Past Medical and Surgical Histories Flashcards
PMHx
Past Medical History
High blood pressure
Hypertension (HTN)
High cholesterol
Hyperlipidemia (HLD)
Thyroid problem
Usually Hypothyroidism, sometimes Hyperthyroidism
Diabetes
Diabetes Mellitus (DM)
“I only take pills for my diabetes”
Non-Insulin Dependent Diabetes Mellitus (NIDDM)
“I take shots (insulin) for my diabetes”
Insulin Dependent Diabetes Mellitus
HTN
Hypertension
HLD
Hyperlipidemia
DM
Diabetes Mellitus
NIDDM
Non-Insulin Dependent Diabetes Mellitus
IDDM
Insulin Dependent Diabetes Mellitus
Heart Disease
Usually Coronary Artery Disease (CAD)
Heart attack
Myocardial Infarction (MI) and CAD
Heart failure
Congestive Heart Failure (CHF)
Irregular heartbeat
Atrial Fibrillation (A-Fic_
Murmur
Heart murmur
Episodes of abnormally fast/racing heartbeat
Supraventricular Tachycardia (SVT)
CAD
Coronary Artery Disease
MI
Myocardial Infarction
CHF
Congestive Heart Failure
A-Fib
Atrial Fibrillation
SVT
Supra ventricular Tachycardia
Emphysema/Chronic Bronchitis
Chronic Objective Pulmonary Disease (COPD)
Blood clot in lung
Pulmonary Embolism (PE)
Pneumonia
Pneumonia (PNA)
COPD
Chronic Obstructive Pulmonary Disease
PE
Pulmonary Embolism
PNA
Pneumonia
Reflux
Gastroesophageal Reflux Disease (GERD)
Ulcer
Gastric Ulcer or Peptic Ulcer Disease
Hepatitis
Hepatitis A, Hepatitis B, or Hepatitis C
Crohn’s/US
Crohn’s Disease or Ulcerative Colitis
GERD
Gastroesophageal Reflux Disease
UC
Ulcerative Colitis
Irritable bowel
Irritable Bowel Syndrome (IBS)
IBS
Irritable Bowel Syndrome
Bladder infection
Urinary Tract Infection (UTI)
Kidney infection
Pyelonephritis (Pyleo)
Kidney stones
Renal calculi
“I’m on dialysis”
Chronic Renal Failure (CRF) or End Stage Renal Disease (ESRD) on dialysis
Enlarged prostate
Benign Prostate Hypertrophy (BPH)
UTI
Urinary Tract Infection
Pyleo
Pyelonephritis
CRF
Chronic Renal Failure
ESRD
End Stage Renal Disease
BPH
Enlarged Prostate
G: P: A:
Gravida: Para: Aortion
Gravida
total number of times the patient has been pregnant
Para
the number of live births (viable children) that the pt has had
Abortion
the total number of miscarriages or elective abortions
Stroke
Cerebrovascular Accident (CVA)
Mini-stroke
Transient Ischemic Attack (TIA)
Seizures
Seizure disorder/Epilepsy
Brain bleed
Hemorrhagic CVA
CVA
Cerebrovascular Accident
TIA
Transient Ischemic Attack
Bipolar
Bipolar disorder
“I drink a lot”
ETOH abuse of Alcoholism
“I do drugs”
Substance Abuse
“Blood clot in my leg”
Lower Extremity Deep Vein Thrombosis (DVT)
“Bulge in my aorta” or “Triple A”
Abdominal Aortic Aneurysm (AAA)
“Bad blood flow to my legs”
Peripheral Vascular Disease (PVD)
“Numbness in my legs”
Peripheral Neuropathy
DVT
Lower Extremity Deep Vein Thrombosis
AAA
Abdominal Aortic Aneurysm
PVD
Peripheral Vascular Disease
Low back pain
Chronic Low Back Pain
Bulging/Herniated disc
Degenerative Disc Disease (DDD)
Arthritis
Usually Osteoarthritis (OA) sometimes Rheumatoid Arthritis (RA)
Joint pain (chronic)
Degenerative Joint Disease (DJD)
Weak/fragile bones
Often Osteoporosis
DDD
Degenerative Disc Disease
OA
Osteoarthritis
RA
Rheumatoid Arthritis
DJD
Degenerative Joint Disease
Cancer
Cancer or Carcinoma (CA)
Spread to my…
With metastases to the…
Chemo
Chemotherapy
Radiation
Radiation therapy
They cut it out
Status-post surgical resection
It’s gone
In remission
CA
Carcinoma
-ectomy
removal surgery
Tonsils removed
Tonsillectomy
Adenoids removed
Adenoidectomy
Ear tubes
Pressure Equalizer (P.E.) Tubes
Heart bypass
Coronary Artery Bypass Graft (CABG)
Stents
Coronary Stents
Heart Cath
Cardiac catheterization
Balloon
Angioplasty
Valve surgery
Valve repair or replacement (Bovine vs. Mechanical)
Pacer
Pacemaker
Defibrillator
Automatic Implanted Cardiac Debrilillator (ACID)
Surgery for Afib
Fib s/p cardiac ablation
CABG
Coronary Artery Bypass Graft
AICD
Automatic Implanted Cardiac Defibrillator
Breast removal
Masectomy
Hole in my neck
Tracheostomy (teach)
Part of my lung removed
Partial lobectomy
Appendix removed
Appendectomy
Gallbladder removal
Cholecystectomy
Hernia repair
Herniorrhaphy
Part of my colon removed
Partial colectomy
Bag to collect stool
Colostomy
Spleen removed
Splenectomy
Stomach stapled
Gastric bypass
Exploratory
Exploratory Laproscopy
ExLap
Exploratory Laparoscopy
Kidney removed
Nephrectomy
Uterus removed
Hysterectomy (partial vs. total)
Ovary removed
OOphorectomy
Ovary and fallopian tubes removed
Sapling-oophorectomy
Tubes tied
Tubal ligation (female) or Vasectomy (male)
C-Section
Cesarean Section
Prostate removed
Prostatectomy (most often Trans-Urethral Removal of the Prostate, or TURP)
Uterine product removed
Dilation and Curettage (D&C)
Neck artery cleaned
Carotid Endarectomy
TURP
Trans-Urethral Removal of the Prostate
D&C
Dilation and Curettage
Brain Surgery
Craniotomy
Shunt
Venticuloperitoneal (VP) Shunt
VP
Ventriculoperitoneal
Dialysis fistula
AV (arteriovenous) Fistula
Dialysis graft
AV Graft
PICC Line
Peripherally Inserted Central Catheter
Port
Port-A-Acth or Medi-Port
Clot filter (lower abdomen)
IVC (inferior vena cava) Filter
Clot filter (leg)
Greenfield Filter
AV
arteriovenous
PICC
Peripherally Inserted Central Catheter
IVC
inferior vena cava
Leg Amputated
Above Knee Amputation (AKA), Below Knee Amputation (BKA)
Joint Repair
Arthroplasty
Metal plates/pins
Hardware
Neck fused
Cervical spinal fusion
Back fused
Lumbar spinal fusion
Hip surgery
Open Reduction with Internal Fixation (ORIF)
AKA
Above Knee Amputation
BKA
Below Knee Amputation
ORIF
Open Reduction with Internal Fixation
True allergy
rash, itching, swelling, or difficulty breathing
Adverse reaction
nausea, etc.