Chp 2 Flashcards

1
Q

Acute

A

It just started recently or is a sharp, severe symptom

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2
Q

Chronic

A

It has been going on for a while now

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3
Q

Exacerbation

A

It is 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

To 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

Lethargic

A

A decrease in level of consciousness; in a medical record, this is generally an indication that the patient is really sick

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12
Q

Genetic/hereditary

A

It runs in the family

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13
Q

Alert

A

Able to answer questions; responsive; interactive

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14
Q

Oriented

A

Being aware of who he or she is, where he or she is, and the current time; a patient who is aware of all three Is “_______ 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 to the resulting sound or feel for the resulting vibration

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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 the symptoms exhibited and the results of the 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 discussing cancer; remission does not mean cure

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27
Q

Idiopathic

A

No known specific cause; It just happens

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28
Q

Localized

A

Says in a certain part of the body

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29
Q

Systemic/Generalized

A

All over the body

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30
Q

Prognosis

A

The chances for things getting better or worse

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31
Q

Occult

A

Hidden

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32
Q

Lesion

A

Diseased tissue

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33
Q

Recurrent

A

To have again

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34
Q

Sequela

A

A problem resulting from a disease or injury

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35
Q

Pending

A

Waiting for

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36
Q

Pathogen

A

The organism that causes the problem

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37
Q

Morbidity

A

The risk for being sick

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38
Q

Mortality

A

The risk for dying

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39
Q

Etiology

A

The cause

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40
Q

Disposition

A

What happened to the patient at the end of the visit; often used at the end of ED notes to reference where the patient went after the visit

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41
Q

Discharge

A

Two meanings: to send home OR fluid coming out of a part of the body

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42
Q

Palliative

A

Treating the symptoms, but not getting rid of the cause

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43
Q

Observation

A

watch, keep an eye on

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44
Q

Reassurance

A

to tell the patient that the problem is not serious or dangerous

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45
Q

Supportive care

A

to treat the symptoms and make the patient feel better

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46
Q

Sterile

A

Extremely clean, germ-free conditions; especially important during medical procedures and surgery

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47
Q

Prophylaxis

A

Preventative treatment

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48
Q

Proximal

A

closer in to the center

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49
Q

Distal

A

farther away from the center

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50
Q

Lateral

A

out to the side

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51
Q

Medial

A

toward the middle

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52
Q

Ventral/Antral/Anterior

A

the front

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53
Q

Dorsal/Posterior

A

The back

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54
Q

Cranial

A

Toward the top

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55
Q

Caudal

A

Toward the bottom

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56
Q

Superior

A

above

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57
Q

Inferior

A

Below

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58
Q

Prone

A

Lying down on belly

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59
Q

Supine

A

Lying down on back

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60
Q

Contralateral

A

Opposite side

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61
Q

Ipsilateral

A

Same side

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62
Q

Unilateral

A

one side

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63
Q

Bilateral

A

both sides

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64
Q

dorsum

A

the top of the hand or foot

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65
Q

plantar

A

the sole of the foot

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66
Q

palmar

A

the palm of the hand

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67
Q

Sagittal

A

divides the body into right and left

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68
Q

Coronal

A

divided the body into front and back

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69
Q

Transverse

A

divides the body into top and bottom

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70
Q

Physician

A

a skilled health care provider

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71
Q

Pediatrician

A

a physician with special training in caring for children

72
Q

surgeon

A

a physician qualified to treat patients surgically

73
Q

Anesthesiologist

A

a physician with special training in pains sedation and pain control

74
Q

epidemiologist

A

a specialist in the study of the causes and distribution of diseases in populations

75
Q

physician assistant

A

a midlevel health care provider who works under th license of a supervising physician

76
Q

nurse practitioner (NP)

A

a nurse with postgraduate training that serves as a midlevel health care provider

77
Q

Emergency medical technician (EMT)

A

specially trained in the emergency care of a patient before and/or during transport to medical facility

78
Q

Speech therapist

A

specially trained in evaluation and treating problems with speech and/or swallowing

79
Q

Occupational therapist

A

specially trained in evaluating and treating problems with performing daily task

80
Q

Physical Therapist

A

specially trained in evaluating and treating physical impairments including disabilities or recovery from an injury

81
Q

Respiratory therapist

A

specially trained in treating patient’s respiratory issues under the guidance of a health care provider

82
Q

Dietician

A

specially trained in evaluating the nutritional status of a patient and developing an appropriate diet plan

83
Q

Licensed practical nurse (LPN)/Licensed vocational nurse (LVN)

A

Trained and certified to provide basic care to a patient

84
Q

Register nurse

A

an advanced level nurse who has completed an associate’s or bachelor’s degree; often assists with patient care planning and patient education

85
Q

Medical assistant

A

Trained to carry out basic administrative and clinical tasks under the guidance of a health care provider

86
Q

Pathologist

A

a physician with special training in both evaluating the causes and effects of disease and in laboratory medicine

87
Q

Medical laboratory technician

A

trained in performing laboratory testing on bodily fluids

88
Q

Phlebotomist

A

trained in the removal of blood from the body for diagnostic or therapeutic purposes

89
Q

Radiologist

A

A physician specially trained in evaluating images of the body to diagnose illness or injury

90
Q

Radiology Technician

A

trained to perform radiologic testing or administer radiation therapy under the direction of a health care provider

91
Q

Ultrasonographer

A

Trained in performing ultrasound imaging on a patient

92
Q

Pharmacist

A

trained and licensed in preparing and dispensing medicine

93
Q

Pharmacy technician

A

trained to assist a pharmacist with pharmacy-related tasks

94
Q

Patient service coordinator

A

Handles administrative tasks and coordinates patient care

95
Q

Medical transcriiptionist

A

Trained in converting the voice-recorded dictations of health care providers into text format

96
Q

Chief Complaint

A

the main reason for the patient’s visit

97
Q

History of present illness

A

the story of the patient’s problem

98
Q

Review of Systems

A

Description of individual body systems in order to discover any symptoms not directly related to the main problem

99
Q

Past Medical History

A

Other significant past illnesses, like high blood pressure, asthma, or diabetes

100
Q

Past surgical history

A

Any of the patient’s past surgeries

101
Q

Family History

A

Any significant illnesses that run in the patient’s family

102
Q

Social history

A

A record of habits like smoking, drinking, drug abuse, and sexual practices that can impact health

103
Q

CCU

A

Coronary care unit

104
Q

ECU

A

emergency care unit

105
Q

ER

A

emergency room

106
Q

ED

A

emergency department

107
Q

ICU

A

intensive care unit

108
Q

PICU

A

pediatric intensive care unit

109
Q

NICU

A

neonatal intensive care unit

110
Q

SICU

A

surgical intensive care unit

111
Q

L&D

A

Labor and delivery

112
Q

OR

A

Operating Room

113
Q

Post-Op

A

After surgery

114
Q

Pre-op

A

Before surgery

115
Q

R

A

right

116
Q

L

A

left

117
Q

B

A

bilateral

118
Q

VS

A

vital signs

119
Q

T

A

temperature

120
Q

BP

A

Blood pressure

121
Q

HR

A

Heart Rate

122
Q

RR

A

Respiratory rate

123
Q

Ht

A

height

124
Q

Wt

A

Weight

125
Q

BMI

A

Body Mass Index

126
Q

I/O

A

Intake/Output

127
Q

Dx

A

Diagnosis

128
Q

DDx

A

Differential Diagnosis

129
Q

Tx

A

Treatment

130
Q

Rx

A

Prescription

131
Q

H&P

A

History and physical

132
Q

Hx

A

History

133
Q

CC

A

Chief Complaint

134
Q

HPI

A

History of present illness

135
Q

ROS

A

Review of systems

136
Q

PMHx

A

Past medical history

137
Q

FHx

A

Family history

138
Q

NKDA

A

no known drug allergies

139
Q

PE

A

physical exams

140
Q

Pt

A

Patient

141
Q

y/o

A

years old

142
Q

h/o

A

history of

143
Q

PCP

A

Primary care provider

144
Q

f/u

A

follow up

145
Q

SOB

A

shortness of breath

146
Q

SOA

A

shortness of air

147
Q

HEENT

A

head, eyes, ears, nose, and throat

148
Q

PERRLA

A

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

149
Q

NAD

A

No acute distress

150
Q

CV

A

cardiovascular

151
Q

RRR

A

regulate rate and rhythm

152
Q

CTA

A

clear to auscultation (normal-sounding lungs)

153
Q

WDWN

A

well-developed, well nourished

154
Q

A&O

A

Alert and oriented

155
Q

WNL

A

within normal limits

156
Q

NOS

A

Not otherwise specified

157
Q

NEC

A

not elsewhere classified

158
Q

PO

A

Per os (by mouth)

159
Q

NPO

A

nil per os (nothing by mouth)

160
Q

PR

A

per rectum (anal)

161
Q

IM

A

intramuscular

162
Q

SC

A

subcutaneous

163
Q

IV

A

intravenous

164
Q

CVL

A

central venous line

165
Q

PICC

A

peripherally inserted central catheter

166
Q

Sig

A

“label”

167
Q

BID

A

twice daily

168
Q

TID

A

three times daily

169
Q

Q

A

every x

170
Q

QD*

A

each day

171
Q

QID

A

four times daily

172
Q

QHS

A

at night

173
Q

AC

A

before meals

174
Q

PC

A

after meals

175
Q

prn

A

as needed

176
Q

ad lib

A

as desired