MR260 Medical Transcription II Week -Chapter 9

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MR260 Medical Transcription IIWeek -Chapter 9

• Gastroenterology Practice
• Critical Thinking
• Essentials of Medical Transcription
• Instructor Kathleen A. Bishop, M.B.A., Ph.D.

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What You need for this class

• Both textbooks
• Essentials of Medical Transcription, A Modular
  Approach, Destafano Federman, Second Edition
• AAMT Book of Style for Medical Transcription
• Any other resource books you may have available
  such as medical dictionary, PDR, Merck Manual,
  etc.

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How the class will work

• This is an open book Seminar.
• Be prepared to respond to the questions on each
  slide, where indicted.
• Be prepared to share your thoughts with the other
  class participants.
• After the questions slide you will see an answer
  slide so you can check to see how you did.

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Is everyone ready?
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4 Steps to Critical Thinking

• Identify the elements of your document
• Body system and/or specialty
• type of document
• report headings, paragraph content, and the other
  sentences in the paragraph that you have already
  transcribed
• Find the diagnosis or procedure.
• Use any other information you may have on hand,
  such as the medical record or previous reports.

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4 Steps to Critical Thinking

• Evaluate your assumptions about those elements
• Does this word, test, etc. belong in or with this
  body system, procedure, operation, diagnosis?
• Judge your choices probability or acceptability
  of being right.

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4 Steps to Critical Thinking Cont.

1. Evaluate your choices by asking With what I
   already know, which is the most probable or
   likely to be correct, and why?

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Now here are some opportunities to use what you
just reviewed.
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Exercise

• The next few slides have questions to answer.
• Answer the questions using the Critical Thinking
  Model we just reviewed.

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Gastroenterology Medicine

• Answer True or False to the questions below
• The gastrointestinal tract examination
  encompasses many organs, including the mouth and
  pharynx, esophagus, stomach, kidneys, duodenum
  and liver.
• GI procedures using an endoscope include
  gastroscopy, exploratory laparoscopy,
  colonoscopy, and flexible sigmoidoscopy.
• Anastomosis is an occlusion of the anal
  sphincter.
• Cholecystectomy is the surgical removal of the
  gallbladder.
• Meclizine is a generic name for an antinauseant.

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ANSWERS

• The gastrointestinal tract examination
  encompasses many organs, including the mouth and
  pharynx, esophagus, stomach, kidneys, duodenum
  and liver. FALSE Kidneys are not a part of this
  system.
• GI procedures using an endoscope include
  gastroscopy, exploratory laparoscopy,
  colonoscopy, and flexible sigmoidoscopy. TRUE
• Anastomosis is an occlusion of the anal
  sphincter. FALSE it is an opening created by
  surgery, disease, or trauma between two or more
  organs or structures.
• Cholecystectomy is the surgical removal of the
  gallbladder. TRUE
• Meclizine is a generic name for an antinauseant.
  TRUE

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Fill in the Blanks

• Adenomatous pertains to some types of
  _____________ hyperplasia.
• Heparin is a generic name for an _________.
• Decubitus is a ________or horizontal position.
• Electrolytes are any ________ __________
  ________ _________ electricity.
• Gastritis is the inflammation of the ________,
  especially the ______________.
• Hematochezia is the ________ ____ _____
• stools.

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ANSWERS

• Adenomatous pertains to some types of glandular
  hyperplasia.
• Heparin is a generic name for an anticoagulant.
• Decubitus is a recumbent or horizontal position.
• Electrolytes are any solution compound that
  conducts electricity.
• Gastritis is the inflammation of the stomach,
  especially the mucosa.
• Hematochezia is the passage of bloody
• stools.

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Gastrointestinal medications

• Antiemetic medications are used to treat what
  types of GI disorders?
• Pepcid , Prilosec and Zantac are medications used
  by GI doctors to do what?
• Which of the medications below would NOT be used
  to treat a GI disorder?
• Tigan, Tenormin, Metamucil.
• Ritalin, Reglan, Axid.
• What are the medications below used for?
• Colace, FiberCon, Imodium, Senokot

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ANSWERS

• Antiemetic medications are used to treat what
  types of GI disorders? Nausea, vomiting and
  sometimes motion sickness they include Tigan and
  Reglan.
• Pepcid , Prilosec and Zantac are medications used
  by GI doctors to do what? To control gastric acid
  production.
• Which of the medications below would NOT be used
  to treat a GI disorder?
• Tigan, Tenormin, Metamucil.
• Ritalin, Reglan, Axid.
• What are the medications below used for?
• Colace, FiberCon, Imodium, Senokot
• Dealing with problems associated with the
  patients bowel movements from constipation to
  diarrhea.

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Define the words below

• Reflux
• Proctitis
• Postprandial
• Odynophagia
• Occult
• Colitis
• Colostomy
• Dysphagia
• Hemicolectomy
• Melena

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ANSWERS

• Reflux a backward or return flow as in
  esophageal reflux.
• Proctitis inflammation of the rectum.
• Postprandial means after a meal.
• Odynophagia burning, squeezing pain while
  swallowing.
• Occult hidden from view as occult blood in the
  feces.
• Colitis inflammation of the colon

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ANSWERS CONT

1. Colostomy the establishment of an artificial
   opening into the colon.
2. Dysphagia difficulty in swallowing.
3. Hemicolectomy the removal of the right or left
   side of the colon.
4. Melena darkening of the feces by blood pigments.

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ABBREVIATIONS

• Define the abbreviations below
• GI
• BUN
• RBC
• WBC
• GB
• NSAID
• BM
• BE
• EGD
• RLQ

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ANSWERS

• GI Gastrointestinal
• BUN blood urea nitrogen
• RBC red blood cells
• WBC white blood cells
• GB gallbladder
• NSAID nonsteroidal anti-inflammatory drug
• BM bowel movement
• BE barium enema
• EGD esophagogastroduodenoscopy
• RLQ right lower quadrant

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The End

• Great job tonight!!
• Next week well do some more metacognating!!
• Thanks for joining us. I hope you learned
  something to help you in your transcription
  career.
• See you next week! Same timesame place! Bye for
  now!