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Module 1 > IM1- MED TERM - CHARTING TERMS > Flashcards

IM1- MED TERM - CHARTING TERMS Flashcards

1
Q

How would you chart about an abdomen that is
large and extends outwards

A

Protuberant, distended

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2
Q

How would you chart about an abdomen that is
hard and board like

A

Hard, rigid, distended, tympanic, taut

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3
Q

How would you chart about an abdomen that is
soft, flabby

A

relaxed, flaccid

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4
Q

How would you chart about an abdomen that is
filled with gas

A

tympanic, flatulent

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5
Q

How would you chart about an abdomen that
hangs down

A

Pendulous

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6
Q

How would you chart
large amounts of drainage

A

profuse, copious

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7
Q

How would you chart
medium amounts of drainage

A

moderate

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8
Q

How would you chart
small amount of drainage

A

scant

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9
Q

How would you chart
Hunchback

A

Kyphosis

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10
Q

How would you chart about the
small of back

A

lumbar region

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11
Q

How would you chart about
Swayback

A

lordosis

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12
Q

How would you chart
nose bleed

A

epistaxis

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13
Q

How would you chart
blood in urine

A

humaturia

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14
Q

How would you chart
spitting up blood

A

hemoptysis

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15
Q

How would you chart
positive blood in stool

A

guaiac positive

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16
Q

How would you chart
“unpleasant” breath

A

halitosis

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17
Q

How would you chart
“foul” breath

A

fetid

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18
Q

How would you chart
breath with sweet fruit like odor

A

fruity,sweet

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19
Q

How would you chart
urinous odor — in breath

A

odor of ammonia

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20
Q

How would you chart
breathing

A

respiration

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21
Q

How would you chart
difficult breathing

A

dyspnea

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22
Q

How would you chart
short periods when breathing has ceased

A

Apnea

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23
Q

How would you chart
inability to breath while lying down

A

Orthopnea

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24
Q

How would you chart
rapid breathing

A

Hyperpnea

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25
Q

How would you chart
increasing dyspnea with periods of apnea

A

Cheyne-stokes respiration

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26
Q

How would you chart consciousness that is:
alert, full conscious, oriented to date, time, place

A

Alert, fully conscious

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27
Q

How would you chart consciousness that is:
only partly conscious

A

semi-conscious

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28
Q

How would you chart consciousness that is:
unconscious, but can be aroused

A

stuporous

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29
Q

How would you chart consciousness that is:
unconscious, cannot be aroused

A

comatose

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30
Q

How would you chart
type of cough (name the types of coughs)

A

continuous, persistent, productive, nonproductive, dry, hacking

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31
Q

How would you chart a cough:
occuring in spasms

A

spasmodic

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32
Q

How would you chart a cough:
occurring in spasms

A

spasmodic

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33
Q

How would you chart
coughing up or expectoration of blood

A

Hemoptysis

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34
Q

How would you chart
dead tissue

A

tissue, necrosis, nercrotic

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35
Q

How would you chart
frequent liquid defication

A

Diarrhea

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36
Q

How would you chart
Color of stool

A

1.Clay
2. dark brown
3. black
4.mustard
5. yellow
6. green
7.tarry
8. streaked with blood,

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37
Q

How would you chart
constituents of stool

A
  1. Liquid
  2. soft
  3. Hard formed
  4. watery,
  5. Semi formed
  6. constipated
  7. Undigested foods
  8. Mucoid
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38
Q

How would you chart
containing pus

A

Purulent

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39
Q

How would you chart
bloody drainage

A

sanguineous

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40
Q

How would you chart
drainage of lymphatic fluid

A

serous

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41
Q

How would you chart
drainage that is tough, sticky

A

tenacious

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42
Q

How would you chart
bloody, lymphatic (serous) drainage

A

serosanguinous

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43
Q

How would you chart swelling in extremities, after depressing for 5 seconds

& it is indented 2mm

A

1+ edema

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44
Q

How would you chart swelling in extremities, after depressing for 5 seconds

& it is indented 4mm

A

2+ edema

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45
Q

How would you chart swelling in extremities, after depressing for 5 seconds

& it is indented 6mm

A

3+ edema

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46
Q

How would you chart swelling in extremities, after depressing 5 seconds

& it is indented 8mm

A

4+ edema

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47
Q

How would you chart emesis
that is produced by conscious effort of patient

A

Induced

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48
Q

How would you chart emesis
that is ejected a few feet distance

A

projectile

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49
Q

How would you chart emesis that
blood is noticeable

A

Hematemesis

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50
Q

How do you chart
Sharpness of vision

A

visual acuity

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51
Q

How do you chart
Yellow in color (in the eyes)

A

Jaundiced

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52
Q

How do you chart
puffy, swollen eyes

A

edematous

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53
Q

How do you chart
drooping eyelids

A

Ptosis of lids

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54
Q

How do you chart
Unusually sensitive to light

A

photophobia

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55
Q

How do you chart
double vision

A

Diplopia

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56
Q

How do you chart
cross eye, squinting

A

Strabismus

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57
Q

How do you chart
abnormal protrusion of eyeball

A

exophthalmos

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58
Q

How do you chart
inflammation of conjunctiva

A

conjunctivitis

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59
Q

How do you chart
dilatation of the pupil

A

myosis, pupil constricted, pin point

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60
Q

How do you chart
near-sightedness

A

myopia

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61
Q

How do you chart
far-sighteness

A

hyperopia

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62
Q

How do you chart
fainting

A

syncope

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63
Q

How do you chart
without fever

A

Afebrile

64
Q

How do you chart
temperature above normal

A

pyrexia

65
Q

How do you chart
temperature greatly above normal

A

hyperpyrexia

66
Q

How do you chart
forehead

A

frontal region

67
Q

How do you chart
region over temple

A

temporal region

68
Q

How do you chart
back of head

A

occipital region

69
Q

How do you chart
base of skull

A

basilar region

70
Q

How do you chart
having a large head

A

macrocephaly, hydrocephaly

71
Q

How do you chart
having a small head

A

microcephalus

72
Q

How do you chart
top of head

A

Parietal (right or left)

73
Q

How do you chart
hives

A

Urticaria

74
Q

How do you chart
itching

A

pruritus

75
Q

How do you chart
bending (of joints)

A

flexion

76
Q

How do you chart
straighten (of joints)

A

extension

77
Q

How do you chart
revolve around (joints)

A

rotation

78
Q

How do you chart
move away from median line

A

abduction

79
Q

How do you chart move toward median line

A

adduction

80
Q

How do you chart
blue in color

A

cyanotic

81
Q

How do you chart
my mouth (meds)

A

orally

82
Q

How do you chart
by rectum (meds)

A

rectally

83
Q

How do you chart
breathing in (meds)

A

inhalation

84
Q

How do you chart
rubbing into skin (meds)

A

topically

85
Q

How do you chart
under the skin

A

subcutaneous

86
Q

How do you chart
within the skin

A

intradermal

87
Q

How do you chart
within the muscle

A

intramuscular

88
Q

how do you chart
within the spinal canal

A

intraspinal, intrathecal

89
Q

How do you chart
within the vein

A

intravenous

90
Q

How do you chart
pouring into body cavity

A

instillation

91
Q

How do you chart
a menstrual period that is present when admitted

A

menses present

92
Q

How do you chart
painful (menstruation)

A

dysmenorrhea

93
Q

How do you chart
total absence of menstruation

A

amenorrhea

94
Q

How do you chart
profuse or prolonged flow

A

menorrhagia

95
Q

How do you chart
cessation of (menstruation)

A

menopause

96
Q

How do you chart
very unpleasant odor

A

offensive, foul

97
Q

How do you chart
paralysis of the muscle of the face

A

Facial paralysis

98
Q

How do you chart
paralysis of the legs

A

paraplegia

99
Q

how do you chart
paralysis of one side of the body

A

hemiplegia

100
Q

How do you chart
paralysis of a single limb

A

monoplegia

101
Q

How do you chart
paralysis of all four extremities & usually the trunk

A

quadraplegia

102
Q

How do you chart
large amount of profuse (perspiration)

A

diaphoresis, diaphoretic

103
Q

How do you chart
flat on back, arms straight at sides (position)

A

supine

104
Q

How do you chart
on side, knees flexed

A

lateral

105
Q

How do you chart
on left side, left arm behind back, left leg slightly flexed, right leg greatly flexed

A

Sims (left or right)

106
Q

How do you chart
head of bed semi- erect

A

semi-fowlers 40-45– modified knees & legs not flexed

107
Q

How do you chart
On back, buttocks near edge of table, knees well flexed and separated

A

lithotomy

108
Q

How do you chart
resting on knees and chest

A

knee-chest

109
Q

How do you chart
prone with hips over break in table and feet below level of head?

A

jackknife

110
Q

How do you chart
On back, pelvis and legs higher than head

A

Trendelenburg

111
Q

How do you chart
number of beats per min

A

rate

112
Q

How do you chart
on abdomen, face turned to one side

A

prone

113
Q

How do you chart
rhythm

A

regular or irregular, coupling, galloping

114
Q

How do you chart
beats missed at intervals

A

intermittent

115
Q

How do you chart
>100 beats per minute (bpm)

A

rapid, fast, tachycardia

116
Q

How do you chart
slow in rate <50 bpm

A

slow, bradycardia

117
Q

How do you chart
only scarcely perceptible

A

thready, weak

118
Q

How do you chart
pulseless

A

imperceptible, absent

119
Q

How do you chart
pulse strength

A
  1. 0 = absent, not palpable, inaudible with doppler
  2. 1+ = diminished/palpable
  3. 2+ = expected/normal
  4. 3+ = strong/full pulse
  5. 4+ = bounding, can’t be obliterated
120
Q

How do you chart
normal skin

A

healthy, normal for race

121
Q

How do you chart
blue in color (skin)

A

cyanotic, mottled

122
Q

How do you chart
very white

A

extreme pallor, ashen

123
Q

How do you chart
redness

A

erythema

124
Q

How do you chart
shines

A

glossy

125
Q

How do you chart
raw surface

A

excoriation

126
Q

How do you chart
yellow in color

A

Jaundiced

127
Q

How do you chart
containing colored area

A

pigmented

128
Q

How do you chart
scraped

A

abraded, denuded

129
Q

How do you chart
cold and moist

A

clammy

130
Q

How do you chart
not understandable

A

incoherent

131
Q

How do you chart
meaningless, wondering

A

rambling

132
Q

How do you chart
words run together

A

slurring

133
Q

How do you chart
difficultly speaking

A

dysphasia

134
Q

How do you chart
unable to speak

A

aphasia

135
Q

How do you chart
difficulty in swallowing

A

dysphagia

136
Q

How do you chart
inability to swallow

A

aphagia

137
Q

How do you chart
other descriptive terms related to throat

A

red, swollen, inflamed, ulcerated

138
Q

How do you chart
descriptive terms related to tongue

A

pink, moist, dry, cracked, swollen, coated, inflamed, ulcerated

139
Q

How do you chart
to urinate

A

voiding, micturate

140
Q

How do you chart
no control over urination

A

incontinence

141
Q

How do you chart
large amount of urine voided

A

diuresis

142
Q

How do you chart
total suppression of urine

A

anuria

143
Q

How do you chart
frequent voiding of urine at night

A

nocturia

144
Q

How do you chart
increased amount voided

A

polyuria

145
Q

How do you chart
painful urine

A

dysuria

146
Q

How do you chart
pus in urine

A

pyuria

147
Q

How do you chart
blood in urine

A

hematuria

148
Q

How do you chart
scantiness of urine

A

oliguria

149
Q

How do you chart
sugar in urine

A

glycosuria

150
Q

How do you chart
overweight

A

obese

151
Q

How do you chart
abnormal thinness

A

emaciated, wasting

152
Q

How do you chart
very underweight

A

cachectic

153
Q

How do you chart
discharging pus

A

suppurating, purulent

154
Q

How do you chart
black or gray necrotic tissue

A

eschar

155
Q

How do you chart
wound drainage

A

exudate

Module 1 (20 decks)

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