Rent 9780763820107 | Medical Transcription | Ettinger, Blanche; Ettinger, Alice G. @knetbooks.com

Table of Contents

Part I Preparing to Transcribe

(122)

The World of Medical Transcription

(36)

Overview of the Profession

... MORE

(4)

Growth in Medical Transcription

(1)

Employment Opportunities

(1)

The Medical Transcriptionist's Role in Patient Care

(1)

Personal Attributes of the Medical Transcriptionist

(1)

Required Knowledge and Skills

(1)

Professional Certification

(1)

Professional Principles of Transcription

(3)

Increase Speed While Striving for Accuracy

(1)

Maintain Confidentiality

(1)

Follow Ethical Guidelines

(1)

Appreciate Cultural Diversity

(1)

Getting Started

(6)

Transcription Equipment

(1)

Earphones

(1)

Foot Pedal

(1)

Transcriber Features

(1)

Tapes

(1)

Voice/Speech Recognition Systems

(1)

Transcription Ergonomics

(1)

Eyes

(1)

Ears

(1)

Hands and Wrists

(1)

Posture

(1)

Lifestyle Changes

(1)

Using Reference Materials

(1)

Medical Dictionary

(1)

Drug Book

(1)

Medical Style Guide

(1)

Medical Word Book/Medical Phrase Index

(1)

Abbreviations and Acronyms Reference

(1)

Medical Equipment/Surgical Words Book

(1)

Laboratory Word Book

(1)

Eponym Book

(1)

Online Resources

(1)

Nonmedical References

(1)

Transcribing, Proofreading, and Editing Tips

(6)

The Transcription Process

(1)

Editing Documents from Dictation

(1)

Dealing with Jargon and Clipped Sentences

(1)

Styles of Writing

(1)

Dealing with Dictator Accents

(1)

Proofreading Methods

(1)

Evaluating Your Work

(2)

Working with Medical Records

(16)

Medical Record Formats

(1)

Problem Oriented Medical Record

(3)

Narrative-Style Charting

(1)

How Records Are Used

(1)

Legal Issues Surrounding Medical Records

(1)

Retention

(1)

Ownership of Document and Content

(1)

Release of Information

(1)

Legal Terms Regarding Release of Information

(1)

Important Components of Medical Records

(1)

History and Physical

(1)

Operative Report

(1)

Discharge Summary

(1)

Chart Note

(1)

Consultation Request or Letter

(1)

Radiology Report

(1)

Pathology Report

(1)

Autopsy Report

(1)

Guidelines for Preparing and Managing Medical Records

(4)

Using Templates

(6)

Medical Terminology Review

(34)

Word Parts and How They Are Combined

(11)

Root Words and Combining Forms

(1)

Prefixes

(1)

Suffixes

(7)

Suggestions for Learning Medical Terms

(4)

Anatomic Terms That Map the Human Body

(8)

Levels of Organization

(1)

Cells

(1)

Tissues

(1)

Organs

(1)

Body Systems

(1)

Body Cavities and Regions

(1)

Divisions of the Spinal Column

(4)

Diagnostic Terms to Assess the Human Body

(14)

Directional and Positional Terms

(1)

Directional Planes

(2)

Movement Terms

(1)

Combining Forms Referring to Color

(2)

Pain Assessment

(1)

Medical Imaging Terms

(1)

Radiology

(1)

Fluoroscopy

(1)

Sonography

(1)

Computed Tomography

(1)

Magnetic Resonance Imaging

(6)

Perfecting Your Editing Skills

(50)

Repairing Sentence Fragments and Run-On Sentences

(3)

What Is a Sentence?

(1)

Fragments

(1)

Run-On Sentences

(1)

Exceptions to the Rules in Medical Reports

(1)

Creating Subject-Verb Agreement

(3)

Complicating Factor: Inverted Order Sentences

(1)

Complicating Factor: Intervening Words and Phrases

(1)

Creating Agreement Between Pronouns and Antecedents

(3)

Pronouns as Subject or Object

(1)

Pronoun/Subject Agreement

(1)

Who versus Whom

(1)

Myself, Himself, and Other Reflexive Pronouns

(1)

Punctuating with Commas, Semicolons, and Colons

(5)

Commas: To Introduce

(1)

Commas: To Separate

(1)

Commas: To Enclose

(1)

Semicolons

(1)

Colons

(2)

Using Dashes, Quotation Marks, and Parentheses

(3)

Dashes

(1)

Quotation Marks

(2)

Parentheses

(1)

Using Modifiers to Achieve Correct Meaning

(2)

Related Words Should Be Placed Together

(1)

Misplaced or Dangling Modifiers

(1)

Forming Plurals

(3)

Rules for Plural Forms

(1)

Other Plural Forms

(1)

Forming Plural Abbreviations

(1)

Plural Numbers and Units of Measure

(1)

Using Capitals Correctly

(6)

Proper Nouns

(1)

Abbreviations

(1)

Acronyms

(1)

Eponyms

(1)

Drug Allergies

(1)

Document Elements

100

(2)

Using Numbers in Word or Figure Form

102

(7)

First Word of a Sentence

102

(1)

Units of Measurement and Lab Values

102

(1)

Similar Types of Data

103

(1)

Dates

103

(1)

Age

103

(1)

Time

104

(1)

Money

104

(1)

Measurements, Mathematical Expressions, and Symbols

104

(1)

Decimals and Fractions

105

(4)

Using Abbreviations Correctly

109

(3)

To Abbreviate or Not to Abbreviate

109

(1)

Units of Measure

110

(1)

Punctuation with Abbreviations

110

(1)

Plural Abbreviations

111

(1)

Abbreviations That Have Multiple Meanings

111

(1)

Shorthand Dictation

111

(1)

Using Apostrophes Correctly

112

(4)

Contractions

112

(1)

Years

113

(1)

Possessive Forms

113

(1)

Plurals

114

(2)

Using Hyphens Correctly

116

(7)

Compound Adjectives

116

(1)

Prefixes and Suffixes

117

(2)

Suspended Hyphens

119

(1)

Specific Words

119

(1)

Other Uses of the Hyphen

120

(3)

Part II Transcribing for the Specialties

123

(314)

Dermatology

125

(24)

Exploring Dermatology

126

(4)

Structure and Function

126

(1)

Physical Assessment

127

(1)

Diseases and Conditions

127

(2)

Common Tests and Surgical Procedures

129

(1)

Building Language Skills

130

(10)

Building Transcription Skills

140

(7)

The Office Note

140

(1)

Preparing to Transcribe

140

(2)

Patient Studies

142

(5)

Assessing Transcription Skills

147

(2)

Using Medical References

147

(1)

Making Expert Decisions

148

(1)

Transcribing Professional Documents

148

(1)

Ophthalmology

149

(24)

Exploring Ophthalmology

150

(4)

Structure and Function

150

(1)

Physical Assessment

151

(1)

Diseases and Conditions

152

(1)

Common Tests and Surgical Procedures

153

(1)

Building Language Skills

154

(9)

Building Transcription Skills

163

(8)

The Consultation Letter/Report

163

(1)

Required Headings/Content

163

(1)

Turnaround Time

163

(1)

Preparing to Transcribe

164

(1)

Patient Studies

164

(7)

Assessing Transcription Skills

171

(2)

Using Medical References

171

(1)

Making Expert Decisions

172

(1)

Transcribing Professional Documents

172

(1)

Otorhinolaryngology (ENT)

173

(26)

Exploring Otorhinolaryngology (ENT)

174

(6)

Structure and Function

174

(2)

Physical Assessment

176

(2)

Diseases and Conditions

178

(1)

Common Tests and Surgical Procedures

179

(1)

Building Language Skills

180

(9)

Building Transcription Skills

189

(8)

The Operative Report

189

(1)

Required Headings/Content

189

(1)

Turnaround Time

189

(1)

Preparing to Transcribe

190

(1)

Patient Studies

190

(7)

Assessing Transcription Skills

197

(2)

Using Medical References

197

(1)

Making Expert Decisions

198

(1)

Transcribing Professional Documents

198

(1)

Pulmonology

199

(26)

Exploring Pulmonology

200

(4)

Structure and Function

200

(1)

Physical Assessment

201

(1)

Diseases and Conditions

202

(1)

Common Tests and Surgical Procedures

203

(1)

Building Language Skills

204

(10)

Building Transcription Skills

214

(9)

The Discharge Summary

214

(1)

Required Headings/Content

214

(1)

Turnaround Time

214

(3)

Preparing to Transcribe

217

(1)

Patient Studies

217

(6)

Assessing Transcription Skills

223

(2)

Using Medical References

223

(1)

Making Expert Decisions

224

(1)

Transcribing Professional Documents

224

(1)

Cardiology

225

(26)

Exploring Cardiology

226

(5)

Structure and Function

226

(2)

Physical Assessment

228

(1)

Diseases and Conditions

229

(1)

Common Tests and Surgical Procedures

229

(2)

Building Language Skills

231

(10)

Building Transcription Skills

241

(7)

The Radiology Report

241

(1)

Required Headings/Content

241

(1)

Turnaround Time

241

(1)

Preparing to Transcribe

241

(1)

Patient Studies

242

(6)

Assessing Transcription Skills

248

(3)

Using Medical References

248

(1)

Making Expert Decisions

249

(1)

Transcribing Professional Documents

249

(2)

Gastroenterology

251

(26)

Exploring Gastroenterology

252

(6)

Structure and Function

252

(3)

Physical Assessment

255

(1)

Diseases and Conditions

256

(1)

Common Tests and Surgical Procedures

256

(2)

Building Language Skills

258

(11)

Building Transcription Skills

269

(6)

The Pathology Report

269

(1)

Required Headings/Content

269

(1)

Turnaround Time

269

(1)

Preparing to Transcribe

269

(1)

Patient Studies

269

(6)

Assessing Transcription Skills

275

(2)

Using Medical References

275

(1)

Making Expert Decisions

276

(1)

Transcribing Professional Documents

276

(1)

Obstetrics and Gynecology

277

(26)

Exploring Obstetrics and Gynecology

277

(6)

Structure and Function

278

(1)

Physical Assessment

279

(1)

Diseases and Conditions

280

(1)

Common Tests and Surgical Procedures

281

(2)

Building Language Skills

283

(10)

Building Transcription Skills

293

(8)

The Labor and Delivery Report

293

(1)

Required Headings/Content

293

(1)

Turnaround Time

293

(1)

Preparing to Transcribe

293

(1)

Patient Studies

293

(8)

Assessing Transcription Skills

301

(2)

Using Medical References

301

(1)

Making Expert Decisions

302

(1)

Transcribing Professional Documents

302

(1)

Urology and Nephrology

303

(28)

Exploring Urology and Nephrology

304

(4)

Structure and Function

304

(2)

Physical Assessment

306

(1)

Diseases and Conditions

307

(1)

Common Tests and Surgical Procedures

307

(1)

Building Language Skills

308

(9)

Building Transcription Skills

317

(12)

The History and Physical

317

(1)

Required Headings/Content

317

(5)

Turnaround Time

322

(1)

Preparing to Transcribe

323

(1)

Patient Studies

323

(6)

Assessing Transcription Skills

329

(2)

Using Medical References

329

(1)

Making Expert Decisions

330

(1)

Transcribing Professional Documents

330

(1)

Orthopedics

331

(24)

Exploring Orthopedics

332

(7)

Structure and Function

332

(4)

Physical Assessment

336

(1)

Diseases, Conditions, and Injuries

337

(1)

Common Tests and Surgical Procedures

337

(2)

Building Language Skills

339

(8)

Building Transcription Skills

347

(6)

The Emergency Department Report

347

(1)

Required Headings/Content

347

(1)

Turnaround Time

347

(3)

Preparing to Transcribe

350

(1)

Patient Studies

350

(3)

Assessing Transcription Skills

353

(2)

Using Medical References

353

(1)

Making Expert Decisions

354

(1)

Transcribing Professional Documents

354

(1)

Neurology

355

(28)

Exploring Neurology

356

(7)

Structure and Function

358

(1)

Physical Assessment

358

(3)

Diseases and Conditions

361

(1)

Common Tests and Surgical Procedures

362

(1)

Building Language Skills

363

(10)

Building Transcription Skills

373

(8)

The Neuropsychological Evaluation

373

(1)

Required Headings/Content

373

(1)

Turnaround Time

373

(1)

Preparing to Transcribe

373

(1)

Patient Studies

373

(8)

Assessing Transcription Skills

381

(2)

Using Medical References

381

(1)

Making Expert Decisions

382

(1)

Transcribing Professional Documents

382

(1)

Hematology-Oncology

383

(26)

Exploring Hematology-Oncology

384

(7)

Structure and Function

384

(5)

Physical Assessment

389

(1)

Hematologic Diseases and Conditions

389

(1)

Oncologic Diseases and Conditions

389

(1)

Common Tests and Surgical Procedures

390

(1)

Building Language Skills

391

(9)

Building Transcription Skills

400

(7)

The Outpatient Visit Report

400

(1)

Required Headings/Content

400

(1)

Turnaround Time

400

(1)

Preparing to Transcribe

400

(3)

Patient Studies

403

(4)

Assessing Transcription Skills

407

(2)

Using Medical References

407

(1)

Making Expert Decisions

408

(1)

Transcribing Professional Documents

408

(1)

Immunology

409

(28)

Exploring Immunology

410

(4)

Structure and Function

410

(1)

Physical Assessment

411

(1)

Diseases and Conditions

412

(1)

Common Tests and Surgical Procedures

413

(1)

Building Language Skills

414

(8)

Building Transcription Skills

422

(13)

The Autopsy Report

422

(1)

Required Headings/Content

422

(1)

Turnaround Time

423

(1)

Preparing to Transcribe

423

(1)

Patient Studies

423

(12)

Assessing Transcription Skills

435

(2)

Using Medical References

435

(1)

Making Expert Decisions

436

(1)

Transcribing Professional Documents

436

(1)

Appendix A Endocrinology Job Simulation

437

(2)

Appendix B Medical Transcriptionist Job Search

439

(4)

Appendix C Common Laboratory Values

443

(4)

Appendix D Common Drugs

447

(10)

Appendix E Abbreviations and Symbols

457

(8)

Glossary

465

(30)

Index

495

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