Medical Transcription III MR270

1. Week 6 Medical Transcription III MR270 Dr. Kathleen A. Bishop, Instructor

2. Cardiology

3. A & P Cardiology What is this picture displaying? Name the numbered items 1-12. 1 2 3 4 12 11 5 10 6 9 7 8

4. Answer Key: Figure 9: Major arteries of the head • Superficial temporal • Superior temporal • Frontal • Transverse facial • Labial • Maxillary • Superior thyroid • Common carotid • Internal carotid • External carotid • Vertebral • occipital

5. A & P Cardiology Cont. What is this a picture of? Name the numbered items 1-7. 1 7 6 5 2 4 3

6. Answer Key • Figure 10. Major veins of the head • Frontal • Anterior facial • Lingual • Internal jugular • External jugular • Occipital • Superficial temporal

7. A & P Cardiology Cont. Identify these 3 common types of aneurysms _____________ _____________ _____________ 1 2 3

8. Answer Key • Figure 24. Types of aneurysms • Saccular • Fusiform • Dissecting

9. Abbreviations Expand The abbreviations below: Cl CK-MB LET PSA AVR CABG IABP ICD MVR ASA • JVD • LVH • PVD • SSS • DSA • TEE • TIMI • SPECT • ACT • PTCA

10. Answer Key JVD-jugular venous distention LVH-left ventricular hypertrophy PVD-peripheral vascular disease SSS-sick sinus syndrome DSA-digital subtraction angiography TEE-transesophageal echocardiography TIMI-thrombolysis in myocardial infarction SPECT-single photon emission computed tomography ACT-activated clotting time PTCA-percutaneous transluminal coronary angioplasty

11. Answer Key Cont. • Cl-chloride • CK-MB-a measurement of the creatine kinase MB isoenzyme • LET-leukocyte esterase test • PSA-prostate-specific antigen • AVR-aortic valve replacement • CABG-coronary artery bypass graft • IABP-intraaortic balloon pump insertion • ICD-implantable cardioverter-defibrillator implantation • MVR-mitral valve replacement • ASA-antiplatelet agent, analgesic

12. Match the Drug with its Class Generic name Drug Class Antiplatelet agent, analgesic Beta-adrenergic blocker ACE inhibitor Antiarrhythmic Anticoagulant • adenosine • heparin • atenolol • captopril • digoxin • lisinopril • enteric coated aspirin • warfarin • metoprolol

13. Answer Key • Adenosine–D antiarrhythmic • Heparin-E anticoagulant • Atenolol-B beta-adrenergic blocker • Captopril-C ACE inhibitor • Digoxin-D antiarrhythmic • Lisinopril-C ACE inhibitor • enteric coated aspirin-A antiplatelet agent, analgesic • Warfarin-E anticoagulant • Metoprolol –B beta-adrenergic blocker

14. Matching Brand Name Generic name adenosine cefazolin morphine diltiazem • Infumorph 200 • Adenocard • Tiamate • Ancef • Avinza • Cardizem • Zolicef • Adenoscan • Taztia XT • Oramorph SR

15. Answer Key • Infumorph 200-C morphine • Adenocard-A adenosine • Tiamate-D diltiazem • Ancef-B cefazolin • Avinza-C morphine • Cardizem-D diltiazem • Zolicef-B cefazolin • Adenoscan-A adenosine • Taztia XT-D diltiazem • Oramorph SR-C morphine

16. BOS pages 327-33 • Fill in the blanks. • Expand abbreviated ___________ to __________ methods on first mention or when used in _________ and _________ titles. • The _______ system is used to _______ unstable ______ and is reported as ____ ___through ___. Express _____________ using _____ letters and ________. • The ________ ____________ Society system is used to classify ________ angina as _____ __ through ___. Express these _______ using _____ ________.

17. Answer Key • Expand abbreviated references to echocardiographic methods on first mention or when used in diagnostic and operative titles. • The Braunwald system is used to classify unstable angina and is reported as class I through III. Express subclassification using capital letters and roman numerals. • The Canadian Cardiovascular Society system is used to classify exertional angina as class I through IV. Express these classes using roman numerals

18. Myocardial Infarction • Name the two classification systems used to quantify cardiac function and status following a myocardial infarction. • How would you transcribe them?

19. Answer key • Forrester class I • Forrester class II • The demarcation of the classes here is clear. Thus, patients in class I have no pulmonary congestion (PC) or peripheral hypoperfusion (PH), whereas those in class IV have both. Class II patients have PC but no PH. These three classes correspond to classes I, IV, and II of the Killip system. Patients in Forrester class III, on the other hand, have PH but no PC. Thus, Forrester class III does not correspond to Killip class III.

20. Answer Key • Killip class I • Killip class II heart failure • Use Roman numerals to express classes I through IV(“no heart failure, some evidence of such a complication, pulmonary edema, and cardiogenic shock, respectively”)

21. Good Night All… • Thanks for joining me tonight I hope you learned something new. • Don’t forget to complete all required assignments for this unit on time. • Keep up the great work--you’re near graduation! • See you same time—same place next week! Dr. B