Health Care Records Flashcards

1
Q

sharp, having intense, often severe symptoms and a short course

A

acute

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2
Q

a condition that develops slowly and persists over a period of time

A

chronic

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3
Q

mild or noncancerous

A

benign

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4
Q

harmful or cancerous

A

malignant

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5
Q

gradual deterioration of normal cells and body functions

A

degeneration

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6
Q

any disease in which deterioration of the structure or function of tissue occurs

A

degenerative disease

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7
Q

determination of the presence of a disease based on an evaluation of symptoms, signs, and test findings

A

diagnosis

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8
Q

study of the cause of a disease

A

etiology

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9
Q

increase in the severity of a disease, with aggravation of symptoms

A

exacerbation

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10
Q

a period in which symptoms and signs stop or abate

A

remission

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11
Q

relating to a fever (elevated temperature)

A

febrile

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12
Q

a condition occurring without a clearly identified cause

A

idiopathic

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13
Q

limited to a definite area or part

A

localized

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14
Q

relating to the whole body rather than to only a part

A

systemic

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15
Q

a feeling of uneasiness or discomfort; often the first indication of illness

A

malaise

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16
Q

significant

A

marked

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17
Q

sick; a diseased state

A

morbidity

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18
Q

the state of being subject to death

A

mortality

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19
Q

foreknowledge; prediction of the likely outcome of a disease based on the general health status of the patient along with knowledge of the usual course of the disease; often noted in one word

A

prognosis

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20
Q

pertaining to the advance of a condition as the signs and symptoms increase in severity

A

progressive

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21
Q

a process or measure that prevents disease

A

prophylaxis

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22
Q

to occur again; describes a return of symptoms and signs after a period of quiescence (rest or inactivity)

A

recurrent

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23
Q

a disorder or condition usually resulting from a previous disease or injury

A

sequela

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24
Q

a mark; objective evidence of disease that can be seen or verified by an examiner

A

sign

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25
Q

subjective evidence of disease that is perceived by the patient and often noted in his or her own words

A

symptom

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26
Q

a running together; combination of symptoms and signs that give a distinct clinical picture indicating a particular condition or disease

A

syndrome

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27
Q

not involved in bringing on the condition or result

A

noncontributory

28
Q

common; not out of the ordinary or significant

A

unremarkable

29
Q

A

A

assesment

30
Q

a (with line above)

A

before

31
Q

a.c.

A

before meals

32
Q

AD

A

right ear

33
Q

AS

A

left ear

34
Q

AU

A

both ears

35
Q

A&W

A

alive and well

36
Q

B (with circle around it)

A

bilateral

37
Q

BRP

A

bathroom privileges

38
Q

C

A

Celsius

39
Q

CAT

A

computed axial tomography

40
Q

CBC

A

complete blood count

41
Q

CCU

A

coronary (cardiac) care unit

42
Q

c/o

A

complains of

43
Q

CP

A

chest pain

44
Q

CT

A

computed tomography

45
Q

dr

A

dram

46
Q

Dx

A

diagnosis

47
Q

ECU

A

emergency care unit

48
Q

ER

A

emergency room

49
Q

ETOH

A

ethyl alcohol

50
Q

F

A

Fahrenheit

51
Q

FH

A

family history

52
Q

HEENT

A

heads, eyes, ears, nose, and throat

53
Q

H&P

A

history and physical

54
Q

HPI

A

history of present illness

55
Q

Hx

A

history

56
Q

IMP

A

impression

57
Q

IP

A

inpatient

58
Q

JCAHO

A

Joint Commission on Accreditation of Healthcare Organizations

59
Q

L (with circle around it)

A

left

60
Q

L&W

A

living and well

61
Q

m (with circle around it

A

murmur

62
Q

MRA

A

magnetic resonance angiography

63
Q

MRI

A

magnetic resonance imaging

64
Q

NAD

A

no acute distress

65
Q

NKA

A

no known allergies

66
Q

NKDA

A

no known drug allergies

67
Q

noc.

A

night