Chapter 2 Flashcards

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1
Q

acute

A

Started recently, sharp, severe symptom

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2
Q

Chronic

A

been going on awhile

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3
Q

exacerbation

A

getting worse

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4
Q

abrupt

A

all of a sudden

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5
Q

febrile

A

to have a fever

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6
Q

afebrile

A

not have a fever

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7
Q

malaise

A

not feeling well

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8
Q

progressive

A

more and more each day

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9
Q

symptom

A

something a patient feels

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10
Q

noncontributory

A

not related to this specific problem

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11
Q

lethargy

A

a decrease in level of consciousnesses,in medical record this usually indicated the patient is very sick

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12
Q

genetic/ hereditary

A

runs in the family

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13
Q

alert

A

able to answer questions, responsive, active

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14
Q

oriented

A

being aware of themselves, where they are, current time
all three oriented x 3

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15
Q

marked

A

it really stands out

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16
Q

unremarkable

A

another way of saying normal

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17
Q

auscultation

A

to listen

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18
Q

percussion

A

to hit something and listen for the resulting sound

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19
Q

palpation

A

to feel

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20
Q

impression

A

another way of saying assessment

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21
Q

diagnosis

A

what the health care professional thinks the patient has

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22
Q

differential diagnosis

A

a list of conditions the patient may have based on symptoms exhibited and the results of exam

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23
Q

benign

A

safe

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24
Q

malignant

A

dangerous, a problem

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25
Q

degeneration

A

to be getting worse

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26
Q

remission

A

to get better or improve, most often used when talking about cancer

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27
Q

localized

A

stays in a certain part of the body

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28
Q

systemic/ generalized

A

all over the body

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29
Q

prognosis

A

the chances of things getting better or worse

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30
Q

occult

A

hidden

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31
Q

lesion

A

diseased tissue

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32
Q

recurrant

A

to have again

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33
Q

sequela

A

a problem resulting from injury or disease

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34
Q

pending

A

waiting on

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35
Q

pathogen

A

organism that causes the problem

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36
Q

morbidity

A

at risk for being sick

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37
Q

mortality

A

risk of dying

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38
Q

etiology

A

the cause

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39
Q

disposition

A

what happened to the patient at the end of the visit

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40
Q

discharge

A

literally to unload: has 2 meanings
1. to send home ( unload the patient)
2.Fluid coming out of the body (body unloading fluid)

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41
Q

pallative

A

treating the symptoms, but not actually getting rid of the cause

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42
Q

observation

A

watch, keep an eye out

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43
Q

reassurance

A

to tell the patient that the problem is not serious

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44
Q

supportive care

A

to treat the symptoms and make the patient feel better

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45
Q

sterile

A

extremely clean, germ free conditions

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46
Q

prophylaxis

A

preventative treatment

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47
Q

SOAP method, S is for…

A

Subjective

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48
Q

SOAP method, O is for…

A

Objective

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49
Q

SOAP method, A is for…

A

Assessment

50
Q

SOAP method, P is for…

A

Plan

51
Q

Caudal

A

Toward the bottom or tail

52
Q

Dorsum

A

top of hand or foot

53
Q

palmar

A

palm of hand

54
Q

CCU

A

coronary care unit

55
Q

ECU

A

emergency care unit

56
Q

ER

A

emergency room

57
Q

ED

A

emergency department

58
Q

ICU

A

intensive care unit

59
Q

PICU

A

pediatric intensive care unit

60
Q

NICU

A

neonatal intensive care unit

61
Q

SICU

A

surgical intensive care unit

62
Q

PACU

A

post-anesthesia care unit

63
Q

L&D

A

labor and delivery

64
Q

OR

A

operating room

65
Q

post-op

A

after surgery

66
Q

pre-op

A

before sugery

67
Q

VS

A

vital signs

68
Q

T

A

temperature

69
Q

BP

A

blood pressure

70
Q

HR

A

heart rate

71
Q

RR

A

respiratory rate

72
Q

I/O

A

Input/ output- what the patient has had to eat or drink

73
Q

Dx

A

diagnosis

74
Q

DDx

A

differential diagnosis

75
Q

Tx

A

treatment

76
Q

Rx

A

prescription

77
Q

H&P

A

history and physical

78
Q

Hx

A

history

79
Q

CC

A

chief complaint

80
Q

HPI

A

history of present illness

81
Q

ROS

A

review of symptoms

82
Q

PMHx

A

past medical history

83
Q

FHx

A

family history

84
Q

NKDA

A

no known drug allergies

85
Q

PE

A

physical exam

86
Q

Pt

A

patient

87
Q

y/o

A

years old

88
Q

h/o

A

history of

89
Q

PCP

A

primary care provider

90
Q

f/u

A

follow up

91
Q

SOB

A

shortness of breath

92
Q

HEENT

A

Head eyes ears nose throat

93
Q

PERRLA

A

pupils are equal, round, and reactive to light and accommodation

94
Q

NAD

A

no acute distress

95
Q

CV

A

cardiovascular

96
Q

RRR

A

regular rate and rhythm

97
Q

CTA

A

clear to auscultation (normal sounding lungs

98
Q

WDWN

A

well develpoed, well nourished

99
Q

A&O

A

alert and oriented

100
Q

WNL

A

within normal limits

101
Q

NOS

A

not otherwise speified

102
Q

NEC

A

not elsewhere classified

103
Q

PO

A

per os (mouth)

104
Q

NPO

A

nil per os (nothing by mouth)

105
Q

PR

A

per rectum

106
Q

IM

A

intramuscular

107
Q

SC

A

subcutaneous

108
Q

IV

A

intravenous

109
Q

CVL

A

central venous line

110
Q

PICC

A

peripherally inserted central catheter

111
Q

Sig

A

short for sigma (label), instructions

112
Q

BID

A

twice daily, bis in die- two in a day

113
Q

TID

A

thre times daily ter in die

114
Q

Q

A

every x
ie. Q4hr, every 4 hours

115
Q

QD

A

daily, quaque die

116
Q

QID

A

4 times a day, quarter in die

117
Q

QHS

A

at night, quaque hora somni

118
Q

AC

A

before meals, ante cidum

119
Q

PC

A

after meals, post cibum

120
Q

prn

A

as needed, per re nata

121
Q

ad lib

A

as desired