Intro To Scribing Flashcards
(137 cards)
1
Q
Afebrile
A
Without fever
2
Q
Abscess
A
Collection of pus beneath the skin
3
Q
Appendicitis
A
Dangerous infection of the appendix
4
Q
Arthritis
A
Inflammation of the joint’s
5
Q
Atrial Fibrillation (A Fib)
A
Irregular and often very rapid heart rhythm (arrythmia)
6
Q
Bronchitis
A
Inflammation/Infection of the bronchi (upper airway)
7
Q
Cellulitis
A
Infection for the cells
8
Q
Cerebrovascular Accident (CVA)
A
A stroke.
Blood supply to the brain is restricted or absent due to hemorrhage or black age of a vessel resulting in brain damage and dysfunction
9
Q
Cholecystitis
A
Inflammation of the gallbladder
10
Q
Chronic Obstructive Pulmonary Disease (COPD)
A
Chronic inflammatory lung disease that causes obstructed airflow to the lungs
11
Q
Chronic Renal Failure (CRF)
A
Decrease in the kidney’s ability to filter waste and fluid from blood
12
Q
Congestive Heart Failure (CHF)
A
Serious condition in which the heart doesn’t pump blood as efficiently as it should
13
Q
Conjunctivitis
A
Infection of the outer layer of the eye
14
Q
Coronary Artery Bypass Graft (CABG)
A
Procedure used to treat coronary artery disease (heart disease)
15
Q
Coronary Artery Disease (CAD)
A
Build up of plaque in the arteries that supply oxygen-rich blood to your heart
16
Q
Deep Venous Thrombosis (DVT)
A
A blood clot that forms in a vein located deep inside your body, typically in your leg
17
Q
Diverticulitis
A
Acute inflammation of the diverticula pouches
18
Q
Ectopic pregnancy
A
Egg developing outside the uterus
Extremely dangerous due to risk of rupture
19
Q
Gastroenteritis
A
General term for inflammation of the GI tract
20
Q
Gastroesophageal Reflux Disease (GERD)
A
Digestive disorder that occurs when acidic stomach juices, or food and fluids back up from the stomach into the esophagus
21
Q
Hepatitis
A
Inflammation of the liver
22
Q
Hyperglycemia
A
High blood sugar due to diabetes
23
Q
Hyperlipidemia (HLD)
A
High cholestorol
24
Q
Hypertension (HTN)
A
High blood pressure (typically >140/90)
25
Hypoglycemia
Low blood sugar
26
Hypotension
Low blood pressure (typically <100/65)
27
Insulin Dependent Diabetes Mellitus (IDDM)
Diabetes requiring use of insulin injections
28
Myocardial Infarction (MI)
Heart attack.
Death of cardiac muscle due to prolonged ischemia
29
Nephrolithiasis
-
Renal Calculi
Kidney stone
30
Non-Insulin Dependent Diabetes Mellitus (NIDDM)
Diabetes NOT requiring use of insulin injections
31
Otitis Media (OM)
Infection of the inner ear (behind the eardrum)
32
Pancreatitis
Inflammation of the pancreas
33
Peptic Ulcer Disease (PUD)
Ulcers developing in the stomach causing pain and emesis
34
Peripheral Vascular Disease (PVD)
Blood circulation disorder that causes the blood vessels (excluding heart and brain) to narrow, block, or spasm
35
Pharyngitis
Throat infection
36
Pneumonia
Infiltrate (infection) inside the lung tissue
37
Pneumothorax
Presence of air or gas in the pleural space; collapsed lung
38
Pulmonary Embolism
Blockage of the pulmonary artery or one of its branches due to a translocated clot
39
Pyelonephritis
Infection of the kidneys
40
Sepsis
Dangerous infection of the blood
41
Transient Ischemic Attack (TIA)
“Mini stroke”
Neurological function is regained completely with time
42
Upper Respiratory Infection (URI)
Contagious infection of the upper respiratory tract (sinuses, throat, lungs, or airways)
43
Urinary Tract Infection (UTI)
Infection of any part of the urinary system- kidneys, ureter, bladder, and urethra
44
Anterior
Situated toward front of the body
Opposite of posterior
45
Posterior
Situated toward back of the body
Opposite of anterior
46
Diffuse
Generalized
Not localized to any specific location
47
Distal
Further from the trunk of the body
48
Inferior
Lower on body, further from head
49
Lateral
Further from the midline
50
Medial
Nearer to the midline
51
Proximal
Nearer trunk of the body
52
Superior
Higher on the body, nearer to the head
53
Ambulatory
Able to move about
Not confined to a bed
54
Constitutional
General appearance and nature of the patient
55
Distress
Patients inability to tolerate their body-state, due to pain or respiratory failure
No Acute Distress (NAD) is common to write for a comfortable patient
56
Extraocular Muscles Intact (EOMI)
Testing that examines the function of the eye muscle
57
Pale Conjunctiva
Pale inner aspect for the eyelid most often due to anemia
58
Pupils are Equal, Round, and Reactive, to Light (PERRL)
Common normal eye exam finding
59
Scleral Icterus
Yellowing the sclera (whites of the eyes) due to jaundice
60
Cerumen
Earwax
61
Dry mucosa
Dry tongue, mouth, and lips.
Indicating significant dehydration
62
Epistaxis
Nose bleed
63
Oropharynx
Back of mouth, where it meets throat
64
Rhinorrhea
Clear nasal discharge
“Runny nose”
65
Tinnitus
Perception of ringing even with no external stimuli
“Ringing in ears”
66
Tonsillectomy and Adenoidectomy (T&A)
Tonsils and adenoids removal surgery
67
Tympanic Membrane (TM)
Clear membrane inside the ear (ear drum)
68
Carotid Bruit
Whooshing blood flow heard with auscultation (carotid narrowing or plaque)
69
Lymphadenopathy
Enlarged lymph nodes
70
Supple
Flexible, not stiff
71
Thyromegaly
Enlarged thyroid
72
Benign
Normal, no longer danger to health
73
Chronic
Long standing, constant
Opposite of acute
74
Acute
New onset, likely concerning
Opposite of chronic
75
Vertigo
Room-spinning dizziness
76
Syncope
Loss of consciousness or fainting
“Passing out”
77
Oriented x3
Oriented to person, place, and time
78
DTRs
Deep tendon reflexes
79
Meningitis
Infection of the meninges (outer lining of brain chord and spinal chord)
80
Loss of consciousness (LOC)
Passing out
81
Hemiplegia
Paralysis of one half the body
82
Hemiparesis
Weakness of one half of the body
83
Epilepsy
Seizure disorder
84
Aphasic
Absence of ability to neurologically generate or understand language.
Either inability to create words or inability to understand spoken words
85
Urticarial Rash
-
Wheals
Patchy, red, raised rash. Consistent with allergic reactions
86
Purulence
Pus
87
Purulent
Pus like
88
Pallor
Pale skin typically due to anemia
89
Maculopapular Rash
Rash both raised and red
90
Laceration
Splitting of skin due to trauma
91
Fluctuance
Palpable fluid beneath skin indicative of infection/pus/abscess
92
Erythema
Redness
93
Erythematous
Red
94
Edema
Swelling
95
Ecchymosis
Bruising
96
Diaphoresis
Sweating
97
Cyanosis
Blue color of skin due to lack of oxygen
98
Abrasion
Scrape of skin due to something abrasive
99
Last normal menstrual period (LNMP)
First day of ones period
100
Intrauterine Pregnancy (IUP)
When a fertilized egg implants and starts to develop within the uterus
101
Hematuria
Blood in the urine
102
G/P/Ab
Gravida- # of times pregnant
Para- # of live children born
Abortion- # of failed pregnancies
103
Foley Catheter
Tube inserted through the urethra to drain urine, often left in place
104
Dysuria
Painful urination
105
CVA tenderness
Costovertebral Angle tenderness; tenderness over kidneys
106
C-section
Cesarean section
107
Peritoneal signs (Rebound, guarding, or rigidity)
Signs indicative of acute abdominal inflammation (peritonitis)
108
N/V/D
Nausea/Vomiting/Diarrhea
109
Melena
Black tarry stool inductive of upper GI bleed
110
Hernia
Protrusion of part of an internal organ or tissue bulges through weak area of muscle
111
Hepatomegaly
Enlarged liver
112
Hematemesis
Gross amounts of blood in vomit
113
Emesis
Vomiting
114
Wheezing
High pitched sound heard in lungs with asthmatics or lung disease
115
Tachypnea
Increased respiratory rate
116
Stridor
Upper airway noise
Common sign in croup
117
Sputum
Any mixed matter with saliva that is passed through the mouth
118
Shortness of breath (SOB)
Air hunger, difficulty breathing, or breathlessness
119
Rhonchi
Sounds of mucous rolling around in bronchioles/bronchi
120
Rales
Crackles
Wet crackling heard in the lungs, typically due to pneumonia of CHF
121
Pleurisy
General term for pain with breathing
122
Hypoxia
Low oxygen saturation of the body, not enough oxygen in the blood
123
Dyspnea
Difficulty/labored breathing, shortness of breath
124
Clear to auscultation (CTA)
No abnormal sounds when listening to the lungs with a stethoscope
125
Vein
Vessel carrying blood towards the heart, soft, compressible
126
Tachycardia
Fast heart rate ( >100 bpm)
127
Stenosis
Narrowing of a body opening or passage
128
Regular rate and rhythm (RRR)
Normal heart sounds with a regular rate (60-100 bpm)
129
Palpitation
To beat rapidly, irregularly, or forcibly
130
Normal Sinus Rhythm (NSR)
Rhythm of healthy heart
131
Murmur
Abnormal heart sound rated on 1-6 scale
132
Cardiomegaly
Enlarged heart
133
Bradycardia
Slow heart rate (HR<60)
134
Artery
Blood vessel carrying blood away from the heart, muscular, contractile
135
Arrhythmia
Irregular heartbeat
136
Aneurysm
Localized ballooning of a vessel due to weakened vessel wall
137
Jugular vein distention (JVD)
Sign of heart dysfunction
