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SCRIBE WORK > Scribe > Flashcards

Scribe Flashcards

1
Q

Abrasion

A

Scrape of the sink due to something abrasive

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2
Q

Abcess

A

Collection of puss under the skin

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3
Q

Antipyretic

A

Medication to reduce fever

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4
Q

Acute

A

New usually a rapid onset and of concerns, opposite of chronic

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5
Q

Afebrile

A

Without having a fewer under 100.4

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6
Q

Anterior

A

Located towards the front of the body

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7
Q

Appendicitis

A

Dangerous infection of the appendix

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8
Q

Auscultation

A

Listening to the sounds arising within the organs (lungs)

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9
Q

Benign

A

Normal, of no danger to health

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10
Q

Bradycardia

A

Slow heart rate under 60BPM

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11
Q

Bronchitis

A

Infection of the bronchi

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12
Q

Bronchiolitis

A

Infection of the bronchioles

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13
Q

Catheter

A

Tube inserted into vessel or body cavities to permit injection or withdrawal of fluid or to keep passage clear

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14
Q

Chronic

A

Long lasting constant opposite of acute

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15
Q

Celulitis

A

Infection of the skin

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16
Q

Conjunctivitis

A

Infection of the outer layer of the eye

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17
Q

Dialysis

A

Process of removing waste from the blood with people with renal failure

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18
Q

Diaphoresis

A

Sweating

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19
Q

Diffuse

A

Spread out not localized

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20
Q

Distal

A

Farther from the trunk of the body

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21
Q

Dsypnea

A

Difficulty breathing

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22
Q

Dysuria

A

Painful urination

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23
Q

Ecchymosis

A

Bruising

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24
Q

-ectomy

A

Surgical removal

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25
Q

Edema

A

Swelling

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26
Q

Emesis

A

Vomiting

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27
Q

Epilepsy

A

Seizure disorder

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28
Q

Epistaxis

A

Nose bleed

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29
Q

Erythema/erthematous

A

Redness/red

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30
Q

Exudates(tonsilar)

A

Pus-pockets on the tonsils

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31
Q

Febrile

A

State of having a fever

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32
Q

Grossly

A

Obviously a lot wholly

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33
Q

Hematemesis

A

Gross amount of blood in vomit

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34
Q

Hemturia

A

Blood in urine

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35
Q

Hemoptysis

A

Coughing up gross amount of blood

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36
Q

Hemorrhage

A

Excessive or profuse bleeding

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37
Q

Hepatomegaly

A

Enlarged liver

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38
Q

Hernia

A

Profusion of an organ through the wall of the cavity that normally contains it

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39
Q

Hyperlipidemia

A

High cholesterol

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40
Q

Hypertension

A

High blood pressure

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41
Q

Hypotension

A

Low blood pressure

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42
Q

Hypoxia

A

Low oxygen saturation in body

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43
Q

ICD-10

A

A system that classifies and codes diagnoses

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44
Q

Infarct

A

Area of dead tissue due to lag of blood supply

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45
Q

Inferior

A

Lower on the body father from the head

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46
Q

Ischemia

A

Lack of blood supply

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47
Q

-itis

A

Inflammation

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48
Q

Laceration

A

Splitting of the skin due to trauma

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49
Q

Lateral

A

Farther from the midline

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50
Q

Lethargic

A

Septic, very sick about to die

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51
Q

Medial

A

Nearer the midline

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52
Q

Meningitis

A

Dangerous infection to the outer lining of the brain

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53
Q

Otitis externa

A

Infection of the outer ear

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54
Q

Otitis media

A

Infection of the inner ear

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55
Q

Melena

A

Black tarry stool

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56
Q

Myalgia

A

Muscular pain

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57
Q

Pallor

A

Pale skin

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58
Q

Palpation

A

Examine by touch

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59
Q

Palpitation

A

To beat rapidly irregularity

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60
Q

Peritoneal signs

A

Guarding rebounding PE: rupture in the abdomen

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61
Q

Pharyngitis

A

Throat infections

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62
Q

Pneumonia

A

Bacterial infection of the lungs

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63
Q

Posterior/ dorsal

A

Rear or backside of the body

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64
Q

Prone

A

Body position laying flat;face down

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65
Q

Proximal

A

Near the trunk of the body

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66
Q

Pulmonary

A

Relating to the lungs

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67
Q

Purulence/purulent

A

Pus/ pus like

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68
Q

Rales

A

Crackles; wet crackling noises in the Lungs

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69
Q

Rhinorrhea

A

Clear nasal discharge ;runny nose

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70
Q

Rhonchi

A

Rattling noise of mucous in the lungs

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71
Q

-scopy

A

Viewing with a scope

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72
Q

Sepsis

A

Dangerous infection of the blood

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73
Q

Sinusitis

A

Infection/inflammation of the nasal sinuses

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74
Q

Small bowel obstruction

A

Physical blockage of the small intestines

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75
Q

Streptococcal pharyngitis

A

Strep throat

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76
Q

Superior

A

Higher on the body

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77
Q

Supine

A

Body position laying face up

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78
Q

Syncope

A

Passing out loss of consciousness or fainting

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79
Q

Tachycardia

A

Fast heart rate above 100bpm

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80
Q

Trismus

A

Inability to open jaw from pain

81
Q

Tachypnea

A

Increased breathing rate

82
Q

Ulcerations

A

Blisters or ope-sores

83
Q

Vertigo

A

Room-spinning dizziness

84
Q

Wheezing

A

High pitched sound heard in the lungs with asthmatics or lung disease

85
Q

Abd

A

Abdomen, abdominal

86
Q

ABX

A

Antibiotics

87
Q

A fib

A

Atrial fibrillation

88
Q

AOM

A

Acute otitis media (new inner ear infection )

89
Q

A/P

A

Assessment and plan

90
Q

ASA

A

Acetylsalicylic acid-aspirin

91
Q

BID

A

Twice daily

92
Q

Bilat LE

A

Bilateral lower extremities

93
Q

BM

A

Bowel movement

94
Q

BP

A

Blood pressure

95
Q

Ć(line on top )

A

With

96
Q

CA

A

Cancer carcinoma

97
Q

CABG

A

Coronary artery bypass graft

98
Q

CAD

A

Coronary artery disease

99
Q

CBC

A

Complete blood count

100
Q

CHF

A

Congestive heart failure

101
Q

CP

A

Chest pain

102
Q

C/o

A

Complains of

103
Q

COPD

A

Chronic obstructive pulmonary disease

104
Q

CRF

A

chronic renal failure

105
Q

C-section

A

Caesarean section

106
Q

C-spine

A

Cervical spine

107
Q

CT-CAT

A

Computerized assisted tomography

108
Q

CTA

A

clear to auscultation

109
Q

CV

A

Cardiovascular

110
Q

CVA

A

cerebro vascular accident

111
Q

CXR

A

Chest X-ray

112
Q

DM

A

Diabetes mellitus

113
Q

DOE

A

dyspmea on exertion

114
Q

DP/PT(pulse)

A

dorsalis pedis/posterior tibialis

115
Q

DVT

A

Deep vein Thrombosis

116
Q

Dx

A

Diagnosis

117
Q

EKG/ECG

A

Electrocardiogram

118
Q

EOMI

A

Extracular movements intact

119
Q

EtOH

A

Alcohol

120
Q

Fhx

A

family history

121
Q

F/U

A

follow up

122
Q

Fx

A

fracture

123
Q

GERD

A

gastroesphageal refulux disease

124
Q

GI

A

gastrointestinal

125
Q

G/P/Ab

A

gravida/para/abortion

126
Q

GU

A

genitourinary

127
Q

HA

A

headache

128
Q

HEENT

A

Head, ears, eyes, nose, throat

129
Q

HIPPA

A

Health insurance portablility and accountability act

130
Q

HLD

A

hyperlipidemia

131
Q

HPI

A

history of present illness

132
Q

HTN

A

hypertenstion (high blood pressure )

133
Q

Hx

A

History

134
Q

H&H

A

hemoglobin and hematocrit

135
Q

I&D

A

incision and drainage

136
Q

IDDM

A

insulin dependent diabetis mellitus

137
Q

IUP

A

intrauterine pregnancy

138
Q

IVDA

A

intravenous drug abuse

139
Q

LLE

A

left lower extremity

140
Q

LLQ

A

left lower quadrant

141
Q

LNMP

A

last nomral menstrual period

142
Q

LOC

A

loss of consiousness

143
Q

L-spine

A

lumbar spine

144
Q

LUE

A

lower upper extremity

145
Q

LUQ

A

lower upper quadrant

146
Q

MI

A

myocardial infarction

147
Q

N/A

A

not applicable

148
Q

NAD

A

no actue distress, no acute disease

149
Q

NIDDM

A

non isuling dependent diabetes mellitus

150
Q

NKDA

A

non known drug allergies

151
Q

nl/nml

A

normal

152
Q

NSAID

A

non steriodial anti inflammatory drug

153
Q

NSR

A

normal sinus rhythm

154
Q

N/V/D

A

nausea/vomiting/Diarrhea

155
Q

02 Sat

A

oxygen satuation

156
Q

OB/GYN

A

obstetrics and gynecology

157
Q

OD

A

overdose

158
Q

OM

A

otitis media (inner ear infection )

159
Q

OP

A

oropharynx (mouth and throat)

160
Q

ORIF

A

open reduction and internal fixation

161
Q

PCP/PMD

A

primary care physician / primary medical doctor

162
Q

PE

A

physical exam/pulmonary embolism

163
Q

PERRL

A

Pupils are equal, round and reaction to light

164
Q

PO

A

Per O’s (by mouth)

165
Q

prn

A

as needed

166
Q

Pt

A

patient

167
Q

PTA

A

prior to arrival or peritonsillar abscess

168
Q

PVD

A

Peripheral vascular disease

169
Q

q

A

every

170
Q

QD

A

every day

171
Q

QHS

A

at every bedtime

172
Q

QID

A

four times a day

173
Q

RLE

A

right lower extremity

174
Q

RLQ

A

right lower quadrant

175
Q

ROM

A

Range of motion

176
Q

ROS

A

review of system

177
Q

RRR

A

regular rate and rhythm

178
Q

RUE

A

right upper extremity

179
Q

RUQ

A

right upper quadrant

180
Q

Rx

A

prescription

181
Q

r/o

A

rule out

182
Q

SOB

A

Shortness of breath

183
Q

SOAP

A

subjective, objective, assessment and plan

184
Q

s/p

A

status post(after)

185
Q

Sx

A

symptoms

186
Q

STEMI

A

S/T elevation myocardial infarction

187
Q

T&A

A

Tonsillectomay and adenioidectoimy(tonsila and adenoids removal surgery)

188
Q

TIA

A

transient ichemic attack

189
Q

TID

A

Three times a day

190
Q

TM

A

tympanic membrane (ear drum)

191
Q

Tx

A

treamtent

192
Q

t-SPine

A

thoraic spine

193
Q

UA

A

urinalysis

194
Q

URI

A

Upper respiratry infection

195
Q

US

A

ultrasound

196
Q

UTD

A

up to date

197
Q

UTI

A

urinary tract infection

198
Q

WNL

A

within normal limits( normal, not of concern)

199
Q

y/o`

A

year(s) old

SCRIBE WORK (1 decks)

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