Post Scribe U Flashcards
Adnexa
Refers to the appendages of an organ
Angina
Chest pain of discomfort that occurs when an area of your heart muscle doesn’t get enough oxygen rich blood
Arthralgia
Joint pain
Axilla
Armpit
Cervical
- of or pertaining to any neck
2. of or pertaining to the female cervix
Conjunctiva
A clear mucous membrane consisting of cells and underlying basement membrane that covers the sclera (white part of the eye) and lines the inside of the eyelids
Cyanosis
A blue coloration of the skin and mucous membranes due to the presence of greater than, or equal to, 2.5 g/dL of deoxygenated hemoglobin in blood vessels near the skin surface
Diaphoresis
Excessive sweating
Diarrhea
Loose or liquid bowel
Edema
An abnormal accumulation of fluid beneath the skin or in one more more cavities of the body
Epistaxis
Nosebleed
Euthymic
Normal, non-depressed, reasonably positive mood
Fundus
Anatomical term referring to the portion of an organ opposite from its opening
Hematuria
Blood in urine
Hallucinations
Perception in the absence of stimulus
Hemoptysis
Vomiting blood
Hepatosplenomegaly
Simultaneous enlargement of both the liver and spleen
Hyptertension
High blood pressure
Induration
Abnormally hard, hardened
Myalgia
Muscle pain
Rhinorrhea
Runny nose
Seizures
Episodes of disturbed brain function that causes changes in attention or behavior
Sputum
Matter that is expelled from the respiratory tract such as phlegm or mucus
Tachycardia
Fast heart rate, above 100 bpm
Wheezing
Continuous, coarse, whistling sound produced in the airways during breathing
AB
Abortion
Abd
abdomen
abdomen =
Abd
Abortion =
AB
BP
Blood pressure
Blood Pressure =
BP
CC
Chief Complaint
Chief Complaint =
CC
Cholesterol =
chol
chol
Cholesterol
CTA
Clear to auscultation
Clear to auscultation =
CTA
CV
Cardiovascular
Cardiovascular =
CV
Cx
Cervix
Cervix =
Cx
d/c
Discontinue
Discontinue =
d/c
DM
Diabetes mellitus
Diabetes mellitus =
DM
DTR
Deep tendon reflexes
Deep tendon reflexes =
DTR
ENT
Ears, nose, throat
Ears, nose, throat =
ENT
EOMI
Extra ocular movements intact
Extra ocular movements intact =
EOMI
FROM
Full range of motion
Full range of motion =
FROM
GI
Gastrointestinal
Gastrointestinal =
GI
Grav
number of pregnancies
number of pregnancies =
Grav
GU
Genitourinary
Genitourinary =
GU
HSM
Hepato-splenomegaly
Hepato-splenomegaly =
HSM
HTN
Hypertension
Hypertension =
HTN
LMP/LNMP
Last menstrual period, last normal menstrual period
Last menstrual period, last normal menstrual period =
LMP/LNMP
LOC
Loss of consciousness
Loss of consciousness =
LOC
MS
Musculoskeletal
Musculoskeletal =
MS
NKDA
No known drug allergies
No known drug allergies =
NKDA
NL/nl
Normal
Normal =
NL/nl
Para
Number of live births
Number of live births =
Para
PCP/PMD
Primary care physician/private medical doctor
Primary care physician/private medical doctor =
PCP/PMD
PERRLA
Pupils equal, round, and reactive to light and accommodation
Pupils equal, round, and reactive to light and accommodation =
PERRLA
Resp
Respiration
Respiration =
Resp
RRR
Regular, rate and rhythm
Regular, rate and rhythm
RRR
SOAP
Subjective, Objective, Assessment, and Plan
Subjective, Objective, Assessment, and Plan =
SOAP
SOB
Shortness of breath
Shortness of breath =
SOB
TM
Tympanic membrane
Tympanic membrane =
TM
WDWN
Well-developed, well-nourished
Well-developed, well-nourished =
WDWN
Acetylsalicylic acid (ASA)
Cardiac
Ancef
Antibiotic
Bentyl
Abdominal Sx
Decadron
Allergic reactions
Levaquin
Antibiotic
Morphine
Pain control
Phenergan
Abd Sx
Protonix
Abd Sx
Rocephin
Antibiotic
Toradol
Pain control
Vicodin
Pain control
Zofran
Abd Sx (nausea relief)