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9780130138330

Medical Transcription : Fundamentals and Practice

by
  • ISBN13:

    9780130138330

  • ISBN10:

    0130138339

  • Edition: 2nd
  • Format: Paperback
  • Copyright: 2000-01-01
  • Publisher: Prentice Hall
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List Price: $70.40

Summary

Teaching users how to transcribe actual medical dictation so that they can develop the selective hearing skills and experience necessary to gain competency as a medical transcriptionist, this guide offers a unique combination of authentic physician dictation by body systems, coordinated readings and exercises by medical specialty, and supplementary information vital to every medical transcriptionist. Supports text with six hours of authentic physical dictation-not synthetic studio recording; all dictations are carefully selected for subject matter, professionally edited to delete confidential identifying information, and then sequenced in a way to promote comprehension and encourage learning. Groups tapes by medical specialty (i.e., dermatology, urology, gastroenterology, cardiology, pulmonary medicine, endocrinology, orthopedics, obstetrics and gynecology, otorhinolaryngology, and radiology), with each dictation report offering the best example of its type for vocabulary density, technical content, and other instructional criteria; each report includes chart notes, letters, initial office valuations, consultations, history and physical examinations, discharge summaries, operative reports, emergency department reports, procedure notes, and diagnostic studies from each medical specialty. For anyone in the medical profession who wants to learn basic medical transcription, including medical assistants and legal transcription/court reporters.

Table of Contents

Preface vii
Acknowledgments ix
A Note to Students xi
About the Authors xiii
List of Figures
xv
PART ONE FUNDAMENTALS OF MEDICAL TRANSCRIPTION
Medical Fundamentals
Transcribing Medical Dictation
The Medical Transcription Profession
4(1)
The Medical Reports
4(4)
The Healthcare Record
8(2)
Technology
10(1)
References
10(1)
Work Environments
11(2)
Medical Readings
History and Physical Examination
13(2)
Laboratory Tests
15(2)
Pharmacology
17(5)
Spotlight on Medical Dictation
22(1)
Transcription Tips
23(1)
Proofreading
24(2)
Skills Challenge
26(2)
Sample Reports
28(8)
Transcription Practice
36(2)
Perspectives on Medical Transcription
Ethics and Professionalism
A Doctor's View
38(3)
A Transcriptionist's View
41(8)
Employment Issues
49(8)
Humor in Medicine
57(1)
Skills Challenge
58(4)
Style Guide
Abbreviations and Symbols
62(2)
Apostrophes
64(1)
Brief Forms and Medical Slang
65(1)
Capitals
66(2)
Colons
68(1)
Commas
68(2)
Dashes
70(1)
Editing
70(3)
Spotlight on Style in Medical Transcription
73(1)
Eponyms
74(2)
Flagging Reports
76(1)
Format
77(1)
Grammar
78(5)
Hyphens
83(2)
Numbers
85(2)
Parentheses and Brackets
87(1)
Periods
88(1)
Question Marks
88(1)
Quotation Marks
88(1)
Semicolons
89(1)
Slash Marks
89(1)
Spelling and Usage
90(3)
Skills Challenge
93(7)
PART TWO THE PRACTICE OF MEDICAL TRANSCRIPTION
Dermatology
Transcribing Dermatology Dictation
Anatomy in Brief
100(1)
Terminology Review
100(1)
Lay and Medical Terms
101(1)
Medical Readings
History and Physical Examination
102(1)
Common Diseases
103(7)
Diagnostic and Surgical Procedures
110(1)
Laboratory Procedures
111(1)
Pharmacology
111(3)
Spotlight on Dermatology Transcription
114(1)
Transcription Tips
114(1)
Proofreading Exercise
115(1)
Skills Challenge
116(2)
Sample Reports
118(4)
Transcription Practice 1A
122(2)
Urology
Transcribing Urology Dictation
Anatomy in Brief
124(1)
Terminology Review
125(1)
Lay and Medical Terms
125(1)
Medical Readings
History and Physical Examination
125(1)
Laboratory Examination of Urine
126(2)
Common Diseases
128(6)
Diagnostic and Surgical Procedures
134(1)
Laboratory Procedures
134(1)
Pharmacology
135(2)
Spotlight on Urology Transcription
137(1)
Transcription Tips
138(1)
Proofreading Exercise
139(1)
Skills Challenge
140(3)
Sample Reports
143(5)
Transcription Practice 1B, 2A
148(4)
Gastroenterology
Transcribing Gastroenterology Dictation
Anatomy in Brief
152(1)
Terminology Review
152(2)
Lay and Medical Terms
154(1)
Medical Readings
History and Physical Examination
154(1)
A Doctor's View
155(2)
Common Diseases
157(9)
Diagnostic and Surgical Procedures
166(2)
Laboratory Procedures
168(1)
Pharmacology
168(3)
Spotlight on Gastroenterology Transcription
171(2)
Transcription Tips
173(1)
Proofreading Exercise
174(1)
Skills Challenge
175(4)
Sample Reports
179(6)
Transcription Practice 2B, 3A, 3B
185(3)
Cardiology
Transcribing Cardiology Dictation
Anatomy in Brief
188(2)
Terminology Review
190(1)
Lay and Medical Terms
191(1)
Medical Readings
History and Physical Examination
191(1)
A Doctor's View
192(3)
Common Diseases
195(13)
Diagnostic and Surgical Procedures
208(1)
Laboratory Procedures
209(4)
Pharmacology
213(5)
Spotlight on Cardiology Transcription
218(2)
Transcription Tips
220(1)
Proofreading Exercise
221(1)
Skills Challenge
222(4)
Sample Reports
226(9)
Transcription Practice 4A, 4B, 5A
235(3)
Pulmonary Medicine
Transcribing Pulmonary Medicine Dictation
Anatomy in Brief
238(1)
Terminology Review
238(1)
Lay and Medical Terms
239(1)
Medical Readings
History and Physical Examination
239(1)
A Doctor's View
240(1)
Common Diseases
241(6)
Diagnostic and Surgical Procedures
247(1)
Laboratory Procedures
247(2)
Pharmacology
249(2)
Spotlight on Pulmonary Medicine
Transcription
251(2)
Transcription Tips
253(1)
Proofreading Exercise
254(1)
Skills Challenge
255(1)
Sample Reports
256(5)
Transcription Practice 5B
261(3)
Endocrinology
Transcribing Endocrinology Dictation
Anatomy in Brief
264(1)
Terminology Review
265(1)
Lay and Medical Terms
266(1)
Medical Readings
History and Physical Examination
266(1)
A Doctor's View
266(1)
Common Diseases
267(6)
Diagnostic and Surgical Procedures
273(1)
Laboratory Procedures
273(1)
Pharmacology
274(1)
Transcription Tips
275(1)
Spotlight on Endocrinology Transcription
276(2)
Proofreading Exercise
278(1)
Skills Challenge
279(1)
Sample Reports
280(2)
Transcription Practice 6A
282(2)
Orthopedics
Transcribing Orthopedic Dictation
Anatomy in Brief
284(1)
Terminology Review
284(3)
Lay and Medical Terms
287(1)
Medical Readings
History and Physical Examination
287(1)
A Doctor's View
288(3)
Common Diseases
291(6)
Laboratory Procedures
297(1)
Diagnostic and Surgical Procedures
298(1)
Pharmacology
298(3)
Spotlight on Gastroenterology Transcription
301(3)
Transcription Tips
304(1)
Proofreading Exercise
305(1)
Skills Challenge
306(4)
Sample Reports
310(3)
Transcription Practice 6B, 7A
313(3)
Obstetrics and Gynecology
Transcribing Ob-Gyn Dictation
Anatomy in Brief
316(1)
Terminology Review
316(1)
Lay and Medical Terms
317(1)
Medical Readings
History and Physical Examination
317(1)
A Doctor's View
318(3)
Common Diseases
321(5)
Diagnostic and Surgical Procedures
326(1)
Laboratory Procedures
327(1)
Pharmacology
328(4)
Spotlight on Ob-Gyn Transcription
332(2)
Transcription Tips
334(1)
Proofreading Exercise
335(1)
Skills Challenge
336(2)
Sample Reports
338(4)
Transcription Practice 7B, 8A
342(4)
Otorhinolaryngology
Transcribing Otorhinolaryngology Dictation
Anatomy in Brief
346(1)
Terminology Review
347(1)
Lay and Medical Terms
348(1)
Medical Readings
History and Physical Examination
348(1)
A Doctor's View
349(1)
Common Diseases
350(3)
Diagnostic and Surgical Procedures
353(1)
Laboratory Procedures
354(1)
Pharmacology
354(2)
Spotlight on Otorhinolaryngology
Transcription
356(2)
Transcription Tips
358(1)
Proofreading Exercise
359(1)
Skills Challenge
360(2)
Sample Reports
362(3)
Transcription Practice 8B
365(3)
Ophthalmology
Transcribing Ophthalmology Dictation
Anatomy in Brief
368(1)
Terminology Review
369(1)
Lay and Medical Terms
370(1)
Medical Readings
History and Physical Examination
370(1)
Vision Charts
371(1)
Common Diseases
372(4)
Diagnostic and Surgical Procedures
376(1)
Laboratory Procedures
377(1)
Pharmacology
377(2)
Spotlight on Ophthalmology Transcription
379(1)
Transcription Tips
380(1)
Proofreading Exercise
381(1)
Skills Challenge
382(1)
Sample Reports
383(3)
Transcription Practice 9A
386(2)
Neurology
Transcribing Neurology Dictation
Anatomy in Brief
388(2)
Terminology Review
390(2)
Lay and Medical Terms
392(1)
Medical Readings
History and Physical Examination
392(1)
The Cranial Nerves
393(2)
Common Diseases
395(6)
Diagnostic and Surgical Procedures
401(2)
Laboratory Procedures
403(1)
Pharmacology
403(3)
Spotlight on Neurology Transcription
406(1)
Transcription Tips
406(1)
Proofreading Exercise
407(1)
Skills Challenge
408(3)
Sample Reports
411(3)
Transcription Practice 9B, 10A
414(2)
Psychiatric
Transcribing Psychiatric Dictation
Anatomy in Brief
416(1)
Terminology Review
416(2)
Lay and Medical Terms
418(1)
Medical Readings
History and Physical Examination
419(1)
A Doctor's View
419(2)
Common Diseases
421(4)
Diagnostic and Surgical Procedures
425(1)
Laboratory Procedures
425(1)
Pharmacology
425(2)
Spotlight on Psychiatric Transcription
427(1)
Transcription Tips
428(1)
Proofreading Exercise
429(1)
Skills Challenge
430(1)
Sample Reports
431(4)
Transcription Practice 10B
435(3)
Pathology
Transcribing Pathology Dictation
Anatomy in Brief
438(1)
Terminology Review
438(1)
Lay and Medical Terms
439(1)
Medical Readings
Pathology Reports
439(1)
A Doctor's View
440(3)
Diagnostic and Surgical Procedures
443(1)
Laboratory Procedures
443(1)
Pharmacology
443(3)
Spotlight on Pathology Transcription
446(1)
Transcription Tips
447(1)
Proofreading Exercise
448(1)
Skills Challenge
449(1)
Sample Reports
450(5)
Transcription Practice 11A, 11B
455(3)
Radiology
Transcribing Radiology Dictation
Anatomy in Brief
458(1)
Terminology Review
458(3)
Lay and Medical Terms
461(1)
Medical Readings
A Doctor's View
461(1)
Diagnostic Procedures
462(4)
Pharmacology
466(1)
Spotlight on Radiology Transcription
466(2)
Transcription Tips
468(1)
Proofreading Exercise
469(1)
Skills Challenge
470(1)
Sample Reports
471(5)
Transcription Practice 12A, 12B
476(2)
Annotated Bibliography 478(2)
Quick-Reference Word List 480(14)
Index 494

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