Initial Exam Flashcards
1
Q
Abrasion
A
Scrape of the skin due to something abrasive
2
Q
Acute
A
New, usually of rapid onset and of concern, opposite of chronic
3
Q
Anterior
A
Located towards the front of the body
4
Q
Benign
A
Normal, of no danger to health
5
Q
Bradycardia
A
Slow heart-rate (HR less than 60BPM)
6
Q
Cardiomegaly
A
Enlarged heart
7
Q
Cholecystitis
A
Inflammation of the gallbladder
8
Q
Coronary Artery
A
The artery that supplied heart tissue with blood
9
Q
Diaphoresis
A
Sweating
10
Q
Dyspnea
A
Problems with breathing
11
Q
Dysuria
A
Painful urination
12
Q
Ecchymosis
A
A bruise
13
Q
Edema
A
Swelling
14
Q
Emesis
A
Vomiting
15
Q
Epistaxis
A
Nose bleed
16
Q
Erythema
A
Redness/red
17
Q
Grossly
A
Obviously
18
Q
Hematemesis
A
Verge amount of blood in the vomit
19
Q
Hematuria
A
Very large amount of blood in the urine
20
Q
Hemoptysis
A
Coughing up large amounts of blood
21
Q
Hepatomegaly
A
Enlarged liver
22
Q
Infarct
A
Area of dead tissue after a lack of blood supply
23
Q
Ischemia
A
Lack of blood supply
24
Q
Laceration
A
Splitting of skin due to trauma
25
Melena
Black tarry stool
26
Myocardial Infarction (MI)
Death of cardiac muscle due to ischemia
27
Myalgia
Muscular pain
28
Oriented X3
Oriented to person, place and time
29
Pallor
Pale skin
30
Pulmonary embolism (PE)
Blocking of a pulmonary artery due to a blood clot
31
Purulent
Pus-like
32
Rales
Crackles; wet crackling noise in the lungs
33
Rhinorrhea
Clear nasal discharge, "runny nose"
34
Ronchi
Rattling noise of mucous in the lungs
35
Sepsis
Dangerous infection of the blood
36
STEMI
ST elevation MI, real-time ongoing death of heart tissue due to ischemia
37
Syncope
"Passing out", loss of consciousness or fainting
38
Tachycardia
Fast heart rate (HR greater than 100 BPM)
39
Tachypnea
Increased breathing rate
40
Transient Ischemic Attack (TIA)
Minor stroke, where neurological function is regained quickly with time
41
Vertigo
Conditions of dizziness, "room spinning"
42
Wheezing
High pitched sound heard in the lungs of asthmatics or lung disease
43
Ā
Before
44
AAA
abdominal aortic aneurysm
45
Abx
Antibiotics
46
AMA
Against Medical Advice
47
AMS
Altered Mental Status
48
ASA
Acetylsalicylic acid (aspirin)
49
BID
Twice daily
50
Bilat LE
Bilateral lower extremities
51
BM
Bowel movement
52
BP
Blood pressure
53
c(bar)
With
54
CA
Cancer, carcinoma
55
CABG
Coronary Artery Bypass Graft
56
CAD
Coronary Artery disease
57
CT or CAT
Computerized assisted tomography
58
CHF
Congestive heart failure
59
COPD
Chronic obstructive pulmonary disease
60
CP
Chest pain
61
CPR
Cardiopulmonary resuscitation
62
C-section
Caesarian section
63
CSF
Cerebrospinal fluid
64
CVA
Cerebrovascular accident or costovertebral angle
65
CXR
Chest x-ray
66
C/o
Complains of
67
C-spine
Cervical spine
68
DKA
Diabetic ketoacidosis
69
DM
Diabetes Mellitus
70
DNR
Do not resuscitate
71
DOE
Dyspnea of Exertion
72
DVT
Deep vein thrombosis
73
Dx
Diagnosis
74
Dz
Disease
75
EKG/ECG
Electrocardiogram
76
EtOH
Alcohol
77
FHx
Family history
78
Fx
Fracture
79
GI
Gastrointestinal
80
G/P/Ab
Gravida/Para/abortion
81
GSW
Gun Shot Wound
82
GU
Genitourinary
83
HA
Headache
84
HEENT
Head, eyes, ears, nose, throat
85
HPI
History of present illness
86
HTN
Hypertension
87
Hx
History
88
H&H
Hemoglobin and hematocrit
89
H&P
History of present illness and physical exam
90
I&D
Incision and drainage
91
IDDM
Insulin dependent Diabetes mellitus
92
IUP
Intrauterine pregnancy
93
IVDA
IV drug abuse
94
JVD
Jugular vein distension
95
LLE
Left lower extremity
96
LLQ
Left lower quadrant
97
LNMP
Last normal menstrual period
98
LOC
Loss of consciousness
99
LP
Lumbar puncture
100
LUE
Left upper extremity
101
LUQ
Left upper quadrant
102
MCA
Motorcycle accident
103
MI
Myocardial infarction
104
MVA/MVC
Motor vehicle accident/collision
105
N/A
Not applicable
106
NAD
No acute distress, No acute disease
107
NIDDM
Non-insulin diabetes mellitus
108
NKDA
No known drug allergies
109
Nml or nl
Normal
110
NSAID
Non steroid Anti-inflammatory drug
111
NSR
Normal sinus rhythm
112
NTG
Nitroglycerin
113
N/V/D
Nausea/vomiting/diarrhea
114
O2 sat
Oxygen saturation (Sa02)
115
OD
Overdose
116
P(bar)
Post, after
117
PCP
Primary care physician
118
PE
Pulmonary embolism
119
PERRL
Pupils are equal, round and reactive to light
120
PO
Per Os (by mouth)
121
Prn
As needed
122
Pt
Patient
123
PTA
Prior to arrival
124
qd
Every day
125
qh
Every hour
126
qhs
At every bedtime
127
q2h
Every 2 hours
128
QID
Four times a day
129
RLE
Right lower extremity
130
RLQ
Right lower quadrant
131
ROM
Range of motion
132
ROS
Review of symptoms
133
RUE
Right upper extremity
134
ROS
Review of symptoms
135
RUE
Right upper extremity
136
RUQ
Right upper quadrant
137
Rx
Prescription
138
r/o
Rule out
139
s(bar)
Without
140
SOB
Shortness of breath
141
s/p
Status post
142
Sx
Symptoms
143
TIA
Transient ischemic attack
144
TID
Three times a day
145
TM
Tympanic membrane
146
Tx
Treatment
147
UA
Urinalysis
148
URI
Upper respiratory infection
149
US
Ultrasound
150
UTD
Up to date
151
UTI
Urinary tract infection
152
WNL
Within normal limits
153
IV
Intravenous
154
IVP
Intravenous push
155
IVPB
Intravenous piggy-back
156
IM
Intramuscular
157
SQ
Subcutaneous
158
PO
Per os
159
PR
Per rectum
160
SL
Sub-lingual
161
gtt
Drops
162
Drip
Intravenous Drip
163
Neb
Inhaled Nebulizer
164
Patch
Transdermal
165
What order do you write medication orders?
Medication name > Dosage or strength > Route
Morphine 2.5mg IVP
166
Anasarca
Total body swelling
167
Auscultation
Listening with the stethoscope
168
Baseline
The normal state of being for each specific patient
169
Differential diagnosis
The disease that a physician is considering as the reason for the patients sx
170
Fundus
The bottom aperture of the internal surface of a hallow organ; often referring to the uterus it eye.
171
Hypertension
Persistently high atrial blood pressure (typically>140/90)
172
Hypotension
Persistently low atrial blood pressure (<100/65)
173
Os
Any body orifice
174
Palpable
Able to he touched or easily perceived
175
Rupture
The breaking-open of a bodily structure
176
Avulsion
A forcible pulling away of a part or structure
177
Crepitus
A crackling or gating sound usually of bones
178
Effusion
Escape of fluid into a cavity
179
Hemangioma
Tumor consisting of blood vessels
180
Stellate
Star-shaped, radiating from the center
181
Acute in chronic
New exacerbation of a chronic condition
182
Fluctuating
Symptoms that are always present but changing in severity, never fully resolving.
183
Intermittent
Symptoms that completely resolve at times but continue to return repeatedly
184
Paroxysmal
Occasional, sporadic, transient
185
Resolved
Gone, no longer existing
186
Transient
Resolving spontaneously after onset
187
Ambulatory
Able to move about, not confined to bed.
188
Articulation
Connection between bones, joints
189
Caudal
Toward the feet
190
Cephalad
Towards the head
191
Diffuse
Spread out over a wide area
192
Doesiflexion
Backward flexion, as in bending backward either a hand or foot is
193
Everted
Turned outward
194
Extension
Straightening out
195
Flexion
Bending or angulation
196
Frontal/coronal plane
Divides the body into anterior and posterior parts
197
Inverted
Turned inward
198
Lateral
Farther from the midline
199
Levator
That which raises
200
Midline
Divides the body into left and right
201
Palmer or volar
Palm side of hand or body
202
Plantar
Palm side of foot
203
Posterior or dorsal
Rear or back
204
Pronator
That which turns palm of hand downward
205
Prone
Body position lying face down with forearms and hands turned palm side down
206
Radial aspect
Pertaining to the radial (lateral) side of the arm
207
Supinator
That which turns palm of hand upward
208
Supine
Body position lying face up
209
Transverse plane
Decided the body into upper and lower portions
210
Ulnar aspect
Pertaining to the ulnar (medial) side of an arm
211
Afebrile
Without fever
212
Alert
Looking around, awake, attentive
213
Body habitus
The state of the patients body, often referring to obesity
214
Cachectic
Extremely skinny, bony, malnourished
215
Combative
Aggressively uncooperative
216
Constitutional
The general appearance and nature of a patient
217
Dehydrated
General appearance of lacking water, dry lips, dry mucosa
218
Distress
A patients inability to tolerate their body-state, due to pain or respiratory failure.
219
Elderly
Appearing old
220
Emaciated
Extremely thing and malnourished, wasting
221
Febrile
Elevated body temperature, fever, indicative of infection
222
Ill appearing
Not appearing healthy
223
Inconsolable
When an infant or baby cannot be made to stop crying
224
Morbidly obese
Extremely overweight
225
Non-toxic
Appearing stable and at no risk of deterioration
226
Somnolent
Appearing drowsy
227
Tearful
The state of crying, or being about to cry
228
Unkempt
Poor self-hygiene
229
Well developed
Normal state of mental and body development
230
Atraumatic, normocephalic
ATNC; normal external head inspection
231
Battles sign
Brushing behind the ears, indicative of a basilar skull fracture
232
Cephalgia
Headache
233
Encephalopathy
Disease of the brain
234
Facial angioedema
Swelling of the face often secondary to an allergic reaction
235
Fontanel
The forehead and the anterior top of the skull
236
Meningitis
Infection of the meninges, the membranes that contain the brain and the spinal cord
237
Occipital/occiput
The most posterior part of the skull, the back of the head
238
Parietal
Location across the posterior top of the skull
239
Raccoon eyes
Bruising around the eyes; indicative of basilar skull fracture
240
Sinusitis
Infection of the sinuses, usually causing sinus pressure
241
Temporal
The sides of the head, near the temples
242
Ansicoria
Unequal diameter of pupils
243
Conjunctiva
Thin outer lining if the eye and eyelid
244
Conjunctival exudate
Pus in the eye
245
Cornea
Transparent frontal aspect of the eye, covering both the iris and pupil
246
Diplopia
Diagnosis of double vision
247
EOMI
Extra ocular muscles intact
248
Fluorescein uptake
Demonstrates the presence of a corneal abrasion
249
Fluorescein
Orange/yellow eye drops used to detect corneal lesions, abrasions, or foreign bodies
250
Funduscopic exam
The use of an ophthalmoscope to look through the pupil and examine the interior surface of the posterior eye
251
Fundus of the eye
Interior surface of the eye
252
Hyphema
Blood in the anterior chamber of the eye, seen during the funduscopic exam
253
Lacrimal
Referring to tears
254
Nystagmus
Involuntary "shaking" eye movements, rather than normal continuous smooth motion
255
Opthalmalgia
Pain in the eye
256
Pale conjunctiva
Pale inner lining of the eyelid, most often due to anemia
257
Papilledema
Swelling of the optic disk due to increased intracranial pressure, seen funduscopically
258
Periorbital ecchymosis
Bruising around the eyes, indicative of trauma
259
Photophobia
Light sensitivity
260
Raccoon eyes
Bruising around the eyes, indicative of basilar skull fracture
261
Sclera
Dense, fibrous, opaque outer coat enclosing the eyeball except the part covered by the cornea
262
Sclera ictus
Yellowing of the sclera due to jaundice
263
Stye/hordeolum
Small infected bump of the eyelid, usually in between the eyelash hairs
264
Subconjunctival hemorrhage
Blood in the white part of the eye
265
Sunken eye
Sign of dehydration
266
Auricle
External portion of the ears
267
Cerumen
Earwax
268
Labyrinthitis
Infection of the deep inner ear, known as the labyrinth. Often causes vertigo
269
Loss of landmarks
The TM is opaque, no longer transparent. Indicates ear infection
270
Otalgia
Ear ache
271
Otitis media
Middle ear infection
272
Tinnitus
"Ringing in the ears", the perception of ringing even without an external stimuli
273
TM bulging
"Outpouching" of the TM, indicative of inflammation
274
TM dullness
Absence of light reflection, indicative of ear infection
275
TM erythema
Redness of the TM, often indicative of infection
276
TM perforation
Rupture if the eardrum
277
Tympanic Membrane
TM, the clear membrane inside the ear; ear drum
278
Epistaxis
Hemorrhage from the nose; nose bleeding.
279
Naris
Nostril (pleural is nares)
280
Septal hematoma
Bruise/swelling of the septum (sign of a nose fracture)
281
Decreased gag reflex
Indicative of decreased LOC or brain stem injury. Concern for airway protection.
282
Dentition
Teeth
283
Dry mucosa
Dry tongue, mouth, and lips, indicating significant dehydration.
284
Edentulous
Without teeth
285
Gingiva
Gums
286
Lingual
Referring to the tongue
287
Malocclusion
Imperfect closure of opposing teeth, indicative of trauma or jaw fracture
288
Nasopharynx
The far back of the nasal canal, where it joins the back of the throat
289
Odontalgia
Painful swallowing
290
Oropharynx
The back of he mouth, where it meets the throat
291
Peritonsilar abscess
Collection of pus or fluid around the tonsils
292
Pharyngeal erythema
Redness of the pharynx, indicating a throat infection
293
Pharyngitis
Throat infection
294
Secretion pooling
Poor ability to handle secretions (saliva): drooling at the mouth and gagging
295
Tacky mucosa
Sticky tongue, mouth, and lips indicating early dehydration
296
Tonsillar edema
Swelling of the tonsils, indicating infection
297
Tonsillar exudate
Pus on the tonsils, indicating infection of the tonsils
298
Trismus
Inability to fully open mouth due to inflamed jaw muscles
299
Uvula midline
Uvula in normal position (not shifted)
300
Brudzinski's sign
Neck pain elicited by flexing neck. Hips and knees flex in response to the neck being flexed. Sign of meningitis.
301
C-spine
Cervical spine (C1-C7)
302
Carotid bruit
Turbulent blood flow heard with auscultation over the carotid artery (Due to carotid narrowing or plaque)
303
Jugular vein distention
JVD, sign of CHF
304
Kernig's sign
Neck pain elicited by flexing the hip. Stiff hamstrings/inability to straighten the leg when hip is flexed, sign of meningitis
305
Lymphadenopathy
Enlarged lymph nodes
306
Meningismus
Stiff neck/signs of meningitis
307
Paraspinal tenderness
Tenderness of the muscles next to he vertebrae
308
Supple
Flexible, free moving, not-stiff
309
Thyromegaly
Enlarged thyroid
310
Trachea midline
No deviation of trachea (deviates to unaffected side in pneumothorax)
311
Vertebral tenderness
Bony tenderness directly over the vertebrae
312
Aortic aneurysm
Diagnosis in which the arterial wall splits apart
313
Arrhythmia
Disturbance of rhythm in the heartbeat
314
Aortic rupture
Diagnosis in which arterial wall breaks open as could happen in aortic dissection, ruptured aortic aneurysm trauma
315
Atrial fibrillation
Irregular beating of the atria; indicates that the sinus node is not conducting a normal sinus rhythm; "a fib"
316
Atrial flutter
Irregular beating of the atria; often describes as "a-flutter with 2 to 1 block or 3 to 1 block"
317
Atrial septal defect
ASD, a hole in the atrial septum the allows atrial blood to mix
318
Cardiac ischemia
Decreased blood flow through the coronary arteries and to the heart. Usually diagnosed by ST segment depressions on EKG
319
Cardiomyopathy
Disease of the heart muscles
320
Extra systoles
Extra beats of the heart heard during auscultation
321
Friction rub
Described as hearing, scratching sound of the heart. Indicative of pericarditis
322
Gallop
Three or four sounds resembling the sounds of a gallop
323
Irregularly irregular
Heart rhythm of anyone with a fib
324
Murmurs
Abnormal heart sound rated on 1-6 scale
325
Myocardial infarction
Death of cardiac muscle due to prolonged ischemia when blood flow through the coronary artery is obstructed
326
Myocarditis
Inflammation of the heart muscle
327
NSTEMI
Non ST segment elevation MI; a heart attack that is not diagnosed on the EKG, but is diagnosed by elevated troponin levels in blood tests
328
Pericardial tamponade
Diagnosis due to fluid in the pericardium that exerts pressure on the heart and hampers its ability to contract normally
329
Pericarditis
Inflammation of the pericardium evidenced on physical exam by the presence of a friction run on heart auscultation
330
Pulse exam
Carotid, brachial, radial, femoral, popliteal, dorsal pedis (DP) or posterior tibia (PT)
331
STEMI
ST elevation myocardial infarction, when the EKG shows "ST segment elevation" it indicated an acute heart attack.
332
Ventricular fibrillation
Irregular beating of the ventricles; this a terminal even that requires immediate electrical cardioversion
333
Valvular vegetation
An infectious growth on the cardiac valves
334
Ventricular septal defect (A VSD)
A hole in the ventricular septum that causes blood to mix between the RV and LV
335
Ventricular wall thrombus
A blood clot that attaches to the inside wall of the ventricle; pieces of the thrombus can break off and spread to anywhere in the body leading to infractions.
336
Aneurysm
Localized ballooning of a vessel due to a weekend vessel wall
337
Bruit
A whooshing sound heard during auscultation indicative of a blockage of aneurysm
338
Dissection
Blood flow into the wall layers of an artery causing the arterial walls to split apart
339
Deep vein thrombosis
DVT; deep clot in the extremity
340
Embolism
Obstruction of blood vessels by a revamping clot of blood or foreign substance
341
Hemangioma
Tumor consisting of blood vessels
342
Stenosis
Narrowing of a body opening or passage
343
Thrombus
Blood clot or blockage
344
Vein
Vessel carrying blood towards the heart, soft, compressible
345
Accessory muscle use
Struggling for breath using extra muscles in addition to the diaphragm
346
Asthma
Construction of the airways due to muscular contraction of the bronchioles
347
Atelectasis
Collapse of the alveoli in the lungs due to disease or poor inspiration
348
Bradypnea
Decreased respiratory rate
349
Bronchiolitis
Inflammation/infection of the bronchioles
350
Bronchitis
Infection/inflammation of the bronchi
351
COPD
Chronic obstructive pulmonary disease
352
Dullness on percussion
Fluid or mass under area being percussed
353
Hemoptysis
Coughing up blood
354
Hemothorax
Blood in the pleural cavity
355
Hyperventilation
Breathing too fast A.K.A. Behavioral breathlessness or psychogenic dyspnea
356
Nasal flaring
Enlargement of the nostrils during breathing
357
Prolonged expiration
Exploratory phase that is markedly longer than the inspiratory phase. Heard in asthmatics
358
Pulmonary embolus
Blockage of the pulmonary artery or one of its branches due to a trans located clot
359
Pleurisy
Pain while breathing
360
Pneumothorax
Presence of air or gas in the pleural space; collapsed lung
361
Pneumonia
Infiltrate (infection) inside lung tissue
362
Retractions
Visible sinking of the area between the ribs and in the neck during inhalation (respiratory distress)
363
Splinting
Avoiding deep inspirations due to increased pain white breathing
364
Sputum
Matter coughed up from the lower airways
365
Stridor
Upper respiratory rate, common sign in croup
366
Tachypnea
Increased respiratory rate, greater than 20 respiration per minutes.
367
Bowel sounds
Intestinal sounds heard from auscultation from over the abdomen; hyperactive, hypoactive, diminished, absent, tympanic
368
Cholecystitis
Inflammation of the gallbladder
369
Cholelithiasis
Production of gallstones
370
Cirrhosis
Scaring of the liver tissue affecting the livers ability to function
371
Crohn's/colitis
Types of chronic inflammatory
372
Diffuse
Generalized; not localized to any specific location
373
Distension
Enlarged or swollen due to internal pressure
374
Diverticulitis
Acute inflammation of the diverticular pouches
375
Diverticulosis
Formation of diverticuli; pouches in the colon wall
376
Dunphy's sign
Increased pain with coughing
377
Dyspepsia
Indigestion
378
Dysphagia
Difficulty swallowing
379
Epigastric
Upper central region of the abdomen
380
Gastroenteritis
General term for inflammation of the GI tract
381
Guarding
Tensing of abdominal wall muscles as to guard the internal organs indicative of true abdominal disease
382
Hematemisis
Vomiting of blood
383
Hematochezia
Bright red blood in the stool
384
Hepatitis
Inflammation of the liver
385
Hepatomegaly
Enlarged liver
386
Hernia
Contend of body cavity bulge out of the area where they are normally contained
387
Ileus
Lack of muscular contraction in the intestine leading to disruption of bowel passage air/fluid levels in abdominal x-ray
388
Inguinal
Pertaining to the groin region
389
Intussusception
One portion of the intestines slides into the next, much like the pieces of a telescope
390
Mass
Any abdominal enlargement
391
McBurney's point
RLQ point (1/3 of the way from ASIS to the umbilicus) tenderness indicative of appendicitis
392
Melena
Black tarry stool indicative of a GI bleed
393
Murphy's sign
Pain with palpating of the RUQ during inspiration, indicative of cholecystitis
394
Obturator sign
RLQ on internal rotation of right thigh indicative of appendicitis
395
Organomegaly
Enlarged organ
396
Pancreatitis
Inflammation of the pancreas
397
PUD
Peptic Ulcer disease; ulcers developing in the stomach causing pain and emesis
398
Peritoneal signs
Rebound tenderness, guarding, or rigidity indicative of acute abdominal inflammation
399
Peritonitis
Inflammation of the peritoneal (abdominal cavity)
400
Psoas sign
RLQ pain with extension of right thigh indicative of appendicitis
401
Prominent aortic pulsation
A larger than expected pulsating mass while palpating midline over the abdomen; indicates an aortic aneurysm
402
Pulsatile mass
Strong pulse of midline abdomen, possible aortic aneurysm
403
Rebound
Pain when releasing hand from abdominal palpation
404
Rigidity
Stiffness of the muscles of the abdomen
405
Rovsing's sign
Pain in the RLQ with palpitation of the LLQ indicative of appendicitis
406
Small bowel obstruction
SBO; acute blockage of the small intestine
407
Scaphoid
Concave, sunken
408
Splenomegaly
Enlarged spleen
409
Suprapubic
Lower central region on the abdomen
410
Tympany
A bell-like noise when tapping the abdomen
411
Abortions
Number of terminated pregnancies, spontaneous or induced
412
Adnexa
Appendages; in gynecology the ovaries and the Fallopian tubes
413
Adnexal tenderness
Tenderness of the ovaries during the pelvic exam, indicative of an ovarian cyst or torsion
414
Blood in the meatus
Blood at the urethral opening of a male; sign of trauma or hematuria
415
Cervical os
The opening of the cervix; always will be closed unless passing tissue from the cervix
416
Cervical motion tenderness
CMT; elicited by moving the cervix often indicative of PID
417
CVA Tenderness
Costo-vertebral Angle tenderness; tenderness over the kidneys
418
Dysmenorrhea
Painful mensturation
419
Dyspareunia
Painful intercourse
420
Ectopic pregnancy
Egg developing outside the uterus extremely dangerous due to risk of rupture
421
Endometriosis
Presence of functioning endometrial tissues outside of the uterus
422
Epididymitis
Inflammation of the epididymis
423
Foley catheter
A tube inserted through the urethra to drain urine, often left in place
424
Frequency
Urinating often
425
GPA
Gravida, para, abortus
426
GTPAL
Gravida, Term, preterm, abortions, living
427
Gravid
The state of being pregnant
428
Gravida
Number of total pregnancies
429
Hematuria
Blood in the urine
430
Hydronephrosis
Swelling of the kidney due to acute blockage of the ureter
431
Inguinal
Pertaining to the groin area
432
Nephrolithiasis
Kidney stones; synonymous with dean calculi
433
Ovarian torsion
Twisting of the ovarian Artery and vein
434
Para
Number of viable live offspring born by a woman
435
Pelvic inflammatory disease
PID; inflammation of a woman's reproductive organs
436
Products of conception
POC; tissue of an aborted fetus
437
Polyuria
Urinating large amounts
438
Pylenonephritis
Infection of the kidneys
439
Retention
Inability to urinate
440
Spotting
Passing very small amounts of blood from the vagina
441
Straight catheter
A straight tube inserted to drain urine then immediately removed
442
Testicular torsion
Twisting of the spermatic cord
443
Urgency
Abrupt onset of urge to urinate
444
Vaginal vault
The interior of the vagina
445
Arthralgia
Pain in a joint
446
Arthritis
Inflammation of the joints
447
Atrophic
Showing signs of tissue degradation
448
Avulsion fracture
Fragment of bone chipped away from the main bone
449
Bony tenderness
Tenderness of the bone indicative of a fracture
450
Boxer's fracture
5th metacarpal fracture
451
Comminuted fracture
Splintered and crushed bone broken into multiple fragments
452
Compartment syndrome
Compression of the nerves and blood vessels
453
Compound fracture
Open fracture; a fracture that penetrates the skin
454
Costochondritis
Inflammation of the rib cartilage
455
Deformity
Visual abnormality of a bone or anatomical structure
456
Dislocation
Disconnected joint; complete misalignment of the joint
457
Fascia
Fibrous membrane of connective tissue supporting and separating muscles and body organs
458
Fracture
Broken bone
459
Gout
Type of arthritis, diagnosed by ordering a Utica acid level
460
Green stick fracture
Bone partially breaks and bends
461
Impacted fracture
Broken bone smashed into another bone
462
Intertrochanteric fracture
Fracture at the proximal end of the femur
463
Malleolus
Bony prominence in each side of the ankle
464
Multiple sclerosis
Autoimmune disease affecting the brain and spinal cord
465
Myalgia
Muscular pain
466
Olecranon
Large bony projection of the ulna forming the point of the elbow
467
Osteomyelitis
Bone infection
468
Paraspinal tenderness
Tenderness of the muscles beside the spine, not indicative of a fracture
469
Radiculopathy
Compressed nerve in the spine
470
Sciatica
Compression of the sciatic nerve causing back pain with radiation of posterior leg
471
Straight leg raises
SLR; maneuver testing for sciatica
472
Snuff box
Triangular indentation of the radial dorsal aspect of the hand
473
Spiral fracture
Bone is broken in a twisting manner
474
Step-offs
Misalignment of the spine indicative of a spinal fracture
475
Subluxation
Partial dislocation
476
Tenosynovitis
Inflammation of the tendon sheath
477
Transverse fracture
Perpendicular break across the bone
478
Vertebral point tenderness
Tenderness directly over the spine (vertebrae), increased likelihood of fracture
479
Abrasion
Scrape of the skin due to something abrasive
480
Abscess
A collection of pus beneath the skin
481
Acne
Pimples
482
Acne Vulgaris
Severe acne
483
Adenopathy
Swelling of lymph-node, usually indicative of an infection distally
484
Anascara
Total body swelling
485
Avulsion
A forcible pulling away of a part or structure
486
Cyanosis
Blue color of skin due to lack of oxygen
487
Debridement
Removal of a foreign matter or dead tissue from a wound
488
Dehiscence
Splitting apart or separation of skin often used to describe a surgical wound that has re-opened
489
Dermis
Layer beneath the epidermis
490
Dermatitis
Inflammation of the skin
491
Dusky
Somewhat dark in color often indicative of poor circulation
492
Eczema
Inflammation condition of the skin characterizes by scaly and I tachypnea rash. May include tiny vesicles with oozing and crusting
493
Eczematous rash
Dry, scaly skin consistent with eczema
494
Fluctuance
Palpable fluid beneath the skin indicative of infection/pus
495
Folliculitis
Inflammation of the hair follicle
496
Fungal rash
Commonly used to describe a type of rash caused by fungus like tinea
497
Gangrene
Necrotic skin
498
Hematoma
Raised area with underlying blood which occurs in tissues resulting from ruptured blood vessels
499
Herpes simplex
Viral skin disease, often affecting the mouth or genital region
500
Heroes zoster
Shingles, sinful red blisters
501
Hirsute
Hairy
502
Hyperpigmented
Darker than the surrounding skin
503
Hypopigmented
Lighter than the surrounding skin
504
Induration
Hardened area of tissue
505
Keloid
Hypertrophic scar; raised scar
506
Laceration
Cut in the skin due to trauma
507
Lichenified
Thick skin with very deep lines
508
Lymphadenopathy
Enlargement of a lymph node
509
Lymphangitis
Inflammation of a lymphatic vessel; appears as red streaking
510
Macerated
Skin softening breakdown often from being wet for a prolonged period of time
511
Macular
Flat, red spots on the skin
512
Maculopapular rash
Rash with a flat red area that also has raised bumps
513
Mottled
Skin that is very poorly perfumes due to poor blood circulation
514
Necrotizing fasciitis
Rapidly spreading inflammatory infection located in the deep fascia (presence of gas on X-ray)
515
Papular
Raised bumps
516
Petechial rash
Red or purple discolorations on the skin that do not blanch (lighten) with applied pressure (a sign of meningitis)
517
Pitting edema
Edema that retains an imprint when touched
518
Pruritic
Itchy
519
Psoriasis
Autoimmune disease of the skin. Dry, scaly, red, itchy patches of skin
520
Scarlantiniform rash
Coarse, sandpaper texture rash (streptococcus infection)
521
Serosanguinous
Consisting of serum and blood
522
Subungual
Beneath the nail
523
Tenting
Slow return of the skin to its normal position after being pinched; a sign of dehydration or aging or both
524
Turgor
Skin elasticity
525
Urticarial rash
Hives; a red raised, and often itchy rash consistent with allergic reactions
526
Vesicular rash
Vesicles; fluid filled blisters
527
Vitiligo
Depigmentation of patches of skin
528
Wheals
Urticarial; red, raised rash, consistent with allergic reactions
529
Afferent pupillary defect
APD; an abnormal finding of dilation of the pupil instead of constriction in response to a shining light
530
Aniscora
Unequal diameter of pupils
531
Antalgic gait
Limping
532
Aphasic
Inability to generate and understand language due to a damage to the brain. Either inability to create words (expressive aphasia) or understand words (receptive aphasia)
533
Ataxia
Loss of coordination
534
Babinski sign
The toes flex upward when sole of foot is stimulated, indicating motor nerve damage
535
Bell's Palsy
A localized facial nerve dysfunction that causes facial dropping and numbness
536
Clonus
Involuntary muscle contractions and relaxations
537
CN 1
Olfactory. Smell
538
CN 2
Optic. Vision
539
CN 3
Oculomotor. EOM
540
CN 4
Trochlear hearing
541
CN 5
Trigeminal. Sensation in face
542
CN 6
Abducens
543
CN 7
Accessory
544
CN 8
Vestibulocochlear hearing.
545
CN9
Glossopharyngeal. Gag reflex.
546
CN 10
Vagus
547
CN 11
Hypoglossal
548
Decrease rectal tone
Diminished anal sphincter muscle contraction, indicative of neurological damage.
549
Dysarthria
Poor mechanical articulation of speech due to abnormal lips, tongue and check motor function
550
Dysphasia
Difficulty in neurologically generating or understanding language
551
EOMI
Extraocular movements intact
552
EOM palsy
Paralysis of the face
553
Facial asymmetry
Dropping of one side of the face indication neurological damage
554
Facial palsy
Paralysis of the face
555
Finger-nose-finger
A test to evaluate cerebellar function
556
Funduscopic exam
Inside of the as seen with ophthalmoscope looking for increased cranial pressure
557
Grand mal seizure
Epileptic attack characterized by convulsions, stupor and temporary LOC
558
Hemiparesis
Weakness of one half of the body
559
Hemiplegia
Paralysis of one half of the body
560
Moves all extremities
(MAEx4) the pt moves their arms and legs normally, indicating nml motor Function
561
Neuralgia
Sharp pain along the course of a nerve or several nerves
562
Normal DTRs
Normal deep tendon reflexes, rated 2/4
563
Papilledema
Swelling of the optic nerve sheath, as noted with funduscopic examination
564
Paresthesia
Abnormal tactile sensation often described as tingling, numbness, or pinpricking
565
Post-ictal
The state of somnolence and decreased responsiveness after a seizure
566
Pronator drift
Involuntary turning or lowering of forearm when outstretched
567
Romberg's sign
Falling to one side when standing with feet together and eyes closed, indicating abnormal cerebellar function or inner ear dysfunction
568
Saturday Night Palsy
A permanent localized numbers or weakness to a specific nerve's distal innervation
569
Status epilepticus
Repetitive seizures without regaining consciousness between them
570
Strength 5/5
Normal strength of the extremities
571
Tongue deviation
Tongue pointing to one side
572
Tonic clonic
Description of a Grand-mal or generalized seizure with stupor and transient LOC
573
Abnormal judgment
Lack of normal decision making
574
Affect
The expressed or observed emotional and social responses
575
Anxiety reaction
Commonly known as an "anxiety attack"
576
Auditory hallucinations
Hearing voices, noises, music, or sounds that are not actually real
577
Depressed
Appearing sad, unhappy
578
Flat affect
Lack of normal interaction, monotone, unemotional
579
Homicidal ideation
Thoughts of killing another person
580
Non-communicative
Lacking the desire or ability to communicate
581
Odd affect
Strange interactions, unusual expressions, "weird"
582
Pressured speech
Abnormal rate of speech, speaking quickly and urgently
583
Suicidal ideation
Thoughts of killing oneself
584
Tangential thoughts
Thought processes that do not follow normal or logical progressions
585
Visual hallucinations
Seeing objects, people, or things that do not actually exist
586
Withdrawn
Uninterested and non-participatory
587
A&O
Alert and oriented
588
ABC
Airway, breathing, circulation
589
ABG
Arterial blood pressure
590
Abnl
Abnormal
591
ACLS
Advanced cardiac life support
592
ADH
Antidiuretic hormone
593
ADLs
Activities of daily living
594
AICD
Automated implantable cardiac defibrillator
595
AIDS
Acquired immune deficiency syndrome
596
ALS
Advanced life support
597
AM
Morning
598
Amb
Ambulate
599
AMI
Acute myocardial infarction
600
Ant
Anterior
601
APAP
Acetaminophen
602
APGAR
Appearance, pulse, grimace, activity, respiration - used to assess newborns
603
APN
Advanced practice nurse
604
ARF
Acute renal failure
605
ARDS
Acute respiratory distress syndrome
606
ASCVD
Atherosclerotic cardiovascular disease
607
at/nc
Atraumatic normocephalic
608
BAC
Blood alcohol level
609
BBB
Bundle branch block
610
BC
Blood culture
611
BIB
Brought in by
612
BiPAP
Biphasic positive airway pressure
613
BLE
Bilateral lower extremities
614
BLS
Basic life support
615
BNP
B-type natriuretic peptide
616
BP
Blood pressure
617
BPH
Benign prostatic hyperplasia
618
BRB
Bright red blood
619
BS
Blood sugar, bowel sounds, breath sounds
620
BSA
Body surface area
621
BTL
Bilateral tubal ligation
622
BUN
Blood urea nitrogen
623
Bx
Biopsy
624
c diff
Clostridium difficile
625
Ca++
Calcium
626
cap
Community acquired pneumonia
627
CAT or CT
Computed axial tomography
628
CBD
Common bile duct
629
CCE
Clubbing, cyanosis, edema
630
CCU
Critical care unit
631
cdi
Clean, dry, intact
632
CDU
Clinical Decisions Unit
633
CHI
Closed head injury
634
CK
Creatine kinase
635
CKD
Chronic kidney disease
636
CKMB
Creatine kinase mb isoenzyme
637
CLL
Chronic lymphocytic leukemia
638
CMP
Complete metabolic panel
639
cm
Centimeter
640
CMS
Circulation motor sensory
641
CMT
Cervical motion tenderness
642
c/o
Complains of
643
CO
Carbon monoxide
644
CPAP
Continuous positive airway pressure
645
CPK
Creatine phosphokinase
646
CPOE
Computerized physician order entry
647
CPS
Child protective services
648
Creat
Creatinine
649
CRP
C-reactive protein
650
CRF
Chronic renal failure
651
CRI
Chronic renal insufficiency
652
CTA
Clear to auscultation
653
CV
Cardiovascular
654
CVD
Cardiovascular disease
655
c/w
Consistent with
656
CX
Culture
657
D5W
5% dextrose in water
658
DC
Discontinue
659
D/C
Discharge
660
D&C
Dilation and curettage
661
DDD
Degenerative Disc Disease
662
DDx
Differential diagnosis
663
Dig
Digoxin
664
DIP
Distal interphalangeal joint
665
Dispo
Disposition
666
DJD
Degenerative joint disease
667
DP
Dorsal pedis
668
DTR
Deep tendon reflex
669
DTs
Delirium tremens
670
Dx
Diagnosis
671
DZ
Disease
672
EAC
External auditory canal
673
ECHO
Echocardiogram
674
E.coli
Escherichia coli
675
EDD
Expected delivery date
676
EEG
Electroencephalogram
677
EF
Ejection fracture
678
EGD
Esophagogastroduodenoscopy
679
EJ
External jugular
680
EMR
Electronic medical record
681
EMTALA
Emergency medical treatment and active labor act
682
ERCP
Endoscopic retrograde cholangiopancreatography
683
ESR
Erythrocyte sedimentation rate
684
ESRD
End stage renal disease
685
ETT
Endotracheal tube
686
Ext
Extremities
687
FAS
Fetal alcohol syndrome
688
FAST
Focused assessment with sonography for trauma
689
FB
Foreign body
690
Fem-pop
Femoropopliteal bypass surgery
691
FHT
Fetal heart tones
692
FFP
Fresh frozen plasma
693
FOS
Full of stool
694
FROM
Full range of motion
695
FSBG
Finger stick blood glucose
696
Fx
Fracture
697
GB
Gallbladder
698
GC
Gonorrhea
699
GCS
Glasgow coma scale
700
GERD
Gastroesophageal reflux disease
701
GFR
Glomerular filtration rate
702
gtts
Drops
703
G-tube
Gastronomy tube
704
GU
Genitourinary
705
GYN
Gynecology
706
HBP
High blood pressure
707
Hct
Hematocrit
708
HI
Homicidal ideation
709
HIV
Human immunodeficiency virus
710
HOCM
Hypertrophic obstructive cardiomyopathy
711
HR
Heart rate
712
HSV
Herpes simplex virus
713
I&O
Intake and output
714
ICD-10
International classification of Disease - 10th revision
715
ICH
Intracranial hemorrhage
716
ID
Infectious disease
717
JVD
Jugular vein distention
718
LAD
Left anterior descending
719
LBBB
Left bundle block branch
720
LBP
Lower back pain
