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  • Home

  • Medical Lectures

  • Blood System

  • Lymphatic and Immune system

  • Musculoskeletal System

  • 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

  • Female Reproductive System

  • Male Reproduction System

  • Nervous System

  • Cardiovascular System

  • Course 1

  • Grammar Guidelines

  • ABBREVIATIONS

  • 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

  • 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

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  • Some English Prefixes and Suffixes

  • Frequently Used Pleural Forms

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  • CAT Scan

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  • Colonoscopy

  • Endoscopic Retrograde

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  • Hysteroscopy

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  • Barium Tests

  • Pap Smear

  • Flow Cytometry

  • Intravenous Pyelogram (IVP)

  • KUB

  • Mammography

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  • Electroencephalography

  • Echocardiography

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  • Genetic Testing

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  • 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

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  • Abbreviations - A

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  • Abbreviations - C

  • Abbreviations - D

  • Abbreviations - E

  • Abbreviations - F

  • Abbreviations - G

  • Abbreviations - H

  • Abbreviations - I

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  • Abbreviations - T

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  • Abbreviations - X

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  • Abbreviations - Z

  • Drug Index - A

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  • Hospital Directory - Z

  • 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

  • Chapter I - Respiratory System

  • Chapter II - Respiratory System

  • Chapter III - Respiratory System

  • Chapter IV - Respiratory System

  • Chapter V - Respiratory System

  • Chapter I - Endocrine System

  • 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

  • Chapter I - Bony Organization

  • Chapter II - Vertebral Column

  • Chapter IV - All about Muscles

  • Chapter V - Fractures

  • Chapter VI - Bone Pathology

  • Chapter I - Eye Anatomy

  • Chater II - Eye Physiology

  • Chapter III - Visual Apparatus

  • Chapter IV-Eye Pathology

  • Chapter V - Common Eye Procedures

  • Chapter VI - Eye Pharmacology

  • Chapter I - ENT Anatomy

  • Chapter II - ENT Examination

  • Chapter III - ENT Pathology

  • Chapter IV - ENT Procedures

  • Chapter V - Common Terms

  • Anemia & Types of Anemia

  • Body Movements and Planes

  • Blood Type

  • Blood Transfusion and Substitutes

  • Breast Anatomy and Pathology

  • Cancer

  • Drug Classification

  • Infectious Diseases

  • Suture materials

  • Training Audio Files

  • Section I - Audio Files

  • Transcribed Documents

  • Transcribed Documents-Section I

  • Quality Assessment Standards

  • The 206 Bones in Human Body

  • Section II - Abbrevation Audio Files

  • Section II - Transcribing Abbreviations

  • Section III - Examination Audio Filies

  • Section III - Transcribing Physical Exam

  • Section IV - Audios for Drugs

  • Section V - Specialty Audios

  • Section V - Specialty Transcriptions

  • Section IV - Transcription of Drugs

  • Section VI - Specialty Audios

  • Section VI - Specialty Transcriptions

  • Useful Downloads

  • Chapter III - Chest & Pelvis

  • Section VII - Audio

  • Section VII - Specialty Transcription

  • 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 - Bone Pathology


    Arthritis & Gout

    Gout

    Gout is a form of arthritis caused by the accumulation of uric acid crystals in joints. It is an intensely painful disease, which in most cases affects only one joint (monoarthritis), most commonly the big toe. Gout is a metabolic disorder, which primarily occurs in males. Gout is mainly hereditary in nature. The depositions of these crystal urates are known as tophi.

    Signs and Symptoms

    The classic picture is of excruciating and sudden pain, swelling, redness, warmness and stiffness in the joint. Low-grade fever may also be present. The patient usually suffers from two sources of pain. The crystals inside the joint cause intense pain whenever the affected area is moved. The inflammation of the tissues around the joint also causes the skin to be swollen, tender and sore even if it is slightly touched. For example, a blanket draping over the affected area would cause extreme pain.

    The doctor diagnoses the presence of gout by the appearance of the afflicted joint and by the description of the symptoms by the patient. Definitive diagnosis is made by examining a sample of the joint fluid under a microscope and along with demonstration of hyperuricemia.

    Stages of gout

    Gout has four distinct stages:

    • Asymptomatic
    • Acute
    • Intercritical
    • Chronic 

    Treatment is by administering colchicine either IV or orally. Other drugs prescribed are diclofenac, phenylbutazone, probenecid, sulindac, and indomethacin. Acute attacks of gout can be prevented by administering sulfinpyrazone or allopurinol (Lopurin or Zyloprim).

    Surgery

    For extreme cases of gout, surgery may be necessary to remove large tophi and correct joint deformity.

    Diet

    • Low purine diet

    To lower uric acid:

    • Cherries have been shown to reduce uric acid
    • Strawberries or blueberries (and other dark red/blue berries) are also reputed to be beneficial
    • Celery extracts (celery or celery seed either in capsule form or as a tea) is believed by many to reduce uric acid levels (although these are also diuretics).
    • Limit food high in protein such as meat, fish, poultry, or tofu to 8 ounces a day. Avoid entirely during a flare up.
    •  
    • Food to avoid:
    • Foods high in purines, that is, high in DNA
    • Sweetbreads, kidneys, liver, brains, or other offal meats
    • Sardines
    • Anchovies
    • Scallops
    • Alcohol, especially beer because brewer's yeasts are very rich in purine (alcohol may also reduce the rate of uric acid excretion).
    • Meat extracts, consommés, and gravies
    • Diet sodas (these act as diuretics in many people, causing uric acid to concentrate in the blood which can then easily precipitate)

    To avoid dehydration:

    • Drink plenty of liquids, especially water, to dilute and assist excretion of urates;
    • Use sparingly diuretic foods or medicines like aspirin, vitamin C, tea and alcohol.

    Arthritis

    When cartilage, the tough fibrous material covering the ends of the bone, is eroded at a rate faster than the body can repair, this is known as arthritis. Arthritis, or inflammation of the joints, can develop because of aging, wear and tear, or infections. Osteoarthritis or degenerative joint disease is the most common type of arthritis. Rheumatoid arthritis, on the other hand, is systemic and affects the blood vessels, heart, and other organs.

    Arthritis can be caused from strains and injuries caused by repetitive motion, sports, overexertion, and falls. Unlike the autoimmune diseases, osteoarthritis largely affects older people and results from the degeneration of joint cartilage. Other forms are discussed below.

    Arthritic joints can be sensitive to weather changes. The increased sensitivity is thought to be caused by the affected joints developing extra nerve endings in an attempt to protect the joint from further damage.

    Signs

    All arthritides feature pain, which is generally worse in the morning and on initiating movement, and resolves in the course of time. In elderly people and children, the pain may not be the main feature, and the patient simply moves less (elderly) or refuse to use the affected limb (children).

    Types of arthritis

    Primary forms of arthritis:

    Secondary to other diseases:

    Diseases that can mimic arthritis:

    Diagnosis

    The various types of arthritis can be distinguished by the pace of onset, the age and sex of the patient, the amount of (and which) joints affected, additional symptoms such as psoriasis, iridocyclitis, Raynaud's phenomenon, and rheumatoid nodules, and other clues.

    Blood tests and X-rays of the affected joints are often performed to make the diagnosis. X-rays can show erosions or bone appositions.

    Screening blood tests: full blood count, electrolytes, renal function, liver enzymes, calcium, phosphate, protein electrophoresis, C-reactive protein and the erythrocyte sedimentation rate (ESR). Specific tests are the rheumatoid factor, antinuclear factor (ANF), extractable nuclear antigen and specific antibodies whenever the ANF is found to be positive.

    TreatmentTreatment options vary depending on the precise condition, but include surgery, and drug treatment, reduction of joint stress, physical and occupational therapy, and pain management. 

  • Pierre Marie-Bamberger syndrome (hypertrophic pulmonary osteoarthropathy, a paraneoplastic phenomenon of lung cancer)
  • Multiple myeloma
  • Osteoporosis 
  • Henoch-Schönlein purpura
  • Psoriatic arthritis
  • Reiter's syndrome
  • Reactive arthritis
  • Hemochromatosis
  • Hepatitis
  • Wegener's granulomatosis (and many other vasculitis syndromes)
  • Familial Mediterranean fever (FMF), HIDS (hyperimmunoglobulinemia D and periodic fever syndrome) and TRAPS (TNF-alpha receptor associated periodic fever syndrome). 
  • Rheumatoid arthritis
  • Osteoarthritis
  • Gout and pseudogout
  • Juvenile arthritis
  • Still's disease
  • Ankylosing spondylitis 
  • Arthritis


  • Online MT Course
    Chapter VI - Bone Pathology



  • Home
  •   
  • Medical Lectures
  •   
  • Blood System
  •   
  • Lymphatic and Immune system


  •   
  • Musculoskeletal System
  •   
  • 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


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


  •   
  • Course 1
  •   
  • Grammar Guidelines
  •   
  • ABBREVIATIONS
  •   
  • 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
  •   
  • 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
  •   
  • MUGA scan
  •   
  • Endoscopy
  •   
  • Esophagogastroduodenoscopy
  •   
  • Colonoscopy


  •   
  • Endoscopic Retrograde
  •   
  • Bronchoscopy
  •   
  • Cystoscopy
  •   
  • Hysteroscopy
  •   
  • Arthroscopy
  •   
  • 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
  •   
  • Other Transcription Resources


  •   
  • Surgical Instrument List
  •   
  • US State Index
  •   
  • US City Index-State Wise
  •   
  • Cities in Alabama (AL)


  •   
  • Cities in Alaska (AK)
  •   
  • Cities in Arizona
  •   
  • Cities in Arkansas (AR)
  •   
  • Cities in California (CA)


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  • Cities in Colorado (CO)
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  • Cities in Connecticut (CT)
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  • Cities in Delaware (DE)


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  •   
  • Abbreviations - A
  •   
  • Abbreviations - B


  •   
  • Abbreviations - C
  •   
  • Abbreviations - D
  •   
  • Abbreviations - E
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  • Abbreviations - F


  •   
  • Abbreviations - G
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  • Abbreviations - H
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  • Abbreviations - I
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  • Abbreviations - K
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  • Abbreviations - N
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  • Abbreviations - S


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  • Abbreviations - T
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  • Abbreviations - U
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  • Abbreviations - V
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  • Abbreviations - W


  •   
  • Abbreviations - X
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  • Abbreviations - Y
  •   
  • Abbreviations - Z
  •   
  • Drug Index - A
  •   
  • Drug Index - B


  •   
  • Drug Index - C
  •   
  • Drug Index - D
  •   
  • Drug Index - E
  •   
  • Drug Index - F
  •   
  • Drug Index - G


  •   
  • Drug Index - H
  •   
  • Drug Index - I
  •   
  • Drug Index - J
  •   
  • Drug Index - K
  •   
  • Drug Index - L


  •   
  • Drug Index - M
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  • Drug Index - N
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  • Drug Index - O
  •   
  • Drug Index - P
  •   
  • Drug Index - Q


  •   
  • Drug Index - R
  •   
  • Drug Index - S
  •   
  • Drug Index - T
  •   
  • Drug Index - U
  •   
  • Drug Index - V


  •   
  • Drug Index - W
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  • Drug Index - X
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  • Drug Index - Y
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  • Drug Index - Z
  •   
  • Hospital Directory - A


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  • Hospital Directory - B
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  • Hospital Directory - C
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  • Hospital Directory - D


  •   
  • Hospital Directory - E
  •   
  • Hospital Directory - F
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  • Hospital Directory - G


  •   
  • Hospital Directory - H
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  • Hospital Directory - I
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  • Hospital Directory - J


  •   
  • Hospital Directory - K
  •   
  • Hospital Directory - L
  •   
  • Hospital Directory - M


  •   
  • Hospital Directory - N
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  • Hospital Directory - O
  •   
  • Hospital Directory - P


  •   
  • Hospital Directory - Q
  •   
  • Hospital Directory - R
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  • Hospital Directory - S


  •   
  • Hospital Directory - T
  •   
  • Hospital Directory - U
  •   
  • Hospital Directory - V


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


  •   
  • 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
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  • Chapter II - Dermatology


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


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


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


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


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


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


  •   
  • Chapter I - Urinary System
  •   
  • Chapter II - Urinary System
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  • 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
  •   
  • Chapter I - Bony Organization
  •   
  • Chapter II - Vertebral Column


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


  •   
  • Section X - Transcribed Documents


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