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For scribe test > Class 1: Medical Vocabulary > Flashcards

Class 1: Medical Vocabulary Flashcards

1
Q

Anatomical Position

A

To stand erect with arms at the sides and palms of the hands turned forward

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2
Q

Epigastric

A

Upper central region of the abdomen

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3
Q

Fontanel

A

Anatomical feature of an infant’s skull, the “soft-spot”

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4
Q

Palmar or Volar

A

Palm side of hand or body

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5
Q

Plantar

A

Sole of foot

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6
Q

Prone

A

Body position lying face down with forearms and hands turned palm side down

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7
Q

Suprapubic

A

Lower central region on the abdomen

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8
Q

T-spine

A

Thoracic spine (T1-T12)

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9
Q

Acute on chronic

A

New exacerbation of a chronic condition

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10
Q

Fluctuating

A

Symptoms that are always present but changing in severity, never fully resolving

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11
Q

Intermittent

A

Symptoms that completely resolve at times, but continue to return repeatedly

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12
Q

Paroxysmal

A

Occasional, sporadic, transient

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13
Q

Transient

A

Resolving spontaneously after onset

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14
Q

Family History (FHx)

A

A part of the medical chart that lists diseases and health conditions in your family that may put the patient at an increased risk of also having

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15
Q

Health Insurance Portability and
Accountability Act (HIPAA)

A

Federal law that provides national standards to protect sensitive patient health information from being disclosed without the patient’s consent or knowledge

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16
Q

History of present illness (HPI)

A

A part of the medical chart describing the development of the illness

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17
Q

Review of System (ROS)

A

A part of the medical chart that is a checklist of the symptoms the patient has or does
not have. The symptoms are grouped by body system (cardiovascular, skin, etc)

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18
Q

Social History (SHx)

A

A part of the chart addresses substance use, occupation, diet exercise, living situation,
marital status, etc.

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19
Q

Abscess

A

A collection of pus beneath the skin

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20
Q

Appendicitis

A

Dangerous infection of the appendix

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21
Q

Arthritis

A

Inflammation of the joints

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22
Q

Atrial fibrillation (A fib)

A

Irregular and often very rapid heart rhythm (arrhythmia)

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23
Q

Bell’s Palsy

A

A localized facial nerve dysfunction that causes facial droop and numbness

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24
Q

Bronchitis

A

Inflammation/Infection of the bronchi (upper airway)

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25
Q

Cellulitis

A

Infection of skin cells

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26
Q

Cerebrovascular accident (CVA)

A

Stroke. Blood supply to the brain is restricted or absent due to hemorrhage or occlusion of a vessel resulting in neurological damage and dysfunction

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27
Q

Cholelithiasis

A

Production of gallstones

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28
Q

Chronic obstructive pulmonary
disease (COPD)

A

Chronic inflammatory lung disease that causes obstructed airflow from the lungs

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29
Q

Chronic renal failure (CRF)

A

Decrease in the kidneys’ ability to filter waste and fluid from the blood

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30
Q

Cirrhosis

A

Inflammation of an organ by degenerative changes, especially of the liver

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31
Q

Congestive heart failure (CHF)

A

Serious condition in which the heart doesn’t pump blood as efficiently as it should

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32
Q

Conjunctivitis

A

Infection of the outer layer of the eye

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33
Q

Coronary artery bypass graft
(CABG)

A

Procedure used to treat coronary artery disease

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34
Q

Coronary artery disease (CAD)

A

Buildup of plaque in the arteries that supply oxygen-rich blood to your heart

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35
Q

Costochondritis

A

Inflammation of the rib cartilage

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36
Q

Croup

A

Viral infection of the upper airway with a barking cough and often stridor

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37
Q

Deep venous thrombosis (DVT)

A

blood clot forms in a vein located deep inside your body, typically in the leg

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38
Q

Dermatitis

A

Inflammation of the skin

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39
Q

Diverticulitis

A

Acute inflammation of the diverticula pouches

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40
Q

Ectopic pregnancy Egg developing outside the uterus extremely dangerous due to risk of rupture

A

Egg developing outside the uterus extremely dangerous due to risk of rupture

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41
Q

Endometriosis

A

Presence of functioning endometrial tissue outside of the uterus

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42
Q

Gastroenteritis

A

General term for inflammation of the GI tract

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43
Q

Gastroesophageal reflux
disease (GERD)

A

Digestive disorder that occurs when acidic stomach juices, or food and fluids back up from the stomach into the esophagus

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44
Q

Gout

A

Type of arthritis; diagnosed by ordering a uric acid level

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45
Q

Hepatitis

A

nflammation of the liver

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46
Q

Hyperglycemia

A

High blood sugar due to diabetes

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47
Q

Hyperlipidemia (HLD)

A

High cholesterol

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48
Q

Hypertension (HTN)

A

High blood pressure (typically >140/90)

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49
Q

Hypoglycemia

A

Low blood-sugar

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50
Q

Hypotension Low blood pressure (typically <100/65)

A

Low blood pressure (typically <100/65)

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51
Q

Insulin dependent diabetes
mellitus (IDDM)

A

Diabetes requiring the use of insulin injections

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52
Q

Lymphangitis

A

Inflammation of a lymphatic vessel; appears as red streaking

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53
Q

Multiple sclerosis

A

Autoimmune disease affecting the brain and spinal cord

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54
Q

Myocardial infarction (MI)

A

Death of cardiac muscle due to prolonged ischemia (Heart attack)

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55
Q

Nephrolithiasis / Renal calculi

A

Kidney stone

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56
Q

Non-insulin dependent diabetes
mellitus (NIDDM)

A

Diabetes not requiring the use of insulin injections

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57
Q

Otitis externa

A

Infection of the outer ear (ear canal)

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58
Q

Otitis media (OM)

A

Infection inner ear (behind the eardrum)

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59
Q

Pancreatitis

A

Inflammation of the pancreas

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60
Q

Pelvic inflammatory disease (PID)

A

Inflammation of a woman’s reproductive organs

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61
Q

Peptic ulcer disease (PUD)

A

Ulcers developing in the stomach causing pain and emesis

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62
Q

Pericarditis

A

Inflammation of the pericardium

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63
Q

Peripheral vascular disease (PVD)

A

Blood circulation disorder that causes the blood vessels (excluding the heart and brain) to narrow, block, or spasm

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64
Q

Pharyngitis

A

Throat infection

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65
Q

Pneumonia

A

Infiltrate (infection) inside the lung tissue

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66
Q

Pneumothorax

A

Presence of air or gas in the pleural space; collapsed lung

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67
Q

Psoriasis

A

Autoimmune skin disease. dry, scaly, red, itchy patches of skin

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68
Q

Pulmonary Embolism

A

Blockage of the pulmonary artery or one of its branches due to a translocated clot

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69
Q

Pyelonephritis

A

Infection on the kidneys

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70
Q

Sciatica

A

Compression of sciatic nerve causing back pain with radiation to posterior leg

71
Q

Sepsis

A

Dangerous infection of the blood

72
Q

Sinusitis

A

Infection/inflammation of the sinuses

73
Q

Transient ischemic attack (TIA)

A

Transient “mini-stroke”, neurological function is regained completely with time

74
Q

Upper respiratory infection (URI)

A

Contagious infection of the upper respiratory tract (sinuses, throat, lungs or airways)

75
Q

Urinary tract infection (UTI)

A

Infection in any part of the urinary system — kidneys, ureters, bladder and urethra

76
Q

IM

A

intramuscular (with respect to injections)

77
Q

NKDA

A

No Known Drug Allergies

78
Q

NSAID

A

Non Steroidal Anti-Inflammatory Drug (e.g. Ibuprofen, Motrin, etc)

79
Q

Afebrile

A

Without fever

80
Q

Ambulatory

A

Able to move about, not confined to a bed

81
Q

Cachectic

A

Extremely skinny, bony, malnourished

82
Q

Constitutional

A

The general appearance and nature of a patient

83
Q

Distress

A

A patient’s inability to tolerate their body-state, due to pain or respiratory failure. No Acute Distress (NAD) is commonly written if a patient looks comfortable.

84
Q

Febrile

A

Elevated body temperature, fever, indicative of infection

85
Q

Lethargic

A

Septic, very sick, about to die

86
Q

Malaise

A

Generalized discomfort or weakness

87
Q

Non-toxic

A

Appearing stable and at no risk of deterioration

88
Q

Somnolent

A

Appearing drowsy

89
Q

Unkempt

A

Poor self hygiene

90
Q

Well developed

A

Normal state of mental and body development

91
Q

Cerumen

A

Earwax

92
Q

Dentition

A

Teeth

93
Q

Dry mucosa

A

Dry tongue, mouth, and lips, indicating significant dehydration

94
Q

Edentulous

A

Without teeth

95
Q

Epistaxis

A

Nose bleed

96
Q

Gingiva

A

Gums

97
Q

Nare

A

Nostril

98
Q

Oropharynx

A

The back of the mouth, where it meets the throat

99
Q

Otalgia

A

Ear ache

100
Q

Pharyngeal erythema

A

Redness of the pharynx, indicating a throat infection

101
Q

Tinnitus

A

“Ringing in the ears”, the perception of ringing even with no external stimuli

102
Q

TM erythema

A

Redness of the TM, often indicative of infection

103
Q

Tonsillar exudate

A

Pus on the tonsils, indicating infection of the tonsils

104
Q

Tonsillectomy &
Adenoidectomy (T&A)

A

Tonsils and adenoids removal surgery

105
Q

Tympanic membrane (TM)

A

Tympanic membrane, the clear membrane inside the ear; (ear drum)

106
Q

Carotid bruit

A

Whooshing blood flow heard with auscultation (carotid narrowing or plaque)

107
Q

Lymphadenopathy

A

Enlarged lymph nodes

108
Q

Meningismus

A

Stiff neck/Signs of meningitis

109
Q

Supple

A

Flexible, not-stiff

110
Q

Thyromegaly

A

Enlarged thyroid

111
Q

Jugular vein distention (JVD)

A

Jugular vein distention, sign of heart dysfunction

112
Q

Aneurysm

A

Localized ballooning of a vessel due to a weakened vessel wall

113
Q

Arrhythmia

A

Irregular heartbeat

114
Q

Artery

A

Blood vessel carrying blood away from the heart, muscular, contractile

115
Q

Bradycardia

A

Slow heart rate (HR<60)

116
Q

Cardiomegaly

A

Enlarged heart

117
Q

Coronary artery

A

Artery that supplies the heart with blood

118
Q

Dorsalis pedis pulse

A

Pulse that is palpable on the dorsum (top) of the foot

119
Q

Murmur

A

Abnormal heart sound rated on 1-6 scale

120
Q

Normal sinus rhythm (NSR)

A

The rhythm of a healthy heart

121
Q

Palpitation

A

To beat rapidly, irregularly, or forcibly (usually relating to the heart)

122
Q

Pulse exam

A

Carotid, brachial, radial, femoral, popliteal, dorsalis pedis (DP) or posterior tibia (PT)

123
Q

Regular rate and rhythm (RRR)

A

Normal heart sounds with a regular rate (60-100 bpm)

124
Q

Stenosis

A

Narrowing of a body opening or passage

125
Q

Tachycardia

A

Fast heart rate (HR>100 bpm)

126
Q

Thrombus

A

Blood clot or blockage

127
Q

Vein

A

Vessel carrying blood towards the heart, soft, compressible

128
Q

Bradypnea

A

Decreased respiratory rate

129
Q

Clear to auscultation (CTA)

A

No abnormal sounds when listening to the lungs with a stethoscope

130
Q

Dyspnea

A

Difficulty/labored breathing, shortness of breath

131
Q

Dyspnea on exertion (DOE)

A

Feeling short of breath during very light exercise (e.g. walking)

132
Q

Hemoptysis

A

Coughing up gross amounts of blood

133
Q

Hypoxia

A

Low oxygen saturation of the body, not enough oxygen in the blood

134
Q

Pleurisy

A

General term for pain with breathing

135
Q

Rales

A

Crackles; Wet crackling heard in the lungs, typically due to pneumonia or CHF

136
Q

Rhonchi

A

Sound of mucous rolling around in the bronchioles/bronchi

137
Q

Sputum

A

Any mixed matter with the saliva that is passed through the mouth

138
Q

Stridor

A

Upper airway noise; common sign in croup

139
Q

Tachypnea

A

Increased respiratory rate

140
Q

Wheezing

A

High pitched sound heard in the lungs with asthmatics or lung disease

141
Q

Dyspepsia

A

Indigestion

142
Q

Dysphagia

A

Difficulty swallowing

143
Q

Emesis

A

Vomiting

144
Q

Hematemesis

A

Gross amounts of blood in the vomit

145
Q

Hematochezia

A

Bright red blood in the stool

146
Q

Hepatomegaly

A

Enlarged liver

147
Q

Hernia

A

Protrusion of part of an internal organ or tissue bulges through a weak area of muscle

148
Q

McBurney’s point

A

RLQ point tenderness indicative of appendicitis

149
Q

Melena

A

Black tarry stool indicative of an upper GI bleed

150
Q

Murphy’s sign

A

Pain with palpation of the RUQ during a deep breath, indicative of cholecystitis

151
Q

N/V/D

A

Nausea/Vomiting/Diarrhea

152
Q

Organomegaly

A

Enlarged organ

153
Q

Peritoneal signs (Rebound,
guarding, or rigidity )

A

Signs indicative of acute abdominal inflammation (peritonitis)

154
Q

Splenomegaly

A

Enlarged spleen

155
Q

Adnexal tenderness

A

Tenderness of the ovaries during the pelvic exam indicative of ovarian cyst or torsion

156
Q

Cervical os

A

The opening of the cervix; always will be closed unless passing tissue from the cervix

157
Q

CVA tenderness

A

Costovertebral Angle tenderness; tenderness over the kidney’s

158
Q

Dysmenorrhea

A

Painful menstruation

159
Q

Foley catheter

A

A tube inserted through the urethra to drain urine, often left in place

160
Q

Frequency

A

Urinating often

161
Q

G / P / Ab

A

Gravida (The # of times pregnant / Para (The # of live children born) / Abortion (The # of failed pregnancies)

162
Q

Gravid

A

The state of being pregnant; appearing pregnant

163
Q

Hematuria

A

Blood in the urine

164
Q

Intrauterine pregnancy (IUP)

A

When a fertilized egg implants and starts to develop within the uterus, where it is
supposed to be

165
Q

Last normal menstrual period
(LNMP)

A

The first day of one’s period

166
Q

OB/GYN

A

Obstetrics and gynecology

167
Q

Spotting

A

Passing very small amounts of blood from the vagina

168
Q

Urgency

A

Abrupt onset of urge to urinate

169
Q

Arthralgias

A

Joint aches

170
Q

Atrophic

A

Showing signs of tissue degradation or breakdown

171
Q

Bony tenderness

A

Tenderness of the bone indicative of a fracture

172
Q

Deformity

A

Visual abnormality of a bone or anatomical structure

173
Q

Dislocation

A

Disconnected joint; complete misalignment of the joint

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