MR260 Medical Transcription II

Week 5Orthopedic 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!