Basic Scribe Terminology

Question 0

Artery

Answer 0

Blood vessel carrying blood away from heart

Question 1

Anterior

Answer 1

Towards front of body

Question 2

Auscultate

Answer 2

Listen w stethoscope

Question 3

Bony tenderness

Answer 3

Pain elicited from press on bone rather than soft tissue

Question 4

Bradycardia

Answer 4

Slow hr less than 60 bpm

Question 5

Cholecystitis

Answer 5

Inflammation of gallbladder

Question 6

Coronary Artery

Answer 6

Artery supplies heart tissue w blood

Question 7

Cva

Answer 7

stroke. Hemorrhagic or ischemic

Question 8

Diffuse

Answer 8

All over

Question 9

Distal

Answer 9

Farther from trunk of body

Question 10

Focal

Answer 10

Located in one specific area (opp diffuse)

Question 11

Hemoptysis

Answer 11

Coughing up blood

Question 12

Hepatomegaly

Answer 12

Enlarged liver

Question 13

Htn

Answer 13

High blood pressure

Question 14

Hypoxia

Answer 14

Low o2 saturation of body, not enough 02 in blood

Question 15

Incontinence

Answer 15

Accidental passing of urine or bm

Question 16

Infarct

Answer 16

Area of dead tissue after lack of blood supply

Question 17

Ischemia

Answer 17

Lack of blood supply

Question 18

Lateral

Answer 18

Farther from midline (line from nose to belly)

Question 19

Myocardial infarction

Answer 19

Heart attack- death of cardiac muscle due to ischemia

Question 20

Myalgia

Answer 20

Muscular aches/pains

Question 21

Oriented x3

Answer 21

Oriented to person, place and time

Question 22

Palpitations

Answer 22

Heart racing/pounding/fluttering feeling in chest

Question 23

Pruritic

Answer 23

Itchy

Question 24

Point tenderness

Answer 24

Press to area generates pain

Question 25

Posterior/dorsal

Answer 25

Rear/backside of body

Question 26

Proximal

Answer 26

Near trunk of body

Question 27

Pulmonary embolism

Answer 27

Block of pulmonary artery due to blood clot

Question 28

Rales

Answer 28

Crackle sound in lungs

Question 29

Rhonchi

Answer 29

Rattling noise in lungs

Question 30

Soft tissue tenderness

Answer 30

Tenderness of soft tissue, muscle, skin, fat. Opp of bony tenderness

Question 31

STEMI

Answer 31

St elevated mi- active heart attack/death of tissue due to ischemia

Question 32

Superior

Answer 32

Higher to head on body

Question 33

Supine

Answer 33

Lying face up

Question 34

Tachycardia

Answer 34

Fast hr higher than 100 bpm

Question 35

Tachypnea

Answer 35

Increased breathing rate

Question 36

TIA

Answer 36

Minor stroke, neuro function regained over time

Question 37

Vein

Answer 37

Blood vessel carrying blood to heart

Question 38

Wheezing

Answer 38

High pitched sound from lungs w asthmatics or pts w lung dz