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Sample Report Craniotomy For Clip Ligation
Preoperative Diagnosis: Left posterior communicating artery aneurysm. Postoperative Diagnosis: Left posterior communicating artery aneurysm. Procedure Performed: Left pterional craniotomy for clip ligation, posterior communicating artery aneurysm. Anesthesia:...
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Sample Report Cerebrospinal Fluid Leak Repair
Preoperative Diagnosis: Cerebrospinal fluid leak with headache secondary to dural tears. Postoperative Diagnosis: Cerebrospinal fluid leak with headache secondary to dural tears. Procedure Performed: Left L4-5 laminotomy and primary repair of tiny dural...
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Nerves of the Thoracic Region
Nerve: Abdominopelvic splanchnic Origin: Lower thoracic and lumbar segments of sympathetic trunk Course: Passes medially and inferiorly to prevertebral ganglion of paraaortic plexus Innervation: Abdominopelvic blood vessels and viscera Nerve: Cardiac...
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Nerves of the Hand
Nerve: Common palmar digital Origin: Median and superficial branch of ulnar nerve Course: Runs distally between long flexor tendons of palm, bifurcating in distal palm Innervation: Proper palmar digital nerve; skin and joints of palmar and dorsal aspect...
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Nerves of the Facial Region
Nerve: Auriculotemporal Origin: Mandibular nerve Course: Passes between neck of mandible and external acoustic meatus to accompany superficial temporal artery Innervation: Skin anterior to auricle, posterior temporal region, tragus, helix of auricle,...
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Nerves of the Eye Region
Nerve: Anterior ethmoidal Origin: Nasociliary nerve Course: Arises in orbit, passes via anterior ethmoidal foramen to cranial cavity then cribriform plate of ethmoid to nasal cavity Innervation: Dura of anterior cranial fossa; mucous membranes of sphenoidal...
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Transcription Words Formation
in psychiatry files it is "thought racing" not rising It is always "acute on chronic" the patient complains of the patient comes in with complaint of at the present time" and not at 'at present time detrimental NOT decremental Pseudomonas pneumonia always...
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Tersm used in Physical Examination
General: Apgar score (newborn) Apgar score was 8 at one minute and 9 at five minutes arousable awake, alert and oriented awake, alert and oriented X 3 (times 1, 2 or 3) cachectic/cachexia Cheyne-Stokes breathing comatose cushingoid diaphoretic dyspnea...
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List of Human Anatomical Parts Named after People
A B Achilles' tendon Bartholin's gland Adam's apple Bowman's capsule Alderman's nerve B owman's membrane Aortic sinus Broca's area Artery of Adamkiewicz Brodmann area Auerbach's plexus Bundle of His C D Central sulcus Duct of Bellini Circle of Willis...
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Eponymous Diseases
A Aarskog syndrome Aase syndrome Abderhalden-Kaufmann-Lignac syndrome Achard-Thiers syndrome Addison 's disease Aicardi syndrome Alexander disease Alpers' disease Alice in Wonderland syndrome Alport syndrome Andersen's Disease Angelman syndrome Apert...
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Capitalization Guidelines
Capitalization has always been a nagging question especially for the early beginners of transcription. Here we discuss some basic rules of capitalization that are to be kept in mind when transcribing medical reports: v Capitalize all the proper nouns-...
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Grammar Guidelines in medical Transcription
Abbreviations An abbreviation is a shortened, contracted, or brief form of words or phrase. Physicians mostly use abbreviations while dictating in order to speed up communication. Sometimes, abbreviations can instead lead to confusion in the report or...
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Instrument List According to Sizes and Specifications (MEMORY POLYP – PVA FOAM)
MEMORY POLYP RETRIEVAL BASKET MENCINI DOUBLE BALLOON HYSTEROSALPINGOGRAHY MENCINI DOUBLE BALLOON HYSTEROSALPINGOGRAPHY MENNUTI SAMPLING NEEDLE SET METAL INTRODUCER SET METAL STIFFENING STYLET METAL STIFFENING STYLET 1.3MM O.D. METAL STIFFENING STYLET...
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Instrument List According to Sizes and Specifications (HABER RAMP CATHETER – MEMORY HARD)
HABER RAMP CATHETER Hand Held Retractors HAND PIECE ONLY - COMPONENTS FOR MOUTH ASPIRATION LINE Hand Towel HARE NEPHROSCOPY TRACT CATHETER HARE NEPHROSTOMY DRAINAGE CATHETER HARRISON FETAL BLADDER STENT SET HAWKINS ACCORDION CATHETER DRAINAGE SET HELICAL...
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Instrument List According to Sizes and Specifications (E.R.C.P CATHETER – GUYS TUNNELATOR)
E.R.C.P CATHETER WITH PRECURVED TAPER E.R.C.P. CATHETER E.R.C.P. CATHETER LONG TAPER M/TIP E.R.C.P. CATHETER NON-TAPERED/BLUNT GLO-TIP E.R.C.P. CATHETER SHORT TAPER M/TIP E.R.C.P. CATHETER WITH METAL TIP E.R.C.P. DOUBLE LUMEN CATHETER WITH METAL TIP E.S.W.L....
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Instrument List According to Sizes and Specifications (COOK CRICOTHYROTOMY – DUODENOGRAPHY)
COOK CRICOTHYROTOMY CATHETER SET COOK CYSTOSTOMY CATHETER COOK CYSTOSTOMY CATHETER ACCESSORY SET COOK DRAINAGE POUCH SET COOK DRAINAGE POUCH SET (500 CC) COOK DRAINAGE POUCH SINGLE 500CC (STERILE) COOK EMERGENCY AIRWAY BAH COOK EMERGENCY PNEUMOTHORAX...
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Sample Report: Open Reduction and Internal Fixation of Hip Fracture
Preoperative Diagnosis: Intertrochanteric fracture, left hip. Postoperative Diagnosis: Intertrochanteric fracture, left hip. Procedure: Open reduction and internal fixation of intertrochanteric fracture, left hip, with DHS hip screw and four-hole sideplate....
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Sample Report: Ilizarov Frame Removal
Preoperative Diagnosis: Hypertrophic nonunion, right tibia. Postoperative Diagnoses 1. Hypertrophic nonunion, right tibia. 2. Status post Ilizarov frame application for nonunion treatment. Procedures Performed 1. Removal of circular external fixator from...
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Sample Report: Dupuytren Contracture Release
Preoperative Diagnosis: Dupuytren contracture, right palm, involving the middle and ring fingers. Postoperative Diagnosis: Dupuytren contracture, right palm, involving the middle and ring fingers. Procedure: Palmar fasciectomy with release of the contracture...
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Sample Report: Back Fusion with BAK Cages and Rod Instrumentation
Preoperative Diagnosis: Degenerative disk disease, L4-5 and L5-S1. Postoperative Diagnosis: Degenerative disk disease, L4-5 and L5-S1. Operation: Posterior lumbar interbody fusion, L4-5, and L5-S1 using BAK threaded fusion cages and Danek pedicle screws...
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Professional Organizations, Associations, and Titles
Professional Organizations and Associations Academy of Forensic and Industrial Chiropractic Consultants (AFICC) Agency for Health Care Policy and Research (AHCPR) American Academy of Neurological and Orthopaedic Surgeons (AANOS) American Academy of Orthopaedic...
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Muscles of the Upper Limb
Muscles Of The Shoulder Muscle: Deltoid Origin: Lateral third of clavicle, acromion, and spine of scapula Insertion: Deltoid tuberosity of humerus Nerve: Axillary, C5, C6 Action: Abducts, adducts, flexes, extends, and rotates arm medially Muscle: Infraspinatus...
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Drugs by Indication Gag Reflex Suppression - Influenza A
GAG REFLEX SUPPRESSION Analgesic, Topical Anestacon® Topical Solution lidocaine PMS-Lidocaine Viscous (Can) Local Anesthetic Americaine® [OTC] benzocaine benzocaine, butyl aminobenzoate, tetracaine, and benzalkonium chloride Cetacaine® dyclonine Hurricaine®...
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Drugs by Indication Claudication - Fibrillation
CLAUDICATION (SEE ALSO INTERMITTENT CLAUDICATION) Blood Viscosity Reducer Agent pentoxifylline Trental® COCCIDIOIDOMYCOSIS Antifungal Agent ketoconazole Nizoral® CONGESTIVE HEART FAILURE Adrenergic Agonist Agent amrinone dopamine Inocor® Intropin® Alpha-Adrenergic...
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Drugs by Indication Acidosis - Bronchiolitis
ACIDOSIS (METABOLIC) Alkalinizing Agent Polycitra®-K potassium citrate and citric acid sodium acetate sodium bicarbonate sodium lactate THAM® THAM-E® tromethamine Electrolyte Supplement, Oral Enemol™ (Can) Fleet® Phospho®-Soda [OTC] sodium phosphates...