Medical Transcription III MR270

Dr. Kathleen A. Bishop, Instructor

Week 7Week 7

Orthopedics and Surgery

Stedman’s Orthopaedic Reports

Pages 197-237

A & P Orthopedics

1.What is this picture displaying?

2.Name the numbered items 1-5.

11 22 33 44 55

Answer Key Figure 24. Types of common fractures

1. Comminuted2. Greenstick3. Oblique4. Spiral5. Transverse

A & P Orthopedics

• What is this a picture of?

• Name the numbered items 1-4.

11 22 3 3 4 4

Answer KeyFigure 25. Spinal Curvatures

1. Normal2. Kyphosis3. Lordosis4. Scoliosis

Define the words below:

• d-dimer• AROM• Barlow maneuver• Hawkins impingement sign• PROM• pivot shift test• open biopsy• goniometer

Answer Key

• d-dimer-A test to identify the presence of fibrinolysis

• AROM-(active range of motion) The amount of motion at a given joint when the subject moves the part voluntarily.

• Barlow maneuver-A test for hip instability, with dislocation occurring with flexion, adduction, and posterior force.

• Hawkins impingement sign-Pain produced by forced internal rotation of the humerus in 90 degree of abduction.

Answer Key Cont.

• PROM-(passive range of motion) amount of motion at a given joint when the joint is moved by an external force or therapist.

• pivot shift test-A maneuver to detect a deficiency of the anterior cruciate ligament of the knee.

• open biopsy-Process of removing tissue for diagnostic examination through an open incision.

• Goniometer-A calibrated device used to measure the arc or range of motion of a joint. Syn: arthrometer

Match the Word with its Class

Generic name• diclofenac• FFP• Bone wax• Bier block• Etodolac• GA by ETT• carbolic acid• bone graft• Meloxicam• MAC

Drug Class

A. BiologicalB. AnalgesicC. NSAIDD. AnesthesiaE. Pharmaceutical aid

Answer Key

• Diclofenac-B. analgesic used to treat rheumatoid arthritis, osteoarthritis.

• FFP-A. fresh frozen plasma• Bone wax-B. a mixture of antiseptic agents, oil and

wax used to stop bleeding by plugging bone cavities or haversian canals.

• Bier block-D. anesthesia A form of selective IV regional anesthesia of the distal arm or leg in which a tourniquet is applied and local anesthesia is injected through a cannula in the distal extremity.

Answer Key

• Etodolac-B. used for the management of signs and symptoms of osteoarthritis; rheumatoid arthritis and juvenile rheumatoid arthritis; management of acute pain.

• GA by ETT-D. abbrev. For general anesthesia by endotracheal tube.

• carbolic acid-E. Syn. phenol• bone graft-A. bone transplanted from a donor site to

a recipient site, without anastomosis of nutrient vessels.

• Meloxicam-C. NSAID • MAC-D monitored anesthesia care

BOS pages 386-399

• Fill in the blanks and then give an example of each.

1. When more than one dimension is used to identify a ____ or ___ (i.e. thread ________ and thread _____), express these dimensions ________, being careful to express thread __________ as _______ when indicated.

2. Kirschner _____, or _______, are measured in ______ of an ____ but are written using ______ and expressed in __________. Be careful to include the ____ after the decimal _____, as physicians do not typically _______ it.

Answer Key

1. When more than one dimension is used to identify a screw or pin (i.e. thread diameter and thread length), express these dimensions fractionally, being careful to express thread diameters as decimals when indicated. (6.5/16 cancellous bone screw)

2. Kirschner wires, or K-wires, are measured in portions of an inch but are written using decimals and expressed in thousands. Be careful to include the zero after the decimal point, as physicians do not typically dictate it. (0.045 K-wire and a 0.062 K-wire)

Matching 1

Definition1. Rating system for Legg-

Perthes disease2. System for facial fractures3. System for olecranon

fractures4. Classifying subcapital

fractures of the femoral neck

5. System for developmental dysplasia of the hip

Classification Systems

A. Catterall hip score

B. Crowe C. GardenD. LeFortE. Mayo

Answer Key Matching 1

A.Catterall hip score=1B.Crowe =5C.Garden=4D.LeFort=2E. Mayo=3

Matching 2

Definition1. System for epiphyseal

fractures2. Assesses damage in

chondromalacia patellae3. System for epiphyseal

fractures4. For proximal humeral

physeal fractures5. System for fractures

involving the physis in children

Classification System

A. Neer-HorowitzB. Outerbridge scaleC. SalterD. SchatzkerE. Salter-Harris

Answer Key Matching 2

A.Neer-Horowitz=4B.Outerbridge scale=2C.Salter=1D.Schatzker=3E. Salter-Harris=5

Good Night All…

• Thanks for joining me tonight I hope you learned something new.

• Don’t forget to complete all required assignments for this unit on time.

• Keep up the great work--you’re near graduation!

• See you same time—same place next week! Dr. B