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  • Abbreviations - A

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  • Chapter I - Human Anatomy

  • Chapter II - Human Anatomy

  • Chapter III - Human Anatomy

  • Chapter IV - Human Anatomy

  • Chapter V - Human Anatomy

  • Chapter VI - Human_Anatomy

  • Chapter VII - Human Anatomy

  • Chapter I - Cardiovascular System

  • Chapter II - Cardiovascular System

  • Chapter III - Cardiovascular System

  • Chapter IV - Cardiovascular System

  • Chapter I - Dermatology

  • Chapter II - Dermatology

  • Chapter III - Dermatology

  • Chapter IV - Dermatology

  • Chapter I - Digestive System

  • Chapter II - Digestive System

  • Chapter III - Digestive System

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  • Chapter II - Respiratory System

  • Chapter III - Respiratory System

  • Chapter IV - Respiratory System

  • Chapter V - Respiratory System

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  • Chapter II - Endocrine System

  • Chapter III - Endocrine System

  • Chapter IV - Endocrine System

  • Chapter V - Endocrine System

  • Chapter VI - Endocrine System

  • Chapter VII - Endocrine System

  • Chapter VIII - Endocrine System

  • Chapter I - Urinary System

  • Chapter II - Urinary System

  • Chapter III - Urinary System

  • Chapter IV - Urinary System

  • Chapter V - Urinary System

  • Chapter VI - Urinary System

  • Chapter I - Male Reproduction

  • Chapter II - Male Reproduction

  • Chapter III - Male Reproduction

  • Chapter IV - Male Reproduction

  • Chapter V - Male Reproduction

  • Chapter I - Gynecology

  • Chapter II - Obstetrics

  • Chapter III - Female Reproductive System

  • Chapter IV - Female Reproduction

  • Chapter V - Female Reproduction

  • Chapter VI - Female Reproduction

  • Chapter VII - Obstetric Procedures

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  • Chapter II - Vertebral Column

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  • Chapter V - Fractures

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  • Chapter I - Eye Anatomy

  • Chater II - Eye Physiology

  • Chapter III - Visual Apparatus

  • Chapter IV-Eye Pathology

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  • Chapter I - ENT Anatomy

  • Chapter II - ENT Examination

  • Chapter III - ENT Pathology

  • Chapter IV - ENT Procedures

  • Chapter V - Common Terms

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  • Section IV - Transcription of Drugs

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  • Useful Downloads

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  • Section VII - Audio

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  • Section VIII - Audio

  • Section IX - Audio Dictation

  • Section VIII - Specialty Transcription

  • Section X - Audio Dictation

  • Section IX - Transcribed Documents

  • Section X - Transcribed Documents

  • Appears in Categories
  • Medical Transcription Course

  •  

    Online MT Course



    Chapter VI - Urinary System


    Urethra and Urinary tract Infections

     

    Urethral Sphincter

     

    The flow of urine from the urinary bladder is controlled by a group of muscles collectively called the urethral sphincter, named for their proximity to the urethra. Both sexes have at least two areas of muscle: the internal sphincter, or bladder neck; and the external, or distal, sphincter.

     

    In males the internal and external urethral sphincters are more powerful, able to retain urine for twice as long as females, and are furthermore backed up by the tertiary rings of urethral sphincters along the length of the penis.

     

    Both sexes can use the levator ani, the voluntary muscle of the pelvic floor, to control urination. In females this muscle is more important because of the weakness of the urethral sphincters. Kegel exercises are a form of exercise intended to strengthen the pelvic floor muscles.

     

    Urinary incontinence is the inability to control urination, and is more common in women than men.

     

     

    Urethra

     

    The urethra is a tube, which connects the urinary bladder to the outside of the body. The urethra has an excretory function in both sexes, to pass urine to the outside, and also a reproductive function in the male, as a passage for sperm.

     

    The external urethral sphincter is a smooth muscle that allows voluntary control over urination.

     

    Men have a longer urethra than women. This means that women tend to be more susceptible to infections of the bladder (cystitis) and the urinary tract. The length of a male's urethra, and the fact it contains a number of bends makes catheterization more difficult.

     

    In the human female, the urethra is about 1-1.5 inches (2.5-4 cm) long and opens in the vulva between the clitoris and the vaginal opening. In the human male, the urethra is about 8 inches (20 cm) long and opens at the end of the penis.

     

    The urethra is divided into three parts in men, named after the location:

     

    ·        The prostatic urethra crosses through the prostate gland. There is a small opening where the vas deferens enters.

    ·        The membranous urethra is a small (1 or 2 cm) portion passing through the external urethral sphincter. This is the narrowest part of the urethra.

    ·        The spongy (or penile) urethra runs along the length of the penis on its ventral (underneath) surface. It is about 15-16 cm in length, and travels through the corpus spongiosum.

     

     

    Histology

    The epithelium of the urethra starts off as transitional cells as it exits the bladder. Further along the urethra there are stratified columnar cells, then stratified squamous cells near the external meatus (exit hole). There are small mucus secreting urethral glands.

     

    Medical problems of the urethra

    ·        Hypospadias and epispadias are forms of abnormal development of the urethra in the male, where the opening is not quite where it should be (it occurs lower than normal with hypospadias, and higher with epispadias). A chordee is when the urethra develops between the penis and the scrotum.

    ·        Infection of the urethra is urethritis, said to be more common in females than males. Urethritis is a common cause of dysuria (pain when urinating).

    ·        Related to urethritis is so called urethral syndrome.

    ·        Passage of kidney stones through the urethra can be painful and subsequently it can lead to urethral strictures

    ·        Endoscopy of the bladder via the urethra is called cystoscopy.

    ·        Urethral Stricture-A urethral stricture is internal damage to the urethra caused by injury or disease such as urinary tract infections or other forms of urethritis.

     

    G-spot

    The Gräfenberg spot' or G-spot is named after German gynecologist Ernst Gräfenberg. It is a small area in the genital area of women behind the pubic bone and surrounding the urethra. It is the same as, or part of, the urethral sponge, the site of Skene's glands.

     

    Stimulation of the G-spot (through the front wall of the vagina) is said to promote a more vigorous and satisfying orgasm, and is possibly the cause of female ejaculation from the Skene's glands, contained in the urethral sponge. Such stimulation requires a somewhat opposite thrust to that required to obtain maximal clitoral stimulation via the penis, called "riding high". The stimulation of the G-spot is thought to be more intense for women beyond their thirties, because of changes in tissue structure inside the vagina allowing easier access to the G-spot. Some women believe their thirties are their sexual peak because of this reason.

     

    Urethral Sounding

    Sounding or urethral sounding is a medical activity using probes called sounds to increase the inner diameter of the urethra and to locate obstructions in the urethra. Sounds are usually made of stainless steel and come in two main types: the Van Buren (named after its inventor, William Holme Van Buren), which has a J-shaped curve at one end, and the Dittle, which is straight. The curved variety may inhibit the ability to gain an erection. A urethral sound may be connected to a special electrical device for use in erotic electrostimulation.

     

    The use of urethral sounding in this way can potentially be damaging to the urethra. The dangers include tearing or cutting of the urethra and the possibility of urinary tract infection.

     

    Urinary Tract Infection

    A urinary tract infection (UTI) is an infection of the urinary tract. An infection anywhere from the kidneys to the ureters to the bladder to the urethra qualifies as a urinary tract infection.

     

    Symptoms & Signs

    ·        Urethritis: discomfort or pain at the urethral meatus or a burning sensation throughout the urethra with micturition (dysuria).

    ·        Cystitis: pain in the midline suprapubic region and/or frequent urination

    ·        Hematuria (bloody urine)

    ·        Cloudy and foul-smelling urine

     

    Common organisms that cause UTIs include Escherichia coli and Staphylococcus saprophyticus. Less common organisms include Proteus mirabilis, Klebsiella pneumoniae, and Enterococcus spp.

     

     

    UTIs are most common in sexually active women, and increased in diabetics and people with sickle-cell disease or anatomical malformations of the urinary tract.

     

    Treatment

    Most uncomplicated UTIs can be treated with oral antibiotics such as trimethoprim, cephalosporins, Macrodantin, or a fluoroquinolone (e.g. ciprofloxacin, levofloxacin). Patients with recurrent UTIs may need further investigation. This may include ultrasound scans of the kidneys and bladder or intravenous urography (X-rays of the urological system following intravenous injection of iodinated contrast material).

    All text of this article available under the terms of the GNU Free Documentation License (see Copyrights for details).

     



    Online MT Course
    Chapter VI - Urinary System



  • Home
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  • Lymphatic and Immune system


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  • Musculoskeletal System
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  • Skin & Appendages
  •   
  • Ophthalmology
  •   
  • Otorhinolaryngology


  •   
  • Endocrine Glands
  •   
  • List of Terms associated with Diabetes
  •   
  • Cancer Medicine


  •   
  • All Diagnostic Tests
  •   
  • Obstetric Ultrasound Scan
  •   
  • Pulmonary Function Test & Spirometry


  •   
  • Radiology
  •   
  • Pharmacology & Drug Classifications
  •   
  • Body movements and Planes


  •   
  • Miscellaneous
  •   
  • Breast
  •   
  • Human Anatomy
  •   
  • Digestive System
  •   
  • Urinary System


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  • Female Reproductive System
  •   
  • Male Reproduction System
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  • Nervous System
  •   
  • Cardiovascular System


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  • Course 1
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  • Grammar Guidelines
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  • ABBREVIATIONS
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  • ACRONYMS AND INITIALISM


  •   
  • ADDRESS GUIDELINES
  •   
  • AMPERSAND
  •   
  • APGAR SCORE
  •   
  • CANCER CLASSIFICATION AND GUIDELINES


  •   
  • CAPITALIZATION GUIDELINES
  •   
  • DECIMALS
  •   
  • Drug Abbreviations
  •   
  • Drug Terminology
  •   
  • EPONYM USAGE
  •   
  • FRACTIONS


  •   
  • GUIDELINES WITH BUILDING
  •   
  • GUIDELINES WITH AGES
  •   
  • BLOOD COUNTS
  •   
  • Guidelines with Blood Pressure


  •   
  • Guidelines with Dates
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  • Guidelines with Proper names
  •   
  • SI UNITS
  •   
  • VIRGULE
  •   
  • Diabetes Mellitus


  •   
  • Format for Letters
  •   
  • Geographic Names & Proper Names
  •   
  • Genetic Terminology


  •   
  • Transcribing Globulins & Immunoglobulins
  •   
  • Guidelines for transcribing numbers
  •   
  • Obstetrics Terminology


  •   
  • Transcribing suture
  •   
  • Transcribing percentages
  •   
  • English Usage
  •   
  • Occupation Index


  •   
  • Medical Prescription?
  •   
  • Some English Prefixes and Suffixes
  •   
  • Frequently Used Pleural Forms


  •   
  • PREFIXES AND SUFFIXES
  •   
  • Medicine Specialties and Specialists
  •   
  • Combining Forms


  •   
  • Diagnostic Tests
  •   
  • CAT Scan
  •   
  • Positron Emission Tomography
  •   
  • Magnetic Resonance Imaging


  •   
  • Ultrasound
  •   
  • X-ray
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  • MUGA scan
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  • Endoscopy
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  • Esophagogastroduodenoscopy
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  • Endoscopic Retrograde
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  • Bronchoscopy
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  • Cystoscopy
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  • Hysteroscopy
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  • Arthroscopy
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  • Laparoscopy


  •   
  • Barium Tests
  •   
  • Pap Smear
  •   
  • Flow Cytometry
  •   
  • Intravenous Pyelogram (IVP)
  •   
  • KUB
  •   
  • Mammography


  •   
  • HIV Tests (AIDS Tests)
  •   
  • Electroencephalography
  •   
  • Echocardiography
  •   
  • Electrocardiogram


  •   
  • Holter Monitor
  •   
  • Single Photon Emission
  •   
  • Genetic Testing
  •   
  • Tumor Marker Tests


  •   
  • Blood Tests
  •   
  • Complete Blood Count
  •   
  • Liver Function Tests
  •   
  • Radioimmunoassay


  •   
  • Mantoux Test
  •   
  • Heaf Test
  •   
  • Gram Staining
  •   
  • Renal Function Tests
  •   
  • Creatinine Clearance


  •   
  • PULMONARY FUNCTION TESTS
  •   
  • Normal Laboratory Values
  •   
  • Obstetric Ultrasound Scan


  •   
  • Transcription resources & indexes
  •   
  • All Orthopedic Tests
  •   
  • Cancer Drug Index
  •   
  • Clinical Sign Index


  •   
  • Commonly Used Cancer Regimens
  •   
  • List of Eponyms in Medicine
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  • Other Transcription Resources


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  • Surgical Instrument List
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  • Hospital Directory - V


  •   
  • Hospital Directory - W
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  • Hospital Directory - Y
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  • Hospital Directory - Z


  •   
  • Chapter I - Human Anatomy
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  • Chapter II - Human Anatomy
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  • Chapter III - Human Anatomy


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  • Chapter IV - Human Anatomy
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  • Chapter V - Human Anatomy
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  • Chapter VI - Human_Anatomy


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  • Chapter VII - Human Anatomy
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  • Chapter I - Cardiovascular System


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  • Chapter II - Cardiovascular System
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  • Chapter III - Cardiovascular System


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  • Chapter IV - Cardiovascular System
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  • Chapter I - Dermatology
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  • Chapter II - Dermatology


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  • Chapter III - Dermatology
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  • Chapter IV - Dermatology
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  • Chapter I - Digestive System


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  • Chapter II - Digestive System
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  • Chapter III - Digestive System
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  • Chapter I - Respiratory System


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  • Chapter II - Respiratory System
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  • Chapter III - Respiratory System
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  • Chapter IV - Respiratory System


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  • Chapter V - Respiratory System
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  • Chapter I - Endocrine System
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  • Chapter II - Endocrine System


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  • Chapter III - Endocrine System
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  • Chapter IV - Endocrine System
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  • Chapter V - Endocrine System


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  • Chapter VI - Endocrine System
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  • Chapter VII - Endocrine System
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  • Chapter VIII - Endocrine System


  •   
  • Chapter I - Urinary System
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  • Chapter II - Urinary System
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  • Chapter III - Urinary System


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  • Chapter IV - Urinary System
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  • Chapter V - Urinary System
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  • Chapter VI - Urinary System


  •   
  • Chapter I - Male Reproduction
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  • Chapter II - Male Reproduction
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  • Chapter III - Male Reproduction


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  • Chapter IV - Male Reproduction
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  • Chapter V - Male Reproduction
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  • Chapter I - Gynecology


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  • Chapter II - Obstetrics
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  • Chapter III - Female Reproductive System


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  • Chapter IV - Female Reproduction
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  • Chapter V - Female Reproduction
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  • Chapter VI - Female Reproduction


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  • Chapter VII - Obstetric Procedures
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  • Chapter I - Bony Organization
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  • Chapter II - Vertebral Column


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  • Chapter IV - All about Muscles
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  • Chapter V - Fractures
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  • Chapter VI - Bone Pathology


  •   
  • Chapter I - Eye Anatomy
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  • Chater II - Eye Physiology
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  • Chapter III - Visual Apparatus


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  • Chapter IV-Eye Pathology
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  • Chapter V - Common Eye Procedures
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  • Chapter VI - Eye Pharmacology


  •   
  • Chapter I - ENT Anatomy
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  • Chapter II - ENT Examination
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  • Chapter III - ENT Pathology


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  • Chapter IV - ENT Procedures
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  • Chapter V - Common Terms
  •   
  • Anemia & Types of Anemia


  •   
  • Body Movements and Planes
  •   
  • Blood Type
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  • Blood Transfusion and Substitutes


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  • Breast Anatomy and Pathology
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  • Cancer
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  • Drug Classification
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  • Infectious Diseases
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  • Suture materials


  •   
  • Training Audio Files
  •   
  • Section I - Audio Files
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  • Transcribed Documents


  •   
  • Transcribed Documents-Section I
  •   
  • Quality Assessment Standards
  •   
  • The 206 Bones in Human Body


  •   
  • Section II - Abbrevation Audio Files
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  • Section II - Transcribing Abbreviations


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  • Section III - Examination Audio Filies
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  • Section III - Transcribing Physical Exam


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  • Section IV - Audios for Drugs
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  • Section V - Specialty Audios
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  • Section V - Specialty Transcriptions


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  • Section IV - Transcription of Drugs
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  • Section VI - Specialty Audios


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  • Section VI - Specialty Transcriptions
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  • Useful Downloads
  •   
  • Chapter III - Chest & Pelvis
  •   
  • Section VII - Audio


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  • Section VII - Specialty Transcription
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  • Section VIII - Audio
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  • Section IX - Audio Dictation


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  • Section VIII - Specialty Transcription
  •   
  • Section X - Audio Dictation
  •   
  • Section IX - Transcribed Documents


  •   
  • Section X - Transcribed Documents


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