MR260 Medical Transcription II Week -Chapter 9

1. MR260 Medical Transcription IIWeek -Chapter 9 “Gastroenterology Practice & Critical Thinking” Essentials of Medical Transcription Instructor: Kathleen A. Bishop, M.B.A., Ph.D.

2. 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.

3. 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.

4. Is everyone ready?

5. 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.

6. 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.

7. 4 Steps to Critical Thinking Cont. • Evaluate your choices by asking: “With what I already know, which is the most probable or likely to be correct, and why?”

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

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

10. 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.

11. 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

12. 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.

13. 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.

14. 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

15. 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.

16. Define the words below • Reflux • Proctitis • Postprandial • Odynophagia • Occult • Colitis • Colostomy • Dysphagia • Hemicolectomy • Melena

17. 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

18. ANSWERS CONT’ • Colostomy: the establishment of an artificial opening into the colon. • Dysphagia: difficulty in swallowing. • Hemicolectomy: the removal of the right or left side of the colon. • Melena: darkening of the feces by blood pigments.

19. ABBREVIATIONS • Define the abbreviations below: • GI • BUN • RBC • WBC • GB • NSAID • BM • BE • EGD • RLQ

20. 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

21. The End • Great job tonight!! • Next week we’ll 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 time—same place! Bye for now!