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Flashcards in MT Ch. 1 Deck (44)
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4 Elements of Medical Terms

1. Word root- often indicate part or action
2. Prefix- location of organ, # of parts, or time
3. Suffix- condition, disease, or procedure
4. Combining vowel- usually "O", used between root and suffix if suffix begins with a consonant

1

Medical record

Paper chart that documents details of patients hospital stay

2

Electronic medical record (EMR)

Digitally stored record that documents details of patients hospital stay

3

History and Physical

-patient history, exam results, initial diagnosis, and treatment plan written by admitting physician

4

Physicians orders

Complete list of care, meds, tests, and treatments physician orders for patient

5

Nurses notes

Treatment throughout the day and vital signs, specifics, patient response, and condition

6

Physician progress notes

Contains updated assessment, diagnoses, and further plans of care

7

Consultation reports

Report given by a specialist

8

Ancillary reports

Reports from various treatments received

9

Diagnostic reports

Results of diagnostic tests, usually clinical lab and medical imaging

10

Informed consent

Document signed by patient/responsible party that describes purpose, methods, benefits, and risks of procedure

11

Operative report

Diagnosis and and operation details written by the surgeon

12

Anesthesiologists report

Details of substances given, patient response, and vital signs during surgery

13

Pathologists report

Details regarding tissue removes from patient

14

Discharge summary

Documents entire hospital stay, from admitting diagnosis to final diagnosis and follow up

15

Acute Care/ General Hospitals

Diagnose and treat diseases for short time periods, offer ER

16

Specialty Care Hospitals

Provide care for specific diseases

17

Nursing Homes/Long Term Care Facilities

People who can't take care of themselves and people who need extra recovery time

18

Ambulatory Care Centers, Surgical Centers, Outpatient Clinics

Services not requiring overnight stay; from simple surgeries to testing and therapy

19

Physicians offices

Diagnostic and treatment services in a private setting

20

Health Maintenance Organization (HMO)

Prepaid system of services by primary-care physicians, specialists, and other providers

21

Home health care

Provides personal care in patients home

22

Rehab centers

Intensive PT and OT; inpatient and outpatient treatment

23

Hospices

Supportive treatment to terminally ill patients and their families

24

Organization of Body

Cells, tissues, organs, systems, body

25

Cytology

Study of cells and their function

26

Cell membrane

Outermost boundary of a cell

27

Cytoplasm

Watery internal environment of cell

28

Nucleus

Contains cells DNA

29

What does a cell always have no matter it's shape?

Nucleus, cytoplasm, cell membrane