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Scribe America > Scribe America packet terms > Flashcards

Scribe America packet terms Flashcards

1
Q

Anterior

A

Situated towards the front of the body

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2
Q

Diffuse

A

Generalized; not localized to any specific location

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3
Q

Distal

A

Farther from the trunk of the body

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4
Q

Inferior

A

Lower on the body, farther from the head

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5
Q

Lateral

A

Farther from the midline

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6
Q

Medial

A

Nearer to the midline

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7
Q

Posterior

A

Situated towards the back of the body, opposite of anterior

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8
Q

Proximal

A

Nearer to the trunk of the body

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9
Q

Superior

A

Higher on the body, nearer to the head

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10
Q

Abcess

A

A collection of pus beneath the skin

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11
Q

Appendicitis

A

Dangerous infection of the appendix

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12
Q

Arthritis

A

Inflammation of the joints

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13
Q

Atrial Fibrillation (A Fib)

A

Irregular and often very rapid heart rhythm (arrhythmia)

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14
Q

Bronchitis

A

Inflammation/infection of the bronchi (upper airway)

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15
Q

Cellulitis

A

Infection of skin cells

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16
Q

Cerebrovascular Accident (CVA)

A

A stroke. Blood supply to the brain is restricted or absent due hemorrhage or blockage of a vessel resulting in brain damage or dysfunction

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17
Q

Cholecystitis

A

Inflammation of the gallbladder

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18
Q

Chronic Obstructive Pulmonary Disease (COPD)

A

Chronic inflammatory lung disease that causes obstructed airflow to the lungs

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19
Q

Chronic renal failure

A

Decrease in the kidneys ability to filter waste and fluid from the blood

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20
Q

Congestive Heart Failure

A

Serious condition in which the heart doesn’t pump blood as efficiently as it should

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21
Q

Conjunctivitis

A

Infection of the outer layer of the eye

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22
Q

Coronary Bypass Disease

A

Buildup of plaque in the arteries that supply oxygen-rich blood to your heart

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23
Q

Deep Venous Thrombosis

A

A blood cot that forms in a vein located deep inside your body, typically in the leg

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24
Q

Diverticulitis

A

Acute inflammation of the diverticula pouches

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25
Q

Ectopic pregnancy

A

Egg developing outside the uterus extremely dangerous due to the risk of rupture

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26
Q

Gastrointeritis

A

General term for inflammation of the GI tract

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27
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

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28
Q

Hepititis

A

Inflammation of the liver

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29
Q

Hyperglycemia

A

High blood sugar due to diabetes

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30
Q

Hyperlipidemia

A

High cholesteral

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31
Q

Hypertension

A

High blood pressure (typically >140/90)

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32
Q

Hypoglycemia

A

Low blood-sugar

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33
Q

Hypotension

A

Low blood pressure (typically <100/65)

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34
Q

Insulin dependent diabetes mellitus

A

Diabetes requiring the use of insulin injections

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35
Q

Myocardial infarction

A

Heart attack. Death of cardiac muscle due to the prolonged ischemia

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36
Q

Nephrolithiasis/Renal failure

A

Kidney stone

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37
Q

Non-insulin dependent diabetes mellitus

A

Diabetes NOT requiring the use of insulin injections

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38
Q

Otitis Media

A

Infection inner ear (behind the ear drum)

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39
Q

Pancreatitis

A

Inflammation of the pancreas

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40
Q

Peptic Ulcer disease

A

Ulcers developing in the stomach causing pain and emesis

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41
Q

Peripheral vascular disease

A

Blood circulation disorder that causes the blood vessels (excluding the heart and brain) to narrow, block, or spasm

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42
Q

Pharyngitis

A

Throat infection

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43
Q

Pneumonia

A

Infiltrate (infection) inside the lung tissue

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44
Q

Pneumothorax

A

Presence of air or gas in the pleural space; collapsed lung

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45
Q

Pulmonary embolism

A

Blockage of the pulmonary artery or one of its branches due to translocated clot

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46
Q

Puelonephritis

A

Infection of the kidneys

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47
Q

Sepsis

A

Dangerous infection of the blood

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48
Q

Transient ischemic attack

A

Transient “mini stroke”, neurological function is regained completely with time

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49
Q

Upper respiratory infection

A

Contagious infection of the upper respiratory tract (sinuses, throat, lungs, and airways)

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50
Q

Urinary tract infection

A

Infection in any part of the urinary system-kidneys, ureters, bladder and urethra

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51
Q

Afebrile

A

without fever

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52
Q

Ambulatory

A

Able to move about, not confined to a bed

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53
Q

Constitutional

A

the general appearance and nature of a patient

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54
Q

Distress

A

A patient’s inability to tolerate their body-state, due to pain or respiratory failure. No acute distress is commonly written if a patient looks comfortable

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55
Q

Extraocular muscles intact

A

Testing that examines the function of the eye muscle

56
Q

Pale conjunctive

A

Pale inner aspect of the eyelid most often due to anemia

57
Q

Pupils are equal. round, and reactive to light (PERRL)

A

Common normal eye exam finding

58
Q

Scleral Icterus

A

Yellowing of the sclera (whites of the eyes) due to jaundice

59
Q

Cerumen

A

Earwax

60
Q

Dry Mucosa

A

Dry tongue, mouth, and lips, indicating significant dehydration

61
Q

Epistaxis

A

Nose bleed

62
Q

Oropharynx

A

The back of the mouth, where it meets the throat

63
Q

Rhinorrhea

A

clear nasal discharge “runny” nose

64
Q

Tinnitus

A

“ringing in the ears”, the perception of ringing even with no external stimuli

65
Q

Tonsillectomy & Adenoidectomy

A

Tonsils and adenoid removal surgery

66
Q

Tympanic membrane

A

Tympanic membrane, the clear membrane inside the ear (ear drum)

67
Q

Carotid Brut

A

Whooshing blood flow heard with auscultation (carotid narrowing or plaque)

68
Q

Lymphadenopathy

A

enlarged lymph notes

69
Q

Supple

A

Flexible, not-stiff

70
Q

Thyromegaly

A

Enlarged thyroid

71
Q

Jugular vein distention

A

jugular vein distention, sign of heart dysfunction

72
Q

Aneurysm

A

Localized ballooning of a vessel due to a weakened vessel wall

73
Q

Arrhythmia

A

Irregular Hearbeat

74
Q

Artery

A

Blood vessel carrying blood away from the heart, muscular, contractile

75
Q

Bradycardia

A

Slow hear rate (HR<60)

76
Q

Cardiomegaly

A

Enlarged heart

77
Q

Mumur

A

Abnormal heart sound rated on 1-6 scale

78
Q

Normal Sinus rhythm

A

The rhythm of a healthy heart

79
Q

Palpitation

A

To beat rapidly, irregular, or forcibly (usually relating to the heart

80
Q

Regular rate and rhythm

A

Normal heart sounds with regular rate (60-100 bpm)

81
Q

Stenosis

A

Narrowing of the body opening or passage

82
Q

Tachycardia

A

Fast heart rate (HR>100 BPM)

83
Q

Vein

A

Vessel carrying blood towards the heart, soft, compresible

84
Q

Clear to auscultation

A

No abnormal sounds when listening to the lungs with a stethoscope

85
Q

Dyspnea

A

Difficulty/labored breathing, shortness of breath

86
Q

Hypoxia

A

Low oxygen saturation of the body, not enough oxygen in the blood

87
Q

Pleurisy

A

General term for pain with breathing

88
Q

Rales

A

Crackles; wet crackling heard in the lugs, typically due to pneumonia or CHF

89
Q

Rhonchi

A

Sound of mucous rolling around and in the bronchioles/bronchi

90
Q

Shortness of breath

A

Air hunger, difficulty breathing, or breathlessness

91
Q

Sputum

A

Any mixed matter with the saliva that is passed through the mouth

92
Q

Stridor

A

Upper airway noise; common sign in croup

93
Q

Tachypnea

A

Increased respiratory rate

94
Q

Wheezing

A

High pitches sound heard in the lungs with asthmatics or lung disease

95
Q

Emesis

A

Vomiting

96
Q

Hematemesis

A

Gross amounts of blood in the vomit

97
Q

Heotamegaly

A

Enlarged liver

98
Q

Hernia

A

Protrusion of part of an internal organ or tissue bulges through a weak area of muscle

99
Q

Melena

A

Black tarry stool indicative of an upper GI bleed

100
Q

Peritoneal signs (Rebound, guarding, or rigidity)

A

Signs indicative of acute abdominal inflammation (peritonitis)

101
Q

C-section

A

Cesarean Section

102
Q

CVA tenderness

A

Costovertebral angle tenderness; tenderness over the kidneys

103
Q

Dysuria

A

painful urination

104
Q

Foley Catheter

A

A tube inserted through the urethra to drain urine, often left in place

105
Q

G/B/Ab

A

Gravida ( the # of times pregnant / Para (the # of live children born / Abortion (the # if failed pregnancies)

106
Q

Hematuria

A

Blood in the urine

107
Q

Intrauterine pregnancy

A

When a fertilized egg implants and starts to develop within the uterus

108
Q

Last abnormal menstrual period

A

the first day of one’s period

109
Q

Abrasion

A

scrape of the skin due to something abrasive

110
Q

Cyanosis

A

Blue color of the skin due to lack of oxygen

111
Q

Deaphoresis

A

sweating

112
Q

Ecchymosis

A

bruising

113
Q

Edema

A

swelling

114
Q

Erythema/Erythmatous

A

Red/redness

115
Q

Fluctuance

A

palpable fluid beneath the skin indicative of infection/abscess

116
Q

Laceration

A

splitting of the skin due to trauma ( a cut due to something sharp)

117
Q

Pallor

A

Pale skin typically due to anemia

118
Q

Maculopapular rash

A

rash that is both red and raised

119
Q

Purulence?purulent

A

Pus/pus like

120
Q

Urticarial rash/wheals

A

A patchy red, raised rash, consistent with an allergic reaction

121
Q

Aphasic

A

Absence of the ability to neurologically generate or understand language. Either inability to create words or inability to understand spoken words

122
Q

Epilepsy

A

Seizure disorder

123
Q

Hemiparesis

A

weakness in half of the body

124
Q

Hemiplegia

A

Paralysis of one half of the body

125
Q

Loss of consciousness

A

passing out

126
Q

Meningitis

A

infection of the meninges, the outer lining of the brain and spinal cord

127
Q

DTRs

A

deep tendon reflexes

128
Q

Oriented x3

A

Oriented to person, place, and time

129
Q

Syncope

A

“passing out”, loss of consciousness or fainting

130
Q

Vertigo

A

room-spinning dizziness (not light headed)

131
Q

Acute

A

New onset, likely concerning, opposite of chronic

132
Q

Chronic

A

long-standing, constant, opposite of acute

133
Q

Benign

A

Normal, or no danger to health

134
Q

-ectomy (suffix)

A

surgical removal

135
Q

-itis (suffix)

A

inflammation

136
Q

-scopy (suffix)

A

viewing with a scope

Scribe America (4 decks)

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