Scribe Flashcards
1
Q
Abrasion
A
Scrape of the sink due to something abrasive
2
Q
Abcess
A
Collection of puss under the skin
3
Q
Antipyretic
A
Medication to reduce fever
4
Q
Acute
A
New usually a rapid onset and of concerns, opposite of chronic
5
Q
Afebrile
A
Without having a fewer under 100.4
6
Q
Anterior
A
Located towards the front of the body
7
Q
Appendicitis
A
Dangerous infection of the appendix
8
Q
Auscultation
A
Listening to the sounds arising within the organs (lungs)
9
Q
Benign
A
Normal, of no danger to health
10
Q
Bradycardia
A
Slow heart rate under 60BPM
11
Q
Bronchitis
A
Infection of the bronchi
12
Q
Bronchiolitis
A
Infection of the bronchioles
13
Q
Catheter
A
Tube inserted into vessel or body cavities to permit injection or withdrawal of fluid or to keep passage clear
14
Q
Chronic
A
Long lasting constant opposite of acute
15
Q
Celulitis
A
Infection of the skin
16
Q
Conjunctivitis
A
Infection of the outer layer of the eye
17
Q
Dialysis
A
Process of removing waste from the blood with people with renal failure
18
Q
Diaphoresis
A
Sweating
19
Q
Diffuse
A
Spread out not localized
20
Q
Distal
A
Farther from the trunk of the body
21
Q
Dsypnea
A
Difficulty breathing
22
Q
Dysuria
A
Painful urination
23
Q
Ecchymosis
A
Bruising
24
Q
-ectomy
A
Surgical removal
25
Edema
Swelling
26
Emesis
Vomiting
27
Epilepsy
Seizure disorder
28
Epistaxis
Nose bleed
29
Erythema/erthematous
Redness/red
30
Exudates(tonsilar)
Pus-pockets on the tonsils
31
Febrile
State of having a fever
32
Grossly
Obviously a lot wholly
33
Hematemesis
Gross amount of blood in vomit
34
Hemturia
Blood in urine
35
Hemoptysis
Coughing up gross amount of blood
36
Hemorrhage
Excessive or profuse bleeding
37
Hepatomegaly
Enlarged liver
38
Hernia
Profusion of an organ through the wall of the cavity that normally contains it
39
Hyperlipidemia
High cholesterol
40
Hypertension
High blood pressure
41
Hypotension
Low blood pressure
42
Hypoxia
Low oxygen saturation in body
43
ICD-10
A system that classifies and codes diagnoses
44
Infarct
Area of dead tissue due to lag of blood supply
45
Inferior
Lower on the body father from the head
46
Ischemia
Lack of blood supply
47
-itis
Inflammation
48
Laceration
Splitting of the skin due to trauma
49
Lateral
Farther from the midline
50
Lethargic
Septic, very sick about to die
51
Medial
Nearer the midline
52
Meningitis
Dangerous infection to the outer lining of the brain
53
Otitis externa
Infection of the outer ear
54
Otitis media
Infection of the inner ear
55
Melena
Black tarry stool
56
Myalgia
Muscular pain
57
Pallor
Pale skin
58
Palpation
Examine by touch
59
Palpitation
To beat rapidly irregularity
60
Peritoneal signs
Guarding rebounding PE: rupture in the abdomen
61
Pharyngitis
Throat infections
62
Pneumonia
Bacterial infection of the lungs
63
Posterior/ dorsal
Rear or backside of the body
64
Prone
Body position laying flat;face down
65
Proximal
Near the trunk of the body
66
Pulmonary
Relating to the lungs
67
Purulence/purulent
Pus/ pus like
68
Rales
Crackles; wet crackling noises in the Lungs
69
Rhinorrhea
Clear nasal discharge ;runny nose
70
Rhonchi
Rattling noise of mucous in the lungs
71
-scopy
Viewing with a scope
72
Sepsis
Dangerous infection of the blood
73
Sinusitis
Infection/inflammation of the nasal sinuses
74
Small bowel obstruction
Physical blockage of the small intestines
75
Streptococcal pharyngitis
Strep throat
76
Superior
Higher on the body
77
Supine
Body position laying face up
78
Syncope
Passing out loss of consciousness or fainting
79
Tachycardia
Fast heart rate above 100bpm
80
Trismus
Inability to open jaw from pain
81
Tachypnea
Increased breathing rate
82
Ulcerations
Blisters or ope-sores
83
Vertigo
Room-spinning dizziness
84
Wheezing
High pitched sound heard in the lungs with asthmatics or lung disease
85
Abd
Abdomen, abdominal
86
ABX
Antibiotics
87
A fib
Atrial fibrillation
88
AOM
Acute otitis media (new inner ear infection )
89
A/P
Assessment and plan
90
ASA
Acetylsalicylic acid-aspirin
91
BID
Twice daily
92
Bilat LE
Bilateral lower extremities
93
BM
Bowel movement
94
BP
Blood pressure
95
Ć(line on top )
With
96
CA
Cancer carcinoma
97
CABG
Coronary artery bypass graft
98
CAD
Coronary artery disease
99
CBC
Complete blood count
100
CHF
Congestive heart failure
101
CP
Chest pain
102
C/o
Complains of
103
COPD
Chronic obstructive pulmonary disease
104
CRF
chronic renal failure
105
C-section
Caesarean section
106
C-spine
Cervical spine
107
CT-CAT
Computerized assisted tomography
108
CTA
clear to auscultation
109
CV
Cardiovascular
110
CVA
cerebro vascular accident
111
CXR
Chest X-ray
112
DM
Diabetes mellitus
113
DOE
dyspmea on exertion
114
DP/PT(pulse)
dorsalis pedis/posterior tibialis
115
DVT
Deep vein Thrombosis
116
Dx
Diagnosis
117
EKG/ECG
Electrocardiogram
118
EOMI
Extracular movements intact
119
EtOH
Alcohol
120
Fhx
family history
121
F/U
follow up
122
Fx
fracture
123
GERD
gastroesphageal refulux disease
124
GI
gastrointestinal
125
G/P/Ab
gravida/para/abortion
126
GU
genitourinary
127
HA
headache
128
HEENT
Head, ears, eyes, nose, throat
129
HIPPA
Health insurance portablility and accountability act
130
HLD
hyperlipidemia
131
HPI
history of present illness
132
HTN
hypertenstion (high blood pressure )
133
Hx
History
134
H&H
hemoglobin and hematocrit
135
I&D
incision and drainage
136
IDDM
insulin dependent diabetis mellitus
137
IUP
intrauterine pregnancy
138
IVDA
intravenous drug abuse
139
LLE
left lower extremity
140
LLQ
left lower quadrant
141
LNMP
last nomral menstrual period
142
LOC
loss of consiousness
143
L-spine
lumbar spine
144
LUE
lower upper extremity
145
LUQ
lower upper quadrant
146
MI
myocardial infarction
147
N/A
not applicable
148
NAD
no actue distress, no acute disease
149
NIDDM
non isuling dependent diabetes mellitus
150
NKDA
non known drug allergies
151
nl/nml
normal
152
NSAID
non steriodial anti inflammatory drug
153
NSR
normal sinus rhythm
154
N/V/D
nausea/vomiting/Diarrhea
155
02 Sat
oxygen satuation
156
OB/GYN
obstetrics and gynecology
157
OD
overdose
158
OM
otitis media (inner ear infection )
159
OP
oropharynx (mouth and throat)
160
ORIF
open reduction and internal fixation
161
PCP/PMD
primary care physician / primary medical doctor
162
PE
physical exam/pulmonary embolism
163
PERRL
Pupils are equal, round and reaction to light
164
PO
Per O's (by mouth)
165
prn
as needed
166
Pt
patient
167
PTA
prior to arrival or peritonsillar abscess
168
PVD
Peripheral vascular disease
169
q
every
170
QD
every day
171
QHS
at every bedtime
172
QID
four times a day
173
RLE
right lower extremity
174
RLQ
right lower quadrant
175
ROM
Range of motion
176
ROS
review of system
177
RRR
regular rate and rhythm
178
RUE
right upper extremity
179
RUQ
right upper quadrant
180
Rx
prescription
181
r/o
rule out
182
SOB
Shortness of breath
183
SOAP
subjective, objective, assessment and plan
184
s/p
status post(after)
185
Sx
symptoms
186
STEMI
S/T elevation myocardial infarction
187
T&A
Tonsillectomay and adenioidectoimy(tonsila and adenoids removal surgery)
188
TIA
transient ichemic attack
189
TID
Three times a day
190
TM
tympanic membrane (ear drum)
191
Tx
treamtent
192
t-SPine
thoraic spine
193
UA
urinalysis
194
URI
Upper respiratry infection
195
US
ultrasound
196
UTD
up to date
197
UTI
urinary tract infection
198
WNL
within normal limits( normal, not of concern)
199
y/o`
year(s) old
