Descriptive Terms Used in Documentation Flashcards

1
Q

Abdomen: large and extended outward

A

enlarged, protruding

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2
Q

Abdomen: black and blue marks present

A

bruised, ecchymotic

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3
Q

Abdomen: hard, board like

A

rigid

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4
Q

Abdomen: soft, flabby, flat

A

relaxed, flaccid

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5
Q

Abdomen: hurts when touched

A

sensitive to touch, tender

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6
Q

Abdomen: appears swollen, rounded

A

distended

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7
Q

Abdomen: presence of rash

A

rash present (mild, severe)

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8
Q

Abdomen: filled with gas

A

typmanities

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9
Q

Amounts: large amount

A

moderate, measured amount

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10
Q

Amounts: moderate amount

A

moderate, measured amount

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11
Q

Amounts: small amount

A

small amount, scanty, slight, very little, measured amount

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12
Q

Appetite: very fussy about food, refused to eat many foods

A

has definite likes and dislikes concerning food

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13
Q

Appetite: eats all food served

A

appetite 100%

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14
Q

Appetite: eats very little

A

appetite %used

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15
Q

Appetite: loss of appetite

A

anorexia

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16
Q

Appetite: craving for certain foods

A

parorexia

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17
Q

Appetite: refused to eat

A

refused food (state reason)

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18
Q

Appetite: eats only small amount

A

Appetite %used

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19
Q

Appetite: has desire to eat materials that are not food(chalk, dirt)

A

Craves chalk, dirt, etc.

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20
Q

Arm: shoulder to elbow

A

Upper arm (right or left)

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21
Q

Arm: elbow to wrist

A

Lower arm (right or left)

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22
Q

Arm: with accumulation of fat

A

Plump

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23
Q

Arm: appear puff or swollen

A

edamatous

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24
Q

Arm: arm artificial

A

artificial arm (right or left)

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25
Q

Attitude mental: not interested in surroundings

A

indifferent

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26
Q

Attitude mental: has “don’t care” attitude

A

apathetic

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27
Q

Attitude mental: doesn’t believe anything said

A

suspicious, distrustful

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28
Q

Attitude mental: quarrelsome, disagreeable, wants to argue

A

Belligerent, quarrelsome, disagreeable

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29
Q

Attitude mental: afraid, worried

A

anxious, fearful

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30
Q

Attitude mental: seems to have weight of world on his shoulders

A

worried

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31
Q

Attitude mental: happy, carefree, cheerful

A

cheerful, optimistic

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32
Q

Back areas: upper back

A

interscapular region, shoulder area

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33
Q

Back areas:small of spine

A

lumbar region

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34
Q

Back areas: end of spine

A

sacral region

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35
Q

Back areas: gluteal area

A

buttocks

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36
Q

Back areas: hump back

A

Kyphosis

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37
Q

Back areas: sway back

A

Lordosis

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38
Q

Back areas: lateral curvature of spine

A

scoliosis

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39
Q

Backrest: Backrest raised

A

Head of bed elevated (indicate angle, degree)

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40
Q

Baths: Given when client is admitted

A

Admission bath

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41
Q

Baths: All inclusive bath

A

Complete bath

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42
Q

Baths: including face, arms, back, axilla, genitals

A

Partial bath

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43
Q

Baths: special baths (treatment)

A

Name of the bath (sitz)

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44
Q

Baths: taken in tub

A

Tub Bath

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45
Q

Baths: taken in bed, by client

A

Self-administered

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46
Q

Belch: Belching

A

Eructation

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47
Q

Bleeding: spurting of blood

A

in spurts

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48
Q

Bleeding: very little

A

oozing

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49
Q

Bleeding: noseblood

A

epistaxis

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50
Q

Bleeding: blood in vomitus

A

hematemesis

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51
Q

Bleeding: blood in urine

A

hematuria

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52
Q

Bleeding: when bleeding is stopped

A

hemorrhage controlled

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53
Q

Blister: Blister

A

Vesicle

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54
Q

Blood Pressure: Blood Pressure 120/74

A

B.P. 120/74

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55
Q

Breast: inflammation of

A

mastitis

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56
Q

Breast: each of same size

A

of equal size

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57
Q

Breast: satisfactory in appearance

A

Developed normally

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58
Q

Breast: nipple always depressed

A

inverted nipple

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59
Q

Breast: nipple always depressed

A

inverted nipple

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60
Q

Breath: unpleasant

A

Halitosis

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61
Q

Breath: Foul

A

Fetid

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62
Q

Breath: with sweet, fruitlike odor

A

fruity, sweet

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63
Q

Breathing: Act of breathing

A

Ventilation

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64
Q

Breathing: Act of inhaling

A

Inspiration

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65
Q

Breathing: Act of exhaling

A

Expirations

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66
Q

Breathing: Difficult breathing

A

Dyspnea, retracting, grunting, flaring of nares, head bobbing

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67
Q

Breathing: Short period when breathing ceases

A

Apnea

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68
Q

Breathing: Inability to breathe when lying down

A

Orthopnea

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69
Q

Breathing: Normal Breathing

A

Eupnea

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70
Q

Breathing: Rapid Breathing

A

Hyperpnea, tachypnea

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71
Q

Breathing: Increasing ventilations with period of apnea

A

Cheyne-Stokes respiration

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72
Q

Breathing: Large volume of air inspired

A

Deep Breathing

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73
Q

Breathing: small volume of air inspired

A

Shallow Breathing

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74
Q

Breathing: abnormal variations in rhythm

A

Irregular respiration

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75
Q

Breathing: Suffocation

A

Asphyxia

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76
Q

Chest: Looks abnormally small

A

Shrunken

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77
Q

Chest: abnormally shaped

A

Deformed

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78
Q

Chest: Hurts when moving or breathing

A

Pain on moving, pain on breathing

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79
Q

Chill: Blanket

A

External Heat Applied

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80
Q

Chill: Severity (degree of)

A

Severe, moderate, slight

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81
Q

Chill: Duration

A

Protracted, persistent, of short duration

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82
Q

Color: Colorless

A

Clear

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83
Q

Color: Of normal urine

A

Amber

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84
Q

Color: Resembling clay

A

Clay-colored

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85
Q

Color: Tinged with Blood

A

Blood-tinged

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86
Q

Coma: Partly in coma

A

Semi-comatose

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87
Q

Coma: In deep coma

A

Profound coma: does not respond to stimuli

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88
Q

Consciousness: Fully conscious, aware of surroundings

A

Alert fully conscious

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89
Q

Consciousness: Only partly conscious

A

Semi-conscious

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90
Q

Consciousness: Unconsciousness, but can be aroused

A

Stuporous - does respond to painful stimuli

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91
Q

Consciousness: Unconsciousness, cannot be aroused

A

Comatose

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92
Q

Consciousness: Drowsy but easily aroused

A

Lethargic

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93
Q

Consistency: Retains its shape

A

Formed

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94
Q

Consistency: Watery

A

Liquid

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95
Q

Consistency: Thick, sticky or glue-like

A

Concentrated, tanacious

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96
Q

Consistency: Containing or resembling mucous

A

Mucoid

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97
Q

Convulsion: Continuous shaking

A

Tonic tremor

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98
Q

Convulsion: Shaking with intervals of rest

A

Clonic tremor

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99
Q

Convulsion: Began without warning

A

Sudden onset

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100
Q

Convulsion: Spasm or convulsive seizure

A

Paroxysm

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101
Q

Convulsion: Convulsive seizure with loss of consciousness

A

Grand mal seizure

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102
Q

Cough: coughs all the time

A

Continuous cough

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103
Q

Cough: Coughing over a long period of time

A

Persistent cough

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104
Q

Cough: Coughs up material

A

Productive cough

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105
Q

Cough: Occurring in spasms

A

Spasmodic cough

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106
Q

Cough: coughs quite often

A

Frequent coughing

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107
Q

Cough: cough that doesn’t produce material

A

nonproductive cough

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108
Q

Cough: with characteristic “whoop”

A

Whooping Cough

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109
Q

Cough: occurs in paroxysms or attacks

A

Paroxysmal cough

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110
Q

Cough: other self-explanatory terms

A

Tight, loose, deep, dry, hacking, harsh, painful, rasping, explosive, exhaustive

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111
Q

Decay: Of teeth

A

Dental caries

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112
Q

Decay: Of tissue

A

Necrosis

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113
Q

Defecation: Bowel Movement (material)

A

Feces, stool

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114
Q

Defecation: Bowel Movement (act of)

A

Defecation

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115
Q

Defecation: Excessive defecation

A

Diarrhea

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116
Q

Defecation: Gray Colored Stool

A

Clay-colored stool

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117
Q

Defecation: Dark brown liquid stool

A

Highly colored liquid stool

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118
Q

Defecation: Formed, yet soft stool

A

Soft-formed stool

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119
Q

Defecation: Formed with hardened feces

A

Hard-formed stool

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120
Q

Defecation: Black, tenacious stool

A

Tarry stool

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121
Q

Dizziness: Dizziness

A

Vertigo

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122
Q

Drainage: Water, from nose

A

Coryza

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123
Q

Drainage: Containing pus

A

Purulent

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124
Q

Drainage: Bloody

A

Saquineous

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125
Q

Drainage: Consists of feces

A

Fecal

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126
Q

Drainage: Of lymphatic fluid

A

Serous

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127
Q

Drainage: Contains mucus and pus

A

Mucopurulent

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128
Q

Drainage: Tough, Sticky

A

Tenacious

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129
Q

Drainage: From vagina (post-delivery)

A

Lochia

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130
Q

Drainage: Serum and blood combined

A

Sero-sanguineous

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131
Q

Dressings: A second dressing aded to the first

A

Dressing reinforced

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132
Q

Dressings: dressing removed, another applied

A

Dressing changed

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133
Q

Ears: wax in the ears

A

Cerumen

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134
Q

Ears: Ringing in the ear

A

Tinnitus

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135
Q

Ears: Abnormal in shape

A

Deformed

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136
Q

Emesis: Produced by effort of client

A

Induced

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137
Q

Emesis: Ejected to few feet distant

A

Projectile

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138
Q

Emesis: If blood is only noticeable

A

Blood-tinged

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139
Q

Emesis: Agent given to produce emesis

A

Emetic

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140
Q

Emesis: Return of solids or fluid to the mouth from the stomach

A

Regurgitation

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141
Q

Enemas: To induce bowel movement

A

Cleansing enema

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142
Q

Enemas: to supply nourishment

A

Nutritive enema

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143
Q

Enemas: to relieve distention caused by gas

A

Carminative enema

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144
Q

Enemas: to be retained for several minutes

A

Retention enema

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145
Q

Enemas: to aid in fluoroscopy examination

A

Barium enema

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146
Q

Expectoration: a great deal

A

Profuse

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147
Q

Expectoration: very little

A

Scant

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148
Q

Expectoration: spitting up blood

A

hemoptysis

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149
Q

Eyes: Sharpness of vision

A

Visual acuity

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150
Q

Eyes: Yellow in Color

A

Jaundiced

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151
Q

Eyes: Puffy, swollen

A

Edematous

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152
Q

Ears: Dizziness

A

Vertigo

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153
Q

Eyes: drooping of lids

A

Ptosis of lids

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154
Q

Eyes: Motionless, not moving, staring

A

Fixed

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155
Q

Eyes: Unusually sensitive to light

A

Photophobia

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156
Q

Eyes: Double Vision

A

Diplopia

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157
Q

Eyes: Quinting-crossed

A

Strabismus

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158
Q

Eyes: abnormal protrusion of the eyeball

A

Exophthalmos

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159
Q

Eyes: inflammation of the conjuctiva

A

Conjunctivitis

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160
Q

Eyes: Dilation of the pupil

A

pupil dilated

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161
Q

Eyes: Contraction of the pupil

A

pupil contracted

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162
Q

Eyes: nearsightedness

A

myopia

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163
Q

Eyes: farsightedness

A

hyperopia

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164
Q

Eyes: sees objects indistinctly

A

blurred vision

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165
Q

Eyes: other characteristics terms (self-explanatory)

A

Bright, clear, dull, inflamed, sunken, blood shot, burning, smarting

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166
Q

Eyes: Sty of eyelid

A

Hordeolum

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167
Q

Face: without color

A

pale

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168
Q

Face: pink

A

flushed

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169
Q

Face: broken out

A

presence of rash, acne

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170
Q

Face: black and blue

A

Bruised, ecchymosis

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171
Q

Face: Characteristic expressions worn

A

Anxiety, defiance, anger, pain, boredom, fear, worry, happiness, apathy, dissatisfaction

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172
Q

Face: marked with pits and scars

A

Pock-marked

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173
Q

Faint: Fainting

A

Syncope

174
Q

Feet: Reddened spots or places caused by pressure or friction

A

Pressure areas present

175
Q

Feet: Puffy, enlarged, swollen

A

Swollen, edematous

176
Q

Feet: Warm, cold

A

Warm cold

177
Q

Fever: without fever

A

afebrile

178
Q

Fever: fever, temperature above normal

A

Febrile, pyrexia

179
Q

Fever: temperature greatly above normal (106)

A

Hyperpyrexia

180
Q

Fever: fever suddenly returning to normal

A

Crisis

181
Q

Fever: fever gradually returning to normal

A

Lysis

182
Q

Fever: temperature below normal

A

Hypothermia

183
Q

Fingers: Coming to fine point at end

A

Tapering

184
Q

Fingers: Square across the end

A

Clubbed

185
Q

Gas: Gas in the digestive tract

A

Flatus

186
Q

Gas: Distention caused by accumulation of gas

A

Flatulence

187
Q

Gums: Inflammation of the gums

A

Gingivitis

188
Q

Gums: Pulling away from teeth

A

Receding, shrunken

189
Q

Gums: Bleed when pressure is applied

A

Bleeding

190
Q

Gums: Healthy looking

A

pink, firm

191
Q

Gums: spongy

A

spongy

192
Q

Hair: clean, good appearance

A

clean, glossy

193
Q

Hair: unclean, coarse

A

Greasy, coarse

194
Q

Hair: uncombed, neglected

A

Tangled, neglected

195
Q

Hair: not normal color

A

bleach, dyed

196
Q

Hallucination: sensory stim w/o external stimuli

A

Hallucination

197
Q

Hallucination: of hearing

A

Auditory hallucination

198
Q

Hallucination: of sight

A

Visual Hallucination

199
Q

Hallucination: of smell

A

Olfactory hallucination

200
Q

Hallucination: of taste

A

Gustatory hallucination

201
Q

Hands: dirty, rough, nails broken

A

Show lack of care

202
Q

Hands: abnormally large

A

Massive

203
Q

Hands: show good care

A

well kept

204
Q

Hands: wet, dry

A

moist, dry

205
Q

Hands: hot, cold

A

hot, cold

206
Q

Hands: shaking continuously

A

trembling

207
Q

Head: forehead

A

frontal region

208
Q

Head: region of temple

A

temporal region

209
Q

Head: back of head

A

occipital region

210
Q

Head: base of skull

A

Basilar region

211
Q

Head: having a large head

A

Macrocephalous

212
Q

Head: having a small head

A

microcephalous

213
Q

Heartbeat: Irregularity of heartbeat

A

arrhythmia

214
Q

Heartbeat: slowness of heartbeat

A

bradycardia

215
Q

Heartbeat: fast heartbeat

A

tachycardia

216
Q

Hives: Hives

A

Urticaria

217
Q

Hives: Itching

A

Pruritus

218
Q

Joints: bending

A

Flexion

219
Q

Joints: To straighten

A

Extension

220
Q

Joints: Turn downward

A

Pronation

221
Q

Joints: Turn upward

A

Supination

222
Q

Joints: Revolve around

A

Rotation

223
Q

Joints: move away from median line

A

Abduction

224
Q

Joints: move toward median line

A

Adduction

225
Q

Joints: A stiff joint

A

Ankylosis

226
Q

Joints: inflammation of joint

A

Arthritis

227
Q

Joints: wrenching of a joint

A

Sprain

228
Q

Legs: Thigh to knee

A

Upper leg (right or left)

229
Q

Legs: Knee to ankle

A

Lower leg (right or left)

230
Q

Lice: Head, body, pubic

A

Pediculi

231
Q

Lice: Condition of lousiness

A

Pediculosis

232
Q

Lips: Pale colorless

A

Pale

233
Q

Lips: Blue in color

A

Cyanotic

234
Q

Lips: Presence of tiny crack

A

Fissured, cracked

235
Q

Lips: fever blister present

A

Presence of herpes simplex

236
Q

Medications: by mouth

A

orally

237
Q

Medications: by rectum

A

rectally

238
Q

Medications: breathing in

A

inhaling

239
Q

Medications: Rubbing into skin

A

topical, inunction

240
Q

Medications: under the skin

A

subcutaneous

241
Q

Medications: within the skin

A

intradermal

242
Q

Medications: within the muscle

A

Intramuscular

243
Q

Medications: within the spinal canal

A

intraspinal

244
Q

Medications: within the vein

A

Intravenous

245
Q

Medications: pouring into the body cavity

A

Instillation

246
Q

Medications: into the artery

A

intra-arterial

247
Q

Memory: loss of memory

A

Amnesia

248
Q

Menstruation: onsent of menstruation

A

Menarche

249
Q

Menstruation: Painful

A

Dysmenorrhea

250
Q

Menstruation: total absence of

A

Amenorrhea

251
Q

Menstruation: profuse of prolonged flow

A

Menorrhagia

252
Q

Menstruation: occurring between periods

A

Menorrhagia

253
Q

Menstruation: cessation of

A

Menopause

254
Q

Mental Attitude: Hard to please

A

Irritable, fault-finding

255
Q

Mental Attitude: Distrustful

A

Distrustful, suspicious

256
Q

Mental Attitude: Happy

A

Optimistic, cheerful

257
Q

Mental Attitude: Sad

A

Depressed, moody

258
Q

Mental Attitude: Afraid

A

Apprehensive, anxious

259
Q

Mental Attitude: Lacks emotional control

A

Hysterical, emotional liability

260
Q

Muscle: A wasting

A

Atrophy

261
Q

Muscle: Inflammation of

A

Myositis

262
Q

Muscle: Stretching of

A

Strain

263
Q

Nails: Blue in color

A

Cyanotic

264
Q

Nails: Other descriptive terms

A

Brittle, clean, torn, manicured

265
Q

Nourishment: very small amount of fluid

A

Sips of fluid

266
Q

Nourishment: Small pieces of ice

A

Chipped Ice

267
Q

Nourishment: Drink of Water

A

Water (number of cc’s)

268
Q

Odor: Pleasant

A

Agreeable

269
Q

Odor: Like fruit

A

Fruity, sweet

270
Q

Odor: very unpleasant

A

Offensive, foul

271
Q

Odor: belonging to a particular substance

A

Characteristic

272
Q

Pain: Great pain

A

Severe

273
Q

Pain: Little

A

Slight

274
Q

Pain: Comes in seizures

A

Paroxysmal, spasmodic

275
Q

Pain: Spreads to distant areas

A

Radiating

276
Q

Pain: Started all at once

A

sudden onset

277
Q

Pain: other descriptive terms

A

Sharp, sudden, darting, gnawing, burning, stabbing, cramping, shooting, colicky, persistent, transient, constant, shifting, localized, deep, superficial

278
Q

Paralysis: Of the muscles of the face

A

Facial

279
Q

Paralysis: Of the legs

A

Paraplegia

280
Q

Paralysis: Of one side of body

A

Hemiplegia

281
Q

Paralysis: Of a single limb

A

Monoplegia

282
Q

Paralysis: Of all limbs

A

Quadriplegia

283
Q

Client admission of: walking

A

Ambulatory

284
Q

Client admission of: carried(infant)

A

In arms

285
Q

Client admission of: by wheelchair

A

Per wheelchair

286
Q

Client admission of: by stretcher

A

Per stretcher

287
Q

Client admission of: had a bedsore when admitted

A

Decubitus present on admission

288
Q

Perspiration: large amount

A

Profuse, excessive

289
Q

Perspiration: small amount

A

Scanty

290
Q

Physical Exam: exam by observation

A

Visual Inspection

291
Q

Physical Exam: exam by listening to sound

A

Auscultation

292
Q

Physical Exam: exam by handling

A

Manipulation

293
Q

Physical Exam: exam by palpating

A

Palpation

294
Q

Physical Exam: exam by striking

A

Percussion

295
Q

Physical Exam: exam by measuring

A

Mensuration

296
Q

Positions: Flat on back, arms straight at sides

A

Dorsal

297
Q

Positions: Lying on back

A

Supine

298
Q

Positions: on side, knees flexed

A

Lateral

299
Q

Positions: on left side with right leg flexed

A

Sims’

300
Q

Positions: head elevated, knees flexed

A

Fowler’s

301
Q

Positions: Knees flexed, head slightly elevated

A

Semi-Fowler’s

302
Q

Positions: on back, buttocks near edge of table, knees flexed and separated

A

Lithotomy

303
Q

Positions: on back, knees flexed and apart, feet on table

A

Dorsal recumbent

304
Q

Positions: resting on knees and chest

A

Knee-chest

305
Q

Positions: on back, pelvis higher than head

A

Trendelenburg

306
Q

Positions: On abdomen, face turned to one side

A

Prone

307
Q

Positions: Prone with hips over break in table and feet below level of head

A

Jackknife

308
Q

Pulse: number of beats per minute

A

Rate

309
Q

Pulse: Rhythm

A

Regular or irregular

310
Q

Pulse: Beats missed at intervals

A

Intermittent

311
Q

Pulse: Over 100 beats per min

A

Rapid, tachycardia

312
Q

Pulse: very rapid, beats indistinct

A

Running

313
Q

Pulse: a diminished rate

A

Infrequent

314
Q

Pulse: slow in rate (under 60 bpm)

A

Slow, bradycardia

315
Q

Pulse: Scarily perceptible

A

Thready

316
Q

Pulse:”Double Pulse”

A

Dicrotic

317
Q

Pulse: According to strength

A

Weak, Strong

318
Q

Pulse: Readily perceived (felt)

A

Perceptible

319
Q

Pulse: rapid, quite distinct beats

A

Pounding, bounding

320
Q

Pulse: cannot be felt

A

Imperceptible

321
Q

Reproductive Organs: External reproductive organs

A

Genitals (external)

Genitalia

322
Q

Respiration: Act of Breathing

A

Ventilation

323
Q

Respiration: Above 20 respirations/min

A

Accelerated, tachypnea

324
Q

Respiration: Induced by artificial means

A

Artificial

325
Q

Respiration: Snoring

A

Stertorous

326
Q

Respiration: Difficult

A

Labored, dyspnea

327
Q

Respiration: Alternate periods of apnea and of increasingly deep ventilations

A

Cheyenne-Stokes

328
Q

Respiration: Other descriptive terms

A

Quiet, sighing, gasping, rapid, shallow, deep, costal, audible, noise

329
Q

Respiration: Absent

A

Apnea

330
Q

Restraint: Rails put on bed

A

4 side rails in place

331
Q

Restraint: Tied down with sheet

A

Sheet restraint applied

332
Q

Rings: Rubber rings to relieve pressure

A

Placed on rubber ring

333
Q

Rings: Cotton rings applied under heels

A

Cotton ring applied to each heel

334
Q

Scalp: Covered with dandruff

A

Dandruff present

335
Q

Scalp: Covered with scales

A

Scaly

336
Q

Scalp: Lice found

A

Presence of pediculi

337
Q

Scalp: baldness

A

Alopecia

338
Q

Scalp: other descriptive terms

A

Dry, oily, itching

339
Q

Sensation: Tingling

A

Tingling

340
Q

Sensation: Extreme heat, burning

A

Burning

341
Q

Sensation: Stinging

A

Stinging

342
Q

Sensation: Prickling

A

Prickling

343
Q

Skin: Normal

A

Healthy

344
Q

Skin: Pink, hot

A

Flushed

345
Q

Skin: Blue in color

A

Cyanotic

346
Q

Skin: very white

A

Extreme pallor, pale

347
Q

Skin: Shines

A

Glossy

348
Q

Skin: raw surface

A

Excoriation

349
Q

Skin: Yellow in color

A

Jaundiced

350
Q

Skin: Torn

A

Lacerated

351
Q

Skin: Cold and moist

A

Clammy

352
Q

Skin: birthmark

A

Nevi

353
Q

Skin: Wart

A

Verruca

354
Q

Skin: Boil

A

Furuncle

355
Q

Skin: Other descriptive terms

A

mottled, discolored, moist, dry, hot, cold, warm, oily, calloused, wrinkled, tight, coarse, of fine texture, tanned

356
Q

Skin: Indicate presence of

A

Rash, abrasion, laceration, insect bites, tumors, eruptions, acne, crusts, scars, ulcers, moles, fissures, abscess

357
Q

Skin: a discolored spot

A

Macule

358
Q

Skin: a pimple

A

Papule

359
Q

Skin: blister

A

Vesicle

360
Q

Skin: a pimple filled with pus

A

Pustule

361
Q

Skin: containing colored areas

A

Pigmented

362
Q

Skin: Wet

A

Moist

363
Q

Skin: Scraped

A

Abraded

364
Q

Skin: Small red spots on skin

A

Petechia

365
Q

Skin: area where skin is rubbed off

A

Abrasion

366
Q

Skin: redness off

A

Erythema

367
Q

Skin: Hemorrhagic areas (bruises)

A

Ecchymosis

368
Q

Sleep: Slept very little

A

Slept at short intervals

369
Q

Sleep: Tired when waken

A

Awaken fatigued

370
Q

Sleep: moans while sleeping

A

restless sleep, moaning

371
Q

Sleep: Inability to sleep

A

Insomnia

372
Q

Smoke: Smokes too much

A

Smokes excessively, ppd

373
Q

Solution: having same tension as that of the blood

A

Isotonic

374
Q

Solution: Of greater tension

A

Hypertonic

375
Q

Solution: Of less tension

A

Hypotonic

376
Q

Specimen: Sent to laboratory

A

Spec. to lab

377
Q

Speech: Speaks normally

A

Normal Speech

378
Q

Speech: Not understandable

A

Incoherent: difficult to understand

379
Q

Speech: Meaningless, wandering

A

Rambling

380
Q

Speech: Words run together

A

Slurring

381
Q

Speech: Stammering, stuttering

A

Stammering, stuttering

382
Q

Speech: Not speaking distinctly

A

Inarticulate

383
Q

Speech: Speaks long and well

A

Fluent

384
Q

Speech: Difficulty in speaking

A

Dysphasia

385
Q

Speech: Unable to speak

A

Aphasia

386
Q

Symptoms: Observed Only by Client

A

Subjective

387
Q

Symptoms: Observed by someone other than client

A

Objective

388
Q

Symptoms: Combination of signs/symptoms

A

Syndrome

389
Q

Taste: As expected, as usual

A

Normal

390
Q

Taste: Like metal

A

Metallic

391
Q

Teeth: False teeth

A

Dentures

392
Q

Teeth: Decay of teeth

A

Dental Caries

393
Q

Teeth: Other descriptive terms

A

Natural, notched, decayed, crooked, protruding, crowded, irregular, broken, loose

394
Q

Throat: Difficulty in swallowing

A

Dysphagia

395
Q

Throat: Inability to swallow

A

Aphagia

396
Q

Throat: Other descriptive terms

A

Red, swollen, inflamed, irritated

397
Q

Tongue: Descriptive terms

A

Pink, moist, dry, cracked, coated, raw, swollen, inflamed, ulcerated, scarred

398
Q

Treatment: Preventative

A

Prophylactic

399
Q

Treatment: Offering temporary relief

A

Palliative

400
Q

Therapy: Water as therapeutic agent

A

Hydrotherapy

401
Q

Therapy: Sunlight as therapeutic agent

A

Heliotherapy

402
Q

Therapy: X-ray, radium as therapeutic agent

A

radiotherapy

403
Q

Therapy: Drugs a therapeutic agents

A

Chemotherapy

404
Q

Therapy: Florescent lights as therapeutic agent

A

Phototherapy

405
Q

Urination: To urinate

A

Void, micturate

406
Q

Urination: No control over urination

A

Involuntary, incontinent

407
Q

Urination: Burning when voids

A

Burning sensation on micturition

408
Q

Urination: Large amount of urine voided

A

Diuresis

409
Q

Urination: Total suppression of urine

A

Anuria

410
Q

Urination: Frequent voiding at night

A

Nocturia

411
Q

Urination: Increased amount voided

A

Polyuria

412
Q

Urination: Painful urination

A

Dysuria

413
Q

Urination: Pus in urine

A

Pyuria

414
Q

Urination: Blood in urine

A

Hematuria

415
Q

Urination: Hemoglobin in urine

A

Hemoglobinuria

416
Q

Urination: Glucose in urine

A

Glucosuria

417
Q

Urination: Albumin in urine

A

Albuminuria

418
Q

Urination: Acetone in urine

A

Acetonuria

419
Q

Urination: Bile in urine

A

Choluria

420
Q

Urination: Scantiness of urine

A

Oliguria

421
Q

Urination: Sugar in the urine

A

Glycosuria

422
Q

Urination: Bedwetting

A

Enuresis

423
Q

Urination: Stones in urine

A

Calculi

424
Q

Weight: Overweight

A

Overweight

425
Q

Weight: Obese

A

Obese

426
Q

Weight: Thin, underweight

A

Emaciated

427
Q

Wounds: Deep

A

Deep

428
Q

Wounds: Slight, surface only

A

Superficial

429
Q

Wounds: not infected

A

Clean

430
Q

Wounds: Discharging pus

A

Suppurating

431
Q

Wounds: Infected

A

Infected

432
Q

Wounds: Torn

A

Lacerated