MA Chapter 32, 34 & 35 Flashcards Preview

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Flashcards in MA Chapter 32, 34 & 35 Deck (54):
0

Chief Complaint
CC

The main reason the patient has come to see the Dr. Assess by asking," what brings you to see the Dr. Today?"

1

Family History
FH

Includes a health inventory of the patient's immediate blood relatives.

2

Gait Belt

Device used to transfer people from one position to another.

3

Hemiplegia

Partial paralysis of one side of the body.

4

History of Present Illness
HPI
Present Illness
PI

On going medical problems. Reasons for visit. Tx rec'd. How effective? Medication used, allergies?

5

Metastasis

Process of malignant tumor invading or spreading to other tissues in the body.

6

Objective

Concrete and factual

7

Occupational History
OH

Jobs a patient has or has had.

8

Past Medical History
Past History
PH

Summary of a patient's past medical history.

9

Radiate

To spread out from

10

Review of Systems
ROS

An inventory of body systems obtained through a series of questions seeking to identify signs and symptoms that the patient may be experiencing.

11

Sign

Something that can be measured, an objective finding.

12

Social History
SH

Overview of a patient's lifestyle including smoking, education, exercise and occupation.

13

Symptom

Something that a patient can describe but that cannot be measured or seen. Subjective data.

14

Subjective

Information provided by patient that cannot be proven.

15

d/c
c/o

Discharge, discontinue
Complains of

16

DOB

Date of Birth

17

Dx
Tx
Rx

Diagnosis
Treatment
Prescription

18

NKA
N&V
SOB
S/S

No Known Allergies
Nausea & Vomiting
Shortness of Breath
Signs & Symptoms

19

Inspection

Visual observation

20

Palpatation

Tactile, feeling

21

Percussion

Tapping with instruments or fingers and listening to the sound.

22

Auscultation

Listening with sthethoscope.

23

Mensuration

Measurements

24

Bruit

Blowing sound heard heard in narrowing arteries.

25

Manipulation

ROM, Range of Motion passive movement.

26

Rales

Crackling sounds heard on inspiration.

27

Rhonchi

Wheezes heard on inspiration.

28

Urinalysis

Analysis of urine.

29

Blood Chemistry

Chemicals, electrolytes, in blood serum

30

Spirometry,

Type of test that measures lung volume capacity over time.

31

Differential Diagnoses

Determination of nature of disease that pt has. This is done by interviewing, exam and process of elimination.

32

Cytology

Study of cells

33

Speculum

Instrument used to open up vagina for exams, or other body cavities.

34

Myopia

Near sightedness.

35

Hyperopia

Farsightedness

36

Occluded

Blocks one eye.

37

Presbyopia

Difficulty with near vision due to aging .

38

Cerumen

Ear wax

39

Audiometer

Istrument that measures hearing. Loudness measured in dB, decibels- different pitches, tones and volumes.

40

Obturator

Smooth round end that can be removed.

41

Occult Blood

Means hidden blood

42

Guaiac

Developer for the test for hidden blood

43

Endoscope

Instrument put into body cavity to view internal structure

44

Decibel

Measurement of loud or soft sounds

45

Dysplasia

Abnormal development of tumor.

46

Hernia

Protrusion on an organ through a weakness in a muscle.

47

Menopause

Permanent cessation of the menstrual cycle.

48

Post-menopausal

After menopause

49

Quadrant

Clinical division of the abdominal area into 4 parts.

50

Refraction

Bending of light rays as they pass wfrom one medium to another.

51

CBC
ECG
EKG
ENT
LMP

Complete Blood Count
Electrocardiogram
Electrocardiogram
Ears, Nose, and Throat
Last Menstrual Period

52

HEENT
PEERLA
ROM
R/O

Head, Eyes, Ears, Nose and Throat
Pupils Equal, Round, Reactive to Light & Accomodation (normal)
Range of Motion
Rule Out

53

OD
OS
OU
UA

Right Eye
Left Eye
Both Eyes
Urinalysis