Medical Scribe 2 Flashcards
1
Q
movement away from the midline
A
abduction
2
Q
scrape of the skin
A
abrasion
3
Q
collection of pus beneath the skin
A
abscess
4
Q
using extra muscles other than the diaphragm to help breathe
A
accessory muscle usage
5
Q
movement toward the midline
A
adduction
6
Q
without fever
A
afebrile
7
Q
expressed emotional/social response
A
affect
8
Q
able to walk
A
ambulatory
9
Q
unequal pupil size
A
anisocoria
10
Q
limping, gait that can develop to avoid pain while walking
A
antalgic gait
11
Q
in front of or directed to the front
A
anterior
12
Q
abnormal heart rhythm
A
arrhythmia
13
Q
loss of coordination
A
ataxia
14
Q
without trauma
A
atraumatic
15
Q
normal external head exam
A
atraumatic/normocephalic
16
Q
tissue breakdown or wasting away, typically due to degeneration of cells
A
atrophy
17
Q
listening with a stethoscope
A
auscultation
18
Q
general appearance/state of a person’s body
A
body habitus
19
Q
intestinal sounds by auscultation
A
bowel sounds
20
Q
decreased heart rate (<60)
A
bradycardia
21
Q
decreased respiratory rate
A
bradypnea
22
Q
whooshing sound of a vessel by auscultation
A
bruit
23
Q
extremely thin, malnourished as a result of weight and muscle loss due to disease
A
cachexia/cachectic
24
Q
toward the feet
A
caudal
25
toward the head
cephalad
26
general appearance of a patient
constitutional
27
abdominal flanks, anatomical angle of the body containing the kidneys, formed by the vertebral column and 12th rib
costovertebral angle
28
peripheral nerve originating from the brain (CN2-12)
cranial nerve
29
cracking palpable in a joint
crepitus
30
cervical spine
C-spine
31
bluish color of the skin due to hypoxia
cyanosis
32
area of skin that is supplied by a specific nerve branch
dermatome
33
displacement of a bone from a joint
dislocation
34
away from the limb root
distal
35
an aversive state in which a person is unable to completely adapt to stressors and their resulting stress and can show maladaptive behaviors
distress
36
movement of the hands or feet toward the dorsum (back)
dorsiflexion
37
extremely malnourished and frail
emaciated
38
turned outward
everted
39
straighten out
extension
40
having a fever
febrile
41
monotone and unemotional
flat affect
42
bending movement where the angle between the bone of the limb and joint decreases
flexion
43
palpable fluid collection under the skin, common sign of abscess
fluctuance
44
scratching sound of the heart via auscultation
friction rub
45
anterior portion of scalp and forehead
frontal
46
extra heart sounds via auscultation
gallop
47
involuntary tensing of the abdominal wall muscles to protect internal organs in acute process
guarding
48
unilaterial weakness
hemiparesis
49
unilateral paralysis
hemiplegia
50
enlargement of the liver
hepatomegaly
51
protrusion of tissue out of a body cavity
hernia
52
hypersensitivity of skin
hyperesthesia
53
area of skin that is darker than surrounding skin
hyperpigmentation
54
elevated blood pressure
hypertension
55
area of the skin that is lighter than surrounding skin
hypopigmentation
56
low blood pressure
hypotension
57
yellowing of the sclera of the eyes
icterus
58
hardened area of tissue
induration
59
lower, away from the head
inferior
60
groin region
inguinal
61
turned inward
inverted
62
heart sounds heard with atrial fibrillation
irregularly irregular
63
yellowing of skin due to hyperbilirubinemia
jaundice
64
distention of the neck veins due to fluid overload or CHF
jugular venous distention
65
raised scar
keloid
66
forward rounding of the back
kyphosis
67
cut in or through the skin or other tissues
laceration
68
away from the midline, toward the sides
lateral
69
curving inward of the lower back
lordosis
70
lumbar spine
L-spine
71
enlargement of a lymph node
lymphadenopathy
72
flattened, erythematous spots on the skin
macular
73
rash displaying flat, red areas with several raised areas
maculopapular
74
point in the RLQ associated with appendicitis
McBurney point
75
toward the midline/median plane
medial
76
stiffening of the neck muscles
meningismus
77
divides the body into left and right halves
midline
78
description of skin with significant hypoperfusion (loss of circulating fluid); marked by hypotension and coldness of the skin
mottled
79
abnormal heartsound, graded on a scale of I-VI
murmur
80
pain with palpation of the RUQ with inspiration (tests for cholcystitis)
Murphy sign
81
enlargement of nostrils when breathing; sign of respiratory distress
nasal flaring
82
involuntary eye movements where eyes appear to be shaking
nystagmus
83
pain in the RLQ with internal rotation of the right hip; indicative of appendicitis
obturator sign
84
posterior area of head/scalp
occipital
85
posterior mouth meeting the superior aspect of the throat
oropharynx
86
unhealthy pale appearance; abnormal loss of color from skin
pallor
87
relating to the palm, interchangeable with volar
palmar
88
able to be felt and easily perceived
palpable
89
swelling of the optic nerve sheath
papilledema
90
raised bumps, often associated with rash
papular
91
percussing
tapping on the abdomen like a drum
92
exam findings indicating an acute abdomen
peritoneal signs
93
small purple or red discolorations that do not blanch (appear when capillaries bleed, leaking blood into the skin)
petechiae
94
swelling that retains an imprint upon palpation
pitting edema
95
relating to the sole of the foot
plantar
96
relating to the rear or the back, interchangeable with dorsal
posterior
97
turn the palm of the hand downward, turn out of anatomical position
pronate
98
body position lying face down
prone
99
closer to the limb root
proximal
100
RLQ pain with extension of the right thigh, sign of appendicitis
psoas sign
101
relating to pus
purulent
102
aspect of the lateral forearm when in anatomical position
radial
103
pain when releasing abdominal palpation also called Blumberg sign
rebound
104
wet crackling sound by auscultation of the lungs
rales
105
visible sinking of the skin between ribs during breathing, indicative of respiratory distress and use of accessory muscles
retractions
106
coarse rattling respiratory sound; often thick mucus sound by auscultation of the lungs
rhonchi
107
stiffness of the abnominal wall muscles due to an acute abdominal process
rigidity
108
falling to one side when standing with feet together and eyes closed
Romberg sign
109
pain in the RLQ when the LLQ is palpated (indicative of appendicitis)
Rovsing sign
110
sideways curvature of the spine
scoliosis
111
consisting of yellowish serum and blood
serosanguinous
112
consisting of yellowish serum
serous
113
appearing very drowsy
somnolent
114
enlarged spleen
splenomegaly
115
physical exam test to evaluate for sciatica
straight leg raise
116
high-pitched upper airway sound
stridor
117
partial dislocation
subluxation
118
beneath a nail
subungual
119
eyes appear to be distressed, consistent with dehydration
sunken eyes
120
near to the surface
superficial
121
turning the palm facing upward or forward
supinate
122
body position when lying faceup
supine
123
flexible and freely mobile; common descriptor in neck exam
supple
124
lower central region of abdomen
suprapubic
125
thoracic spine
T-spine
126
fast heart rate, <100 bpm
tachycardia
127
increased respiratory rate
tachypnea
128
the sides of the head
temporal
129
slow return of skin to normal position after pinching the area; a sign of dehydration
tenting
130
skin elasticity
turgor
131
eardrum
tympanic membrane
132
bell-like sound when percussing the abdomen
tympany
133
pertaining to the medial side of the arm when in anatomical position
ulnar
134
does not follow commands
uncooperative
135
poor self-hygiene
unkempt
136
hives, sign of allergic reaction
urticaria
137
fluid or air-filled cavity or sac
vesicle
138
often a description of an uticarial plaque (a red swollen mark on the body)
weal (wheals)
139
normal state of body and mental development and wellness
well-developed
140
high-pitched lung sounds, often due to bronchospasm
wheezing
141
removal of an arterial blockage, possibly with stent placement
angioplasty
142
removal of the appendix
appendectomy
143
use of a scope to visualize inside of joints; may also include limited joint repairs
arthroscopy
144
surgery to bypass a blocked coronary artery via a vein graft
CABG (coronary artery bypass graft)
145
incision through the abdomen and uterus for the purpose of delivering a baby
cesarean section (c-section)
146
removal of the gallbladder
cholecystectomy
147
removal of the colon
colectomy
148
scraping of the cervical canal and uterine cavity
dilation and curettage (D&C)
149
removal of a hemorrhoid
hemorrhoidectomy
150
hernia repair using a mesh
hernioplasty
151
hernia repair
herniorraphy
152
removal of the uterus
hysterectomy
153
use of a scope to examine the uterine cavity
hysteroscopy
154
removal of a breast
mastectomy
155
removal of an ovary
oophorectomy
156
removal of the prostate
prostatectomy
157
removal of the spleen
splenectomy
158
removal of a tonsil
tonsillectomy
159
removal of a small piece of tissue for microscopic examination
biopsy
160
use of a scope to examine the inside of the colon
colonoscopy
161
removing foreign material or dead/damaged/infected tissue from a burn or wound
debridement
162
use of a scope to examine the inside of an organ
endoscopy
163
used to obtain a small biopsy specimen of tissue or fluid
fine needle aspiration (FNA)
164
cleaning and suturing of cuts to the skin
laceration repair
165
injection of medication of replacement fluids into a joint space
intra articular injection
166
imaging type using radiation and computer analysis
computed tomography (CT)
167
x-ray of the chest, usually for evaluation of the lungs
chest x-ray (CXR)
168
ultrasound of the heart
echocardiogram (echo)
169
type of imaging that uses magnetic waves
magnetic resonance imaging (MRI)
170
procedure to map brain waves during sleep
polysommnogram
171
type of imaging that is capable of showing the body's metabolism of certain substances or blood flow rates
positron emission tomography (PET scan)
172
imaging type for checking bone health
skeletal scintigraphy
173
procedure examining internal structure using sound waves to create images
ultrasound
174
type of imaging that uses radiation; often used to evaluate bones or the lungs
x-ray
175
basic metabolic panel; tests for electrolyte and glucose levels
BMP
176
complete blood count; tests the types and amounts of cells present in the blood
CBC
177
CBC with differential; gives more information about the types of cells present in the blood
CBC w/ diff
178
comprehensive metabolic panel; more detailed version of a BMP that focuses on organ health
CMP
179
ordered from body fluids to test for growth of foreign organisms
culture
180
test that indicates blood sugar control over the past 3 months; important in diabetes
HbA1C
181
pulmonary function tests; measure the function of the lungs
PFT
182
prothrombin tine, test concerning blood clotting ability
PT (protime)
183
tests for cholesterol and triglyceride levels
lipid panel
184
tests various markers of liver health
liver panel
185
thyroid-stimulating hormone; tests thyroid health
TSH
186
urinalysis; tests for kidney health and signs of UTI
UA
