CHAPTER 4: HEALTH CARE CONNECTION Flashcards
is used to code and classify diagnoses and mortality data from death certificates.
ICD - International Classification of Diseases
are numbers assigned to every service provided to the patient, including medical, surgical, and diagnostic services.
CPT Codes - Current Procedural Terminology
the codes are used on insurance forms by insurers to determine the amount of reimbursement and are maintained by the___________
AMA- American Medical Association
is the identification of a disease or condition by a scientific evaluation physical signs, symptom, history, test, and procedures.
diagnosis
means the predicted outocome of a disease
prognosis
means having a short relatively severe course
acute
opposite of acute. meaning that the disease exists over a long time.
chronic
are objective, or definite evidence of an illness or disordered function that are perceived by an examiner, such as fever, a rash, or evidence established by radiologic or laboratory testing.
signs
are subjective evidence as perceived by the patient, such as pain
symptoms
studies which are relate to the use of radiation
radiologic
a sample or part taken from the body to represent the nature of the whole is called ____
specimen
is the rhythmic expansion of an artery that occurs as the heart beats.
pulse
refers either to the exchange of oxygen and carbon dioxide within the body, or to breathing
respiration
is the number of breaths per minute.
respiration rate
are instrument used to measusre temperature
thermometer
has a specially designed probe tip that is placed at the external opening of the ear canal.
tympanic thermometer
is the pressure exerted by the circulating volume of blood on the walls of the arteries and veins and on the chambers of the heart.
blood pressure
indirect measure of blood is made with a _____.
stethoscope and blood pressure cuff
the higher reading
systolic pressure
the lower reading
diastolic pressure
the examiner uses the eyes and ears to observe and listen to the patient. Could reveal superficial abnormalities, such as a rash.
inspection
the examiner feels the texture, size, consistency, and location of certain body parts with the hands. sometimes reveals deep abnormalities, such as enlarged liver.
palpation
the examiner taps the body with the finger tips of fist to evaluate the size, borders, and consistency of internal organs and to determine the amount fluid in a body cavity.
percussion
the examiner listen for sounds within the body to evaluate the heart, blood vessels, lungs, intestines, or other organs, or to detect the fetal heart sound. Performed most frequently with stethoscope.
auscultation
is an instrument consisting of two earpieces connected by flexible tubing; the diaphragm is placed against the patient’s skin to hear sounds within the body.
stethoscope
is an illuminated instrument for the visualization of th einterior of a body cavity or organ.
endoscope
the visual inspection of the body by means of an endosope
endoscopy
means pertaining to endoscopy or performed using endoscope.
endoscopic
is a hollow flexible tube that can be inserted into a cavity of the body withdraw or instill fluids, perform tests, or visualize a vessel or cavity.
catheter