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Information Technology for the Health Professions, 5e
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Chapter 1 An Introduction to Medical Informatics: Administrative Uses of Computers in

the Medical Office

1.1 Multiple Choice Questions

1) ________ refers to the use of computers to organize information in health care.

A) Clinical informatics
B) Medical computing
C) Medical informatics
D) A and C
Answer: D

2) ________ uses computers to solve biological problems.

A) Biological informatics
B) Bioinformatics
C) Computerized biology
D) Biological computing
Answer: B

3) ________ refers to the connection of people and diverse computer systems.

A) Interoperability
B) Systemic computerization
C) Intersystemology
D) None of the above
Answer: A

4) ________ is the use of computers and software to enter prescriptions and send them to
pharmacies electronically.
A) Computer prescription
B) Elemental prescribing
C) e-prescribing
D) None of the above
Answer: C

5) ________ was passed by the U.S. Congress and signed into law in 1996. Its goal was to make
health insurance portable from one job to another and to secure the privacy of medical records.
A) HIPAA
B) HIPPA
C) The Americans with Disabilities Act
1
Copyright © 2019 Pearson Education, Inc.
D) None of the above
Answer: A

2
Copyright © 2019 Pearson Education, Inc.
6) ________ has the task of overseeing the adoption and meaningful use of EHRs, setting
standards, and judging the impact.
A) ARRA
B) The Congress
C) The President
D) ONCHIT
Answer: D

7) The ________ was signed into law on February 17, 2009, by President Obama; it included
billions of dollars for the expansion of health information technology. Through Medicare and
Medicaid, monetary incentives would be offered to doctors and hospitals to adopt EHRs.
A) Americans with Disabilities Act
B) USA PATRIOT Act
C) Homeland Security Act
D) American Recovery and Reinvestment Act (ARRA)
Answer: D

8) Administrative applications of computers include ________.

A) scheduling
B) coding
C) accounting
D) all of the above
Answer: D

9) Medical offices must use ________ billing to accommodate two or three insurers, who must
be billed in a timely fashion before the patient is billed.
A) super
B) partial
C) bucket
D) None of the above
Answer: C

10) Which of the following are obstacles in the way of adopting electronic records?
A) Cost
B) Privacy concerns
C) Lack of interoperability
D) All of the above
Answer: D

3
Copyright © 2019 Pearson Education, Inc.
1.2 Short Answer Questions

1) The emphasis in ________ is on the use of technology to organize information in health care.
Answer: medical informatics

2) ________ (HITECH) which is a part of the ARRA encourages the "Meaningful Use of
Electronic Medical Records," with 19 billion dollars in incentives through Medicare and
Medicaid for doctors and hospitals to adopt them.
Answer: The Health Information Technology for Economic and Clinical Health Act

3) List three administrative uses of computers: ________.

Answer: scheduling, coding, accounting

4) One of the obstacles in the way of introducing the EHR is ________.

Answer: cost or resistance by personnel

5) Patients may establish their own records through the ________. It is a personal medical record
that the patient can create and maintain at no cost.
Answer: iHealth Record

6) Charges, payments, and adjustments are called ________.

Answer: transactions

7) ________ analytics help in finding hidden trends.

Answer: Big data

8) Billing is based on diagnosis; the relevant code is called the ________.

Answer: DRG

9) The first information systems introduced into hospitals (in the 1960s) were used for ________
purposes (managing finances and inventory).
Answer: administrative

10) A ________ information system is concerned with the financial details of running a hospital.
Answer: financial

11) ________ software allows the user to enter, organize, and store huge amounts of data and
information.
Answer: database management system

12) ________ information systems monitor drug allergies, interactions, fill and track
prescriptions. They also track inventory and create patient drug profiles.
Answer: Pharmacy

13) ________ information systems are supposed to improve care by using computers to manage
charting, staff scheduling, and the integration of clinical information.
Answer: Nursing

4
Copyright © 2019 Pearson Education, Inc.
14) ________ manages radiological images in digital form in hospitals.
Answer: Picture archiving and communication systems

15) ________ information systems use computers to manage both laboratory tests and their
results.
Answer: Laboratory

5
Copyright © 2019 Pearson Education, Inc.
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side, crowding through a doorway or gateway, and direct blows of
other kinds are charged with its pathogenesis. The friability which
attends on leucocythæmia has been noted as a predisposing cause.
Calves by reason of their small size and the relative bulk of the spleen
are especially liable to rupture by kicks from animals or men.
Much more commonly than in solipeds, rupture of the spleen
occurs as a complication of specific microbian diseases like anthrax
and Southern cattle fever.
Symptoms. The mature animal assumes the recumbent position,
refusing to rise, and dies in a few hours. In calves, life may be
prolonged for a few hours longer, and there have been noticed,
anorexia, watering of the eyes, accelerated pulse and respiration,
arrest of intestinal peristalsis, cold ears, rigid limbs, and moderately
full belly (Notz). There should also be tenderness on manipulation or
percussion of the left hypochondrium, and until coagulation occurs,
fluctuation in the lower part of the abdomen, with pallid mucous
membranes and other signs of profuse internal hæmorrhage.
Treatment is useless in the majority of cases. In the slighter forms
it would be the same as in the horse.
 TUMORS OF THE SPLEEN.

Secondary. Delay of blood favors. Sarcoma: horse, cattle, dog. Carcinoma:

horse, dog. Melanoma: common and large in gray and white horses, rupture,
external melanosis. Angioma: horse, ox. Lymphadenoma: horse, ox, external
adenoma.

The different tumors of the spleen are usually secondary. The

intimate structure of the organ, the peculiarity of the circulation
through the pulp cavities, and the delay of the blood in the pulp
spaces, predispose it in a very especial manner to the growth of
neoplasms, the germs or bioplasts of which are carried in the blood.
Sarcoma. In the horse sarcomata have been found in the spleen
secondary to similar tumors in the other parts of the abdominal and
thoracic cavities. They may attain to any size, from a pea to the
closed fist and, in exceptional cases, of a mass which practically fills
and distends the abdominal cavity.
In the cow an encephaloid sarcoma in the spleen, weighed nine
pounds and was associated with similar formations in the lymph
glands generally of the abdomen and chest.
In the dog also sarcomata are common in the spleen.
Carcinoma. These are found in the horse in connection with
similar primary tumors, as in the case of the sarcomata. They are at
times extremely vascular and soft, and at other times they are hard
and fibrous (scirrhus).
In the dog secondary cancer of the spleen is comparatively
common.
Melanoma. Black pigment tumors are especially common in gray
and white horses. Their common seat is on the black, hairless
portions of the skin (anus, vulva, perineum, tail, sheath, mamma,
eyelids, lips, etc.), and secondarily in the lymph glands and spleen. In
the latter they may grow to an extreme size, Wehenkel having
mentioned one specimen of 60 pounds. Its surface is marked by
uneven, rounded black swellings, the entire organ, indeed, seeming
to be a conglomerate of these masses. The intimate structure is that
of a sarcoma, so abundantly charged with black pigment granules
that these appear to make up the greater part of the mass.
Rupture of these neoplasms with the escape into the abdomen of
blood highly charged with the melanic matter is not uncommon.
The symptoms of the splenic deposits are not usually recognizable,
but indications of chronic abdominal disease in connection with
external melanotic formations may well lead to a reasonable
suspicion.
Angioma. In a horse’s spleen weighing 30 lbs., there were
numerous soft nodules of a deep cherry color. These were cavernous
masses with connective tissue walls and the meshes filled with blood.
Similar vascular cavernous tumors have been found in the cow.
Lymphadenoma has been found in the spleen of horses and cattle
in connection with the same disease of the lymph glands.
Like the other splenic tumors this is obscure and usually only
found after death. The existence of adenoid swellings elsewhere
conjoined with excess of white globules and indications of abdominal
pain would be suggestive of splenic disease.
 AMYLOID DEGENERATION OF THE
SPLEEN.
Amyloid: horse: with exhausting diseases. Waxy secretion staining mahogany
brown with iodine. Gangrene: Swine. Tubercle and glander nodules.
This has been occasionally detected in the spleen of the horse. It is
usually connected with longstanding suppuration especially of bones,
with advanced tuberculosis or other exhausting disease. The organ is
usually greatly enlarged and the affected parts are firm, resistant and
swollen. On section it has not the soft friable or pulpy appearance of
the spleen, but an uniform waxy looking consistency, grayish or
sometimes stained with blood. On the application of a solution of
iodine and iodide of potassium the healthy splenic tissue is colored
yellow, while the amyloid portion becomes of a deep mahogany
brown.
 GANGRENE OF THE SPLEEN IN SWINE.

Hertzen records the case of a pig in which the spleen had become
gangrenous and lay free in a surrounding fibrous capsule.
TUBERCLES AND GLANDERS NODULES OF
THE SPLEEN.
Tubercles in the spleen are common in cattle, swine, guinea-pigs,
rabbits and cats, in the last largely as the result of ingestion of
tuberculous meat. In the larger mammals individual tubercles are
usually of the size of a walnut and upward, while in the smaller they
show as miliary deposits. The products are often caseated or
calcified.
Glander nodules are found in the spleen of the horse and other
solipeds and as the result of inoculation in that of rabbits and
guinea-pigs. In solipeds they may be of considerable size whereas in
the inoculated rodents they are usually small and numerous—like
millet seed or pins’ heads.
 PARASITES OF THE SPLEEN.
Parasites are less common in the spleen than might be expected
yet the encysted parasites of the liver and pancreas, are also to be
found in the spleen. Thus echinococcus is found in the spleen of
cattle, and headless hydatids in that of the horse; cysticercus
tenuicollis in the spleen of sheep; cysticercus cellulosa in that of
pigs; distomata, and pentastoma denticulata in the spleen of cattle;
coccidia in the spleen of rabbits; and actinomyces in that of horses
and cattle.
In addition to these the spleen is a general rendezvous for the
different pathogenic organisms that can survive in the blood stream,
such as the bacilli of tubercle, glanders, septicæmia, anthrax, black
quarter, swine plague and hog cholera, and for the cocci of
suppuration, strangles, contagious pneumonia, etc. (See Parasites
and Contagious Diseases).
 INDEX.

Abomasum, catarrhal inflammation of, 166.

Abomasum, indigestion in, in sucklings, 136.
Abomasum, indigestion of, 134.
Abortion from ergotism, 298.
Abscess in gullet, 93.
Abscess in pancreas, 547.
Abscess of bowel, 336.
Abscess of spleen, 557.
Abscess, supra-pharyngeal, 58.
Acetic acid and gastro-enteritis, 266.
Aconite poisoning, 286.
Acorn poisoning, 286.
Actinomycosis of lips, 7.
Actinomycosis of liver, 536.
Actinomycosis of omasum, 133.
Actinomycosis of pharynx, 85.
Actinomycosis of rumen, 123.
Adenoma of liver, 531, 532.
Adenosarcoma of stomach, 191.
Albumin reduced in liver, 410.
Alkaline caustics, causing gastro-enteritis, 264.
Aloes poisoning, 286.
Ammonia carbonate in gastro-enteritis, 265.
Ammonia in gastro-enteritis, 264.
Amphistoma conicum, 122.
Amyloid degeneration of liver, 511.
Amyloid of the spleen, 563.
Anæmia of spleen, 546.
Anemone, poisoning by, 286.
Angioma of liver, 531.
Angioma of the spleen, 563.
Aqua ammonia, 264.
Army worm, poisoning by, 288.
Arsenical poisoning, 269.
Arsenic, tests for, 271.
Artichokes, poisoning by, 286.
Arytenectomy, results of, 92.
Ascites in carnivora, 403.
Ascites in ruminants, 402.
Ascites in solipeds, 400.
Asthenia from cryptogams, 290, 297.
Astragalus, poisoning by, 287.
Atrophy of the liver, 507.
Azedarach, poisoning by, 286.
Azotæmia, 437.
Azoturia, 437.

Bacillus coli communis, 255.

Bacillus diphtheriæ columbarum, 67.
Bacillus gallinorum, 254.
Bacillus of duck cholera, 255.
Bacteria in gall stones, 518.
Bacteria, poisoning by, 289, 292, 293.
Barbs, 13.
Barium poisoning, 279.
Bezoars, 323.
Bichromate of potash poisoning, 280.
Bile acids, 413.
Bile acids, test for, 413.
Bile, functions of, 411.
Bile pigments, 412.
Bile pigments, test for, 413.
Bile secretion, inhibitors, 414.
Bile, secretion of, 411.
Bile secretion, stimuli of, 414.
Biliary calculi, 516.
Bilirubin, 412.
Biliverdin, 412.
Birds, constipation in, 319.
Birds, intestinal indigestion in, 209.
Black pigmentation of the liver, 513.
Bloating, 96.
Bloating in solipeds, 150.
Botulism, 301.
Bowels, obstruction of in birds, 209.
Box leaves poisoning, 284.
Brine poisoning, 268.
Bristle balls in stomach, 187.
Bristle balls, Pig, 322.
Bromine poisoning, 276.
Bromism, 276.
Brine poisoning, 302.
Bryony, poisoning by, 286.
Buccal inflammation, 8.
Buckwheat, poisoning by, 286.
Buxus sempervirens poisoning, 284.

Calcareous nodules in liver, 534.

Calculi, biliary, 516.
Calculi, colloids as causes, 325.
Calculi, coralline, 325.
Calculi, diagnosis of, 327.
Calculi, fermentation as cause, 325.
Calves, infective gastro-enteritis in, 138.
Calculi, intestinal, 323.
Calculi, intestinal, sources, 324.
Calculi in tonsils, 48.
Calculi, pancreatic, 543.
Calculi, pseudo, 324.
Calculi, rate of growth of, 326.
Calculus, salivary, 40.
Calculi, treatment of, 327.
Cancroid of lips, 6.
Cantharides, poisoning by, 288.
Carbolic acid poisoning, 281.
Carcinoma in pancreas, 544.
Carcinoma of intestine, 375, 378.
Carcinoma of liver, 529, 532.
Carcinoma of spleen, 562.
Carnivora, cryptogamic poisoning in, 301.
Castor oil seeds poisoning, 282.
Catarrhal enteritis, chronic, in cattle, 239.
Catarrhal enteritis, chronic, in solipeds, 234.
Catarrhal enteritis in birds, 254.
Catarrhal enteritis in cattle, 235.
Catarrhal enteritis in dogs, 250.
Catarrhal enteritis in sheep and goat, 246.
Catarrhal enteritis in solipeds, 228.
Catarrhal enteritis in swine, 247.
Caustic acids and gastro-enteritis, 266.
Caustic alkalies in gastro-enteritis, 264.
Cheeks, inflammation of, 19.
Cheilitis, 5.
Chickweed poisoning, 286.
Chloride of barium poisoning, 279.
Chloride of zinc poisoning, 277.
Cholera of birds, 254.
Choking, injuries in, 86.
Cholelithiasis, 516.
Chromium poisoning, 280.
Cicuta maculata poisoning, 285.
Cicuta virosa poisoning, 286.
Cirrhosis of the liver, 502.
Cirrhosis of the liver in solipeds, 503.
Cirrhosis of the liver in cattle, 505.
Cleft palate, 49.
Clematis poisoning, 286.
Cloth in stomach, 188.
Clover-hair balls in stomach, 187.
Coccidian enteritis in birds, 263.
Coccidian enteritis in cattle, 258.
Coccidian enteritis in dogs, 261.
Coccidian enteritis in rabbits, 262.
Coccidiosis, intestinal, 258, 261, 262, 263.
Coccidiosis of gullet, 93.
Coccidium bigeminum var. canis, 261.
Coccidium oviforme, 259, 262.
Coccidium perforans, 259, 261, 262.
Cockroach, poisoning by, 288.
Colchicum poisoning, 284.
Colic, 308.
Colic, crapulous, 309.
Colic cystic, 309.
Colic from bacterial invasion, 309.
Colic from calculi, 309.
Colic from hernia, 309.
Colic from impaction, 309.
Colic from indigestion, 309.
Colic from inflammation, 309.
Colic from irritants, 309.
Colic from peritonitis, 309.
Colic from protozoa, 309.
Colic from strangulations, 309.
Colic, hepatic, 309.
Colic in solipeds from verminous embolism, 210.
Colic, lead, 309.
Colic, nephritic, 309.
Colic, pancreatic, 309.
Colic, tympanitic, 309.
Colic, uterine, 309.
Colic, verminous, 309.
Colloids in gall stones, 518.
Colon bacillus, 255.
Colon, impaction of, 197.
Colon, impaction of, in ruminants, 203.
Colon, impaction of, in swine, 204.
Common salt, poisoning by, 267.
Concretions in intestines, 324.
Congestion of the liver, 483.
Congestion of spleen, 547.
Conium poisoning, 286.
Constipation from atony, 314.
Constipation in birds, 319.
Constipation in dog, 205.
Copperas poisoning, 279.
Copper poisoning, 276.
Corrosive sublimate poisoning, 274.
Cotton balls in stomach, 187.
Creosote poisoning, 282.
Crop, impaction of, 94.
Croton seeds poisoning, 283.
Croupous enteritis in birds, 226.
Croupous enteritis in cattle, 223.
Croupous enteritis in dogs, 225.
Croupous enteritis in sheep, 224.
Croupous enteritis in solipeds, 221.
Croupous pharyngitis, 60.
Crowfoot poisoning, 284.
Cryptogamic poisoning in carnivora, 301.
Cryptogamic poisoning in ruminants, 295.
Cryptogamic poisoning in solipeds, 290.
Cryptogamic poisoning in swine, 300.
Cryptogams, poisoning by, 292.
Cystoma of intestine, 376, 378.

Daffodil poisoning, 284.

Darnel poisoning, 286.
Delirium from cryptogams, 293, 297.
Depraved appetite, 76.
Diabetes mellitus, 416.
Diarrhœa, 303.
Diaphragmatic hernia, 359.
Diaphragmatocele, 359.
Digestive disorders in fever, 3.
Digestive organs, area and capacity, 1.
Digestive organs, food in relation to diseases of, 2.
Digestive organs, general considerations, 1.
Digestive organs, importance of diseases of, 1.
Digestive organs of carnivora, herbivora and omnivora, 1.
Digestive organs, rumination in relation to diseases of, 2.
Digestive organs, structural diseases of, 5.
Digitalis poisoning, 286.
Dilation of intestine, 340.
Dilatation of stomach, 180.
Diphtheria in calves, 24.
Diphtheria in chickens and pigeons, 67.
Diphtheritic enteritis in chickens, 227.
Dog, chronic gastritis in, 173.
Dog, gastric indigestion in, 158.
Dog, torsion of stomach in, 184.
Dry murrain, 124.
Dysentery, Amœbic, 242.
Dysentery, catarrhal, 242.
Dysentery, diphtheritic, 242.
Dysentery in cats and dogs, 242.
Dysentery in cattle, 240.
Egagropiles, 116, 320.
Emaciation, 427.
Embolism, verminous, 210.
Enteralgia, 308.
Enteritis, catarrhal, in birds, 254.
Enteritis, catarrhal, in cattle, 235.
Enteritis, catarrhal, in dogs, 250.
Enteritis, catarrhal, in sheep and goat, 246.
Enteritis, catarrhal, in solipeds, 228.
Enteritis, catarrhal, in swine, 247.
Enteritis, chronic catarrhal, in cattle, 239.
Enteritis, chronic catarrhal, in solipeds, 234.
Enteritis, coccidian, in birds, 262.
Enteritis, coccidian, in cattle, 258.
Enteritis, coccidian, in dogs, 261.
Enteritis, coccidian, in rabbits, 262.
Enteritis, croupous, in birds, 226.
Enteritis, croupous, in cattle, 223.
Enteritis, croupous, in dogs, 225.
Enteritis, croupous, in sheep, 224.
Enteritis, croupous, in solipeds, 221.
Enteritis from tuberculin, 254.
Enteroliths, 323.
Epithelioma in pancreas, 544.
Epithelioma of intestine, 375, 379.
Epithelioma of lips, 6.
Epithelioma of liver, 529, 532.
Epithelioma of the stomach, 191.
Equisetum poisoning, 286.
Ergot as a cause of stomatitis, 9.
Ergotism in cattle, 296.
Ergot, poisoning by, 289.
Esophagitis, 86.
Euphorbia poisoning, 283.
Exhausted soils, 78.

Fatty degeneration of the liver, 508.

Fauces, injuries to, 48.
Feathers in stomach, 188.
Fermented marc, stomatitis from, 27.
Fermentescible foods, 96.
Fibroma in gullet, 93.
Fibroma of intestine, 375, 378.
Fibrous bands causing strangulation, 356.
Fistula, salivary, 40.
Foals, infective gastro-enteritis in, 138.
Food in infective gastro-enteritis, 141.
Food in relation to digestive disorder, 2.
Food, unwholesome, 3.
Foramen of Winslow, hernia through, 370.
Foreign bodies in food, 3.
Foreign bodies in intestines, 328.
Foreign bodies in liver, 525.
Foreign bodies in pancreas, 542.
Foreign bodies in spleen, 558.
Fourth stomach, catarrhal inflammation of, 166.
Fourth stomach, indigestion in, 134.
Fowl cholera, 254.
Functional liver diseases, treatment of, 432.
Fungi as a cause of stomatitis, 9.
Fungi, poisoning by, 289, 291.
Fungi, varying pathogenesis of, 9.

Galega, poisoning by, 286.

Gall-bladder, dilatation of, 514.
Gall-bladder, double, 515.
Gall ducts, dilatation of, 514.
Gall-stones, 516.
Gall-stones in cattle, 521.
Gall-stones in dog and cat, 524.
Gall-stones in sheep, 523.
Gall-stones in solipeds, 519.
Gall-stones in swine, 524.
Gangrenous ergotism, 296, 298.
Gases evolved from different foods, 100.
Gastric catarrh in solipeds, chronic, 170.
Gastric dilatation, 180.
Gastric indigestion in carnivora, 158.
Gastric indigestion in swine, 159.
Gastric ulcer, 175.
Gastric ulcer, perforating, 179.
Gastritis, acute catarrhal, in horse, 160.
Gastritis, catarrhal in swine, 168.
Gastritis in cattle, 166.
Gastritis in dogs, chronic, 173.
Gastritis in ruminants, chronic, 171.
Gastritis, toxic, in solipeds, 164.
Gastritis, phlegmonous, in horse, 162.
Gastro-enteritis from aqua ammonia, 264.
Gastro-enteritis from caustic acids, 266.
Gastro-enteritis from caustic alkalies and alkaline salts, 264.
Gastro-enteritis, hæmorrhagic, in dogs, 452.
Gastro-enteritis, infective, in sucklings, 138.
Gastro-enteritis, microbes in, 144.
Gums, inflammation of, 20.
Giant fennel, poisoning by, 286.
Gingivitis, 20.
Glander nodules in spleen, 564.
Glisson’s capsule, inflammation of, 500.
Glossitis, 20.
Glossoplegia, 37.
Glycogenesis, 408.
Glycogenic center in medulla, 417.
Glycosuria, 416.
Glycosuria in cattle, 424.
Glycosuria in dogs, 425.
Glycosuria in solipeds, 421.
Glycosuria, reflex, 418.