures Cont. • Which test uses Roman numerals for their designations and not Arabic numerals?

  23. Answer Key • Standard bipolar leads in and ECG/EKG • Lead I • Lead II • Lead III

  24. Good Night All… • Thanks for joining me tonight I hope you learned something new. • Don’t forget to complete all required assignments for this unit on time. • Keep up the great work--you’re near graduation! • See you same time—same place next week! Dr. B

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