Medical Terminology

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2. Case study:
There will be 1 case study assignment that will help you to interpret and translate medical terminology. The case study will be of an actual patient, with medical terms throughout that you will be required to translate into layman’s terms. The case study will be worth 160 points and must be in a MICRO SOFT WORD.DOC. If you are late in submitting your assignment, 10 points will be deducted from your grade. All case studies must be submitted to Turnitin to be graded. Turnitin is a website that reviews your paper for materials taken from other published sources, including student papers. To submit your paper, go to course content to find the Turnitin icon under assignments in blackboard and follow the steps to submit your paper. You do not need password
Case study assignment

Case Study: Due 7.17.09
Read the following case study of an actual patient (available by clicking on link). List all of the medical terms and abbreviations. Provide a definition of those terms and abbreviations. Next, You MUST REWRITE the case study in layman’s terms ( Paragraph that starts with Hospital Course) .Any reference guide you use to define the terms must be listed in the bibliography on page four.
SUGGESTION: Have a non medical person read the case study and highlight ALL medical words and abbreviations they do not understand. This will be your base of your translation process. There are approximately 27 abbreviations and 65 medical terms that need to be re-defined.
Remember to cite the reference for all of the definitions and list those references in a bibliography. The title page (page 1) should have your last name and student ID # in the top right hand corner. The next page(s) should list the medical terms and definitions. I want the terms 1-65, and abbreviations 1-27 numbered. The next page(s) should be a rewrite of the case in layman’s terms. The last page should be a Bibliography list. The case study should be rewritten in layman’s terms so that a person with no medical background could understand it.
Make sure you have all four components before you submit your assignment to me. If you are missing any of the four 4 pages only partial credit will be given.

 

 

 

Case Study Assignment #1

The following case study contains many medical terms that need to be identified, defined and rewritten in layman’s terms. Please see the directions for the case study in regards to paper structure and format.

Discharge Summary:

Admitting Dx:
1. worsened gangrene of the third and fifth phalanges left foot
2. Peripheral vascular disease/arterial insufficiency
a. Status post femorofemoral bypass 3/6/02
b. Left lumbar discectomy
c. Left groin exploration
d. Profundoplasty and left profondus endarterectomy
3. Diabetes mellitus type 2
4. CAD, status post AWMI 1996
5. Status post PTCA of LAD
6. Cerebral vessel disease status post CVA 1997
7. History of gout
8. Renal insufficiency with baseline creatinine of 1.7
9. History of ischemic cardiomyopathy with left ventricular dysfunction
10. Status post left hip fx 1990
11. S/P LLE arterial bypass graft

History: This 64 year old male with type 2 DM and PVD, S/P femorofemoral bypass in early March along with the above surgeries for #3,5 phalangeal gangrene on the left foot was followed in the vascular surgery clinic on the 27th of March, with complaints of recurrence of pain in the same phalanges. The patient was promptly sent to the vascular lab where it was revealed occluded left posterior tibial, anterior tibial and peroneal arteries. Therefore, plans were made for the pt to be brought to the OR for amputation of #3,5 phalanges and femoral to peroneal bypass.

Physical Findings: Pt was in Sinus Rhythm. He was afebrile. Lungs were clear. CXR was WNL and all lab work was WNL.

Hospital Course: Patient was taken to the OR on 3/27 where Dr. Rooter with the assistance of Dr. Moo performed the femoral to peroneal bypass using a graft, followed by amputation of the 3rd and 5th phalanges. In addition, an intraoperative angiogram was done discovering a thrombosis in his previous femorofemoral bypass and a thrombectomy was performed resulting in good blood flow to the left foot. Following this the patient was transferred to the ICU in stable status where he remained for the next few postop days being watched closely by cardiology for any sx of CHF. The patient remained stable postoperatively and anticoagulation was initiated while the pt remained in ICU. On the morning of postop day three, the patient experienced angina requiring cardiac enzymes which were slightly elevated and cardiology recommended the patient undergo a coronary angiogram using a brachia approach. The angiogram finding showed a 95% mid LAD lesion. This was stented and reperfusion was accomplished to the LAD. The patient tolerated the procedure well and was readmitted to ICU in stable status. He was restarted on anticoagulant therapy and plans were made for the patient to be discharged three days later with home health nurse visits per his HMO and PT. The patient’s amputation sites were monitored and granulating well without any purulent drainage. The patient remained afebrile with his WBC level WNL and his cardiac enzymes improved to normal.

Laboratory results: WBC, RBC counts WNL, Hgb WNL, Hct WNL. Serum electrolytes WNL. Glucose WNL.

Diet instructions: Diabetic diet

Activity: Walking for 10 minute BID. Amputation site dressing changes BID. Shower ok. Pt has been instructed to watch for any fever, purulent drainage, bleeding.

Medications:
Anticoagulant
Oral diabetic medications
Diuretic
Tylenol for pain
BetaBlocker
Nitroglycerin for angina

FU: Follow up with Vascular Surgery in 1 week. Follow up with cardiology in 2 weeks. Return to HMO physician within 1 week for postoperative check up.

Discharge condition: Stable and improving.

Description

Medical terms

According to definitions from MedicineNet.com (2009) and Medline Plus (2009), the following are definitions of medical terms