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MR270 Unit 6

MR270 Unit 6. Cardiology Part II. Agenda. Reading for Week 6 Do you know the words? Words to watch in Week 6 Helpful resources Video! A day in the life of an MT…. What to read?. Review pgs. 22-65 in Stedman’s Read pgs. 326-331 in the BOS. Did you know these words from Week 5?.

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MR270 Unit 6

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  1. MR270 Unit 6 Cardiology Part II

  2. Agenda • Reading for Week 6 • Do you know the words? • Words to watch in Week 6 • Helpful resources • Video! • A day in the life of an MT…

  3. What to read? • Review pgs. 22-65 in Stedman’s • Read pgs. 326-331 in the BOS

  4. Did you know these words from Week 5? • Purulent: containing or composed of pus • Penrose drain: a surgical device placed in a wound to drain fluid • Apresoline: a vasodilator that works by relaxing the muscles in blood vessels to help them dilate. This lowers blood pressure and allows blood to flow more easily through veins and arteries. • Staphylococcus epidermidis: 

  5. How about these? • Dyspneic: shortness of breath • Phlegmon: a spreading diffuse inflammatory process with formation of suppurative/purulent exudate or pus. • Olympus XQ10 endoscope • Olympus CF-lT10L colonoscope • Transurethral resection of prostate (TURP) • Gleason score: used to help evaluate the prognosis of men with prostate cancer.

  6. And more… • Formalin: same as formaldehyde; this term is used in pathology. • Karyorrhectic: of or relating to karyorrhexis • Karyorrhexis: a degenerative cellular process involving fragmentation of the nucleus and the breakup of the chromatin into unstructured granules

  7. Sengstaken-Blakemore tube Sengstaken-Blakemore tube: an oro- or nasogastric tube used occasionally in the management of upper gastrointestinal hemorrhage due to bleeding from esophageal varices (distended veins in the esophageal wall, usually as a result of cirrhosis).

  8. Are you ready for the words to watch in Week 6?! Here we go…

  9. Words from Unit 6… • paroxysmal atrial tachycardia (PAT) • Theo-Dur • digoxin, Aldomet, allopurinol, and Dyazide • Babinski • 2+, 1+, etc. (pronounced “2 plus” and “1 plus”) • digoxin, Lasix, Sorbitrate, Procardia, and Capoten • Arteriosclerotic heart disease (ASHD • Elavil, Moduretic, Mevacor, Persantine, Cardizem 30 mg q.i.d., Reglan, and Zantac

  10. More terms/phrases! • lovastatin • myxedema • aldolase • polymyalgiarheumatica • Endologix • Genesis Opta Pro 8 x 29-mm • extravasation

  11. More Cardiology links! • http://www.cardioscribes.com • http://www.buzzle.com/articles/cardiology-transcription-service.html • http://www.job-search-engine.com/keyword/cardiology-transcription • http://www.cardiosource.org/acc

  12. Videos! • There are three videos programmed into the course this week – they appear under the “Reading” section. • Let’s watch these two vidoes now. Take notes on the different terms you hear that might come up in the dictation. • http://www.youtube.com/watch?v=D8bx99ZA-eU&feature=related(Stentys self-expanding stent for AMI and Bifurcation lesions, 3:30 minutes) • http://www.youtube.com/watch?v=fL3Aak_PI-I&feature=related(Angioplasty, 3:15 minutes)

  13. Here is a snapshot of what an active MT experiences… This information was provided by Prof. Leber

  14. A day in the life of an MT… • At Prof. Leber’s current position… • Samples are sent to the lab from everywhere throughout the world. • Samples are routed to appropriate laboratories. • Histopathology samples are taken first to a “tissue processing area.” • They are then routed to the “histopathology area” where they are embedded in a paraffin block, cut into thin sections, and put on a slide.

  15. Day in the life… • The histopathology area will then take the slides and appropriately stain them. Like we talked about last week, they will be H&E stained for the pathologists to review. • Based on the histopathologic diagnosis, the pathologist may order other slides. GMS, PAS, and various IHCs are ordered as needed. • Once appropriately stained, the slides are given to the pathologist for interpretation.

  16. A day in the life… • At the lab, the pathologists are required to issue a preliminary report for the clinic within 24-48 hours after they receive the slides. This gives the clinic an idea of what’s going on. • For example, a pathologist might say, “Lipoma, completely removed” or “Lymphoma, would need IHC to differentiate T cell vs B cell”. • Once this is issued, the pathologists would dictate their reports onto blank tapes.

  17. A day in the life… • The transcription requirements indicate that necropsies and histopathologies will be in separate folders from each other. There will be no more than 20 cases per folder and no more than 30 minutes of dictation per tape. • The transcriptionists keep track of when the reports came into the transcription area, when they were accessioned in the lab, and when they were finished in transcription.

  18. In conclusion… • What do you think about what you learned with regard to this ‘day in the life’ experience? Things can and will be different for you when you find your job! Different companies use different templates, formats, fonts, tapes, electronic equipment, dictaphones, processes, databases, etc.! • Be sure you know what you are qualified to work with, as well as what you want to work with!

  19. Good luck this week! • Have a great week!

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