1. Title of Book - p. i 2. Cover image - p. i 3. Title page - p. ii 4. Table of Contents - p. iii 5. Evolve Student Resources - p. iii 6. Copyright - p. iv 7. About the Authors - p. v 8. Dedication - p. vii 9. Acknowledgments - p. ix 10. Preface - p. xi 11. Part I: The Medical Scribe in Healthcare - p. xii 12. Chapter 1. Healthcare Providers and the Role of the Medical Scribe - p. 3 13. Chapter 2. Healthcare Law and Ethics - p. 13 14. Chapter 3. Scribe Safety and Infection Control - p. 29 15. Part II: Health Record Documentation - p. 35 16. Chapter 4. The Health Record and Notes - p. 39 17. Chapter 5. Anatomy of a Provider Note - p. 55 18. Chapter 6. Synthesis of a Patient History of Present Illness - p. 85 19. Chapter 7. Documenting Diagnostic Tests and Therapeutic Procedures - p. 93 20. Chapter 8. Orders and Disposition Documentation - p. 115 21. Chapter 9. Medical Terminology and Abbreviations - p. 139 22. Part III: Body Systems for the Medical Scribe - p. 145 23. Chapter 10. Constitutional - p. 149 24. Chapter 11. Integumentary System - p. 157 25. Chapter 12. Musculoskeletal System - p. 167 26. Chapter 13. HEENT (Head, Eyes, Ears, Nose, Throat) - p. 191 27. Chapter 14. Nervous System - p. 207 28. Chapter 15. Cardiovascular System - p. 225 29. Chapter 16. Respiratory System - p. 243 30. Chapter 17. Gastrointestinal System - p. 257 31. Chapter 18. Genitourinary (Reproductive System and Urinary System) - p. 269 32. Chapter 19. Hematology and the Lymphatic and Immune System - p. 283 33. Chapter 20. Endocrine System - p. 295 34. Part IV: Practical Application - p. 303 35. Chapter 21. Anticipating Pertinent Questions for Chief Complaints - p. 307 36. Chapter 22. Practice Exercises - p. 317 37. Answers to Case Studies and Practice Questions - p. 333 38. Glossary - p. 349 39. Index - p. 377
1. Title of Book - p. i 2. Cover image - p. i 3. Title page - p. ii 4. Table of Contents - p. iii 5. Evolve Student Resources - p. iii 6. Copyright - p. iv 7. About the Authors - p. v 8. Dedication - p. vii 9. Acknowledgments - p. ix 10. Preface - p. xi 11. Part I: The Medical Scribe in Healthcare - p. xii 12. Chapter 1. Healthcare Providers and the Role of the Medical Scribe - p. 3 13. Chapter 2. Healthcare Law and Ethics - p. 13 14. Chapter 3. Scribe Safety and Infection Control - p. 29 15. Part II: Health Record Documentation - p. 35 16. Chapter 4. The Health Record and Notes - p. 39 17. Chapter 5. Anatomy of a Provider Note - p. 55 18. Chapter 6. Synthesis of a Patient History of Present Illness - p. 85 19. Chapter 7. Documenting Diagnostic Tests and Therapeutic Procedures - p. 93 20. Chapter 8. Orders and Disposition Documentation - p. 115 21. Chapter 9. Medical Terminology and Abbreviations - p. 139 22. Part III: Body Systems for the Medical Scribe - p. 145 23. Chapter 10. Constitutional - p. 149 24. Chapter 11. Integumentary System - p. 157 25. Chapter 12. Musculoskeletal System - p. 167 26. Chapter 13. HEENT (Head, Eyes, Ears, Nose, Throat) - p. 191 27. Chapter 14. Nervous System - p. 207 28. Chapter 15. Cardiovascular System - p. 225 29. Chapter 16. Respiratory System - p. 243 30. Chapter 17. Gastrointestinal System - p. 257 31. Chapter 18. Genitourinary (Reproductive System and Urinary System) - p. 269 32. Chapter 19. Hematology and the Lymphatic and Immune System - p. 283 33. Chapter 20. Endocrine System - p. 295 34. Part IV: Practical Application - p. 303 35. Chapter 21. Anticipating Pertinent Questions for Chief Complaints - p. 307 36. Chapter 22. Practice Exercises - p. 317 37. Answers to Case Studies and Practice Questions - p. 333 38. Glossary - p. 349 39. Index - p. 377
