Charting Terms Flashcards
(155 cards)
1
Q
abdomen - large and extends outward
A
protuberant, distended
2
Q
abdomen - hard, board like
A
hard, rigid, distended, tympanic, taut
3
Q
abdomen - soft, flabby
A
relaxed, flaccid
4
Q
abdomen - swollen, rounded
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
breath - unpleasant
A
halitosis
19
Q
breath - foul
A
fetid
20
Q
breath - with sweet fruit-like odor
A
fruity, sweet
21
Q
breath - 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 periods of apnea
Cheyne-Stokes respirations
28
alert, fully conscious, oriented to date, time, place
alert, fully conscious
29
only partly conscious
semi-conscious
30
unconscious, but can be aroused
stuporous
31
unconscious, cannot be aroused
comatose
32
type of 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
color of stool
clay or dark brown, black, mustard, yellow, green, tarry, streaked with blood
38
constituents of stool
liquid, soft or hard formed, watery, semiformed, constipated, undigested foods, mucoid
39
drainage - containing pus
purulent
40
drainage - bloody
sanguinous
41
drainage - of lymphatic fluid
serous
42
drainage - contains mucus and pus
mucopurulent
43
drainage - tough, sticky
tenacious
44
drainage - bloody, lymphatic (serous)
serosanguinous
45
edema (swelling in extremities, after depressing for 5 seconds):
indented 2 mm - 1+ edema
indented 4 mm - 2+ edema
indented 6 mm - 3+ edema
indented 8 mm - 4+ edema
46
emesis - produced by conscious effort of patient
induced
47
emesis - ejected a few feet distance
projectile
48
emesis - if blood is noticeable
hematemesis
49
eyes - sharpness of vision
visual acuity
50
eyes - yellow in color
jaundiced
51
eyes - puffy, swollen
edematous
52
eyes - drooping eyelids
ptosis of lids
53
eyes - unusually sensitive to light
photophobia
54
eyes - double vision
diplopia
55
eyes - cross eye, squinting
stabismus
56
eyes - abnormal protusion of eyeball
exophthalmos
57
eyes - inflammation of conjunctiva
conjunctivitis
58
eyes - dilatation of the pupil
mydriasis, pupil dilated
59
eyes - contraction of the pupil
myosis, pupil constricted, pin point
60
eyes - near-sightedness
myopia
61
eyes - far-sightedness
hyperopia
62
fainting
syncope
63
without fever
afebrile
64
temperature above normal
pyrexia
65
temperature greatly above normal
hyperpyrexia
66
forehead
frontal region
67
region over temple
temporal region
68
back of head
occipital region
69
base of skull
basilar region
70
having a large head
macrocephaly, hydrocephalus
71
having a small head
microcephalus
72
top of head
parietal (right or left)
73
hives
urticaria
74
itching
pruritus
75
bending
flexion
76
to straighten
extension
77
revolve around
rotation
78
move away from median line
abduction
79
move toward median line
adduction
80
lips - blue in color
cyanotic
81
by mouth
orally
82
by rectum
rectally
83
breathing in
inhalation
84
rubbing into skin
topically
85
under the skin
subcutaneous
86
within the skin
intradermal
87
within the muscle
intramuscular
88
within the spinal canal
intraspinal, intrathecal
89
within the vein
intravenous
90
pouring into body cavity
instillation
91
menstruation - if present when admitted
menses present
92
menstruation - painful
dysmenorrhea
93
menstruation - total absence of
amenorrhea
94
menstruation - profuse or prolonged flow
menorrhagia
95
menstruation - cessation of
menopause
96
odor - very unpleasant
offensive, foul
97
paralysis - of the muscles of the face
facial
98
paralysis - of the legs
paraplegia
99
paralysis - of one side of the body
hemiplegia
100
paralysis - of a single limb
monoplegia
101
paralysis - of all 4 extremities & usually the trunk
quadriplegia
102
perspiration - large amount of profuse
diaphoresis, diaphoretic
103
flat on back, arms straight at sides
supine
104
on side, knees flexed
lateral
105
on left side, left arm behind back, left leg slightly flexed, right leg greatly flexed
Sim's (left or right)
106
head of bed semi-erect
Semi-Fowler's 40-45 degrees - modified, knees and legs not flexed
107
on back, buttocks near edge of table, knees well flexed and separated
lithotomy
108
resting on knees and chest
knee-chest
109
on back, pelvis and legs higher than head
Trendelenburg
110
on abdomen, face turned to one side
prone
111
prone with hips over break in table and feet below level of head
jackknife
112
pulse - number of beats per minute
rate
113
pulse - rhythm
regular or irregular, coupling, galloping
114
pulse - beats missed at intervals
intermittent
115
pulse - greater than 100 beats per minute (bpm)
rapid, fast, tachycardia
116
pulse - slow in rate, less than 50 bpm
slow, bradycardia
117
pulse - only scarcely perceptible
thready, weak
118
pulse - pulseless
imperceptible, absent
119
pulse - pulse strength
0 = absent, not palpable, inaudible (c with line on top) doppler
1+ = diminished/palpable
2+ = expected/normal
3+ = strong/full pulse
4+ = bounding, can't be obliterated
120
skin - normal
healthy, normal for race
121
skin - blue in color
cyanotic, mottled
122
skin - very white
extreme pallor, ashen
123
skin - redness
erythema
124
skin - shines
glossy
125
skin - raw surface
excoriation
126
skin - yellow in color
jaundiced
127
skin - containing colored areas
pigmented
128
skin - scraped
abraded, denuded
129
skin - cold and moist
clammy
130
speech - not understandable
incoherent
131
speech - meaningless, wondering
rambling
132
speech - words run together
slurring
133
speech - difficulty speaking
dysphasia
134
speech - unable to speak
aphasia
135
difficulty in swallowing
dysphagia
136
inability to swallow
aphagia
137
throat - other descriptive terms
red, swollen, inflamed, ulcerated
138
tongue - descriptive terms
pink, moist, dry, cracked, swollen, coated, inflamed, ulcerated
139
to urinate
voiding, micturate
140
no control over urination
incontinence
141
large amount of urine voided
diuresis
142
total suppression of urine
anuria
143
frequent voiding at night
nocturia
144
increased amount voided
polyuria
145
painful urination
dysuria
146
pus in urine
pyuria
147
blood in urine
hematuria
148
scantiness of urine
oliguria
149
sugar in urine
glycosuria
150
overweight
obese
151
abnormal thinness
emaciated, wasting
152
very underweight
cachetic
153
wounds - discharging pus
suppurating, purulent
154
wounds - black or gray necrotic tissue
eschar
155
wounds - wound drainage
exudate
