1. MR250 Unit 2: Diagnostic Tests and Laboratory Studies

2. Week #2: Questions Any questions regarding Practice Assignments General Questions or Comments Ready to start transcription assignments!

3. University VACATION Vacation --- Woo-hoo!!! Please Mark Your calendar: Starting December 24 th students are out until January 2 nd I have gotten the okay to reschedule any seminars done on December 22 and 23 or give full credit – Merry Christmas because you will be getting full credit! Woo-hoo!

4. University VACATION What does it mean… ALL Assignments/Projects/Exercises will still be due on January 5 th Students will still be required to post to the Discussion Board for weeks 3 by January 4 th Don’t have to post by Saturday, just post by Tuesday 1/4/11 in order to get credit Students will have access to their courses during the Winter break and can post at any time

5. MT CLIENT VACATION MTClient will be shut down from 12:00 AM midnight Central on Friday December 24th until 12:00 PM noon Central on Monday December 27th.

6. MT Client Website http://www.tms-ku.com/ Group: KAPLAN User ID and Password is the first part of your Kaplan e-mail and it must be all in caps Please review the videos on the announcements If you are still having problems please send an e-mail with the specifics of the problem: Not able to log on Sound not working Etc.

7. Learning Activities Participate in Discussion Board Read Chapter 6 in Medical Transcription Fundamentals Review key terms using flashcards

8. Chapter 6 Pathology terminology Gross pathology Histopathology fine needle aspiration (FNA) biopsy excisional biopsy Cytology Tissue chemistry Flow cytometry Culture and sensitivity Petri dish culture and sensitivity test (C&S) See Sample pathology report page 132

9. Chapter 6 Laboratory Studies Urine tests specific gravity pH glucose ketones nitrites bilirubin and urobilinogen leukocyte esterase centrifuge sediments casts crystals Hematologic Studies Complete blood count with Differential – (CBC with diff.) White blood count (WBC) Red blood count (RBC) Hemoglobin (Hgb) Hematocrit (Hct) Platelet count (PLT) MCV MCH MCHC RDW

10. Chapter 6 CBC with diff. Segmented neutrophils Dictated as segs Band neutrophils Dictated as bands Lymphocytes Dictated as lymphs Monocytes Dictated as monos Eosinophils Dictated as eos Basophils Dictated as basos Example: (Employer Preference) The CBC showed WBCs of 6500 with 60% segs, 8% bands, 21% lymphs, 7% monos, 2% eos, and 2% basos. OR The CBC showed a white blood count of 6500 with 60 neutrophils, 8 bands, 12 lymphocytes, 7 monocytes, 2 eosinophils, and 2 basophils.

11. Chapter 6 Metabolic Panel Basic Metabolic Panel (BMP) – Chem-7 Comprehensive metabolic panel (CMP) Electrolytes Blood urea nitrogen (BUN) Liver function tests (LFTs) Aspartate aminotransferase (AST) Alanine aminotransferase (ALT) Bone profile Iron Studies Myoglobin Hemochromatosis Serum iron Ferritin Total iron binding capacity (TIBC) transferrin

12. Chapter 6 Cultures Urine culture Blood culture Gram stain Radiology X-ray CT scan with and without contrast MRI/MRA PET scan Ultrasonography Doppler ultrasound

13. Book of Style Page 118 Laboratory Values 6.2.13 page 118 Use commas to separate values of a single panel or test. Use periods to separate the values of unrelated tests. In the example below, the CBC values are grouped together in one sentence; the chemistry values in another. Example Laboratory Data: White count 5.2, hemoglobin 15, and hematocrit 39. Sodium 149, potassium 4.2, and chloride 103.

14. Book of Style Page 245 Lab Values 10.3.8 page 245 Use arabic numerals and decimals to express lab values. WBC 5.2, hemoglobin 14, and hematocrit 33. Sodium 139, potassium 4.6, chloride 106, and bicarb 28. Use commas to separate values of a single panel or test. Use periods to separate the values of unrelated laboratories tests.

15. Book of Style Page 245 Do not use a comma to separate a lab value from the test it describes. White count 5300 Not White count, 5300 (no comma) When a lab value is expressed as a percentage, use whatever form is dictated. D: Polys 58% T: Polys 58% D: Polys 0.58. T: Polys 0.58. D: Polys 58. T: Polys 58.

16. Book of Style Page 322 Laboratory Tests 14.2.1 CK-MB tPA acyl CoA HDL HDL 1 / HDL 2 HDL-C HDL-R HMG Coa IDL IDL-C IDL-R LDL LDL-C LDL-R LPL LDL LDL-C LDL-R LPL LPL 188 LP-X LRP 1 / LRP 2 VHDL VLDL-C VLDL-R

17. Book of Style Page 451 Radiology 24.1 X-ray: lowercase and hyphenate. His x-ray was not in the jacket. (noun) He was x-rayed yesterday. (verb) His x-ray films have been lost. (adjective) Capitalize x-ray only when it is the first word in a sentence. Avoid using the prefix re- with x- ray. Recast the sentence to avoid this usage. We are going to x-ray her again. Plain vs. plane films: The correct term is plain which refers to an x- ray that has been done without contrast. It is not a reference to a directional plane or surface. Plain film of the abdomen was negative.

18. Websites: www.mtsamples.com http://www.stedmans.com/AtWork/section.cf m/27 http://www.stedmans.com/AtWork/section.cf m/27 https://www.labcorp.com/wps/portal/provider /testmenu/ https://www.labcorp.com/wps/portal/provider /testmenu/

19. Final Thoughts Remember to post to discussion board Complete assignments on MT Client See you next Seminar – same time and same place. Merry Christmas! Happy Holidays! Happy NEW 2011!!!! See you all next year! I love saying that! Happy Typing!