Charting Terms Flashcards
Large and extended outward (Abdomen)
Protuberant, distended
Hard, board like (Abdomen)
Hard, rigid, distended, tympanic, taut
Soft, Flabby (Abdomen)
Relaxed, flaccid
Swollen, rounded (Abdomen)
Distended, edematous
filled with gas
tympanic, flatulent
hangs down
pendulous
large amount 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
fetid
with sweet fruit like odor
fruity or sweet
urinous odor (breath)
odor of ammonia
breathing
respiration
difficult breathing
dyspnea
short periods when breathing has ceased
apnea
inability to breathe while lying down
orthopbea
rapid breathing
hyperpnea
increasing dyspnea with periods of apena
Cheyne-Stokes respirations
alert, fully conscious, oriented to date, time, place
alert, fully, conscious
only partly conscious
semi-conscious
unconscious, but can be aroused
stuporous
unconscious, but cannot be aroused
comatose
types of cough
continuous, persistent, productive, nonproductive dry, hacking
occurring in spasm
spasmodic
coughing up or expectoration of blood
hemoptysis
dead tissue
tissue necrosis, necrotic
frequent liquid defecation
diarrhea
frequent liquid defecation
diarrhea
color of stool
clay, dark brown, black, mustard, yellow, green, tarry, streaked with blood
constituents of stool
liquid, soft, or hard formed, watery, semi formed, constipated , undigested foods, mucoid
containing pus
purulent
bloody (Drainage)
sanguineous
of lymphatic fluid
serous
contains mucus and pus
mucopurulent
tough, sticky
tenacious
bloody, lymphatic (Drainage)
serosanguinous
indented 2mm
1+ edema
indented 4mm
2+ edema
indented 6mm
3+ edema
indented 8mm
4+ edema
produced by conscious effort of patient
induced
ejected a few feet of distance
projectile
if blood is noticeable (vomit)
hematemesis
sharpness of vision
visual acuity
yellow in color
jaundiced
puffy, swollen
edematous
drooping of eyelid
ptosis of lids
unusally sensitive to light
photophobia
double vision
doplopia
cross eye, squinting
strabismus
abnormal protrusion of eyeball
exophthalmos
inflammation of conjunctiva
conjuctivitis
Dilatation of pupil
mydriasis, pupil dilated
Contraction of pupil
Myosis, pupil constricted, pin point
near-sightedness
myopia
far-sightness
hyperopia
fainting
syncope
without fever
afebrile
temperature above normal
pyrexia
temperature greatly above normal
hyperpyrexia
forehead
frontal region
region 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
hive
urticaria
itching
pruritus
bending
flexion
to straighten (ROM)
extension
revolve
rotation
move away from median line
abduction
move toward median line
adduction
blue in color
cyanotic
by mouth
orally
by rectum
rectally
breathing in
inhalation
rubbing into skin
topically
under the skin
subacutaneous
within the skin
intradermal
within the muscle
intramuscular
within the spinal canal
intraspinal, intraecal
within the vein
intravenous
pouring into body cavity
instillation
if present when admitted (menstruation)
menses present
painful (menstruation)
dysmenorrhea
total absence of (menstruation)
amenorrhea
profuse or prolonged flow (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 four extremities &usually the trunk
quadriplegia
large amount of profusing perspiration
diaphoresis, diaphorectic
number of beats per minutes
rate
Types of heart rhythms
regular, irregular, coupling, galloping
beats missed at interval
intermittent
> 100bpm
rapid, fast, tachycardia
slow in rate <50 bpm
slow bradycardia
only scarcely perceptible
thready, weak
pulseless
imperceptible, absent
normal skin
healthy, normal for race
blue in color
cyanotic, mottled
very white
extreme pallor, ashen
redness
erythema
shines
glossy
raw surface
excoriation
yellow in color
jaundiced
containing colored areas
pigmented
scaped
abraded, denuded
cold and moist
clammy
not understandable
incoherent
meaningless, wondering
rambling
words run together
slurring
difficulty speaking
dysphasia
unable to speak
asphasia
difficulty swallowing
dsyphagia
inability to swallow
aphagia
other descriptive terms (throat)
red, swollen, inflammed, ulcerated
descriptive terms (tongue)
Pink, moist, dry, cracked, swollen, coated, inflammed, ulcerate
to urinate
voiding, micturate
no contol over urination
incontinence
large amount of urine voided
diuresis
total suppression of urine
anuria
frequent viodinging at night
nocturia
increased amount voided
polyuria
painful urination
dysuria
pus in urine
pyuira
blood in urine
hematuria
scantiness of urine
oliguria
sugar in urine
glycosuria
overweight
obese
abnormal thinness (weight)
wasting, emaciated
very underweight
cachectic
discharging pus (wound)
suppurating, purulent
black or gray necrotic tissue
Eschar
Wound drainage
Exudate
