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Unit 2 Back to the Basics & Orthopedics

Unit 2 Back to the Basics & Orthopedics. Instructor: Lisa Kay Lashley, MBA. Back to Basics. This seminar is to review your research skills over the last couple of terms. We will be going over some orthopedic key terms; definitions, abbreviations, spelling etc…

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Unit 2 Back to the Basics & Orthopedics

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  1. Unit 2Back to the Basics& Orthopedics Instructor: Lisa Kay Lashley, MBA

  2. Back to Basics • This seminar is to review your research skills over the last couple of terms. • We will be going over some orthopedic key terms; definitions, abbreviations, spelling etc… • First Back to the basics of transcription in regards to operative reports.

  3. Operative Reports • Headings: • Preoperative diagnosis • Postoperative diagnosis • Keep in mind when the doctor says “same” for the postoperative you are to type what he/she stated in the preoperative. For example: PREOPERATIVE DIAGNOSIS: Cervical disk disease with progressive radiculopathy. POSTOPERATIVE DIAGNOSIS: Cervical disk disease with progressive radiculopathy.

  4. Operative report continued • Operation or Procedure or both (If there are more than one enumerate). For example: OPERATION: • Anterior cervical diskectomy decompression with osteophytectomy, C5-6. • Anterior cervical decompression, diskectomy, with osteophytectomy, C6-7. • Anterior cervical fusion, C5-6 and C6-7. • Insertion of biomechanical bone cage (x2) C5-6 and C6-7. • Instrumentation C5-6 and C6-7.

  5. OPERATIVE REPORT CONTINUED • Other possible headings • Estimated Blood Loss • Complications • Specifications • History (Brief) • Anesthesia • Drains • Indications • Pathology • Materials • Injectables • Hemostasis • Dispostion

  6. Operative Report Continued • Other headings that may be enumerated. • Impression • Diagnosis • Medications • Instructions for care or discharge Can you think of any others that may be enumerated?

  7. Terminology—orthoSelect the correctly spelled term that matches the definition. • A finger or toe: • Digit • Falanx • Fusiform • Degit • A fracture of the distal end of the radius with displacement of the hand backward and upward: • Coles fracture • Colles fracture • Smith fracture • Smythe fracture • Lubricating fluid of joints: • Apophysis • Apophyis • Synova • Synovia

  8. Terminology—orthoSelect the correctly spelled term that matches the definition. • A fracture of the lower end of the radius with forward displacement of the lower fragment: • Coles fracture • Colles fracture • Smith fracture • Smythe fracture • Frequent cause of shoulder pain thought to be caused by pressure on the tendons of the shoulder: • Radiculitis • Rotator cuff tendenitis • Radeculitis • Ratator cuff tendinitis • The tearing away or ripping of a part or structure: • Avulsion • Crepitus • Avolsion • Creitus

  9. Terminology—orthoSelect the correctly spelled term that matches the definition. • Abnormal contact or pressure between two structures: • Impingement • Impingment • Debredment • Debridement • Benign tumor composed mostly of fat cells: • Lymphedema • Lipoma • Lipima • Lymphodema • Affecting or relating to two sides: • Bilateril • Genuvarum • Bilateral • Ganuvarum

  10. Where are these located? • Spinal canal, Vertebral discs, Herniated discs? • Lumbar spine • Back • Foot • Leg • Metacarpal bone, radius, and ulna • Elbow • Wrist • Ankle • Foot

  11. Match the term-what region • Metatarsal • Metacarpal • Axillary • Nuchal • Lumbar • Lower back • Armpit • Hand • Foot • Back of neck

  12. Match the term-what region • Brachial • Carpal • Peroneal • Plantar • Tarsal • Thoracic • Volar • Palm of hand • Chest • Ankle • Sole of the foot • Lower leg or fibula • Wrist • Shoulder to elbow

  13. Medications • Which one of these is an antibiotic? • Tetracycline • Biaxin • Keflex • All of the above What do the three medications have in common?

  14. Medications • Which of these is an analgesic? • Vicoprofen • Vicodin • Dolobid • Lanoxin Which two of the above are also a narcotic? What is the definition of narcotic?

  15. Medications continued • What are the following used for? Xylocaine Percocet Lipitor Lanoxin

  16. Abbreviations • ACL • CSF • LP • MD • ORIF • RF • RICE • THA • TKA

  17. aNSWERS • ACL—Anterior Cruciate Ligament • CSF—Cerebrospinal Fluid • LP—Lumbar puncture • MD—Muscular Dystrophy • ORIF—Open reduction and internal fixation • RF—Rheumatoid factor • RICE—Rest, Ice, Compression, Evaluation • THA—Total hip arthroplasty • TKA—Total knee arthroplasty

  18. Any Questions? • Do you have any questions or concerns this week in regards to: • MT Client (Speed Control) • Cheat Sheets • Discussion Board • Operative Reports • Orthopedics (Orthopaedics) • Any thing else?

  19. The End • See you next week same time same place. Have a great week, and remember take your time and be PATIENT……

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