All Charting Terms - Front and Back Flashcards
Learn/Review Common Charting Terms (Front and Back Sides) (324 cards)
1
Q
abdomen large and extends outward
A
protuberant, distended
2
Q
hard, board like abdomen
A
hard, rigid, distended, tympanic, taut
3
Q
soft, flabby abdomen
A
relaxed, flaccid
4
Q
swollen, rounded abdomen
A
distended, edematous
5
Q
abdomen filled with gas
A
tympanic, flatulent
6
Q
abdomen hangs down
A
pendulous
7
Q
large amounts of drainage
A
profuse, copious
8
Q
medium amount of drainage
A
moderate
9
Q
small amount of drainage
A
scant
10
Q
loss of appetite
A
anorexia
11
Q
Hunchback
A
kyphosis
12
Q
small of back
A
lumbar region
13
Q
swayback
A
lordosis
14
Q
nose bleed
A
epistaxis
15
Q
blood in urine
A
hematuria
16
Q
spitting up of blood
A
hemoptysis
17
Q
positive blood in stool
A
Guaiac positive
18
Q
unpleasant breath
A
halitosis
19
Q
foul breath
A
fetid
20
Q
breath with sweet fruit-like odor
A
fruity, sweet
21
Q
breath with urinous odor
A
odor of ammonia
22
Q
breathing
A
respiration
23
Q
difficult breathing
A
dyspnea
24
Q
short periods when breathing has ceased
A
apnea
25
inability to breathe while lying down
orthopnea
26
rapid breathing
hyperpnea
27
increasing dyspnea with period of apnea
Cheyne-Stokes respirations
28
Awake and responsive
alert, fully conscious
29
only partly conscious
semi-conscious
30
unconscious, but can be aroused
stuporous
31
unconscious, cannot be aroused
comatose
32
ways to describe a cough
continuous, persistent, productive, nonproductive, dry, hacking
33
cough occurring in spasms
spasmodic
34
coughing up or expectoration of blood
hemoptysis
35
dead tissue
tissue necrosis, necrotic
36
frequent liquid defecation
diarrhea
37
Ways to describe color of stool
clay or dark brown, black, mustard, yellow, green, tarry, streaked with blood
38
ways to describe constituents of stool
liquid, soft or hard formed, watery, semi-formed, constipated, undigested foods, mucoid
39
drainage containing pus
purulent
40
bloody drainage
sanguineous
41
drainage of lymphatic fluid
serous
42
drainage contains mucus and pus
mucopurulent
43
tough, sticky drainage
tenacious
44
bloody, lymphatic (serous) drainage
serosanguinous
45
Swelling in extremities, after depressing for 5 seconds: indented 2 mm
1+ edema
46
Swelling in extremities, after depressing for 5 seconds: indented 4 mm
2+ edema
47
Swelling in extremities, after depressing for 5 seconds: indented 6 mm
3+ edema
48
Swelling in extremities, after depressing for 5 seconds: indented 8 mm
4+ edema
49
vomit produced by conscious effort of patient
induced emesis
50
vomit ejected a few feet distance
projectile emesis
51
vomit with noticeable blood
hematemesis
52
sharpness of vision
visual acuity
53
eyes yellow in color
jaundiced
54
eyes puffy, swollen
edematous
55
drooping eyelids
ptosis of lids
56
eyes unusually sensitive to light
photophobia
57
double vision
diplopia
58
cross eye, squinting
strabismus
59
abnormal protrusion of eyeball
exophthalmos
60
inflammation of conjunctiva
conjunctivitis
61
dilation of the pupil
mydriasis, pupil dilated
62
contraction of the pupil
myosis, pupil constricted, pin point
63
near-sightedness
myopia
64
far-sightedness
hyperopia
65
fainting
syncope
66
without fever
afebrile
67
temperature above normal
pyrexia
68
temperature greatly above normal
hyperpyrexia
69
forehead
frontal region
70
region of head over temple
temporal region
71
back of head
occipital region
72
base of skull
basilar region
73
having a large head
macrocephaly, hydrocephalus
74
having a small head
microcephalus
75
top of head
parietal (right or left)
76
hives
urticaria
77
itching
pruritus
78
bending joints
flexion
79
to straighten joints
extension
80
revolve around
rotation
81
move away from median line
abduction
82
move toward median line
adduction
83
lips blue in color
cyanotic
84
medicine administration by mouth
orally
85
medicine administration by rectum
rectally
86
medicine administration breathing in
inhalation
87
medicine administration rubbing into skin
topically
88
medicine administration under the skin
subcutaneous
89
medicine administration within the skin
intradermal
90
medicine administration within the muscle
intramuscular
91
medicine administration within the spinal canal
intraspinal, intrathecal
92
medicine administration within the vein
intravenous
93
medicine administration pouring into body cavity
instillation
94
menstruation if present when admitted
menses present
95
painful menstruation
dysmenorrhea
96
total absence of menstruation
amenorrhea
97
profuse or prolonged flow of menstruation
menorrhagia
98
cessation of menstruation
menopause
99
very unpleasant odor
offensive, foul
100
paralysis of the muscles of the face
facial
101
paralysis of the legs
paraplegia
102
paralysis of one side of the body
hemiplegia
103
paralysis of a single limb
monoplegia
104
paralysis of all 4 extremities and usually the trunk
quadriplegia
105
large amount of profuse perspiration
diaphoresis, diaphoretic
106
flat on back, arms straight at sides
supine
107
on side, knees flexed
lateral
108
on left side, left arm behind back, left leg slightly flexed, right leg greatly flexed
Sim's (left or right)
109
head of bed semi-erect
Semi-Fowler's 40-45° - modified, knees and legs not flexed
110
on back, buttocks near edge of table, knees well flexed and separated
lithotomy
111
resting on knees and chest
knee-chest
112
on back, pelvis and legs higher than head
Trendelenburg
113
on abdomen, face turned to one side
prone
114
prone with hips over break in table and feet below level of head
jackknife
115
pulse number of beats per minute
rate
116
describe various pulse rhythms
regular or irregular, coupling, galloping
117
pulse beasts missed at intervals
intermittent
118
pulse \> 100 beats per minute
rapid, fast, tachycardia
119
pulse slow in rate, \< 50 bpm
slow, bradycardia
120
pulse only scarcely perceptible
thready, weak
121
pulseless
imperceptible, absent
122
pulse absent, not palpable, inaudible with Doppler
pulse strength: 0
123
pulse diminished but palpable
pulse strength: 1+
124
expected/normal pulse
pulse strength: 2+
125
strong/full pulse
pulse strength: 3+
126
bounding pulse, can't be obliterated
pulse strength: 4+
127
skin normal
healthy, normal for race
128
skin blue in color
cyanotic, mottled
129
skin very white
extreme pallor, ashen
130
redness of skin
erythema
131
skin shines
glossy
132
raw surface on skin
excoriation
133
skin yellow in color
jaundiced
134
skin containing colored areas
pigmented
135
scraped skin
abraded, denuded
136
cold and moist skin
clammy
137
speech not understandable
incoherent
138
speech meaningless, wondering
rambling
139
words run together
slurring
140
difficulty speaking
dysphasia
141
unable to speak
aphasia
142
difficulty in swallowing
dysphagia
143
inability to swallow
aphagia
144
descriptive terms for the throat
red, swollen, inflamed, ulcerated
145
descriptive terms for the tongue
pink, moist, dry, cracked, swollen, coated, inflamed, ulcerated
146
to urinate
voiding, micturate
147
no control over urination
incontinence
148
large amount of urine voided
diuresis
149
total suppression of urine
anuria
150
frequent voiding at night
nocturia
151
increased amount voided
polyuria
152
painful urination
dysuria
153
pus in urine
pyuria
154
blood in urine
hematuria
155
scantiness of urine
oliguria
156
sugar in urine
glycosuria
157
overweight
obese
158
abnormal thinness
emaciated, wasting
159
very underweight
cachectic
160
Wound discharging pus
suppurating, purulent
161
black or gray necrotic tissue in wound
eschar
162
wound drainage
exudate
163
protuberant, distended
abdomen large and extends outward
164
hard, rigid, distended, tympanic, taut
hard, board like abdomen
165
relaxed, flaccid
soft, flabby abdomen
166
distended, edematous
swollen, rounded abdomen
167
tympanic, flatulent
abdomen filled with gas
168
pendulous
abdomen hangs down
169
profuse, copious
large amounts of drainage
170
moderate
medium amount of drainage
171
scant
small amount of drainage
172
anorexia
loss of appetite
173
kyphosis
Hunchback
174
lumbar region
small of back
175
lordosis
swayback
176
epistaxis
nose bleed
177
hematuria
blood in urine
178
hemoptysis
spitting up of blood
179
Guaiac positive
positive blood in stool
180
halitosis
unpleasant breath
181
fetid
foul breath
182
fruity, sweet
breath with sweet fruit-like odor
183
odor of ammonia
breath with urinous odor
184
respiration
breathing
185
dyspnea
difficult breathing
186
apnea
short periods when breathing has ceased
187
orthopnea
inability to breathe while lying down
188
hyperpnea
rapid breathing
189
Cheyne-Stokes respirations
increasing dyspnea with period of apnea
190
alert, fully conscious
Awake and responsive
191
semi-conscious
only partly conscious
192
stuporous
unconscious, but can be aroused
193
comatose
unconscious, cannot be aroused
194
continuous, persistent, productive, nonproductive, dry, hacking
ways to describe a cough
195
spasmodic
cough occurring in spasms
196
hemoptysis
coughing up or expectoration of blood
197
tissue necrosis, necrotic
dead tissue
198
diarrhea
frequent liquid defecation
199
clay or dark brown, black, mustard, yellow, green, tarry, streaked with blood
Ways to describe color of stool
200
liquid, soft or hard formed, watery, semi-formed, constipated, undigested foods, mucoid
ways to describe constituents of stool
201
purulent
drainage containing pus
202
sanguineous
bloody drainage
203
serous
drainage of lymphatic fluid
204
mucopurulent
drainage contains mucus and pus
205
tenacious
tough, sticky drainage
206
serosanguinous
bloody, lymphatic (serous) drainage
207
1+ edema
Swelling in extremities, after depressing for 5 seconds: indented 2 mm
208
2+ edema
Swelling in extremities, after depressing for 5 seconds: indented 4 mm
209
3+ edema
Swelling in extremities, after depressing for 5 seconds: indented 6 mm
210
4+ edema
Swelling in extremities, after depressing for 5 seconds: indented 8 mm
211
induced emesis
vomit produced by conscious effort of patient
212
projectile emesis
vomit ejected a few feet distance
213
hematemesis
vomit with noticeable blood
214
visual acuity
sharpness of vision
215
jaundiced
eyes yellow in color
216
edematous
eyes puffy, swollen
217
ptosis of lids
drooping eyelids
218
photophobia
eyes unusually sensitive to light double vision
219
diplopia
double vision
220
strabismus
cross eye, squinting
221
exophthalmos
abnormal protrusion of eyeball
222
conjunctivitis
inflammation of conjunctiva
223
mydriasis, pupil dilated
dilation of the pupil
224
myosis, pupil constricted, pin point
contraction of the pupil
225
myopia
near-sightedness
226
hyperopia
far-sightedness
227
syncope
fainting
228
afebrile
without fever
229
pyrexia
temperature above normal
230
hyperpyrexia
temperature greatly above normal
231
frontal region
forehead
232
temporal region
region of head over temple
233
occipital region
back of head
234
basilar region
base of skull
235
macrocephaly, hydrocephalus
having a large head
236
microcephalus
having a small head
237
parietal (right or left)
top of head
238
urticaria
hives
239
pruritus
itching
240
flexion
bending joints
241
extension
to straighten joints
242
rotation
revolve around
243
abduction
move away from median line
244
adduction
move toward median line
245
cyanotic
lips blue in color
246
orally
medicine administration by mouth
247
rectally
medicine administration by rectum
248
inhalation
medicine administration breathing in
249
topically
medicine administration rubbing into skin
250
subcutaneous
medicine administration under the skin
251
intradermal
medicine administration within the skin
252
intramuscular
medicine administration within the muscle
253
intraspinal, intrathecal
medicine administration within the spinal canal
254
intravenous
medicine administration within the vein
255
instillation
medicine administration pouring into body cavity
256
menses present
menstruation if present when admitted
257
dysmenorrhea
painful menstruation
258
amenorrhea
total absence of menstruation
259
menorrhagia
profuse or prolonged flow of menstruation
260
menopause
cessation of menstruation
261
offensive, foul
very unpleasant odor
262
facial
paralysis of the muscles of the face
263
paraplegia
paralysis of the legs
264
hemiplegia
paralysis of one side of the body
265
monoplegia
paralysis of a single limb
266
quadriplegia
paralysis of all 4 extremities and usually the trunk
267
diaphoresis, diaphoretic
large amount of profuse perspiration
268
supine
flat on back, arms straight at sides
269
lateral
on side, knees flexed
270
Sim's (left or right)
on left side, left arm behind back, left leg slightly flexed, right leg greatly flexed
271
Semi-Fowler's 40-45° - modified, knees and legs not flexed
head of bed semi-erect
272
lithotomy
on back, buttocks near edge of table, knees well flexed and separated
273
knee-chest
resting on knees and chest
274
Trendelenburg
on back, pelvis and legs higher than head
275
prone
on abdomen, face turned to one side
276
jackknife
prone with hips over break in table and feet below level of head
277
rate
pulse number of beats per minute
278
regular or irregular, coupling, galloping
describe various pulse rhythms
279
intermittent
pulse beasts missed at intervals
280
rapid, fast, tachycardia
pulse \> 100 beats per minute
281
slow, bradycardia
pulse slow in rate, \< 50 bpm
282
thready, weak
pulse only scarcely perceptible
283
imperceptible, absent
pulseless
284
pulse strength: 0
pulse absent, not palpable, inaudible with Doppler
285
pulse strength: 1+
pulse diminished but palpable
286
pulse strength: 2+
expected/normal pulse
287
pulse strength: 3+
strong/full pulse
288
pulse strength: 4+
bounding pulse, can't be obliterated
289
healthy, normal for race
skin normal
290
cyanotic, mottled
skin blue in color
291
extreme pallor, ashen
skin very white
292
erythema
redness of skin
293
glossy
skin shines
294
excoriation
raw surface on skin
295
jaundiced
skin yellow in color
296
pigmented
skin containing colored areas
297
abraded, denuded
scraped skin
298
clammy
cold and moist skin
299
incoherent
speech not understandable
300
rambling
speech meaningless, wondering
301
slurring
words run together
302
dysphasia
difficulty speaking
303
aphasia
unable to speak
304
dysphagia
difficulty in swallowing
305
aphagia
inability to swallow
306
red, swollen, inflamed, ulcerated
descriptive terms for the throat
307
pink, moist, dry, cracked, swollen, coated, inflamed, ulcerated
descriptive terms for the tongue
308
voiding, micturate
to urinate
309
incontinence
no control over urination
310
diuresis
large amount of urine voided
311
anuria
total suppression of urine
312
nocturia
frequent voiding at night
313
polyuria
increased amount voided
314
dysuria
painful urination
315
pyuria
pus in urine
316
hematuria
blood in urine
317
oliguria
scantiness of urine
318
glycosuria
sugar in urine
319
obese
overweight
320
emaciated, wasting
abnormal thinness
321
cachectic
very underweight
322
suppurating, purulent
Wound discharging pus
323
eschar
black or gray necrotic tissue in wound
324
exudate
wound drainage
