Training Flashcards
1
Q
ALOC
A
Altered level of consciousness
2
Q
BM
A
Bowel movement
3
Q
DOE
A
Dyspnea on exertion
4
Q
EOMI
A
Extraocular Movement intact
5
Q
HA
A
Headache
6
Q
MI
A
Myocardial infarction (heart attack)
7
Q
NAD
A
No acute distress
8
Q
NSR
A
Normal sinus rhythm
9
Q
PNA
A
Pneumonia
10
Q
UTI
A
Urinary track infection
11
Q
ASA
A
Aspirin
12
Q
CA
A
Cancer
13
Q
PCN
A
Penicillin
14
Q
DM
A
Diabetes Mellitus
15
Q
PTX
A
Pneumothorax
16
Q
SOB
A
Shortness of breath
17
Q
FB
A
Foreign body
18
Q
CVA
A
Cerebral vascular accident (stroke)
19
Q
TIA
A
Transient ischemic attack (mini stroke)
20
Q
TX
A
Treatment
21
Q
Earwax
A
Cerumen
22
Q
Runny nose
A
Rhinorrhea
23
Q
Vomiting blood
A
Hematemesis
24
Q
Room spinning
A
Vertigo
25
Fainting
Syncope
26
Sensitivity to light
Photophobia
27
Sweating
Diaphoresis
28
Bruising
Ecchymosis
29
Itchiness
Pruritus
30
Ear ringing
Tinnitus
31
Removal of appendix
Appendectomy
32
Removal of breast
Mastectomy
33
Cardiac bypass
CABG (coronary artery bypass graft)
34
Hernia repair
Herniorrhaphy
35
Removal of gallbladder
Cholecystectomy
36
Removal of the uterus
Hysterectomy
37
"Crackles"
Tales
38
For main components of the medical chart you are responsible for?
1. HPI
2. ROS
3. PMhxFHxSHx
4. PE
39
Name the eight elements of the HPI?
1. Location
2. Quality
3. Severity
4. Context
5. Timing
6. Duration
7. Associated signs & symptoms
8. Modifying factors
40
True or false: The HPI in the ROS are subjective?
True: these are from the patient's perspective
41
True or false: patient's past surgeries should be documented in the physical exam (PE)?
False: should be in past medical history
42
True or false: the physical exam is objective?
True: from the doctors point view
43
True or false: whether a patient smokes or not should be documented in the PMFSH?
True: this is social history
44
Fever
Febrile
45
Vomiting
Emesis
46
pain with urination
Dysuria
47
RRR
Regular rate and rhythm (cardio finding)
48
TMs
Tympanic membranes (ENT findings)
49
CVAT
Costal Vertebral Angle Tenderness (back finding sometimes GU)
50
BS present
Bowel sounds present
51
SNF
Skilled nursing facility
52
BIBA
Brought in by ambulance
53
CP
Chest pain
54
ATX
Atelectasis
55
Pregnancy
Gracie
56
Oophorectomy
Surgical removal of ovary
57
Tubal pregnancy
Ectopic
58
Tying of tubes
Tubal litigation
59
Clipping of vas deferens
Vasectomy
60
Tonsil removal
Tonsillectomy
61
CAD
Coronary artery disease
62
DVT
Deep vein thrombosis
63
PE
Pulmonary embolism
64
PTSD
Post dramatic stress disorder
65
PUD
Peptic ulcer disease
66
PTA
Prior to arrival
67
NTG
Nitroglycerin
68
FS
Finger stick (blood sugar)
69
AMS
Altered mental status
70
A-fib
Atrial fibrillation
71
Normal heart rhythm
Arrhythmia
72
Blood in urine
Hematuria
73
VB
Vaginal bleeding
74
COPD
Chronic obstructive pulmonary disease (Chronic bronchitis, emphysema)
75
JVD
Jugular vein distention
76
Breathing tube replacement
Endotracheal intubation
77
FX
Fracture
78
Bi-PAP
Bilevel positive airway pressure
79
NEB
Nebulizer
80
Peripheral numbness
Paresthesia
81
HTN
Hypertension
82
High cholesterol
Hyperlipidemia
83
High blood sugar
Hyperglycemia
84
DKA
Diabetic ketoacididosis
85
MTF
Metabolize to freedom
86
ETOH
Alcohol
87
BKA
Below knee amputation
88
AKA
Above knee amputation
89
TKA
Total knee arthroplasty
90
ROM
Range of motion
91
Flexion
Decreasing the angle of a joint
92
Extension
Increasing the angle of the joint
93
LOC
Loss of consciousness
94
HGB
Hemoglobin
95
Induration
Any pathological hardening or thickening of tissue
96
Fluctuance/fluctuant
Palpable fluid beneath the skin indicative of infection/puss
97
Cachectic
State of general ill appearance and malnutrition
98
WBC
White blood cells
99
Rash from a virus
Viral exanthem
100
Tachycardia
Rapid heartbeat (>100)
101
Tachypneic
Increased rate of respiration
102
Bradycardia
Slow heart rate ( <60)
103
Bradypneic
Slow breathing rate ( <16)
104
Retractions
Movements in which the skin pools in around the ribs during inspiration
105
Erythema/erythematous
Redness of skin
106
Edema
Swelling
107
Cellulitis
And inflammation of body tissue (below the skin) characterized by fever and swelling and redness and pain
108
Afebrile
No fever
109
Ablation
Partial destruction of the pathway of the electrical conduction system of the heart, to treat irregular heart rhythm
110
PND
Paroxysmal nocturnal dyspnea (intermittent night time difficulty breathing)
111
Paroxysmal
Intermittent, begetting suddenly or abruptly
112
Fibroids
Benign tumors in the uterus
113
Frequent urination
Polyuria
114
Increased thirst
Polydipsia
115
Irregularly irregular
No predictable pattern to cardiac cycle, a-fib typically
116
Anticoagulants
Medication to stop blood clotting
117
PSVT
Paroxysmal supraventricular tachycardia
118
PVD
Peripheral vascular disease
119
DKA
Diabetic ketoacidosis
120
GERD
Gastroesophageal reflux disease
121
ESRD
End stage renal disease
122
CRI
Chronic renal insufficiency
123
PID
Pelvic inflammatory disease
124
N/V/D
Nausea, vomiting, diarrhea
125
BTL
Bilateral tubal litigation
126
FTT
Failure to thrive
127
PERRL
Pupils equal, round, reactive to light
128
EOM
Extraocular movement
129
EOMI
Extraocular movements intact
130
NC
Nasal cannula
131
RA
Room air
132
NRB
Non-rebreather
133
AAA
Aortic abdominal aneurysm
134
Numbness
Paresthesia
135
DJD
Degenerative joint disease
136
CP
Cerebral palsy
137
STD
Sexually transmitted disease
138
SBO
Small bowel obstruction
139
Adenopathy
Enlargement of lymph nodes
140
Accessory muscle use
Struggling for breath using muscles in the neck
141
Adduction
Movement towards the midline of the body
142
AED
Automated external defibrillator
143
Afebrile
Without fever
144
Ambulatory
Able to walk
145
Aneurysm
Any abnormal widening of a blood vessel
146
Angina
Chest pain due to lack of blood flow to heart muscle
147
Anion gap
Difference between the concentrations of serum cations and anions: determined by measuring the concentrations of sodium in cations and chloride and bicarbonate anions
148
Anisocoria
Unequal pupils size
149
Arthralgia
Pain in joints
150
Articulation
Connection between bones
151
Atelectasis (ATX)
Partial collapse of the small airways in the lungs
152
Avulsion
Forcible tear in the way of a part or structure
153
Axilla
Underarm
154
Brudzinski's sign
Sign of meningitis; positive when a patients legs lift involuntarily when lifting a patient head
155
Bruit
A murmur or sound heard in auscultation indicating narrowing of a vessel
156
C/O
Complains of
157
Cartotid bruit
Noise from the carotid artery he narrowing heard with the stethoscope
158
Cholecystitis
Inflammation of the gallbladder
159
Cholelithiasis
Gallstone formation in the gallbladder
160
Cirrhosis
Chronic degenerative disease of the liver
161
CMT
Cervical motion tenderness
162
Colectomy
Surgical removal of part or all of the large intestine
163
Colostomy
Did you go procedure that provides an opening between the colon and abdominal wall
164
Conjunctiva
Mucous membrane lining the eye lids and covering the interior portion of the sclera
165
Crepitus
Crackling sound produced when ends of bone rub against each other or against roughening cartilage
166
CSF
Cerebrospinal fluid
167
Cyanosis
Bluish discoloration of the skin and mucous membranes
168
Cyanotic
Bluish skin color due to lack of oxygen
169
Diaphoresis
Profuse sweating
170
Dysmenorrhea
Painful menstruation
171
Dyspareunia
Painful intercourse
172
EF
Ejection fraction
173
Ectopy
Abnormal heartbeat
174
Hemangioma
Benign angioma consisting of a mass of blood vessels
175
Hematoma
Localized swelling filled with blood
176
Hematochezia
Passage of fresh, bright red blood from the rectum
177
Hemiparesis
Slight paralysis or weakness affecting one side of the body
178
Hemiplegia
Paralysis of one side of the body
179
Hepatomegaly
Liver enlargement
180
ICH
Intracranial hemorrhage
181
IUP
Intrauterine pregnancy
182
Kernig's sign
Sign of meningitis; positive when the leg is full event at the hip and knee, and subsequent extension of the knee leads to pain
183
LBBB
Left bundle branch block
184
RBBB
Right bundle branch block
185
LAFB
Left anterior fascicular block
186
LNMP
Last normal menstrual period
187
LVH
Left ventricle hypertropy
188
Malaise
Big feeling of bodily discomfort or illness
189
Malocclusion
Any deviation from the normal positioning of the upper teeth against the lower teeth
190
Melena
Black tarry stool
191
Meningismus
Stiff neck/signs of meningitis
192
Myalgia
Muscle pain
193
Neuralgia
Nerve pain
194
Cephalgia
Head pain
195
NSVD
Normal spontaneous vaginal delivery
196
Nystagmus
And involuntary, rhythmic oscillation of the eyeballs; maybe horizontal, vertical, or rotary
197
Pallor
Pail skin
198
Romberg's sign
Following to one side standing with eyes closed
199
Splenectomy
Surgical removal of the spleen
200
Splenomegaly
An abnormal enlargement of the spleen
201
Splinting
Muscle rigidity caused by pain
202
Status epilepticus
Continuous seizure activity
203
Stridor
High-pitched, crowing sound that occurs with an obstruction in the upper airway (trachea or larynx)
204
TAH
Total of abdominal hysterectomy
205
Rovsing's sign
S/S of appendicitis when you power paid LLQ and the PT feel pain in their RLQ
206
Mcburney's
Persistent pain located midway between the umbilicus and the right iliac crest
207
HIPAA
Health insurance portability and accountability act
208
CN
Cranial nerves
209
TTP
Tender to palpation
210
Tugor
Skins elasticity; poor elasticity seen one skin remains pinched
211
Thoractomy
Surgical scission into chest wall
212
Pronator drift
Pronation of one form during pronator drift test; indicates corticospinal tract lesion originating from the contralateral hemisphere
213
Nuchal rigidity
Stiffness or and her billeted to bend the neck
