Course 1 Flashcards
1
Q
High blood pressure is the laymen’s term for what? the acronym?
A
Hypertension (HTN)
2
Q
High cholesterol is the laymen’s term for what? the acronym?
A
Hyperlipidemia (HDL)
3
Q
Diabetes is the laymen’s term for what? the acronym?
A
Diabetes Mellitus (DM)
4
Q
“I only take pills for my diabetes” is the laymen’s term for what? the acronym?
A
Non-Insulin Dependent Diabetes Mellitus (NIDDM)
5
Q
“I can only take shots for my diabetes” is the laymen’s term for what? the acronym?
A
Insulin-Dependent Diabetes mellitus (IDDM)
6
Q
Heart disease is the laymen’s term for what? the acronym?
A
coronary artery disease (CAD)
7
Q
What is CHF?
A
congestive hart failure
8
Q
A heart attack is the laymen’s term for what? the acronym?
A
Myocardial Infarction (MI) and CAD
9
Q
Heart Failure is the laymen’s term for what? the acronym?
A
CHF- congestive heart failure
10
Q
Irregular heart beat is the laymen’s term for what? the acronym?
A
Arrythmia, likely A-fib
11
Q
A-fib is the laymen’s term for what? the acronym?
A
Atrial Fibrillation
12
Q
A heart murmur is is the laymen’s term for what?
A
heart murmur
13
Q
Episodes of abnormally fast/racing heartbeat is known as?
A
supra ventricular tachycardia
14
Q
SVT
A
supra ventricular tachycardia
15
Q
Asthma is the laymen’s term for what?
A
Asthma or Reactive Airway Disease
16
Q
Emphysema or Chronic Bronchitic is the laymen’s term for what? the acronym?
A
COPD- chronic obstructive pulmonary disease
17
Q
Blood clot in the Lungs is the laymen’s term for what? the acronym?
A
pulmonary embolism (PE)
18
Q
PNA
A
pneumonia
19
Q
Reflux is the laymen’s term for what? the acronym?
A
Gastroesophageal Reflux Disease (GERD)
20
Q
Ulcer is the laymen’s term for what? the acronym?
A
Gastric Ulcer or Peptic Ulcer Disease (PUD)
21
Q
inflamed pancreas is the laymen’s term for what?
A
pancreatitis
22
Q
inflamed liver is the laymen’s term for what? the acronym?
A
hepatitis
23
Q
pockets within the colon is the laymen’s term for what? the acronym?
A
diverticulitis
24
Q
UC
A
ulcerative colitis
25
IBS
irritable bowel syndrome
26
bladder infection is the laymen's term for what? the acronym?
UTI
27
Kidney infection is the laymen's term for what? the acronym?
pyelonephritis (pyelo)
28
kidney stones is the laymen's term for what? the acronym?
renal cackle or nephrolithiasis
29
abbreviations for the kidney are...?
nephr- or -renal
30
"I am on dialysis" is the laymen's term for what? the acronym?
chronic renal failure (CRF) on dialysis
31
An enlarged prostate that is not dangerous is called?
BPH- Benign prostate hypertrophy
32
Stroke is the laymen's term for what? the acronym?
cerebrovascular accident (CVA)
33
Mini-stroke is the laymen's term for what? the acronym?
Transient ischemic attack (TIA)
34
Brain bleed is the laymen's term for what? the acronym?
Hemorrhagic CVA
35
"I drink a lot" is the laymen's term for what? the acronym?
ETOH abuse or alcoholism
36
"Blood clot in my leg" is the laymen's term for what? the acronym?
Lower extremity DVT
37
Bulge in my aorta is the laymen's term for what?
Aortic aneurysm
38
AAA
abdominal aortic aneurysm
39
DVT
deep vein thrombosis
40
"Bad blood flow to my legs" is the laymen's term for what? the acronym?
(PVD) peripheral vascular disease
41
"neck artery cleaned" is is the laymen's term for what?
carotid endarterectomy
42
brain surgery is the laymen's term for what?
craniotomy
43
CA
cancer
44
shunt
(VP) ventriculoperitoneal shunt- used to pump our build up of cerebrospinal fluid
45
dialysis fistula is the laymen's term for what? the acronym?
arteriovenous fistula (AV fistula)
46
Dialysis graft
arteriovenous graft (AV graft)
47
PICC Line is the laymen's term for what?
peripherally inserted central catheter
48
"port" is the laymen's term for what? the acronym?
port-a-cath or medi-port
49
clot filter (lower abdomen) is the laymen's term for what? the acronym?
(IVC) inferior vena cava filter
50
Leg amputation is the laymen's term for what? the acronym?
(AKA) above knee amputation
| (BKA) below knee amputation
51
joint repair/ replacement
arthroplasty
52
metal plates/pinsis the laymen's term for what?
hardware
53
neck fused is the laymen's term for what?
cervical spine fusion
54
back fused is the laymen's term for what?
lunar or thoracic spinal fusion
55
if a drug makes someone sick, but does not cause inflammation then it is a ______ __________
adverse reaction
56
SHx
social history
57
PSHx
past surgical history
58
PMHx
past medical history
59
MDM
medical decision making
60
DDx
differential diagnosis
61
Dx
final diagnosis
62
PA
physicians assistant
63
LNP, ARNP, NP
nurse practitioner
64
Bulging/herniated disc is the laymen's term for what?
DDD (Degenerative Disc Disease)
65
Arthritis is the laymen's term for what?
(OA) osteoarthritis, sometimes rheumatoid arthritis
66
DJD
degenerative joint disease
67
weak/fragile bones
often osteoporosis
68
"they cut it out" is the laymen's term for what?
surgical resection
69
adenoids removed is the laymen's term for what?
adeniodectomy
70
ear tubes is the laymen's term for what?
Pressure Equalizer (PE) tubes, TM tubes
71
Heart Bypass is the laymen's term for what?
(CABG) coronary artery bypass graft
72
Stents
coronary stents
73
heart ballon is the laymen's term for what?
angioplasty
74
valve surgery is the laymen's term for what?
valve repair or replacement (bovine or mechanical)
75
defibrillator is the laymen's term for what?
(AICD) automatic implanted cardiac defibrillator
76
surgery for A-fib
A fib s/p cardiac ablation
77
breast removal is the laymen's term for what?
mastectomy
78
hole in my neck is the laymen's term for what?
tracheotomy
79
gallbladder removed is the laymen's term for what?
cholecystectomy
80
hernia repairis the laymen's term for what?
herniorrhaphy
81
part of the colon removed is the laymen's term for what?
partial colectomy
82
bag to collect stool is the laymen's term for what?
colostomy
83
spleen removed is the laymen's term for what?
splenectomy
84
stomach stapled is the laymen's term for what?
bariatric surgery
85
ovary removed is the laymen's term for what?
oophorectomy
86
uterus removed is the laymen's term for what?
hysterectomy
87
tubes tied is the laymen's term for what?
tubal ligation
88
c-section is the laymen's term for what?
cesarean section
89
TURP
transurethral removal of the prostate
90
PHI
protected health information
91
High cholesterol
Hyperlipidemia (HLD)
92
Thyroid problem
Usually hypothyroidism, sometime hyperthyroidism
93
“Surgery for AFib”
Afib s/p cardiac ablation
94
AICD
Automatic Implanted Cardiac defibrillator
95
“Heart cath”
Cardiac catheterization
96
“Balloon”
Angioplasty (PMHx CAD)
97
“Stents”
Coronary stents (PMHx CAD)
98
“Heart disease”
CAD
99
“Heart attack”
MI
100
“Heart failure”
CHF
101
Irregular heartbeat
Arrhythmia, Atrial fibrillation
102
“Episodes of abnormally fast/racing heartbeat”
Arrhythmia, Supraventricular Tachycardia
103
“Breast removal”
Mastectomy
104
“Hole in my neck”
Tracheostomy
105
“Part of my long removed”
Partial lobectomy
106
“Emphysema”
COPD
107
Blood clot in the lung
PE
108
PNA
Pneumonia
109
“Appendix removed”
appendectomy
110
“Gallbladder removed”
Cholecystectomy
111
“Hernia repair”
Herniorrhaphy
112
“Repair”
-rrhaphy
113
Part of my colon removed
Partial colectomy
114
Bag to collect stool
Colostomy
115
Spleen removed
Splenectomy
116
Stomach stapled
Bariatric surgery
117
Exploratory
Exploratory Laparoscopy (ExLap)
118
“Reflux”
GERD
119
GERD
Gastro-esophageal Reflux Disease
120
“Ulcer”
Gastric or Peptic Ulcer Disease
121
“Pancreatitis”
pancreatitis
122
“Hepatitis”
Hepatitis
123
Chron’s/UC
Chron’s Disease or Ulcerative Colitis
124
Irritable Bowel
IBS
125
IBS
irritable bowel syndrome
126
“Uterus removed”
Hysterectomy
127
“Ovary removed”
Oophorectomy
128
“Ovary/Fallopian tubes removed”
Scalping-oophorectomy
129
Pyelo
Pyelonephritis
130
UTI
Urinary tract infection
131
“Kidney stones”
Renal Calculi
132
“I’m on dialysis”
CRF or ESRD
133
CRF
Chronic renal failure
134
ESRD
End stage renal failure
135
Enlarged prostrate (benign)
BPH
136
BPH
Benign prostatic hypertrophy
137
G/P/A
Gravida/para/Abortus
138
Gravida
The total # of times the pt has been pregnant
139
para
The # of pregnancies reaching viable gestation that the pt has had
140
viable gestation =
23 weeks
141
Abortus
The total # of miscarriages or elective abortions
142
“Back artery cleaned”
Carotid endarterectomy
143
“shunt”
Cerebral shunt
144
“Brain surgery”
Craniotomy
145
“Mini-stroke”
TIA (transient ischemic attack)
146
Seizures
Hx of seizures
147
Stroke
CVA
148
CVA
Ischemic cerebrovascular accident
149
Brain bleed
hemorrhagic cerebrovascular accident
150
“I drink a lot”
ETOH abuse or alcoholism
151
“I do drugs”
Substance abuse
152
“Dialysis fistula”
AV (arteriovenous) Fistula
153
“Dialysis graft”
AV graft
154
“PICC line”
peripherally inserted central catheter
155
“Clot filter” isn’t he lower abdomen
IVC (inferior vena cava) filter
156
“Bulge in my aorta”
Aortic aneurism
157
“Bad blood flow into my legs”
PVD
158
PVD
peripheral vascular disease
159
“Numbness in my legs”
Peripheral neuropathy
160
OA
Osteoarthritis
161
RA
Rheumatoid Arthritis
162
DDD
degenerative disc disease
163
“Bulging/herniated disc”
DDD
164
“Weak/fragile bones”
Osteoporosis
165
“They cut it out”
S/p surgical resection
166
“Tonsils removed”
Tonsillectomy
167
“Adenoids removed”
Adenoidectomy
168
“Ear tubes”
Myringotomy or Pressure Equalizing (PE) tubes
169
ORIF
Open reduction with internal fixation
170
“New hip”
ORIF
171
AKA
Above knee amputation
172
BKA
Below knee amputation
173
“Joint repair”
Arthroplasty
174
“Metal plates/pins”
Hardware
175
“Neck/back fused”
Cervical/lumbar spine fusion
176
What are the 4 symptoms of an allergy?
RIDS
177
Scribe alert for former smoker?
Record the year they quit
178
Scribe Alert for current tobacco?
PPD and number of years
179
Scribe alert w/ regard for illicit drug use?
The drug and route of administration
