Ortho – Part 2Ortho – Part 2Neurology/Neurology/

NeurosurgeryNeurosurgeryMR270: Week 7

AgendaAgenda

Readings for Week 7 Review of Week 6 issues Fill-in-the-blank fun! Procedures Difficult terms for Week 7 Abbreviations Medications Videos Extra resources!

Reading…Reading…

Review pgs. 197-237 in Stedman’sReview pgs. 197-237 in Stedman’s

Read Chapter 18, Read Chapter 18, Orthopedics/Neurology, pgs. 386-Orthopedics/Neurology, pgs. 386-399 in the BOS399 in the BOS

Review from Review from Week 6 reportsWeek 6 reports

cicatrixcicatrix arcus senilis arcus senilis HEART: Regular HEART: Regular

rhythm without rhythm without murmur, gallop, or murmur, gallop, or rub. rub.

EXTREMITIES: EXTREMITIES: Without clubbing, Without clubbing, cyanosis, or edema.cyanosis, or edema.

HyponatremiaHyponatremia

innominate innominate artery artery

extravasationextravasation syncope syncope ApicalApical

Fill in the blanks belowFill in the blanks below

1.1. The _______ used in ___________ The _______ used in ___________ procedures are called procedures are called _________ or _______._________ or _______.

2.2. An accurate account of all An accurate account of all _______ used in a ________ is _______ used in a ________ is extremely important and extremely important and ____________ in _____ ______ ____________ in _____ ______ must be rectified.must be rectified.

ANSWERSANSWERS

1.1. The The spongessponges used in neurological used in neurological proceduresprocedures are called are called cottonoidscottonoids or or “patties.”“patties.”

2.2. An accurate account of all An accurate account of all spongessponges used in a used in a procedureprocedure is extremely is extremely important and important and discrepanciesdiscrepancies in in count number count number must be rectified.must be rectified.

Define the proceduresDefine the procedures

1.1. CraniotomyCraniotomy

2.2. LaminectomyLaminectomy

3.3. Stereotactic ProcedureStereotactic Procedure

4.4. Anterior Cervical Diskectomy and Anterior Cervical Diskectomy and FusionFusion

5.5. TrephinationTrephination

ANSWERSANSWERS

1. Craniotomy: an opening in the skull made to gain access to the brain or supporting structures, and then the bone is replaced.

2.2. LaminectomyLaminectomy: A surgical : A surgical procedure performed to relieve procedure performed to relieve the symptoms of a ruptured the symptoms of a ruptured intervertebral disk.intervertebral disk.

ANSWERSANSWERS

3. Stereotactic Procedure: cranial surgery uses a probe (under ct guidance) to locate a specific target area within the brain with minimal damage to surrounding neural tissues.

4. Anterior Cervical Diskectomy and Fusion: An anterior approach for the removal of a disk that is compressing a cervical nerve

AnswersAnswers

TrephinationTrephination: is a surgical : is a surgical procedure performed by making procedure performed by making a burr hole into the skull to a burr hole into the skull to decrease intracranial pressure.decrease intracranial pressure.

Terms for Week 7!Terms for Week 7!

Tricky to hear?Tricky to hear? epileptiform epileptiform rhythmic theta rhythmic theta Lennox-Gastaut Lennox-Gastaut

disorder disorder demyelinationdemyelination Erb point Erb point spike-and-wave spike-and-wave

discharges discharges Glasgow Coma ScoreGlasgow Coma Score von Willebrand diseasevon Willebrand disease

Tricky to spell?Tricky to spell? transtentorial transtentorial Codman intracranial Codman intracranial

pressure monitor pressure monitor Stradivarius Medtronic Stradivarius Medtronic

programmable valve programmable valve obliquus fascia obliquus fascia cisterns cisterns serpiginousserpiginous Charnley awl Charnley awl Nurolon sutures Nurolon sutures

ABBREVIATIONSABBREVIATIONS

AVMAVM CSFCSF ICPICP CUSACUSA ALSALS DTRDTR HNPHNP

ANSWERSANSWERS

AVM: arteriovenous malformationAVM: arteriovenous malformation CSF: cerebrospinal fluidCSF: cerebrospinal fluid ICP: intracranial pressureICP: intracranial pressure CUSA: Cavitron Ultrasonic AspiratorCUSA: Cavitron Ultrasonic Aspirator ALS: amyotrophic lateral sclerosisALS: amyotrophic lateral sclerosis DTR: deep tendon reflexesDTR: deep tendon reflexes HNP: herniated nucleus pulposusHNP: herniated nucleus pulposus

Medications…Medications…

Can you give the generic name for Can you give the generic name for the medications listed below? What the medications listed below? What about how they’re used?about how they’re used? SeconalSeconal SinequanSinequan ThorazineThorazine NeurontinNeurontin CompazineCompazine DimetabsDimetabs AntivertAntivert

ANSWERSANSWERS

Seconal: secobarbital/anticonvulsantSeconal: secobarbital/anticonvulsant Sinequan: doxepin/antianxiety Sinequan: doxepin/antianxiety

medicationsmedications Thorazine: chlorpromazine/antipsychotic Thorazine: chlorpromazine/antipsychotic Neurontin: gabapentin/anticonvulsantNeurontin: gabapentin/anticonvulsant Compazine: Compazine:

prochlorperazine/Antiemetic or prochlorperazine/Antiemetic or antivertigoantivertigo

Dimetabs: dimenhydrinate/Antiemetic Dimetabs: dimenhydrinate/Antiemetic or antivertigoor antivertigo

Antivert: meclizine/antiparkinson drugsAntivert: meclizine/antiparkinson drugs

OrthoOrthoVideo!Video!

http://orthopedicspecialties.com/procedures-mainmenu-109/procedure-animations-mainmenu-107 **Choose Shoulder, then Choose Shoulder, then Arthrospopic Rotator Cuff Arthrospopic Rotator Cuff Repair (with narration)Repair (with narration)

What terminology did you What terminology did you hear? Did you recognize hear? Did you recognize anything you’ve already anything you’ve already heard in your dictation heard in your dictation files?files?

Let’s watch this one first! This is an animation of rotator cuff surgery. Take

notes on terminology!

Another video!

Again, take notes on the Again, take notes on the terminology you hear in this video. terminology you hear in this video. Do you recognize any terms or Do you recognize any terms or phrases?phrases?

http://orthopedicspecialties.com/http://orthopedicspecialties.com/procedures-mainmenu-109/procedure-procedures-mainmenu-109/procedure-animations-mainmenu-107animations-mainmenu-107

Choose Spine, then Lumbar Disc Choose Spine, then Lumbar Disc Microsurgery (with narration)Microsurgery (with narration)

Orthopedics and Neurology

• http://www.buzzle.com/articles/hipaa-compliant-http://www.buzzle.com/articles/hipaa-compliant-orthopedics-medical-transcription-services.html orthopedics-medical-transcription-services.html (Ortho)(Ortho)

• http://www.strokecenter.org/education/http://www.strokecenter.org/education/glossary.html (Neuro – glossary)glossary.html (Neuro – glossary)

• http://www.lifespan.org/stw/Page.asp?http://www.lifespan.org/stw/Page.asp?Group=DiseasesConditions (Neuro glossary)Group=DiseasesConditions (Neuro glossary)

• http://owl.orthogate.org/ http://owl.orthogate.org/ (Lots of links to Ortho-related information)

Good night, all!Good night, all!

•Hope you learned something new!•Don’t forget to keep up with all of your transcription!•See you the same time—same place next week!