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Monday, March 28, 2011

Rheumatoid Factor and Range of motion - Lesson 238

In this lesson, we are going again to continue to learn about the important musculoskeletal abbreviations. As a medical transcription online trainee, you have all the responsibilities of your own growth of your knowledge and skill in this field of your own self.  You should have a regular habit of revising your all lessons, improving typing skills on a daily basis, practicing dummy transcription files (it may be available anywhere online and I have a plan to put all these things in my own full-fledged website soon and I will announce good news soon), improving your medical terminology knowledge, and healthcare update news. Now we will see important musculoskeletal system abbreviations and their meanings one by one now. Okay. Come on.

RF is an abbreviated form and it can be extended as rheumatoid factor.  Rheumatoid arthritis patients have this factor and the presence of this factor in those proves the existence of rheumatoid arthritis or Sjogren’s syndrome in that patient. To prove this factor in the patient’s blood, the tests like antinuclear antibody (ANA), erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), and complete blood count (CBC) are done and if the presence of RF is confirmed then the patient can be assessed to have RA (rheumatoid arthritis). Normally the RF factor will be in the elevated condition in these patients.

ROM is an important abbreviation in this system and which can be extended as range of motion. It is nothing but the moving away of a thing that usually move when it is appended to one more thing. For example, spinal column, shoulder girdle, elbow joints, wrist joints, hip joints, knee joints, and ankle joints are attached to the body and move away from the body. 

In the next lesson, we will learn about the rest of the important musculoskeletal abbreviations. Okay. Come on.

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Musculoskeletal System Important Abbreviations -2 - Lesson 237

This article continues the prior lesson Musculoskeletal System Important Abbreviations. It has the rest of the abbreviations of this system. From the next lesson, we are going to see the new system that is Integumentary System or Skin.  You guys, please go through all the lessons so far and make familiarized yourselves all the important medical terms of musculoskeletal system.

IM is an abbreviated form of intramuscular, which means within muscle tissues.  Have you ever heard the intramuscular injection? That is in pharmacology a medicinal liquid is injected into a patient via subcutaneous tissues either in the hands or above the buttocks area or in any part of the body. Subcutaneous is the other synonym for the word intramuscular.

The other abbreviation is LE cell, which means lupus erythematosus cell. It means a polymorphonuclear white blood cell that has swallowed a new cell’s nuclear substance subsequent to that cell has changed the natural qualities of that cell.

Ortho is an abbreviated form of orthopedics.  Orthopedics is a medical specialty of studying about musculoskeletal system. P is the abbreviated form for the mineral called phosphorus.  RA is extended as rheumatoid arthritis.  This is an autoimmune disease that will cause a chronic inflammatory condition of the joints.

In the next lesson, we will learn about the rest of the important musculoskeletal abbreviations. Okay. Come on.

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Friday, March 25, 2011

Musculoskeletal System Important Abbreviations - Lesson 236

“Hard work is the best investment for success” this proverb suits for success in any field. In this way, many are doing hard works to achieve success in the MT field, all the best for them, but I also suggest your work should be smart in addition to be hard, then only success will be very easy. In the venture of learning free medical transcription course online, we are going to see one more important lesson of Important Musculoskeletal Abbreviations now. These abbreviations used in this lesson are used by the doctors when they dictate a transcription dictation for a patient and these terms are used on a daily basis by them.  So you should be familiarized with these items and mug up them too and this will help you when you do practice files or live files online.  Shall we move to the lesson now. Come on.

ANA, which we can extend as Antinuclear Antibody, this test assesses the sum of auto-antibodies, which have harmed the tissues of the body.  C1-C7 – This denotes 7 bones of the cervical spine. Ca is used to denote the mineral calcium. CPK is used to denote creatinine phosphokinase.  CPK is an enzyme, which found mostly in the skeletal muscles, heart muscles, and brain tissues.

CTS is another term that can be extended as carpal tunnel syndrome. CTS is an disease condition that is created by the pressure on the median nerve in the wrist areas like typewriting on the keyboard for a longtime and that can be corrected by a small surgery or by physical therapies. DTR is an important musculoskeletal abbreviation and that can be made bigger as deep tendon reflexes. This is the stretch reflexes of deep tendons.

EMG is abbreviated form of electromyography.  This is a visual examination of recording of skeletal muscles electrical movements. ESR can be extended as erythrocyte sedimentation rate.  The rate at which erythrocytes or red blood cells deposit at the bottom of the blood serum is calculated using this test.

In the next lesson, we will learn about the rest of the important musculoskeletal abbreviations. Okay. Come on.

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Monday, March 21, 2011


Photon Absorptiometry:  This is one kind of visual examination, in which, one kind of rays that resemble x-rays are navigated through bones and the instrument gauges the speed or quality of the infiltration of the rays inside the bones. This test is used to measure the density of bones to find a disease called osteoporosis, a disease of abnormal thinning of bones due to less bone density.

Arthroplasty:  This is a surgical treatment method of a joint. For example, total knee arthroplasty is a complete knee replacement surgical procedure to replace the damaged or diseased portions of the knee. Prostheses or artificial devices are used to do fix the bone areas after the surgery.

Electromyography:  This is a method of visual examination of the joints, in which electrical stimulation is passed to the joints and so record the potency or strength of muscle contraction due to the electrical stimulation.

Arthroscopy:  This is a visual examination of joints especially the interior portions of the bones of the joints.  An instrument called endoscope is used to perform arthroscopy.  Whenever a surgery is performed, the instruments used to do the surgery is entered into the arthroscope and then the surgical process is done to either to take away any tissue portions or to put back together of any joint.

Arthrocentesis:  This is a surgical course of action of the joint gaps.  In this, a needle is used to perform the surgical process to take away the fluid called synovial fluid from the joint spaces for the visual examination of an abnormal condition.

Bone Scan:  This is a visual examination procedure of musculoskeletal system, in which a radioactive material of phosphate in administered inside the joint intravenously.  This material is then taken up in the bone and the disease or abnormal condition of the bone is detected using the movement of the radioactive material using a scan machine.  This procedure is called bone scan. The diseased area will likely absorb more radioactive material, which is the indication that the area of uptake has an inflammation or any infection or any tumors inside.

Arthrography:  This is a visual examination of the joints.  Arthro- means joint, -graphy means visual examination. X-ray is used to analyze the joints for diseases or any other abnormal conditions. X-ray films of the joints are also taken after the administration of an contrast opaque material inside the joint via an injection.  The path of the contrast material is traced to reveal the abnormal conditions.

Muscle Biopsy:  This is one type of visual examination, in which a small piece of muscle tissue is removed from the skin and this tissue is examined under the microscope for any identification of abnormalities or diseases.

In the next lesson, we will see about the important abbreviations used in the musculoskeletal system. Okay.

Come on.

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Thursday, March 10, 2011

Musculoskeletal Laboratory Tests - Lesson 234

In this lesson of free medical transcription course series, we are going to deal about the important laboratory tests that are used related to the musculoskeletal system.  These lab test terms are used generally in all files related to the musculoskeletal disease condition files by the dictators. You should make these terms familiar and so you can do live transcription files easily while doing production in any company.  The important laboratory tests are ANA or antinuclear antibody test, ESR or erythromycin sedimentation test, serum calcium test, rheumatoid factor test, CPK or serum creatinine phosphokinase, serum phosphorus test, and uric acid test.  We will see about each of these tests one by one now.

1.  Uric Acid Test:  This test is used to assess the total sum of uric acid in the blood sample provided by the patient.  Increase of uric acid in blood more than average to an abnormal level indicates gouty arthritis to the patient.

2.  Serum phosphorus:  This test is utilized to measure the sum of phosphorus in the blood serum of the patient.

3.  Serum creatinine phosphokinase or CPK:  Serum creatinine phosphokinase is an important enzyme that is existing in the muscles, especially, in the heart muscle called cardiac muscle and skeletal muscles. The abnormal increase in the level of this enzyme is a sign of complaints, such as muscular dystrophy or skeletal muscle ailment or myocardial infarction.

4.  Serum Calcium:  This test measures the sum of total calcium present in the serum of the blood.

5.  Rheumatoid Factor Test:  This test is used to analyze whether the rheumatoid factor is present or not in the blood serum of the patient who has rheumatoid arthritis.

6.  ESR or Erythrocyte Sedimentation Rate:  This is a test that helps to measure the speed at which the red blood cells drop to the base of a test tube. If the patient has rheumatoid arthritis, the speed of the sedimentation rates would accompany with inflammatory complaints.

7.  ANA or antinuclear antibody test:  If the tested patient has SLE or systematic lupus erythematosus then antibodies would be present in the blood sample in the blood plasma.

In the next lesson, we will learn about Clinical Courses of Action of Musculoskeletal System. Okay.

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Tuesday, March 8, 2011

Successful Medical Transcriptionist Secrets

Purpose of medical transcription:  Medical Transcription is a process of converting voice file from a physician to a word document after hearing the voice by a medical transcriptionist via computer with the use of a headset and computer. We may wonder what is the purpose of medical transcription, it is nothing, but every physician must submit a legal document to the government for insurance claim purpose of the patient about what treatment was done at particular time period with all details about the disease condition, causes of the disease or injury, the treatment done for it, the medication prescribed for it, and the follow-up details, and any other surgical procedure done to a particular patient. So dictating and recording about a particular patient’s medical history and other details via a Dictaphone is an essential activity for a physician or his assistant. This dictation of a particular patient should be converted into a word document after it was heard and understood and written neatly in a specific template provided by the physician or a clinic or even a hospital to him with 100% accuracy.

Eligibility Criteria for a Medical Transcriptionist:  Anyone who is fluent in English grammar and sentence structure with listening skills are eligible to be a medical transcriptionist, but good grammar and understanding of medical terminologies are essential things to be known.  By 4 to 6 months training, anyone can learn medical terminologies in any good institution.  Typing skills are the other important thing to be learnt, approximately 45 words per minute is an essential thing. In brief, anyone with good listening skills and English grammar fluency, knowledge in medical terminologies and diseases and symptoms with 45-WPM typing skills can start their career in lucrative American transcription.  This article deals about how to be a successful medical transcriptionist.

Earning Difference Among Medical Transcriptionists:  After good training from any good institution anywhere in the world, one can sharpen the above skills that need to be a medical transcriptionist, but all MTs are not successful equally because their skills and writing skills differ from MT to MT and so their accuracy skills differ and so their income also differ from person to person. Some earn only $100 per month, some early $400, and some earn $2000 or more, but they are all in general called medical transcriptionists, why, because their accuracy of work and the speed of work differ from person to person. One may have been doing transcription for 10 years or more, but the accuracy level gets saturated at one level, but some earn more because their level of proficiency has reached to the optimum level.

Tricks and Techniques to be a Successful Earner in MT field:   I will order the essential techniques to boost the income to an MT one by one now.

1.  Voice Level:  One MT should create a habit of hearing a dictation in many speed levels.  Some dictators speak very clearly and slowly, they are the favorite dictators in the MT field for all, but some dictators dictate in a very fast manner with native slang usage, and these dictators are the villains for the MTs, and some dictators dictate in a medium speed and clarity. So we can divide the dictators based on their voice level into three categories, easy, moderate, and tough.  Anyone can type easy dictations, so we will give more importance to the moderate and tough dictators here.  If you feel one dictation is somewhat tough to understand, you should reduce the speed of the dictation to 100% normal level default to 95%, 90%, or even 85% or even less, then hear the voice again fully and type what you hear. In this way more dictations can be understood and typed. Don’t lessen the speed for easy dictations.

2.  Use of Google Search:  A dictator may pronounce any phrase of sentences that we do not know before this, in this condition, we should search that phrase in Google with a quote symbol before and after the phrase.  In this way, any phrase can be identified using Google search engine in your browser.

3. Usage of Drug Book:  Practicing a custom of using drug books always to know the name and dosage is an very very important thing for an MT to get succeed and get a good name in the MT field. This will avoid confusions regarding dosage, some dictators may spell wrongly the dosage details and so reference is very important for an MT.  Referring authoritative sources is an important duty of an medical transcriptionist.

4.  Getting Help from Crew Members or friends:  While doing live files of the doctors’ dictations, accuracy is the backbone.  So whenever reference fails to solve the problem in dictation, you should ask help from your friends or other senior members of the company to listen the audio in a particular place to clarify your doubt to crack the blank of that particular place in the audio. Never hesitate to ask help from other transcriptionist near to you or online.

5.  Proofreading:  After typing a dictation, you should not submit it with any hesitations; you must proofread it again once hearing it again to check for any blunders done unknowingly or any typographical errors and the usage of drug names and their dosages.  After the enough proofread, you can submit it.

6. Keep Other Offline Materials Near:  It is good to keep offline materials like drug books, any other dictionaries, or notes near the working computer to reference it immediately when the need arises, and this will save the time and helpful to submit the files in turn-around time called TAT.

7.  Involve in Recreational Activities:  As medical transcription is a stressful job, after the work is over, MT should involve in some recreational activities like going out with friends, movies, or any cruise in bikes or cars, and any other activity that one likes.  This will give good refreshment to the brain and keep one fresh.

8.  Need of Physical Exercises:  Everyday 30 minutes physical exercises is an important thing for a professional medical transcriptionist like yoga, cycling, running, jogging, or gym workouts of any sort. Use hand and fingers exercise and backbone exercises to avoid carpal tunnel syndrome and neck bone stiffness due to long-hour sitting in the computer.

In the above five ways, you can avoid mistakes and get a good name in the field.  You can earn more money and promotions in your company to attain great heights in the medical transcription field.  All the Best.

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Tuesday, March 1, 2011

Musculoskeletal Pathological Conditions – Lesson 233

We have gone through the musculoskeletal medical terms yet. In this lesson, we are going to deal about abnormal pathological conditions of musculoskeletal system.  There are several abnormal pathological disease conditions occur in the bones and muscle tissues due to the weakness and less growth and other reasons.  We will see all the conditions of disease one by one now.  These are the terms that are used everyday by the physicians in all the files while you involve in home or office live medical transcription files. If you are familiar with these words and their meanings, then the production would be of an easy task for you. So please go through these medical terms very carefully and understand them clearly.

1.  Bunion:  It is a swelling that usually found near the big toe at the metatarsophalangeal joint.

2.  Crepitus:  The crackling sound created in the joints when ends of any two bones rub against each other due to their rub on the toughened bone cartilage.

3.  Ewing’s Sarcoma: Malignant tumor in the bone marrow that normally occurs in the long bones, especially in the foot and hands and pelvis bones.

4.  Exostosis:  Abnormal growth arises from the outer surface of the bones.

5.  Muscular dystrophy:  A group of inherited diseases illustrated by advancement of weakness and erosion of muscle fibers devoid of involvement of the nervous system. Duchenne’s dystrophy is the general form of this condition. An abnormal condition called pseudohypertrophy is happened because of the replacement of working muscle cells.  These muscle cells have deteriorated and developed inadequately. The main symptom of this condition is weakness of the child once birth is happened.

6.  Osteochondroma:  This is a type of benign tumor on the bone and its cartilage.  A tail-like stalk attaches this tumor to the bone and it is an outgrowth of cartilage.

7.  Polymyositis:  It is an abnormal condition of chronic inflammatory myopathy.  The symptoms of this condition is pain and weakness with rashes on the face and extremities. In this condition, the patient’s immune system is affected and the recovery is happened by immunosuppressive therapy.

8.  Fracture:  This is a sudden breaking of any bone anywhere in the body.  There are two types of fractures, such as simple fracture or closed fracture, compound fracture, and pathological fracture. A simple fracture, in which fracture occurs inside, but no open wound on the skin found. A compound fracture, in which bone is broken with an open wound present on the outside of the skin.  In pathological fracture, it occurs because of a disease condition on the fracture site either in the bone or in the tissue near to the region due to weakness.   Colles’ Fracture:  This is a kind of fracture occurs in the wrist area especially at the lower tip of the radius bone. A comminuted fracture, in which fractured bone is shattered or crushed.   Compression Fracture:  In this type of fracture, the fractured bone is packed together.  Greenstick Fracture:  In this type of fracture, the fractured bone is incompletely broken and also moderately crook on the reverse side. The fracture pattern looks like a greenstick breaks into two.  Impacted Fracture:  In this type of fracture, one fractured portion is collided strongly into the other bone.

9.  Osteosarcoma:  This is a malignant type tumor arising from any bone.

10.  Osteomalacia:  This is an abnormal condition of softening of the bones.  Osteo- means bone, -malacia means softening.

11.  Osteomyelitis:  It is an abnormal condition of inflammation of bone marrow and bones.

12.  Osteoporosis:  It is an abnormal condition of bones, in which bones get decreased bone thickness and weight.  This is due to abnormal thinning and weakness of the bones.

13.  Rickets:  This is a disease happens generally to the children because of deficiency of vitamin D and sunlight.  This disease is connected with damaged metabolism of phosphorus and calcium.

14.  Talipes:  This is an abnormal condition of twisting of foot fingers and gets a shape of a club, and so this condition is called clubfoot.

In the next lesson, we will learn about Laboratory Examinations used in musculoskeletal system. Okay.

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The Longest Medical Word

Today, we will know about an interesting medical term in medical language. This post is just to know about a different thing in the medica...