CPP Ch 2 Flashcards
acute
just started / sharp or severe symptom
chronic
been going on for a while now
exacerbation
getting worse
abrupt
all of a sudden
febrile
to have a fever
afebrile
to not have a fever
malaise
not feeling well
progressive
more and more each day
symptom
something a patient feels
noncontributory
not related to this specific problem
lethargic
decrease in level of consciousness
really sick
genetic/ hereditary
runs in the family
alert
able to answer questions and is interactive
oriented
aware of who they are, where they are and the time oriented x3
marked
really stands out
unremarkable
does not stand out / normal!
auscultation
to listen
percussion
hit something and hear sound or vibration
palpitation
to feel
impression
assessment
diagnosis
what the healthcare professional thinks the patient has
differential diagnosis
list of conditions the patient could have based on their symptoms and exam results
benign
safe
malignant
dangerous
degeneration
getting worse
etiology
the cause
remission
improve or get better (cancer)
idiopathic
no specific cause, just happens
localized
stays in a certain part of the body
systemic / generalized
all over the body
morbidity
risk for being sick
mortality
risk for dying
prognosis
the chances for things better or worse
occult
hidden
pathogen
the organism that causes the problem
lesion
diseased tissue
lesion
diseased tissue
recurrent
to have again
sequelae
a problem resulting from a disease or injury
pending
waiting for
disposition
what happened to the patient at the end of the visit
where did the patient go after the visit? (ICU, home, other hospital bed)
discharge
1) send home
2) fluid coming from body
prophylaxis
preventative treatment
palliative
treating the symptoms but not actually getting rid of the cause
observation
watch/ keep an eye on
reassurance
telling the patient that the problem is not serious
supportive care
treat symptoms and make the patient feel better
sterile
extremely clean
proximal
closer to the center
distal
farther away from the center
lateral
out to the side
medial
towards the middle
ventral/antral/anterior
front
dorsal/posterior
back
cranial
toward the top
caudal
toward the bottom
superior
above
inferior
below
prone
lying down on belly
supine
lying down on basck
contralateral
opposite side
ipsilateral
same side
unilateral
one side
bilateral
both sides
dorsum
top of the hand or foot
plantar
sole of the foot
palmar
palm of the hand
sagittal
divides the body in slices right to left
arrow
dividing the body in half
coronal
divides the body into slices from front to back
(crown)
body in half from the top of the head down
transverse
divides the body from top to bottom
physician
skilled health care provider - went to med school
pediatrician
physician with special training in caring for children
surgeon
physician qualified to perform surgery
anesthesiologist
physician with special training in pain sedation
physician assistant
works under the license of a supervising physician
nurse practioner
nurse - works under the supervision of a physician
EMT
emergency care during transport to a medical facility
speech therapist
trained in evaluating problems with speech or swallowing
occupational therapist
treats problems with performing daily actives
physical therapist
help with treating physical impariments including disabilities and recovery from injury
respiratory therapist
trained in treating respiratory issues
dietician
evaluates the nutritional status of a patient
licensed practical nurse
licensed vocational nurse
trained and certified to provide basic care to a patient
registered nurse
advanced level nurse who’s completed an associates / bachelors
assists with patient care and planning patient education
medical assistant
trained to carry out basic tasks under guidance
pathologist
evaluates the causes and effects of disease and laboratory medicine
medical laboratory technician
trained in performing laboratory testing on bodily fluis
phlebotomist
trained removal of blood from the body
radiologist
trained in evaluating images of the body to diagnose illness or injurt
radiology technician
helps the radiologist / administer radiation therapy
ultrasonagrapher
trained in performing ultrasound imaging on patients
pharmacist
licensed in preparing and dispensing medicine
pharmacy technician
trained to assist a pharmacist
patient service coordinator
handles administrative tasks / patient care
medical transcriptionist
trained in converting voice recorded dictations of health care providers into text
chief complaint
main reason for the visit
history of present illness
story of the problem
review of systems
description of individual body systems in order to discover any systems not related to the main problem
past medical history
other illnesses
past surgical history
past surgeries
family history
any significant illnesses that run in the patients familu
social history
habits like smoking, drinking, sexual practices that can affect health
ccu
coronary care unit
ecu
emergency care unit
er
emergency room
ed
emergency department
icu
intensive care unit
picu
pediatric intensive care unit
nicu
neonatal intensive care unit
sicu
surgical intensive care unit
pacu
post anesthesia care unit
L&D
labor and delivery
post op
after surgery
pre op
before surgery
(B)
bilateral
VS
vital signs
t
temperature
bp
blood pressure
hr
heart rate
rr
respiratory rate
Ht
height
Wt
weight
BMI
body mass index
I/O
intake / output
Dc
diagnosis
DDx
differnaital diagnosis
Tx
treatment
Rx
prescription
H&P
history and physical
Hx
history
CC
chief complaint
HPI
history of present illness
ROS
review of systems
PMHx
past medical history
FHx
family history
NKDA
no known drug allergies
PE
physical exam
Pt
patient
y/o
years old
h/o
history of
PCP
primary care provider
f/u
follow up
SOB
shortness of breath
HEENT
head eyes ears nose and throat
PERRLA
pupils are equal round and reactive to light and accomidation
NAD
no acute distress
CV
cardiovascular
WDWN
well developed well nourished
A&O
alert and oriented
WNL
within normal limits
NOS
not otherwise specified
NEC
not elsewhere classified
PO
by mouth
NPO
nothing by mouth
PR
per recutum, anally
IM
intramuscular
SC
under the skin (subcutaneous)
IV
intravenous
CVL
central venous line
PICC
peripherally inserted central catheter
Sig
instructions
BID
twice daily
TID
three times daily
Q
every X , Q4hr= every four hours
QD
daily
QID
four times daily
QHS
at night
AC
before meals
PC
after meals
prn
as needed
ad lib
as desired
CTA
clear to ascultation
