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Hillcrest Medical Center : Beginning Medical Transcription Course

by
Edition:
6th
ISBN13:

9781401841089

ISBN10:
1401841082
Format:
Paperback
Pub. Date:
6/24/2004
Publisher(s):
CENGAGE Delmar Learning

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What version or edition is this?
This is the 6th edition with a publication date of 6/24/2004.
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Summary

This best-selling transcription book is now printed in full color, enhancing the anatomical illustrations presented. The book and practice software create a simulation approach, giving learners a working knowledge of the medical reports most commonly used in hospital and ambulatory care settings. Learners transcribe a variety of reports from inpatient case studies taken from actual medical reports. Organized by body system, reports transcribed include history and physical examination, operative, pathology, radiology, and discharge summary.

Table of Contents

Preface v
Prerequisites v
Course Description v
Objectives vi
Student Text-Workbook vi
Instructor's Manual viii
About the Authors ix
Section 1 Introduction
1(14)
Welcome to Hillcrest Medical Center
2(1)
Confidentiality Policy
3(1)
Legal Issues
3(1)
Health Insurance Portability and Accountability Act (HIPAA)
3(1)
Objectives
4(1)
Length of Course
4(1)
Transcribing Medical Reports
5(1)
Evaluations
6(1)
Skill-Building Exercises
6(1)
Appendix
6(2)
American Association for Medical Transcription
8(4)
Medical Transcriptionist Job Descriptions
8(1)
AAMT Code of Ethics
8(3)
Employment and Certification Possibilities
11(1)
Understanding Medical Records
12(3)
History and Physical Examination (H&P)
12(1)
Radiology Report
12(1)
Operative Report
13(1)
Pathology Report
13(1)
Request for Consultation
13(1)
Discharge Summary
13(1)
Death Summary
13(1)
Autopsy Report
14(1)
Outpatient Model Reports
14(1)
Section 2 Model Report Forms
15(24)
Section 3 References
39(24)
Transcription Rules for Hillcrest Medical Center and Quali-Care Clinic
40(8)
Style Variations
40(1)
Capitalization
41(1)
Numbers
42(1)
Punctuation
43(1)
Abbreviations and Symbols
44(2)
List of Metric Measurements
46(1)
The Grammar of Microbiology
46(1)
Vital Signs
47(1)
CMTips™
48(3)
Difficult Singular and Plural Words and Phrases
48(1)
Temperature versus Fever
48(1)
A Tongue Twister
48(1)
Dermatology Terms
48(1)
Pulmonary Terms
48(1)
Race
48(1)
Age
48(1)
Zero Safety
49(1)
Roman Numerals
49(1)
Time
49(1)
Abduction versus Adduction
49(1)
Class and Stage
49(1)
Connective Tissues
49(1)
Subjective versus Objective
49(1)
Surgical Terms
49(1)
Gynecology Terms
50(1)
Cardiology Terms
50(1)
Jr, Sr, II, and III
50(1)
Using the Student Activities CD-ROM
51(2)
Report Formatting Guidelines
51(1)
Common Microsoft Computer Commands
52(1)
Voice Recognition Technology
52(1)
Understanding Medical Terminology
53(10)
Principles
53(1)
Prefixes/Pronunciation
54(2)
Combining Forms
56(4)
Suffixes
60(3)
Section 4 Case Studies
63(48)
Case 1 The Reproductive System
64(1)
Glossary
65(4)
Case 2 The Musculoskeletal System
69(1)
Glossary
70(3)
Case 3 The Cardiopulmonary System
73(1)
Glossary
74(4)
Case 4 The Integumentary System
78(1)
Glossary
79(3)
Case 5 The Urinary System
82(1)
Glossary
83(2)
Case 6 The Nervous System
85(1)
Glossary
86(7)
Case 7 The Digestive System
93(1)
Glossary
94(3)
Case 8 The Endocrine System
97(1)
Glossary
98(3)
Case 9 The Lymphatic System
101(1)
Glossary
102(4)
Case 10 The Respiratory System
106(1)
Glossary
107(4)
Section 5 Quali-Care Clinic
111(52)
Welcome to Quali-Care Clinic
112(1)
Quali-Care Clinic Report Log
113(1)
Outpatient Reports
114(1)
Report 1 Gynecology Operative Report
114(3)
Report 2 Pathology Report
117(2)
Report 3 Cytology Report
119(1)
Report 4 Oncology Consult
120(2)
Report 5 Infectious Disease Soap Note
122(3)
Report 6 Pulmonology Procedure Note
125(2)
Report 7 Oncology Consult
127(3)
Report 8 Correspondence
130(1)
Report 9 Infectious Disease Consult
131(2)
Report 10 Pediatrics---Emergency Center Report
133(2)
Report 11 Internal Medicine History and Physical
135(2)
Report 12 Psychiatry Consult
137(1)
Report 13 Radiology---Echocardiogram Report
138(2)
Report 14 Radiology---Colonoscopy Procedure Note
140(2)
Report 15 Radiology---CT Scan of Abdomen
142(1)
Report 16 Infectious Disease HPIP Note
143(2)
Report 17 Radiology---Mammogram and CT Scan of Abdomen
145(2)
Report 18 Oncology Consult
147(2)
Report 19 Correspondence
149(1)
Report 20 Pulmonology---Sleep Study
150(3)
Report 21 Psychiatry Consult
153(1)
Report 22 Radiology---MRI
154(3)
Report 23 Pediatrics---Emergency Center Report
157(2)
Report 24 Hematology Consult
159(2)
Report 25 Correspondence
161(2)
Section 6 Skill Building Exercises
163(26)
Crossword Puzzles 1 through 6
164(6)
Proofreading Exercises 1 through 10
170(19)
Appendix
189(24)
Proofreader's Marks
190(1)
Challenging Medical Words, Phrases, Prefixes
191(4)
Sample Patient History Form
195(2)
The Lund Browder Chart
197(1)
Laboratory Test Information
198(3)
Sample Forms for Ordering Laboratory Tests, Radiology Tests and Consults, Medical Supplies
201(8)
Building a Reference Library
209(1)
Web Sites for Transcriptionists
209(1)
General Interest Web Sites
209(1)
``A Healthcare Controlled Vocabulary''
210(3)
Dr. Neil Davis
Index 213


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