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Medical Transcription,9780763820107
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Medical Transcription

by ;
Edition:
2nd
ISBN13:

9780763820107

ISBN10:
0763820105
Format:
Paperback
Pub. Date:
7/1/2003
Publisher(s):
Emc Pub
List Price: $139.91
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Table of Contents

Part I Preparing to Transcribe
1(122)
The World of Medical Transcription
3(36)
Overview of the Profession
4(4)
Growth in Medical Transcription
4(1)
Employment Opportunities
5(1)
The Medical Transcriptionist's Role in Patient Care
5(1)
Personal Attributes of the Medical Transcriptionist
6(1)
Required Knowledge and Skills
7(1)
Professional Certification
8(1)
Professional Principles of Transcription
8(3)
Increase Speed While Striving for Accuracy
8(1)
Maintain Confidentiality
9(1)
Follow Ethical Guidelines
9(1)
Appreciate Cultural Diversity
10(1)
Getting Started
11(6)
Transcription Equipment
11(1)
Earphones
11(1)
Foot Pedal
11(1)
Transcriber Features
12(1)
Tapes
12(1)
Voice/Speech Recognition Systems
13(1)
Transcription Ergonomics
14(1)
Eyes
14(1)
Ears
14(1)
Hands and Wrists
15(1)
Posture
15(1)
Lifestyle Changes
15(1)
Using Reference Materials
15(1)
Medical Dictionary
15(1)
Drug Book
16(1)
Medical Style Guide
16(1)
Medical Word Book/Medical Phrase Index
16(1)
Abbreviations and Acronyms Reference
16(1)
Medical Equipment/Surgical Words Book
16(1)
Laboratory Word Book
16(1)
Eponym Book
16(1)
Online Resources
16(1)
Nonmedical References
17(1)
Transcribing, Proofreading, and Editing Tips
17(6)
The Transcription Process
17(1)
Editing Documents from Dictation
18(1)
Dealing with Jargon and Clipped Sentences
19(1)
Styles of Writing
20(1)
Dealing with Dictator Accents
21(1)
Proofreading Methods
21(1)
Evaluating Your Work
21(2)
Working with Medical Records
23(16)
Medical Record Formats
23(1)
Problem Oriented Medical Record
23(3)
Narrative-Style Charting
26(1)
How Records Are Used
26(1)
Legal Issues Surrounding Medical Records
26(1)
Retention
26(1)
Ownership of Document and Content
26(1)
Release of Information
26(1)
Legal Terms Regarding Release of Information
27(1)
Important Components of Medical Records
27(1)
History and Physical
28(1)
Operative Report
29(1)
Discharge Summary
29(1)
Chart Note
29(1)
Consultation Request or Letter
29(1)
Radiology Report
29(1)
Pathology Report
29(1)
Autopsy Report
29(1)
Guidelines for Preparing and Managing Medical Records
29(4)
Using Templates
33(6)
Medical Terminology Review
39(34)
Word Parts and How They Are Combined
40(11)
Root Words and Combining Forms
40(1)
Prefixes
40(1)
Suffixes
40(7)
Suggestions for Learning Medical Terms
47(4)
Anatomic Terms That Map the Human Body
51(8)
Levels of Organization
51(1)
Cells
52(1)
Tissues
53(1)
Organs
54(1)
Body Systems
54(1)
Body Cavities and Regions
54(1)
Divisions of the Spinal Column
55(4)
Diagnostic Terms to Assess the Human Body
59(14)
Directional and Positional Terms
59(1)
Directional Planes
60(2)
Movement Terms
62(1)
Combining Forms Referring to Color
62(2)
Pain Assessment
64(1)
Medical Imaging Terms
64(1)
Radiology
65(1)
Fluoroscopy
66(1)
Sonography
66(1)
Computed Tomography
66(1)
Magnetic Resonance Imaging
67(6)
Perfecting Your Editing Skills
73(50)
Repairing Sentence Fragments and Run-On Sentences
74(3)
What Is a Sentence?
74(1)
Fragments
75(1)
Run-On Sentences
75(1)
Exceptions to the Rules in Medical Reports
76(1)
Creating Subject-Verb Agreement
77(3)
Complicating Factor: Inverted Order Sentences
78(1)
Complicating Factor: Intervening Words and Phrases
79(1)
Creating Agreement Between Pronouns and Antecedents
80(3)
Pronouns as Subject or Object
81(1)
Pronoun/Subject Agreement
81(1)
Who versus Whom
81(1)
Myself, Himself, and Other Reflexive Pronouns
82(1)
Punctuating with Commas, Semicolons, and Colons
83(5)
Commas: To Introduce
83(1)
Commas: To Separate
84(1)
Commas: To Enclose
85(1)
Semicolons
85(1)
Colons
86(2)
Using Dashes, Quotation Marks, and Parentheses
88(3)
Dashes
88(1)
Quotation Marks
88(2)
Parentheses
90(1)
Using Modifiers to Achieve Correct Meaning
91(2)
Related Words Should Be Placed Together
91(1)
Misplaced or Dangling Modifiers
92(1)
Forming Plurals
93(3)
Rules for Plural Forms
93(1)
Other Plural Forms
94(1)
Forming Plural Abbreviations
94(1)
Plural Numbers and Units of Measure
95(1)
Using Capitals Correctly
96(6)
Proper Nouns
96(1)
Abbreviations
97(1)
Acronyms
98(1)
Eponyms
99(1)
Drug Allergies
99(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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