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Scribe terms > Test 1 terms > Flashcards

Test 1 terms Flashcards

1
Q

Abrasion

A

scrape of the skin due to something abrasive

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2
Q

acute

A

New, usually of rapid onset and of concern, opposite of chronic

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3
Q

ambulate

A

to walk place to place

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4
Q

Anterior

A

located towards the front of the body

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5
Q

artery

A

blood vessel carrying blood away from heart

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6
Q

benign

A

normal, of no danger to health

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7
Q

bradycardia

A

slow heart-rate (HR less than 60bpm)

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8
Q

cardiomegaly

A

enlarged heart

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9
Q

cholecystitis

A

inflammation of the cholecyst (gallbladder)

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10
Q

chronic

A

long-standing, constant, opposite of acute

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11
Q

COPD

A

chronic obstructive pulmonary disease, lung Dx commonly seen in smokers

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12
Q

coronary artery

A

the artery that supplies heart tissue with blood

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13
Q

cerebrovascular accident (CVA)

A

“stroke”. lack of blood supply to the brain causing brain damage

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14
Q

diaphoresis

A

sweating

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15
Q

distal

A

farther from trunk of the body

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16
Q

Deep Vein Thrombosis (DVT)

A

a blood clot in a deep vein, most often an extremity

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17
Q

dyspnea

A

problems with breathing

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18
Q

dysuria

A

painful urination

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19
Q

ecchymosis

A

bruise

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20
Q

edema

A

swelling

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21
Q

emesis

A

vomiting

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22
Q

epistaxis

A

nose bleed

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23
Q

erythema/erythematous

A

redness/red

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24
Q

febrile

A

elevated body temperature, fever, indicative of infection

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25
Q

grossly

A

obviously; a lot; wholly

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26
Q

hematemesis

A

very large amounts of blood in vomit

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27
Q

hematuria

A

very large amount of blood in urine

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28
Q

hemoptysis

A

coughing up very large amounts of blood

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29
Q

hemorrhage

A

excessive or profuse bleeding

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30
Q

hepatomegaly

A

enlarged liver

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31
Q

hypertension

A

high blood pressure

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32
Q

hypotension

A

low blood pressure

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33
Q

hypoxia

A

low oxygen saturation of the body, not enough oxygen in the body

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34
Q

Infarct

A

area of dead tissue after a lack of blood supply

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35
Q

inferior

A

lower on the body, farther from the head

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36
Q

Ischemia

A

lack of blood supply

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37
Q

laceration

A

splitting of the skin due to trauma (a cut due to something sharp)

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38
Q

Lateral

A

Farther from the midline (A line that can be traced from nose to belly button)

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39
Q

medial

A

nearer to the midline

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40
Q

Melena

A

black tarry stool

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41
Q

myocardial Infarction (MI)

A

Death of cardiac muscle due to ischemia

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42
Q

Myalgia

A

muscular pains, “muscle aches”

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43
Q

oriented x3

A

oriented to person, place, and time

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44
Q

pallor

A

pale skin

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45
Q

posterior/dorsal

A

rear or backside of body

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46
Q

proximal

A

nearer to the trunk of the body

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47
Q

pruritic

A

itchy

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48
Q

pulmonary embolism (PE)

A

blocking of a pulmonary artery due to a blood clot

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49
Q

purulent

A

pus-like

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50
Q

rales

A

crackles; wet crackling noise in lungs

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51
Q

rhinorrhea

A

clear nasal discharge, “running nose”

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52
Q

rhonchi

A

rattling noise of mucous in lungs

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53
Q

sepsis

A

dangerous infection of the blood

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54
Q

STEMI

A

ST elevation MI, real-time ongoing death of heart tissue due to ischemia

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55
Q

superior

A

higher on the body, nearer to the head

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56
Q

supine

A

body position lying face up

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57
Q

syncope

A

“passing out”, loss of consciousness or fainting

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58
Q

tachycardia

A

fast heart rate (HR greater than 100bpm)

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59
Q

tachypnea

A

increased breathing rate

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60
Q

Transient Ischemic Attack (TIA)

A

Minor stroke; where neurological function is regained quickly with time

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61
Q

Vein

A

blood vessel carrying blood towards the hearT

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62
Q

vertigo

A

condition of dizziness, “room spinning”

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63
Q

wheezing

A

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

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64
Q

AAA

A

Abdominal Aortic Aneurysm

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65
Q

A Fib

A

Atrial Fribrillation

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66
Q

Abd

A

Abdomen, abdominal

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67
Q

Abx

A

antibiotics

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68
Q

AMA

A

Against Medical ADvice

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69
Q

AMS

A

Altered Mental Status

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70
Q

ASA

A

Acetylsalicyclic Acid (Aspirin)

71
Q

BID

A

Twice daily

72
Q

Bilat LE

A

Bilateral Lower Extremities

73
Q

BM

A

Bowel movement

74
Q

BP

A

Blood PRessure

75
Q

CA

A

cancer, Carinoma

76
Q

CABG

A

coronary artery bypass graft, “Open heart Surgery”

77
Q

CAD

A

Coronary Artery Disease, Heart disease

78
Q

CT or CAT

A

Computerized Assisted Tomography

79
Q

CHF

A

congestive heart failure

80
Q

COPD

A

Chronic Obstructive Pulmonary Disease

81
Q

CP

A

Chest Pain

82
Q

CPR

A

Cardiopulmonary Resuscitation

83
Q

C-section

A

Caesarean Section

84
Q

C-spine

A

Cervical spine

85
Q

CSF

A

Cerebrospinal Fluid

86
Q

CVA

A

Cerebrovascular Accident-or-Costovertebral Angle

87
Q

CXR

A

Chest X-Ray

88
Q

c/o

A

Complains of

89
Q

C-spine

A

Cervical Spine (neck)

90
Q

DKA

A

Diabetic Ketoacidosis

91
Q

DM

A

Diabetes Mellitus

92
Q

DNR

A

Do not Resuscitate

93
Q

DOE

A

Dyspnea On Exertion

94
Q

DVT

A

Deep Venous Thrombosis

95
Q

Dx

A

Diagnosis

96
Q

Dz

A

Disease

97
Q

EKG/ECG

A

Electrocardiogram

98
Q

EtOH

A

Alcohol

99
Q

FHx

A

Family History

100
Q

Fx

A

Fracture

101
Q

GI

A

Gastrointestinal

102
Q

G/P/Ab

A

Gravida/Para/Abortion

103
Q

GSW

A

Gun Shot Wound

104
Q

GU

A

Genitourinary

105
Q

HA

A

Headache

106
Q

HEENT

A

Head, eyes, ears, nose throat

107
Q

HPI

A

History of present Illness

108
Q

HTN

A

Hypertension

109
Q

Hx

A

history

110
Q

H&H

A

Hemoglobin and Hemacrit

111
Q

H&P

A

history of present illness and physical exam

112
Q

I&D

A

Incision of drainage

113
Q

IDDM

A

Insulin dependent diabetes mellitus

114
Q

IUP

A

Intrauterine pregnancy

115
Q

IVDA

A

IV Drug abuse

116
Q

JVD

A

Jugular Vein Distension

117
Q

LLE

A

Left lower Exteremity

118
Q

LLQ

A

Left Lower Quadrant

119
Q

LNMP

A

Last Normal Menstrual PEriod

120
Q

LOC

A

Loss of consciousness

121
Q

LP

A

Lumbar Puncture

122
Q

L-spine

A

Lumbar spine

123
Q

LUE

A

Left Upper Extremity

124
Q

LUQ

A

Left upper Quadrant

125
Q

MCA

A

Motorcycle accident

126
Q

MI

A

Myocardial Infarction

127
Q

MVA/MVC

A

Motor Vehicle Accident/Collision

128
Q

N/A

A

not applicable

129
Q

NAD

A

No Acute Distress, No Acute Disease

130
Q

NIDDM

A

Non-Insulin Dependent Diabetes Mellitus

131
Q

NKDA

A

No known Drug Allergies

132
Q

Nml or nL

A

Normal

133
Q

NSAID

A

Non Steroidal Anti-Inflammatory Drug

134
Q

NSR

A

Normal Sinus Rhythm

135
Q

NTG

A

Nitroglycerin

136
Q

N/V/D

A

Nausea/Vomiting/Diarhea

137
Q

O2 Sat

A

Oxygen Saturation aka SaO2

138
Q

OD

A

OVerdose

139
Q

PCP

A

Primary Care Physician ala PMD

140
Q

PE

A

Pulmonary Embolism or physical exam

141
Q

PERRL

A

Pupils are equal, round , and reactive to light

142
Q

PO

A

Per Os (by mouth)

143
Q

prn

A

As Needed

144
Q

pt

A

Patient

145
Q

PTA

A

Prior To Arrival

146
Q

PUD

A

Peptic Ulcer Disease

147
Q

qd

A

every day

148
Q

qh

A

every hour

149
Q

qhs

A

at every bedtime

150
Q

q2h

A

every 2 hours

151
Q

QID

A

Four Times A DAy

152
Q

RLE

A

Right Lower Extremity

153
Q

RLQ

A

Right Lower Quaderant

154
Q

ROM

A

Range of Motion

155
Q

ROS

A

Review of System

156
Q

RUE

A

Right Upper Extremity

157
Q

Rx

A

prescription

158
Q

r/o

A

Rule Out

159
Q

SOB

A

shortness of breath

160
Q

s/p

A

Status Post (after)

161
Q

Sx

A

Symptoms

162
Q

TIA

A

Transient Ischemic Attack

163
Q

TID

A

Three Times a Day

164
Q

TM

A

Tympanic membrane

165
Q

T-spine

A

Thoracic Spine

166
Q

Tx

A

Treatment

167
Q

UA

A

Urinalysis

168
Q

URI

A

Upper Respiratory Infection

169
Q

UTI

A

Urinary Tract InFection

170
Q

WNL

A

Within Normal Limits

171
Q

RUQ

A

Right Upper Quaderant

172
Q

US

A

ultrasound

173
Q

UTD

A

up to date

Scribe terms (5 decks)

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