Lab and Diagnostic Terms / Words For Medical Transcriptionists

 
MEDICAL TRANSCRIPTION LAB & DIAGNOSTIC TERMS:

 

Section A - Common Laboratory Terms:

WBC , hemoglobin , hematocrit , platelet count , segs , lymphs, eos, monos, bands, basos, retic count.

 

MCV, MCH, RDW

 

ESR ,  PT , INR , PTT .

 

sodium , potassium , chloride , CO2 , BUN , creatinine , glucose , albumin , magnesium, calcium .

 

ammonia

 

alkaline phosphatase , AST , ALT, bilirubin (direct or total).

 

albumin, protein

 

amylase, lipase

 

creatine kinase, CK-MB , MB% , troponin less than 0.3, digoxin level .

 

ABG , pH , pCO2 , pO2 , bicarb , oxygen saturation on room air.

 

BNP level

 

BUN and creatinine

 

complement C3, complement C4

 

C-reactive protein or CRP

 

D-dimer, ESR, GGT

 

HDL, LDL, triglycerides, cholesterol

 

IgA, IgG, IgM, IgE

 

serum iron, TIBC

 

LDH

 

CD4, CD8

 

PSA

 

TSH, T3, T4, free T3 and free T4

 

anion gap, base excess

 

Urinalysis essentially within normal limits.  specific gravity, wbc's, rbc's, blood, ketones, protein, nitrites, leukocytes, bacteria, squamous epithelial cells, etc. UA by clean catch midstream. Urine beta hCG.

 

cerebrospinal fluid (CSF) - albumin, cell count, chloride, glucose, IgG, pressure, protein

 

fecal white blood cell, ova and parasites (O&P), Clostridium difficile toxin (CDT) assay

 

HIV serology

 

protein electrophoresis

 

rapid strep, Monospot, Chem-7, influenza antigen

 

rheumatoid titers 

 

(x) sets of cardiac enzymes (where x  =  2, 3, 5, etc)

 

stool for culture and ova/parasite


Section B - Diagnostic Terms:

 
Chest x-ray Terms:

chest x-ray reveals: (one of the following below):

 
cardiomegaly

congestive heart failure

elevated hemidiaphragms

emphysema

hilar fullness

hyperexpanded lungs

increased reticular markings

infiltrates

infrahilar mass

patchy infiltrate

pleural effusion

pneumonia

pulmonary congestion

reversible ischemia

scarring


 
Electrocardiogram Terms in Diagnostic Data Section:
 
 
12-lead EKG - leads I, II, III, V1, V2, V3, V4, V5, V6, aVF, aVL, aVR, etc.

atrial fibrillation

beats per minute

left axis deviation

nonspecific ST-T wave changes

normal sinus rhythm

 

Common types of scans in medical reports:

 
carotid Doppler scan

CT/CAT scan

DEXA bone scan

GI bleeding scan

HIDA scan

MRI scan

MUGA scan

myocardial perfusion scan

PET scan

SPECT scan

V/Q scan (or ventilation/perfusion scan)

venous duplex scan

 
Other Diagnostic Terms:
 
 
Holter monitor

portable chest x-ray

KUB

 
More Studies or Tests:
 
 
24-hour pH study

 

24-hour urine study

 

48-hour Bravo pH study

 

adenosine isotope study

 

arterial flow study

 

barium enema study

 

barium study

 

bedside swallow study

 

blood volume study

 

bone marrow study

 

brain flow study

 

CDT study

 

color flow study

 

cystogram study

 

cystometric study

 

DNA PCR study

 

Endocapsule study

 

EP study

 

esophageal manometry study

 

esophageal motility study

 

gastric emptying study

 

Gastrografin study

 

HIDA CCK study

 

HIPA study

 

intrathecal pump dye study

 

leak point pressure study

 

M2A capsule study

 

mapping study

 

multigated acquisition study

 

Myoview study

 

nerve conduction study

 

nuclear medicine study

 

overnight oxygen saturation study

 

peak flow study

 

perfusion imaging study

 

pneumogram study

 

PSG study

 

radionuclide shunt study

 

reflux study

 

right retrograde ureteropyelogram study

 

sleep study

 

small bowel study

 

STA-MCA bypass study

 

stool study

 

stress nuclear study

 

symptom index study

 

tagged red cell study

 

tilt-table study

 

transesophageal echo with bubble study

 

transthoracic echocardiogram with bubble study

 

urodynamic study

 

video swallow study

 

visual field study

 

voiding pressure study





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