Scribe Terms Flashcards
Abd
Abdomen
Abduction
Movement away from the midline
Accessory muscle use
Struggling for breath using muscles in the neck
Adduction
Movement toward the midline
Adenopathy
Enlargement of the lymph nodes
Adnexa
Ovaries and Fallopian tubes
AED
Automatic external defibrillator
Afebrile
Without fever
A fib
Atrial fibrillation
Albuterol
An inhaled or oral medical to relieve asthma
ALOC
Altered level of consciousness
Ambulatory
Can walk
Amoxicillin
A common antibiotic given to kids
AMS
Altered mental status
Aneurysm
An abnormal widening of a blood vessel
Angina
Chest pain due to a lack of blood flow to heart muscle
Angioplasty
Opening of an artery (usually in heart) with a wire dilator, usually followed by a stent placement to keep it open
Anion gap
A blood test that suggests an unmeasured acid is in the blood
Anisocoria
Unequal pupil sizes
Anterior
Front
Appendectomy
Surgical removal of the appendix
Arrhythmia
Abnormal heart rhythm
Artery
Blood vessel carrying blood away from the heart
Arthralgia
Pain in the joint without swelling or warmth
Articulation
Connection between bones
ASA
Aspirin
Atelectasis
Partial collapse of the small airways in the lungs
Atrial fibrillation/fibrillation
A very fast regular arrhythmia of the heart, needs slowing or conversion
Augmentin
A common antibiotic for ears, bites, skin
Avulsion
A forcible tearing away of a part or structure
Axilla
Underarm
Azithromycin
A common antibiotic for lung infection
BCP
Birth control pill
Beta blocker
Group of drugs that slow heart rate and lower bp
BIB
Twice per day (refers to Rx)
BLE
Bilateral lower extremities
Bradycardia
Abnormal slow heart beat
Bradypnea
Abnormally slow breathing
Brudzinski’s sign
Sign of meningitis
Bruit
A murmur or sound heard in auscultation indicating narrowing of a vessel
BSO
Bilateral salpingo-oophorectomy
BTL
Bilateral tubal ligation
BUE
Bilateral upper extremities
C/O
Complains of
C/w
Consistent with
CA
Cancer
CABG or CABS (cardiac bypass)
Open heart surgery involving arterial bypass using a transplanted vein
CAD (coronary artery disease)
Abnormal narrowing of the blood vessels of the heart, predisposing to heart attacks
Cardiac catheterization (angiogram)
Passage of a catheter into the heart through an artery usually done to evaluate coronary artery blood flow
Cardiomegaly
Enlargement of the heart
Carotid bruit
Noise from carotid artery narrowing heard with stethoscope
C-dif
Clostridium difficile
Cellulitis
Infection of the skin characterized by erythema, warmth, tenderness
Cerumen
Earwax
Cervical
Pertaining to the neck or to the cervix of the uterus (same word)
Cholecystectomy
Surgical removal of the gallbladder
Cholelithiasis
Gallstone formation in the gallbladder
Cipro
A common antibiotic, especially for lung, urine, kids
AAA
Abdominal aortic aneurysm
Cirrhosis
Inflammation of a liver resulting in scarring and loss of function
Clubbing
Swelling and softening of the nail bed indicating chronic lung problem
CMT
Cervical motion tenderness
Colectomy
Surgical removal of part or all of the large intestine
Colostomy
Surgical procedure that provides an opening between the colon and abdominal wall
Conjunctiva
White part of eye and inside lining of eyelid
COPD
Lung problem resulting in shortness of breath, usually from smoking (chronic obstructive pulmonary disease or emphysema)
Cornea
Transparent coat of the eyeball that covers the iris and pupil
Costovetebral angle tenderness (CVA tenderness)
Tenderness posteriorly at the lower rib margins (indicative of kidney infection, kidney stress)
CP
Chest pain
Creatinine
Blood test measuring kidney function
Crepitus
A cracking or grating sound, usually of bones
CSF
Cerebrospinal fluid
CVA (cerebral vascular accident or stroke)
Death of brain matter from loss of blood supply
CW
Chest wall
Cyanosis
Blue skin due to a lack of oxygen
Cyanotic
Bluish skin color due to a lack of oxygen
D&C
Dilation and curettage
D5W
An IV solution that has only 5% sugar in it
DDD
Degenerative disk disease
Debridement
Removal of dead or contaminated tissue from a wound
Decubitus
Pressure sore on skin
Deep
Farther from the skin
Dentition
The condition of the teeth
Dermis
True skin, beneath the epidermis
Diabetes mellitus
Disease characterized by abnormally high blood sugar
Diaphoresis
Excessive or profuse sweating or perspiration
Differential diagnosis
A list of possible diagnosis to explain a set of symptoms
Dilaudid
A common narcotic used IV
Diltiazem
A common medication used to slow heart rate
Distal
Farther from the limb root
DJD
Degenerative joint disease
DKA
Diabetes ketoacidosis
Dopamine
Drug to raise blood pressure in shock
Dorsiflexion
Upward flexion of the foot
Dullness or percussion
Sign of solid fluid or mass under area being “tapped”
DVT (deep vein thrombosis)
Clot in the deep veins of the leg or arm
Dysmenorrhea
Painful menstruation
Dyspareunia
Painful intercourse
Dyspepsia
Indigestion
Ecchymosis
Bruising
EF
Ejection fraction
EGD
Upper endoscopy
EMS
Emergency medical services
Endometriosis
Presence of functioning endometrial tissue outside of the uterus
EOMI
Extraocular movements intact
Everted
Rolled outward
Exophthalmus
Bulging eyes, often from thyroid disease
Extension
Straightening out
External
Outside
Extrasystoles
Extra beats of the heart
F/u
Follow up
FHR
Fetal heart rate
FHT
Fetal heart tones
Flexion
Bending or angulation
Friction rub
Abnormal heart or lung sound
Funduscopic
Exam of back of the eye
G_P_A_
Grava (pregnancies), para (live birth), abortions (spontaneous or induced)
Gallop
Extra heart sound heard common in CHF
GCS
Glasgow Coma Scale
GIB
Gastrointestinal bleeding
Gravid
Being pregnant
GSW
Gun shot wound
Guarding
Involuntary tightening of stomach muscles when pushed on - patient cannot control this - due to irritation of lining of abdominal cavity
GERD
Gastro esophageal reflux disease
HCTZ
Hydrochlorothiazide
Hemangioma
Tumor consisting of blood vessels
Hematemesis
Vomiting of blood
Hematochezia
Bright red blood in the stool
Hematoma
Swelling of blood which occurs in an organ or tissue
Hematuria
Blood in urine