Course 1: PMHx; Patients says, Scribe writes. Flashcards
high blood pressure
Hypertension (HTN)
high cholesterol
hyperlipidemia (HLD)
thyroid problem
usually hypOthyroidism, sometimes hyperthyroidism
diabetes
Diabetes Mellitus (DM)
I take pills for my diabetes.
Type 1; Non-Insulin Dependent DM (NIDDM)
I take shots for my diabetes.
Type 2; Insulin Dependent DM (IDDM). More common in ED*
heart disease
coronary artery disease (CAD)
heart attack
myocardial infarction (MI) AND CAD
heart failure
congestive heart failure (CHF)
irregular heartbeat
Atrial Fibrillation (A-Fib)
murmur
heart murmur
episodes of abnormally fast/ racing heartbeat
supra ventricular tachycardia (SVT)
Asthma
Asthma
Emphysema/ Chronic Bronchitis
Chronic Obstructive Pulmonary Disease (COPD)
blood clot in lung
Pulmonary Embolism (PE)
Pneumonia
Pneumonia (PNA)
Reflux
Gastroesophageal reflux disease (GERD)
ulcer
gastric ulcer or peptic ulcer disease
pancreatitis
pancreatitis
hepatitis
hepatitis A/B/C
Diverticulitis
Diverticulitis
Crohn’s / UC
Crohn’s disease or ulcerative colitis
Irritable bowel
Irritable Bowel Syndrome (IBS) (with certain foods)
bladder infection
Urinary Tract Infection (UTI)
kidney infection
Pyelonephritis (Pyelo)
Kidney stones
renal calculi
I’m on dialysis.
Chronic Renal Failure (CRF) on dialysis
Enlarged prostate
benign prostate hypertrophy (BPH)
Gyno PMHx: G/P/A
G: number of times pregnant
P: live births
A: abortions or failed pregnancies
stroke
cerebrovascular accident (CVA)
mini-stroke
transient ischemic attack (TIA)
seizures
seizure disorder / epilepsy
brain bleed
hemorrhagic CVA
bipolar
bipolar disorder
schizophrenia
schizophrenia (or as specific as pt)
I drink a lot
ETOH abuse or alcoholism
blood clot in my leg
lower extremity DVT
bulge in my aorta
abdominal aortic aneurysm (AAA)
bad flood flow to my legs
peripheral vascular disease (PVD)
low back pain
chronic low back pain
bulging/ herniated disc
degenerative disc disease (DDD)
arthritis
osteoarthritis (OA); sometimes rheumatoid arthritis
joint pain (chronic)
degenerative joint disease (DJD)
weak/fragile bones
often osteoporosis
cancer
Cancer or Carcinoma (CA): Brain, Breast, Lung, Colon, Prostate, Ovarian, Skin, Bone, Leukemia or Lymphoma.
Cancer spread to my…
with metastases to the ..
Chemo
Chemotherapy
Radiation
Radiation therapy
They cut it out. (cancer)
Status-post surgical resection
It’s gone. (cancer)
in remission
Tonsils removed
Tonsillectomy
Adenoids removed
Adenoidectomy
Ear tubes
pressure equalizer (P.E.) Tubes
Heart bypass
coronary artery bypass graft (CABG) -> PMHx CAD
stents
coronary stents -> PMHx CAD
heart cath
cardiac catheterization
balloon
Angioplasty -> PMHx CAD
valve surgery
valve repair or replacement (bovine v mechanical)
pacer
pacemaker
defibrillator
automatic implanted cardiac defibrillator (AICD)
surgery for A-Fib
A-Fib s/p cardiac ablation
breast removal
mastectomy
hole in my neck
tracheostomy
part of my lung removed
partial lobectomy
appendix removed
appendectomy
gallbladder removed
cholescystectomy
hernia repair
herniorrhaphy
part of my colon removed
partial colectomy
bag to collect stool
colostomy
spleen removed
splenectomy
stomach stapled
gastric bypass
kidney removed
nephrectomy
uterus removed
hysterectomy (partial v total)
ovary removed
oophorectomy
ovary and fallopian tubes removed
salpingo-oophorectomy
tubes tied
tubal ligation (female) v vasectomy (male)
C-Section
Caesarean section
prostate removed
prostatectomy (most often trans-urethral removal of the prostate or TURP)
uterine product removed
dilation and curettage (D&C)
neck artery cleaned
carotid endarterectomy
brain surgery
craniotomy (brain bleed v brain CA)
shunt
ventriculoperitoneal (VP) shunt
dialysis fistula
AV (arteriovenous) fistula
dialysis graft
AV graft
PICC line
peripherally inserted central catheter (PICC)
Port
Port-a-cath or medi-port
Clot filter (lower abdomen)
IVC (inferior vena cava) filter
Clot filter (leg)
greenfield filter
leg amputated
above knee amputation (AKA)
below knee amputation (BKA)
joint repair
arthroplasty
metal plates / pins
hardware
neck fused
cervical spinal fusion
back fused
lumbar spinal fusion
hip surgery
open reduction w/ internal fixation (ORIF)