MR250 Unit 2:

1. MR250 Unit 2: Diagnostic Tests and Laboratory Studies

2. Week #2: Questions • Any questions regarding Practice Assignments • General Questions or Comments • Ready to start transcription assignments!

3. University VACATION • Vacation --- Woo-hoo!!! Please Mark Your calendar: • Starting December 24th students are out until January 2nd • I have gotten the okay to reschedule any seminars done on December 22 and 23 or give full credit – Merry Christmas because you will be getting full credit! Woo-hoo!

4. University VACATION What does it mean… • ALL Assignments/Projects/Exercises will still be due on January 5th • Students will still be required to post to the Discussion Board for weeks 3 by January 4th • Don’t have to post by Saturday, just post by Tuesday 1/4/11 in order to get credit • Students will have access to their courses during the Winter break and can post at any time

5. MT CLIENT VACATION • MTClient will be shut down from 12:00 AM midnight Central on FridayDecember 24th until 12:00 PM noon Central on Monday December 27th.

6. MT Client Website • http://www.tms-ku.com/ • Group: KAPLAN • User ID and Password is the first part of your Kaplan e-mail and it must be all in caps • Please review the videos on the announcements • If you are still having problems please send an e-mail with the specifics of the problem: • Not able to log on • Sound not working • Etc.

7. Learning Activities • Participate in Discussion Board • Read Chapter 6 in Medical Transcription Fundamentals • Review key terms using flashcards

8. Chapter 6 • Pathology terminology • Gross pathology • Histopathology • fine needle aspiration (FNA) • biopsy • excisional biopsy • Cytology • Tissue chemistry • Flow cytometry • Culture and sensitivity • Petri dish • culture and sensitivity test (C&S) • See Sample pathology report page 132

9. Chapter 6 • Laboratory Studies • Urine tests • specific gravity • pH • glucose • ketones • nitrites • bilirubin and urobilinogen • leukocyte esterase • centrifuge • sediments • casts • crystals • Hematologic Studies • Complete blood count with Differential – (CBC with diff.) • White blood count (WBC) • Red blood count (RBC) • Hemoglobin (Hgb) • Hematocrit (Hct) • Platelet count (PLT) • MCV • MCH • MCHC • RDW

10. Chapter 6 • CBC with diff. • Segmented neutrophils Dictated as segs • Band neutrophils • Dictated as bands • Lymphocytes • Dictated as lymphs • Monocytes • Dictated as monos • Eosinophils • Dictated as eos • Basophils • Dictated as basos • Example: (Employer Preference) • The CBC showed WBCs of 6500 with 60% segs, 8% bands, 21% lymphs, 7% monos, 2% eos, and 2% basos. • OR • The CBC showed a white blood count of 6500 with 60 neutrophils, 8 bands, 12 lymphocytes, 7 monocytes, 2 eosinophils, and 2 basophils.

11. Chapter 6 • Metabolic Panel • Basic Metabolic Panel (BMP) – Chem-7 • Comprehensive metabolic panel (CMP) • Electrolytes • Blood urea nitrogen (BUN) • Liver function tests (LFTs) • Aspartate aminotransferase (AST) • Alanine aminotransferase (ALT) • Bone profile • Iron Studies • Myoglobin • Hemochromatosis • Serum iron • Ferritin • Total iron binding capacity (TIBC) transferrin

12. Chapter 6 • Cultures • Urine culture • Blood culture • Gram stain • Radiology • X-ray • CT scan • with and without contrast • MRI/MRA • PET scan • Ultrasonography • Doppler ultrasound

13. Book of Style Page 118 • Laboratory Values 6.2.13 page 118 • Use commas to separate values of a single panel or test. Use periods to separate the values of unrelated tests. In the example below, the CBC values are grouped together in one sentence; the chemistry values in another. • Example • Laboratory Data: White count 5.2, hemoglobin 15, and hematocrit 39. Sodium 149, potassium 4.2, and chloride 103.

14. Book of Style Page 245 • Lab Values 10.3.8 page 245 • Use arabic numerals and decimals to express lab values. • WBC 5.2, hemoglobin 14, and hematocrit 33. • Sodium 139, potassium 4.6, chloride 106, and bicarb 28. • Use commas to separate values of a single panel or test. Use periods to separate the values of unrelated laboratories tests.

15. Book of Style Page 245 • Do not use a comma to separate a lab value from the test it describes. • White count 5300 • Not • White count, 5300 (no comma) • When a lab value is expressed as a percentage, use whatever form is dictated. • D: Polys 58% T: Polys 58% • D: Polys 0.58. T: Polys 0.58. • D: Polys 58. T: Polys 58.

16. Book of Style Page 322 • Laboratory Tests 14.2.1 • CK-MB • tPA • acyl CoA • HDL • HDL1 /HDL2 • HDL-C • HDL-R • HMG Coa • IDL • IDL-C • IDL-R • LDL • LDL-C • LDL-R • LPL • LDL • LDL-C • LDL-R • LPL • LPL188 • LP-X • LRP1 /LRP2 • VHDL • VLDL-C • VLDL-R

17. Book of Style Page 451 • Radiology 24.1 • X-ray: lowercase and hyphenate. • His x-ray was not in the jacket. (noun) • He was x-rayed yesterday. (verb) • His x-ray films have been lost. (adjective) • Capitalize x-ray only when it is the first word in a sentence. • Avoid using the prefix re- with x-ray. Recast the sentence to avoid this usage. • We are going to x-ray her again. • Plain vs. plane films: The correct term is plain which refers to an x-ray that has been done without contrast. It is not a reference to a directional plane or surface. • Plain film of the abdomen was negative.

18. Websites: • www.mtsamples.com • http://www.stedmans.com/AtWork/section.cfm/27 • https://www.labcorp.com/wps/portal/provider/testmenu/

19. Final Thoughts • Remember to post to discussion board • Complete assignments on MT Client • See you next Seminar – same time and same place. • Merry Christmas! • Happy Holidays! • Happy NEW 2011!!!! • See you all next year! I love saying that! • Happy Typing!