Medical Transcription III MR270

Dr. Kathleen A. Bishop, Instructor

Week 1Week 1

Welcome to Week 1

•Welcome from Dr. B•Self-introductions:

•My hopes and expectations for this course are….

•I am very interested in learning…

• 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!

Cardiology

A & P of the Heart

What is this picture displaying?

Answer Key

• Pacemaker placed beneath skin in pectoral region.

A & P of the Heart Cont.

• What is this a picture of?

• Define the word:• Waveform

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).

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. ______________

5. ______________

6. ______________

7. ______________

8. ______________

9. ______________

1 21 2

33

44

99

88

Answer Key

1. Chordae tendineae2. Left AV valve open3. Aortic valve closed4. Coronary artery5. Pulmonary valve closed6. Cusps of pulmonary valve7. Coronary artery8. Cusps of aortic valve9. Right AV valve open

A & P of the Heart Cont.

• Identify the coronary arteries of the heart in the picture to the left.

1. _________________2. _________________3. _________________4. _________________5. _________________

11

22

3355

44

Answer Key

1. Left coronary artery (LCA)2. Left circumflex coronary artery3. Left anterior descending coronary

artery (LAD)4. Posterior descending coronary artery

(PDA)5. Right coronary artery (RCA)

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-

Answer Key Vocabulary

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

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?

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)

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?

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.

Answer Key

• 2/6 • It is not unusual for dictators

to use “out of” or “over” to express these grades, so listen for both.

Diagnostic Testing and Procedures

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

Answer Key

• Electrocardiography• Vector cardiography• Electrophysiologic studies• Ultrasound• Nuclear cardiology• Radiology• Catheterization• Pulmonary function testing

Diagnostic Testing and Procedures Cont.

• Which test uses Roman numerals for their designations and not Arabic numerals?

Answer Key

• Standard bipolar leads in and ECG/EKG• Lead I• Lead II• Lead III

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