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Scribe America > Medical Termonology > Flashcards

Medical Termonology Flashcards

1
Q

Abx

A

Antibotics

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2
Q

Acute

A

New onset, likely concerning

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3
Q

Acute on Chronic

A

New exacerbation of a chronic condition

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4
Q

Adnexal Tenderness

A

Tenderness of the ovaries during the pelvic exam indicative of ovarian cyst or torsion

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5
Q

Afebrile

A

Without fever

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6
Q

Affect

A

The expressed or observed emotional and social responses

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7
Q

Ambulatory

A

Able to move about, not confined to a bed

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8
Q

Anatomical Position

A

To stand erect with arms at the sides and palms of the hands turned forward

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9
Q

Aneurysm

A

Localized ballooning of a vessel due to a weakened vessel wall

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10
Q

Anterior

A

Situated in front of or directed toward the front

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11
Q

Aphasic

A

Absence of the ability to neurologically generate or understand language. Either inability to create words or inability to understand spoken words.

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12
Q

Arthralgias

A

Joint Aches

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13
Q

ASA

A

Acetylsalicylic Acid (Aspirin)

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14
Q

Ataxia

A

Loss of coordination

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15
Q

Atrial Fibrillation (A fib)

A

Irregular and often very rapid heart rhythm

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16
Q

Atrophic

A

Showing signs of tissue degradation or breakdown

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17
Q

Auditory Hallucinations

A

Hearing voices, noises, music, or sounds that are not actually real

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18
Q

Auscultation

A

Listening with the stethoscope

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19
Q

Avulsion

A

A forcible pulling away of a part o structure

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20
Q

Baseline

A

The normal state of being for each specific patient

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21
Q

Basic Metabolic Panel (BMP)

A

The blood test that measures eight different substances to evaluate kidney function, fluid and electrolyte balance, blood sugar levels, acid and base balance, and metabolism

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22
Q

Bells palsy

A

A localized facial nerve dysfunction that causes facial droop and numbness

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23
Q

Bony tenderness

A

Tenderness of the bone indicative of a fracture

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24
Q

bradypnea

A

decreased respiratory rate

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25
Q

Cachectic

A

Extremely skinny, bony, malnourished

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26
Q

Cardiomegaly

A

Enlarged Heart

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27
Q

Carotid Bruit

A

Whooshing blood flow heard with auscultation (narrowing or plaque)

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28
Q

Cerebrovascular Accident (CVA)

A

Stroke. Blood supply to the brain is restricted or absent due to hemorrhage or occlusion of a vessel resulting in neurological damage and dysfunction

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29
Q

Cerumen

A

Earwax

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30
Q

Cervical OS

A

The opening of the cervix; always will be closed unless passing tissue from the cervix

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31
Q

Cholecystitis

A

Inflammation of the gallbladder

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32
Q

Cholelithiasis

A

Production of gallstones

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33
Q

Chronic

A

long-standing, constant

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34
Q

Chronic Obstructive Pulmonary Disease

A

COPD

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35
Q

COPD

A

Chronic inflammatory lung disease that causes obstructed airflow from the lungs

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36
Q

Chronic Renal Failure

A

CRF

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37
Q

CRF

A

Decrease in the kidneys’ ability to filter waste and fluid from the blood

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38
Q

Cirrhosis

A

Inflammation of an organ by degenerative changes, especially of the liver

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39
Q

Clear to auscultation (CTA)

A

No abnormal sounds when listening to the lungs with a stethoscope

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40
Q

CBC

A

Blood test used to evaluate your overall health and detect a wide rage of disorders, including anemia, infection and leukemia

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41
Q

CMP

A

Blood test that measures fourteen different substances (BMP + Liver function evaluation)

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42
Q

Computerized Assisted Tomography (CT/CAT)

A

X-ray procedure provides a two-dimensional cross-sectional scan of your body and is used to find irregularities

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43
Q

CHF

A

A serious condition in which the heart doesn’t pump blood as efficiently as it should

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44
Q

Conjunctiva

A

Thin outer lining of the eye and eyelid

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45
Q

Conjunctivitis

A

Infection of the outer layer of the eye

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46
Q

Constitutional

A

The general appearance and nature of a patient

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47
Q

Cornea

A

Transparent frontal aspect of the eye, covering both the iris and pupil

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48
Q

Coronary artery bypass graft

A

CABG

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49
Q

CABG

A

Procedure used to treat coronary artery disease

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50
Q

CAD

A

A buildup of plaque in the arteries that supply oxygen-rich blood to your heart

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51
Q

Costochondritis

A

Inflammation of the rib cartilage

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52
Q

Croup

A

Viral infection of the upper airway with a barking cough and often stridor

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53
Q

C-spine

A

Cervical spine (C1-C7)

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54
Q

CVA Tenderness

A

Costovertebral angle tenderness; tenderness over the kidney’s

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55
Q

Cyanosis

A

Blue color of the skin due to lack of oxygen

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56
Q

DVT

A

Blood clot forms in a vein located deep inside your body, typically in the leg

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57
Q

Deep venous thrombosis

A

DVT

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58
Q

Deformity

A

Visual abnormality of a bone or anatomical structure

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59
Q

Deformity

A

Visual abnormality of a bone or anatomical structure

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60
Q

Dentition

A

Teeth

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61
Q

Dermatitis

A

Inflammation of the skin

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62
Q

Diaphoresis

A

Sweating

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63
Q

Differential Diagnosis

A

The diseases that a physician is considering as the reason of the patient’s symptoms

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64
Q

Diffuse

A

Generalized; not localized to any specific location

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65
Q

Dislocation

A

Disconnected joint; complete misalignment of the joint

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66
Q

Distal

A

Farther from the trunk of the body

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67
Q

Distress

A

A patient’s ability to tolerate their body-state, due to pain or respiratory failure.

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68
Q

No Acute Distress (NAD)

A

Commonly written if a patient looks comfortable

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69
Q

Diverticulitis

A

Acute inflammation of the diverticula pouches

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70
Q

Dorsalis pedis pulse

A

Pulse that is palpable on the dorsum (top) of the foot

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71
Q

Dorsum

A

Top

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72
Q

Dry Mucosa

A

Dry tongue, mouth, and lips, indicating significant dehydration

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73
Q

Dysmenorrhea

A

Painful Menstruation

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74
Q

Dyspepsia

A

Indigestion

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75
Q

Dysphagia

A

Difficulty swallowing

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76
Q

Dyspnea

A

Difficulty/labored breathing. shortness of breath

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77
Q

Dyspnea of exertion

A

Feeling short of breath during very light exercise (walking)

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78
Q

Dysuria

A

Painful Urination

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79
Q

Ecchymosis

A

Bruising

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80
Q

-ectomy

A

Surgical removal

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81
Q

Ectopic pregnancy

A

Egg developing outside the uterus, extremely dangerous due to risk of rupture

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82
Q

Eczematous rash

A

Dry, scaly skin consistent with eczema

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83
Q

Edentulous

A

Without teeth

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84
Q

Electrocardiogram (EKG/ECG)

A

A test that records the electrical signal from the heart to check for different heart conditions

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85
Q

Emesis

A

Vomiting

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86
Q

Endometriosis

A

Presence of functioning endometrial tissue outside of the uterus

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87
Q

Epigastric

A

upper central region of the abdomen

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88
Q

Epistaxis

A

Nose bleed

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89
Q

Erythema/ Erythematous

A

Redness/ red

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90
Q

Extraocular muscles intact

A

EOMI

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91
Q

EOMI

A

Testing the examines the function of the eye muscle

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92
Q

Facial Asymmetry

A

Drooping of one side of the face indicating neurological damage

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93
Q

Family History (FHx)

A

A part of the medical chart that lists diseases and health conditions in your family that may put the patient at an increased risk of also having

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94
Q

Fascia

A

Fibrous membrane of connective tissue supporting and separating muscles and body organs

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95
Q

Febrile

A

Elevated body temperature, fever, indicative of infection

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96
Q

Flat affect

A

Lack of normal interaction, monotone, unemotional

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97
Q

Fluctuance

A

Palpable fluid beneath the skin indicative of infection/pus

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98
Q

Fluctuating

A

Sx that are always present but changing in severity, never fully resolving

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99
Q

Foley Catheter

A

A tube inserted through the urethra to drain urine, often left in place

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100
Q

Fontanel

A

Anatomical feature of an infants skull, the “soft-spot”

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101
Q

Fracture (Fx)

A

Broken bone

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102
Q

Frequency

A

Urinating often

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103
Q

Fundoscopic Exam

A

The use of an ophthalmoscope to look through the pupil and examine the interior surface of the posterior eye

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104
Q

Gastroenteritis

A

General term for inflammation of the GI tract

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105
Q

Gastroesophageal Reflux Disease

A

(GERD)

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106
Q

GERD

A

Digestive disorder that occurs when acidic stomach juices, or food and fluids back up from the stomach into the esophagus

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107
Q

Gingiva

A

Gums

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108
Q

Gout

A

Type of arthritis; diagnosed by ordering a uric acid level

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109
Q

Gravida

A

The # of times pregnant

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110
Q

Para

A

The # of live children born

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111
Q

Abortion

A

The # of failed pregnancies (terminated)

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112
Q

Gravid

A

The state of being pregnant; appearing pregnant

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113
Q

Grossly

A

Obviously; alot; wholly

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114
Q

Health Insurance Portability and Accountability Act

A

HIPAA

115
Q

HIPAA

A

A federal law that provides national standards to protect sensitive patient health information from being disclosed without the patient’s consent or knowledge

116
Q

Hematemesis

A

Gross amount of blood in the vomit

117
Q

Hematochezia

A

Bright red blood in the stool

118
Q

Hematoma

A

Raised area with underlying blood which occurs in tissue resulting from ruptured blood vessels

119
Q

Hematuria

A

Blood in the urine

120
Q

Hemiplegia

A

Paralysis of one half of the body

121
Q

Hemoglobin and Hematocrit (H&H)

A

Red Blood cell measurements to evaluate anemia

122
Q

Hemoptysis

A

Coughing up gross amount of blood

123
Q

Hemorrhage

A

Excessive or profuse Bleeding

124
Q

Hepatitis

A

Inflammation of the liver

125
Q

Hepatomegaly

A

Enlarged Liver

126
Q

Hernia

A

Protrusion of part of an internal organ or tissue bulges through a weak area of muscle

127
Q

History of present illness (HPI)

A

A part of the medical chart describing the development of the illness

128
Q

Homicidal Ideation

A

Thoughts of killing another person

129
Q

Hyperglycemia

A

High blood surgar due to diabetes

130
Q

Hyperlipidemia (HLD)

A

High Cholesterol

131
Q

Hypertension HTN

A

BP over 140/90

132
Q

Hypoglycemia

A

Low blood sugar

133
Q

Hypotension

A

typically below 100/65

134
Q

Hypoxia

A

Low oxygen saturation of the body, not enough oxygen in the blood

135
Q

IM

A

Intramuscular

136
Q

Incision & Drainage (I&D)

A

Procedure used to drain and abscess to relieve pain and speed healing

137
Q

Induration

A

Hardened area of tissue; soft tissue that becomes extremely firm

138
Q

Infarct

A

Area of dead tissue after a lack of blood supply

139
Q

Inferior

A

Lower on the body, farther from the head

140
Q

Insulin- dependent diabetes mellitus (IDDM)

A

Diabetes requiring the use of insulin injections

141
Q

Intermittent

A

SX that completely resolve at times, but continue to return repeatedly

142
Q

Intrauterine Pregnancy

A

IUP

143
Q

IUP

A

When a fertilized egg implants and starts to develop within the uterus, where it is supposed to be

144
Q

Ischemia

A

Lack of blood supply to a specific area

145
Q

-itis

A

Inflammation

146
Q

Jugular vein distention (JVD)

A

Jugular vein distention, sign of heart dysfunction

147
Q

Kyphosis

A

Hunchback, rounded thoracic convexity of the spine

148
Q

Lateral

A

Farther from the midline

149
Q

Lymphadenopathy

A

Enlarged lymph nodes

150
Q

Lymphangitis

A

Inflammation of the lymphatic vessel; appears as red streaking

151
Q

Maculopapular rash

A

Rash that is both red and raised

152
Q

Malaise

A

Generalized discomfort or weakness

153
Q

Malleolus

A

Bony prominence on each side of the ankle

154
Q

McBurney’s Point

A

RLQ point tenderness indicative of appendicitis

155
Q

Medial

A

Nearer to the midline

156
Q

Melena

A

Black tarry stool; indicative of an upper GI bleed

157
Q

Meningismus

A

Stiff neck/ sign of meningitis

158
Q

Meningitis

A

Infection of the meninges, the outer lining of the brain and spinal cord

159
Q

Mottled

A

Patchy skin color due to poor blood circulation

160
Q

Moves all Extremities

A

MAEx4

161
Q

An autoimmune disease affecting the brain and spinal cord

A

Multiple sclerosis

162
Q

Murmur

A

Abnormal heart sound rated on 1-6 scale

163
Q

Murphy’s Sign

A

Pain with palpation of the RUQ during a deep breath, indicative of cholecystitis

164
Q

Myalgia

A

Muscular pain, “muscle aches”

165
Q

Nare

A

Nostril

166
Q

Nephrolithiasis

A

Kidney Stone

167
Q

Renal Calculi

A

Kidney Stone

168
Q

Non- insulin dependent diabetes mellitus (NIDDM)

A

Diabetes not requiring the use of insulin injections

169
Q

Non-toxic

A

Appearing stable and at no risk of deterioration

170
Q

Normal DTRs

A

Normal deep tendon reflexes, rated as 2/4

171
Q

Normal heart sounds with a regular rate

A

60-100 bpm

172
Q

Normal sinus rhythum

A

NSR

173
Q

NSR

A

They rhythm of a healthy heart

174
Q

NSAID

A

Non steroidal anti-inflammatory Drug

175
Q

Nystagmus

A

Involuntary “shaking” eye movements

176
Q

OB/GYN

A

Obstetrics and Gynecology

177
Q

Ophthalmalgia

A

Pain in the eye

178
Q

Organomegaly

A

Enlarged Organ

179
Q

Oriented x3

A

Oriented to person, place, and time

180
Q

Oropharynx

A

The back of the mouth, where it meets the throat

181
Q

Otalgia

A

Ear ache

182
Q

Otitis External

A

Infection of the outer ear (ear canal)

183
Q

Otitis Media (OM)

A

Infection inner ear (behind the eardrum)

184
Q

Pale Conjunctiva

A

Pale inner aspect of the eyelid most often due to anemia

185
Q

Pallor

A

Pale skin typically due to anemia

186
Q

Palmar or Volar

A

Palm side of the hand or body

187
Q

Palpation

A

Examine by touch

188
Q

Palpitation

A

To beat rapidly, irregular, or forcibly (Usually relating to the heart)

189
Q

Pancreatitis

A

Inflammation of the pancreas

190
Q

Papular

A

Raised bumps

191
Q

Paraspinal Tenderness

A

tenderness of the muscles beside the spine

192
Q

Paresthesia

A

Abnormal tactile sensation often described as tingling, numbness, or pinpricking

193
Q

Paroxysmal

A

Occasional, sporadic, transient

194
Q

Pelvic inflammatory Disease (PID)

A

Inflammation of the women’s reproductive organs

195
Q

Peptic ulcer disease (PUD)

A

Ulcers developing in the stomach causing pain and emesis

196
Q

Pericarditis

A

Inflammation of the pericardium

197
Q

Periorbital Ecchymosis

A

Bruising around the eyes, indicative of trauma

198
Q

Peripheral Vascular Disease (PVD)

A

Blood circulation disorder that causes the blood vessels (excluding the heart and brain) to narrow, block, or spasm

199
Q

Peritoneal Signs (Rebound, guarding, or rigidity)

A

Signs indicative of acute abdominal inflammation (peritonitis)

200
Q

Petechial Rash

A

Red or purple discolorations on the skin that don’t blanch (lighten) on applying pressure ( a sign of meningitis)

201
Q

Pharyngeal Erythema

A

Redness of the pharynx, indicating a throat infection

202
Q

Pharyngitis

A

Throat infection

203
Q

Photophobia

A

Light Sensitivity

204
Q

Pitting edema

A

Edema that retains an imprint when touched

205
Q

Plantar

A

Sole of foot

206
Q

Pleurisy

A

General term for pain with breathing

207
Q

Pneumonia

A

Infiltrate (infection) inside the lung tissue

208
Q

Pneumothorax

A

Presence of air or gas in the pleural space; collapsed lung

209
Q

POP

A

Pelvic organ prolapse

210
Q

per os (po)

A

by mouth

211
Q

Posterior or Dorsal

A

Rear or back

212
Q

Postictal

A

The state of somnolence and decreased responsiveness after a seizure

213
Q

Prone

A

Body position lying face down with forearms and hands turned palm side down`

214
Q

Proximal

A

Nearer to the trunk of the body

215
Q

Pruritic

A

Itchy

216
Q

Psoriasis

A

Autoimmune skin disease, dry, scaly, red, itchy patches of skin

217
Q

Pulmonary Embolism

A

Blockage of the pulmonary artery or one of its branches due to a translocated clot

218
Q

Pulse Exam

A

Carotid, brachial, radial, femoral, popliteal, dorsalis pedis (DP) or Posterior tibia (PT)

219
Q

Pupils are equal, round, and reactive, to light (PERRL)

A

Common normal eye exam finding

220
Q

Purulence/ Purulent

A

Pus/ pus-like

221
Q

Pyelonephritis

A

infection on the kidneys

222
Q

QHS

A

At every bedtime

223
Q

QIDF

A

Four times a day

224
Q

Rales

A

Crackles; wet crackling heard in the lungs, typically due to pneumonia or CHF

225
Q

Range of motion (ROM)

A

Capability of a joint to go through its complete spectrum of movements

226
Q

Review of system

A

A part of the medical chart that is a checklist of the symptoms the patient has or does not have. The symptoms are grouped by body system

227
Q

Rhinorrhea

A

Clear nasal Discharge, “runny nose”

228
Q

Rhonchi

A

Sound of mucous rolling around in the bronchioles/bronchi

229
Q

r/o

A

Rule out

230
Q

Rx

A

Prescription

231
Q

Sciatica

A

Compression of sciatic nerve causing back pain with radiation to the posterior leg

232
Q

Scleralicterus

A

yellowing of the sclera (whites of the eye) due to jaundice

233
Q

-scopy

A

Viewing with a scope

234
Q

Sepsis

A

Dangerous infection of the blood

235
Q

Serosanguinous

A

Consisting of serum and blood

236
Q

Shortness of breath (SOB)

A

Air hunger, difficulty breathing, or breathlessness

237
Q

Sinusitis

A

Infection/inflammation of the sinuses

238
Q

Social History (SHx)

A

A part of the chart addresses substnace use, occupation, diet exercise, living situation, marital status, ect.

239
Q

Somnolent

A

Appearing drowsy

240
Q

s/p

A

status post ex. headache s/p fall

241
Q

Splenomegaly

A

Enlarged spleen

242
Q

Spotting

A

Passing very small amounts of blood from the vagina

243
Q

Sputum

A

Any mixed matter with the saliva that is passed through the mouth

244
Q

Stenosis

A

Narrowing of the body opening or passage

245
Q

Stridor

A

Upper airway noise; common sign in croup

246
Q

Subconjunctival Hemorrhage

A

Blood in the white part of the eye

247
Q

Subungual

A

Beneath nail

248
Q

Suicidal Ideation

A

Thoughts of killing oneself

249
Q

Superficial

A

Nearer to the surface

250
Q

Superior

A

Higher on the body, nearer to the head

251
Q

Supine

A

Body position lying face up

252
Q

Supple

A

Flexiable, not-stiff

253
Q

Suprapubic

A

Lower central region on the abdomen

254
Q

Tachypnea

A

Increased respiratory rate

255
Q

Tangential thoughts

A

Thoughts processes that do not follow normal or logical progressions

256
Q

Tenting

A

Slow return of the skin to its normal position after being pinched, a sign of either dehydration or aging, or both

257
Q

Thrombus

A

Blood clot or blockage

258
Q

Thyromegaly

A

Enlarged thyroid

259
Q

TID

A

Three times a day

260
Q

Tinea

A

Fungal Rash

261
Q

Tinnitus

A

“Ringing in the ears”, the perception of ringing even with no external stimuli

262
Q

TM erythema

A

redness of the TM, often indicative on infection of the tonsils

263
Q

Tonsillar Exudate

A

Pus on the tonsils, Indicating infection of the tonsils

264
Q

T&A

A

Tonsillectomy & Adenoidectomy

265
Q

T&A

A

Tonsils and adenoids removal surgery

266
Q

Transient

A

Resolving spontaneously after onset

267
Q

Transient Ischemic Attack (TIA)

A

Transient “mini-stroke”, neurological function is regained completely with time

268
Q

T-spine

A

Thoracic spine (T1-T12)

269
Q

Turgor

A

Skin elasticity

270
Q

Tx

A

Treatment

271
Q

Tympanic Membrane (TM)

A

Tympanic membrane, the clear membrane inside the ear, (ear drum)

272
Q

Ulcerations

A

Blisters or open sores

273
Q

Unkempt

A

Poor self hygiene

274
Q

Upper respiratory infection (URI)

A

Contagious infection of the upper respiratory tract (sinuses, throat, lungs or airways)

275
Q

Urgency

A

Abrupt onset of urge to urinate

276
Q

Urinalysis (UA)

A

Urine test to detect a wide range of disorders, such as urinary tract infection, kidney disease and diabetes

277
Q

Urticarial Rash/ Wheals

A

A patchy red, raised rash, consistent with allergic reactions

278
Q

Vein

A

Vessel carrying blood towards the heart, soft, compressible

279
Q

Vertebral Point- tenderness

A

Tenderness directly over the spine (vertebrae), increased likelihood of fracture

280
Q

Vertigo

A

Room-spinning dizziness (not light-headed)

281
Q

Vesicular Rash

A

Vesicles; fluid-filled blisters (herpes)

282
Q

Visual Hallucinations

A

Seeing objects, people, or things that do not actually exist

283
Q

Well Developed

A

Normal state of mental and body development

284
Q

Wheezing

A

High pitched sounds heard in the lungs with asthmatics or lung Disease

Scribe America (4 decks)

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