Kaplan Terminology for Documentation Flashcards
abduction
to move away from the midline
abraded
scraped
acetonuria
acetone in the urine
adduction
to move toward the midline
afebrile
without fever
albuminuria
albumin in the urine
ambulatory
walking
amenorrhea
absence of menstruation
amnesia
loss or defective memory
ankyloses
stiff joint
anorexia
loss of appetite
anuria
total suppression of urination
apnea
short periods when breathing has ceased
arthritis
inflammation of joint
asphyxia
suffocation
atrophy
wasting
auscultation, auscultate
to listen for sounds
bradycardia
heartbeat less than 60 beats per minute
Cheyenne-Stokes respirations
increasing dyspnea with periods of apnea
choluria
bile in the urine
clonic tremor
shaking with intervals of rest
conjunctivitis
inflammation of conjunctiva
coryza
watery drainage from nose
cyanotic
bluish in color due to poor oxygenation
defecation
bowel movement
dental caries
decay of the teeth
dentures
false teeth
diarrhea
excessive or frequent defecation
diplopia
double vision
distended
appears swollen
diuresis
large amount of urine voided
dorsal recumbent
lying on back, knees flexed and apart
dysmenorrhea
painful menstruation
dyspnea
difficulty breathing
dysrhythmia, arrhythmia
abnormal heart rhythm
dysuria
painful urination
edematous
puffy, swollen
emaciated
thin, underweight
emetic
agent given to produce vomiting
enuresis
bedwetting
epistaxis
nosebleed
eructation
belching
erythema
redness
eupnea
normal breathing
excoriation
raw surface
exophthalmos
abnormal protrusion of eyeball
extension
to straighten
fatigued
tired
feigned
pretended
fetid
foul
fixed
motionless
flaccid
soft, flabby
flatus, flatulence
gas in the digestive tract
flexion
bending
flushed
pink or hot
Fowler’s position
semi-erect, knee flexed, head of bed elevated 45-60°
gavage
forced feeding through tube passed into stomach
glossy
shiny
glycosuria
glucose in the urine
guaiac
test for occult blood
gustatory
dealing with taste
heliotherapy
using sunlight as a therapeutic agent
hematemesis
blood in vomitus
hematuria
blood in urine
hemiplegia
paralysis of one side of the body
hemoglobinuria
hemoglobin in the urine
hemoptysis
spitting of blood
horizontal
flat
hydrotherapy
using water as a therapeutic agent
hyperpnea
rapid breathing
hypertonic
concentration greater than body fluids
hypotonic
concentration less than body fluids
infrequent
not often
insomnia
inability to sleep
instillation
pouring into a body cavity
intermittent
starting and stopping, not continuous
intradermal
within or through the skin
intramuscular
within or through the muscle
intraspinal
within or through the spinal canal
intravenous
within or through the vein
involuntary, incontinent
unable to control bladder or bowels
isotonic
having the same tonicity or concentration as body fluids
jack-knife position
prone with hips over break in table and feet below level of head
jaundice
yellow color
knee-chest position
in face down position resting on knees and chest
kyphosis
hump back, concavity of spine
labored
difficult, requires an effort
lacerated
torn, broken
lateral position
on the side, knees flexed
lithotomy position
on back, buttocks near edge of table, knees well flexed and separated
lochia
drainage from the vagina after delivery
lordosis
sway back convexity of spine
manipulation, manipulate
to handle
menopause
cessation of menstruation
menorrhagia
profuse menstruation
metrorrhagia
variable amount of uterine bleeding occurring at frequent but irregular intervals
moist
wet
monoplegia
paralysis of one limb
mucopurulent
drainage containing mucus and pus
mydriasis
dilation of pupil
myopia
near-sightedness
myosis
contraction of pupil
nausea
desire to vomit
necrosis
death of tissue
nocturia
frequent voiding at night
obese
overweight
objective
able to document other than by observation
oliguria
scant urination, less than 400 ml in 24 hours
orthopnea
inability to breath or difficulty breathing lying down
palliative
offering temporary relief
pallor
white
palpation, palpate
to feel with hands or fingers
paraplegia
paralysis of legs
paroxysm
spasms or convulsive seizure
paroxysmal
coming in seizures
pediculi, pediculosis
lice
percussion, percuss
to strike
persistent
lasting over a long time
petechia
small rupture of blood vessels
photophobia
sensitive to light
photosensitivity
skin reaction caused by exposure to sunlight
pigmented
containing color
polyuria
increased amount of voiding
profuse, copious
large amount
projectile
ejected or projected some distance
pronation
to turn downward
prone
on abdomen, face turned to on side
prophylactic
preventative
protruding
extends outward
pruritus
itching
ptosis
drooping eyelid
purulent
drainage containing pus
pyrexia
elevated temperature
pyuria
pus in the urine
radiating
spreads to distant areas
radiotherapy
using x-ray or radium as a therapeutic agent
rales, crackles
abnormal breath sounds
rapid
quickly
rotation
to move in circular pattern
sanguineous
bloody drainage
scanty
small amount
semi-Fowler’s position
semi-erect, head of bed elevated 30-45°
serous
drainage of lymphatic fluid
Sim’s position
on left side, left arm behind back, left leg slightly flexed, right leg slightly flexed
sprain
wrenching of joint
stertorous
snoring
strabismus
squinting
stuporous
partial unconsciousness
subcutaneous
under the skin
supination
to turn upward
suppurating
discharging pus
syncope
fainting
syndrome
group of symptoms
tachycardia
fast heartbeat, greater than 100 beats per minute
tenacious
tough and sticky
thready
barely perceptible
tonic tremor
continuous shaking
Trendelenburg position
flat on back with pelvis higher than head, foot of bed elevated 6 inches
tympanic, tympanites
bell-like, resonant, distention of abdomen due to presence of gas or air in intestine or peritoneal cavity
urticaria
hives or wheals, eruption on skin or mucous membranes
vertigo
dizziness
vesicle
fluid-filled blister
visual acuity
sharpness of vision
void, micturate
to urinate or pass urine
