All Charting Terms - Front and Back Flashcards
Learn/Review Common Charting Terms (Front and Back Sides)
abdomen large and extends outward
protuberant, distended
hard, board like abdomen
hard, rigid, distended, tympanic, taut
soft, flabby abdomen
relaxed, flaccid
swollen, rounded abdomen
distended, edematous
abdomen filled with gas
tympanic, flatulent
abdomen hangs down
pendulous
large amounts of drainage
profuse, copious
medium amount of drainage
moderate
small amount of drainage
scant
loss of appetite
anorexia
Hunchback
kyphosis
small of back
lumbar region
swayback
lordosis
nose bleed
epistaxis
blood in urine
hematuria
spitting up of blood
hemoptysis
positive blood in stool
Guaiac positive
unpleasant breath
halitosis
foul breath
fetid
breath with sweet fruit-like odor
fruity, sweet
breath with urinous odor
odor of ammonia
breathing
respiration
difficult breathing
dyspnea
short periods when breathing has ceased
apnea
inability to breathe while lying down
orthopnea
rapid breathing
hyperpnea
increasing dyspnea with period of apnea
Cheyne-Stokes respirations
Awake and responsive
alert, fully conscious
only partly conscious
semi-conscious
unconscious, but can be aroused
stuporous
unconscious, cannot be aroused
comatose
ways to describe a cough
continuous, persistent, productive, nonproductive, dry, hacking
cough occurring in spasms
spasmodic
coughing up or expectoration of blood
hemoptysis
dead tissue
tissue necrosis, necrotic
frequent liquid defecation
diarrhea
Ways to describe color of stool
clay or dark brown, black, mustard, yellow, green, tarry, streaked with blood
ways to describe constituents of stool
liquid, soft or hard formed, watery, semi-formed, constipated, undigested foods, mucoid
drainage containing pus
purulent
bloody drainage
sanguineous
drainage of lymphatic fluid
serous
drainage contains mucus and pus
mucopurulent
tough, sticky drainage
tenacious
bloody, lymphatic (serous) drainage
serosanguinous
Swelling in extremities, after depressing for 5 seconds: indented 2 mm
1+ edema
Swelling in extremities, after depressing for 5 seconds: indented 4 mm
2+ edema
Swelling in extremities, after depressing for 5 seconds: indented 6 mm
3+ edema
Swelling in extremities, after depressing for 5 seconds: indented 8 mm
4+ edema
vomit produced by conscious effort of patient
induced emesis
vomit ejected a few feet distance
projectile emesis
vomit with noticeable blood
hematemesis
sharpness of vision
visual acuity
eyes yellow in color
jaundiced
eyes puffy, swollen
edematous
drooping eyelids
ptosis of lids
eyes unusually sensitive to light
photophobia
double vision
diplopia
cross eye, squinting
strabismus
abnormal protrusion of eyeball
exophthalmos
inflammation of conjunctiva
conjunctivitis
dilation of the pupil
mydriasis, pupil dilated
contraction of the pupil
myosis, pupil constricted, pin point
near-sightedness
myopia
far-sightedness
hyperopia
fainting
syncope
without fever
afebrile
temperature above normal
pyrexia
temperature greatly above normal
hyperpyrexia
forehead
frontal region
region of head over temple
temporal region
back of head
occipital region
base of skull
basilar region
having a large head
macrocephaly, hydrocephalus
having a small head
microcephalus
top of head
parietal (right or left)
hives
urticaria
itching
pruritus
bending joints
flexion
to straighten joints
extension
revolve around
rotation
move away from median line
abduction
move toward median line
adduction
lips blue in color
cyanotic
medicine administration by mouth
orally
medicine administration by rectum
rectally
medicine administration breathing in
inhalation
medicine administration rubbing into skin
topically
medicine administration under the skin
subcutaneous
medicine administration within the skin
intradermal
medicine administration within the muscle
intramuscular
medicine administration within the spinal canal
intraspinal, intrathecal
medicine administration within the vein
intravenous
medicine administration pouring into body cavity
instillation
menstruation if present when admitted
menses present
painful menstruation
dysmenorrhea
total absence of menstruation
amenorrhea
profuse or prolonged flow of menstruation
menorrhagia
cessation of menstruation
menopause
very unpleasant odor
offensive, foul
paralysis of the muscles of the face
facial
paralysis of the legs
paraplegia
paralysis of one side of the body
hemiplegia
paralysis of a single limb
monoplegia
paralysis of all 4 extremities and usually the trunk
quadriplegia
large amount of profuse perspiration
diaphoresis, diaphoretic
flat on back, arms straight at sides
supine
on side, knees flexed
lateral
on left side, left arm behind back, left leg slightly flexed, right leg greatly flexed
Sim’s (left or right)
head of bed semi-erect
Semi-Fowler’s 40-45° - modified, knees and legs not flexed
on back, buttocks near edge of table, knees well flexed and separated
lithotomy
resting on knees and chest
knee-chest
on back, pelvis and legs higher than head
Trendelenburg
on abdomen, face turned to one side
prone
prone with hips over break in table and feet below level of head
jackknife
pulse number of beats per minute
rate
describe various pulse rhythms
regular or irregular, coupling, galloping
pulse beasts missed at intervals
intermittent
pulse > 100 beats per minute
rapid, fast, tachycardia
pulse slow in rate, < 50 bpm
slow, bradycardia
pulse only scarcely perceptible
thready, weak
pulseless
imperceptible, absent
pulse absent, not palpable, inaudible with Doppler
pulse strength: 0
pulse diminished but palpable
pulse strength: 1+
expected/normal pulse
pulse strength: 2+
strong/full pulse
pulse strength: 3+
bounding pulse, can’t be obliterated
pulse strength: 4+
skin normal
healthy, normal for race
skin blue in color
cyanotic, mottled
skin very white
extreme pallor, ashen
