AHIMA Professional Practice Experience Workbook

Exercises

Exercise 1 Medical Terminology Abstracting: MPI: 1000008 (Darlene Timothy) Instructions: Access the Edco Solcom application. Use the instructions below to complete the case worksheet, identifying medical terms in order to complete each question. 1. Folder: OP THU 30-OCT-2003 Document: Pathology 4/25/2011 Darlene’s Pathology Report revealed that she has a mass on her cervix, giving her a diagnosis of cancer.

What are the medical terms being used in the Pathology Report to describe the mass?

2. Folder: OP THU 30-OCT-2003 Document: Progress Notes 4/25/2011 The physical exam from Darlene’s Progress Note from October 30 th reveals that the patient’s thyroid is not enlarged.

What is the medical term being used in the Progress Note to describe the thyroid?

3. Folder: OP WED 05-NOV-2003 Document: XRay 4/25/2011 In the patient’s XRay Report, it is documented that the “_____” canal has fluid in it.

What medical term describes the location of the fluid in the X-Ray Report?

4. Folder: OP WED 05-NOV-2003 Document: XRay 4/25/2011 The images are obtained using contrast material.

What medical terms describe how the contrast material is administered to the patient?

5. Folder: AS TUE 25-NOV-2003 Document: OP Report 4/25/2011 The OP report describes the position of the patient for the procedure.

What is the medical term(s) are used to describe the patient’s position?

6. Folder: OP MON 08-DEC-2003 Document: OP Report 4/25/2011 Darlene will be going through a short-term treatment designed to target her Stage 1B cancer of the cervix.

What are the medical terms describing the device and its treatment purpose?

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