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Charting Terms Flashcards

1
Q

AMOUNTS
1. large amounts of drainage
2. medium amount of drainage
3. small amount of drainage

A

AMOUNTS
1. profuse, copious
2. moderate
3. small amount of drainage

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2
Q

ABDOMEN
1. large and extends outward
2. hard, board like
3. soft, flabby
4. swollen, rounded
5. filled with gas
6. hangs down

A

ABDOMEN
1. protuberant, distended
2. hard, rigid, distended, tympanic, taut
3. relaxed, flaccid
4. distended, edematous
5. tympanic, flatulent
6. pendulous

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3
Q

BACK
1. Hunchback
2. small of back
3. swayback

A

BACK
1. kyphosis
2. lumbar region
3. lordosis

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4
Q

BLEEDING
1. nose bleed
2. blood in urine
3. spitting up of blood
4. positive blood in stool

A

BLEEDING
1. epistaxis
2. hematuria
3. hemoptysis
4. Guaiac positive

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5
Q

BREATH
1. unpleasant
2. foul
3. with sweet fruit-like odor
4. urinous odor

A

BREATH
1. halitosis
2. fetid
3. fruity, sweet
4. odor of ammonia

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6
Q

BREATHING
1. breathing
2. difficult breathing
3. short periods when breathing has ceased
6. inability to breathe while lying down
7. rapid breathing
8. increasing dyspnea with periods of apnea

A

BREATHING
1. respiration
2. dyspnea
3. apnea
6. orthopnea
7. tachypnea
8. Cheyne-Stokes respirations

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7
Q

CONSCIOUSNESS
1. alert, fully conscious, oriented to date, time, place
2. only partly conscious
3. unconscious, but can be aroused
4. unconscious, cannot be aroused

A

CONSCIOUSNESS
1. A&O x3
2. semi-conscious
3. stuporous
4. comatose

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8
Q

COUGH
1. type of cough
2. occurring in spasms
3. coughing up or expectoration of blood
4. barking

A

COUGH
1. continuous, persistent, productive,
nonproductive, dry, hacking
2. spasmodic
3. hemoptysis
4. stridulous

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9
Q

DECAY
1. dead tissue

A

DECAY
1. tissue necrosis, necrotic

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10
Q

DEFECATION
1. frequent liquid defecation
2. color of stool
3. constituents of stool

A

DEFECATION
1. diarrhea
2. clay or dark brown, black, yellow, green, tarry, streaked with blood
3. liquid, soft or hard formed, watery,
semi-formed, constipated, undigested food, mucoid

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11
Q

DRAINAGE
1. containing pus
2. bloody
3. of lymphatic fluid
4. contains mucus and pus
5. tough, sticky
6. bloody, lymphatic (serous)

A

DRAINAGE
1. purulent
2. sanguineous
3. serous
4. mucopurulent
5. tenacious
6. serosanguineous

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12
Q

EDEMA
1. indented 2 mm
2. indented 4 mm
3. indented 6 mm
4. indented 8 mm

A

EDEMA
1. 1+ edema
2. 2+ edema
3. 3+ edema
4. 4+ edema

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13
Q

EMESIS
1. produced by conscious effort of patient
2. ejected a few feet distance
3. if blood is noticeable

A

EMESIS
1. induced
2. projectile
3. hematemesis

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14
Q

EYES
1. sharpness of vision
2. yellow in color
3. puffy, swollen
4. drooping eyelids
6. unusually sensitive to light
7. double vision
8. cross eye, squinting
9. abnormal protrusion of eyeball
10. inflammation of conjunctiva
11. dilatation of the pupil
12. contraction of the pupil
13. near-sightedness
14. far-sightedness

A

EYES
1. visual acuity
2. jaundiced
3. edematous
4. ptosis of lids
6. photophobia
7. diplopia
8. strabismus
9. exophthalmos
10. conjunctivitis
11. mydriasis, pupil dilated
12. myosis, pupil constricted, pin point
13. myopia
14. hyperopia

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15
Q

FAINTNESS
1. fainting

A

FAINTNESS
1. syncope/syncopal episode

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16
Q

FEVER
1. without fever
2. temperature above normal
3. temperature greatly above normal

A

FEVER
1. afebrile
2. pyrexia
3. hyperpyrexia

17
Q

HEAD
1. forehead
2. region over temple
3. back of head
4. base of skull
5. having a large head
6. having a small head
7. top of head

A

HEAD
1. frontal region
2. temporal region
3. occipital region
4. basilar region
5. macrocephaly, hydrocephalus
6. microcephalus
7. parietal (right or left)

18
Q

HIVES
1. hives
2. itching

A

HIVES
1. urticaria
2. pruritus

19
Q

JOINTS
1. bending
2. to straighten
3. revolve around
4. move away from median line
5. move toward median line

A
  1. flexion
  2. extension
  3. rotation
  4. abduction
  5. adduction
20
Q

LIPS
1. blue in color

A

LIPS
1. cyanotic

21
Q

MEDICINE
1. by mouth
2. by rectum
3. breathing in
4. rubbing into skin
5. under the skin
6. within the skin
7. within the muscle
8. within the spinal canal
9. within the vein
10. within the bone
11. pouring into body cavity

A

MEDICINE
1. orally
2. rectally
3. inhalation
4. topically
5. subcutaneous
6. intradermal
7. intramuscular
8. intraspinal, intrathecal
9. intravenous
10. intraosseous
11. instillation

22
Q

MENSTRUATION
1. if present when admitted
2. painful
3. total absence of
4. profuse or prolonged flow
5. cessation of

A

MENSTRUATION
1. menses present
2. dysmenorrhea
3. amenorrhea
4. menorrhagia
5. menopause

23
Q

ODOR
1. very unpleasant

A

ODOR
1. offensive, foul

24
Q

PARALYSIS
1. of the muscles of the face
2. of the legs
3. of one side of the body
4. of a single limb
5. of all 4 extremities and usually the trunk

A

PARALYSIS
1. facial
2. paraplegia
3. hemiplegia
4. monoplegia
5. quadriplegia

25
PERSPIRATION 1. large amount/profuse
PERSPIRATION 1. diaphoresis, diaphoretic
26
POSITIONS 1. flat on back, arms straight at sides 2. on side, knees flexed 3. on left side, left arm behind back, left leg slightly flexed, right leg greatly flexed 4. head of bed semi-erect 5. on back, buttocks near edge of table, knees well flexed and separated 6. resting on knees and chest 7. on back, pelvis and legs higher than head 8. on abdomen, face turned to one side 9. prone with hips over break in table and feet below level of head 10. seated, leaning forward, bracing elbows on lap or on table
POSITIONS 1. supine 2. lateral 3. Sim's (left or right) 4. Semi-Fowler's 40-45° - modified, knees legs not flexed 5. lithotomy 6. knee-chest 7. Trendelenburg 8. prone 9. jackknife 10. orthopneic
27
PULSE 1. number of beats per minute 2. rhythm 3. beats missed at intervals 4. > 100 beats per minute (bpm) 5. slow in rate, < 50 bpm 6. only scarcely perceptible 8. pulseless 9. pulse strength 10. normal
PULSE 1. rate 2. regular or irregular, coupling, galloping 3. intermittent 4. rapid, fast, tachycardia 5. slow, bradycardia 6. thready, weak 8. Imperceptible, absent 9. 0 = absent, not palpable, inaudible č Doppler 1+ = diminished/palpable 2+ = expected/normal 3+ = strong/full pulse 4+ = bounding, can’t be obliterated 10. normal in rate and rhythm
28
SKIN 1. normal 2. blue in color 3. very white 4. redness 5. shines 6. raw surface 7. yellow in color 8. containing colored areas 9. scraped 10. cold and moist 11. splotchy r/t poor circulation
SKIN 1. healthy, normal for race 2. cyanotic 3. extreme pallor, ashen 4. erythema 5. glossy 6. excoriation 7. jaundiced 8. pigmented 9. abraded, denuded 10. clammy 11. mottled
29
SPEECH 1. not understandable 2. meaningless, wondering 3. words run together 4. difficulty speaking 5. unable to speak
SPEECH 1. incoherent 2. rambling 3. slurring 4. dysphasia (can be r/t cognitive, structural, or articulation disorder; contact ST for eval) 5. aphasia
30
THROAT 1. difficulty in swallowing 2. inability to swallow 3. other descriptive terms
THROAT 1. dysphagia 2. aphagia 3. red, swollen, inflamed, ulcerated
31
TONGUE 1. descriptive terms
TONGUE 1. pink, moist, dry, cracked, swollen, coated, inflamed, ulcerated
32
URINATION 1. to urinate 2. no control over urination 3. large amount of urine voided 4. total suppression of urine 5. frequent voiding at night 6. increased amount voided 7. painful urination 8. pus in urine 9. blood in urine 10. scantiness of urine 11. sugar in urine
URINATION 1. voiding, micturate 2. incontinence 3. diuresis 4. anuria 5. nocturia 6. polyuria 7. dysuria 8. pyuria 9. hematuria 10. oliguria 11. glycosuria
33
WEIGHT 1. overweight 2. abnormal thinness 3. very underweight
WEIGHT 1. obese 2. emaciated, wasting 3. cachectic
34
WOUNDS 1. discharging pus 2. black or gray necrotic tissue 3. wound drainage
WOUNDS 1. suppurating, purulent 2. eschar 3. Exudate

Medical Terminology (5 decks)

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