Chapter 1 Introduction to the Human Body 1.1 Information Box/ / 2 1.2 Medical Terminology of the Body: Directional/2 1.2.1 Medical Terminology of the Body: Anterior (Front) View/ 4 1.2.2 Medical Terminology of the Body: Posterior (Back) View/ / 6 1.3 Grammar Tip: Collocations/ / 7 1.4 Cross-Cultural Awareness/7 1.5 Case Study/ 7 Chapter 2 Medical History Taking 2.1 Information Box/ 10 2.2 Summary of Medical Terminology Versus Everyday Term in Recording MedicalHistory/ 11 2.3 Introducing Yourself: Social Introduction Versus Professional Introduction/ / 12 2.3.1 Greeting in a Social Environment/ / 13 2.3.2 Greeting in a Professional Environment/ 13 2.4 Starting the Patient Interview: Asking Questions Used During a Patient Interview/ 14 2.4.1 Types of Questions Which are Used During a Patient Interview/ / 14 2.4.2 Asking for Patient Details/ 15 2.4.3 Asking a Patient to Repeat Information Review These Phrases/ / 16 2.4.4 Asking a Patient Why They Have Come to Hospital Review These Phrases/ 16 2.4.5 Patient Centered Interview Versus Doctor Centered Interview/ 16 2.4.6 Explaining Medical Terminology to Patients/ 17 2.5 Grammar Tip: Prepositions/ / 17 2.6 Cross-Cultural Awareness/ 18 2.7 Case Study: Doctor and Patient Dialogue / 19 3 Examining the Patient (Physical Examination) 3.1 Information Box/ 24 3.2 Medical Terminology Related to the Nervous System/ / 25 3.3 General Physical Examination/ 27 3.4 Neurological Examination/ 28 3.4.1 Mental Status/ 28 3.4.2 Meningeal Irritation/ / 29 3.4.3 Check neck stiffness, Kernig’s sign, and Brudzinski’s sign/ / 29 3.4.4 Cranial Nerves (CN)/ 29 3.4.5 Motor Examination/ 30 3.4.6 Sensory Examination/ 30 3.4.7 Reflexes/ / 30 3.4.8 Coordination and Gait/ / 31 3.5 Special Signs and Other Tests/ 31 3.5.1 Primitive Reflexes/ 31 3.5.2 Superficial Reflexes/ / 32 3.5.3 Test for Meningeal Irritation/ 32 3.5.4 Miscellaneous Tests/ 33 3.5.5 Grading Systems to Predict the Rate of Mortality in Cerebrovascular Diseases/ 34 3.6 Grammar Tip: Articles/ / 36 3.7 Cross-Cultural Awareness/ 37 3.8 Case Study: Case Presentation and Summary/ 37 Chapter 4 Writing Medical Records 4.1 Information Box/ 43 4.2 Grammar Tip: the Article “the”/ 43 4.3 Cross-Cultural Awareness/ 44 4.4 Case Study: Case Presentation/ / 44 Clinical Presentation/ 44 4.4.2 Case Summary and Synthesis/ 45 4.4.3 Neurosurgical Cases/ 45 Chapter 5 Special Medical Documentations 5.1 Information Box/ 56 5.2 Grammar Tip: Singular and Plural/ / 56 5.3 Culture Awareness/ 57 5.4 Consultation Request Note/ / 57 5.5 Informed Consent/ 58 5.6 Operative Notes/Operative Report/ 59 5.6.1 Pre-Operative and Post-Operative Note/ / 60 5.6.2 Neurosurgery Informed Consent Form/ 61 5.6.3 Surgical Risks Assessment Form/ / 63 5.6.4 Surgical Safety Check List/ / 66 5.6.5 Blood Transfusion Request Form/ / 67 5.6.6 Pathology Request Form/ 68 5.7 Prescriptions Form and Doctor’s Order/ / 69 5.8 Progress Notes/ / 70 5.9 Referral Form/ 71 5.10 Discharge Note/Discharge Summary/ / 72 5.11 Medical Report/ 73 5.12 Death Certificate, Morbidity and Mortality Review/ 74 Chapter 6 Writing Case Report 6.1 Information Box/ 76 6.2 Grammar Tip: Subject Verb Agreement/ / 76 6.3 Cross-Cultural Awareness/ 77 Principles of Writing Medical Case Report/ 77 6.5 Preparation of Manuscript Sections for Case Reports/ 79 6.6 Preparing Illustrations and Figures/ 84 6.6.1 Figure / 84 6.6.2 Illustration/ / 84 6.6.3 Legend/ / 84 6.7 Preparing Tables/ / 85 6.8 Preparing Additional Files / / 85 6.8.1 Style and Language/ 86 6.8.2 Language Editing/ 86 6.8.3 Abbreviation/ / 86 6.8.4 Case Overview/ / 86 6.9 Submission Process/ 86