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Abrasion
Scrape of the skin due to something abrasive
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Abscess
Collection of pus underneath the skin
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Antipyretic
Medication used to reduce a fever
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Acute
New, usually of rapid onset and of concern, opposite of chronic
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Afebrile
Without a fever (Temperature of less than 100.4)
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Anterior
Located towards the front of the body
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Appendicitis
Dangerous infection of the appendix
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Auscultation
Listening to sounds arising within organs (as the lungs)
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Benign
Normal, of no danger to health
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Bradycardia
Slow heart-rate (HR<60bpm)
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Bronchitis
Infection of the bronchi (upper airway)
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Bronchiolitis
Infection of the bronchioles (smaller air-tubes in the lungs)
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Catheter
Tube inserted into vessels or body cavities to permit injection or withdrawal of fluids or to keep a passage open
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Chronic
- Long-standing, constant
- Opposite of acute
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Cellulitis
Infection of skin cells
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Conjunctivitis
Infection of the outer layer of the eye
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Dialysis
Process for removing waste from the blood for people with renal failure
-
-
Diffuse
Spread out (not localized)
-
Distal
Farther from the trunk of the body
-
Dyspnea
Difficulty breathing
-
Dysuria
Painful urination
-
-
-ectomy (suffix)
- Surgical removal
- e.g. tonsillectomy
-
-
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Epilepsy
Seizure disorder
-
-
Erythema/Erythematous
Redness/Red
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Exudates (tonsillar)
Pus-pockets on the tonsils
-
Febrile
The state of having a fever (Temperature of more than 100.4)
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Grossly
Obviously; a lot; wholly
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Hematemesis
Gross amounts of blood in the vomit
-
Hematuria
Blood in the urine
-
Hemoptysis
Coughing up gross amounts of blood
-
Hemorrhage
Excessive or profuse bleeding
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Hepatomegaly
Enlarged liver
-
Hernia
Protrusion of an organ through the wall of the cavity that normally contains it
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Hyperlipidemia
High cholesterol
-
Hypertension
High blood pressure
-
Hypotension
Low blood pressure
-
Hypoxia
Low oxygen saturation of the body, not enough oxygen in the blood
-
ICD-10
A system to classify and code diagnoses, symptoms, and procedures
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Infarct
Area of dead tissue after a lack of blood supply
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Inferior
Lower on the body, farther from the head
-
Ischemia
Lack of blood supply
-
-itis (suffix)
- Inflammation
- e.g. appendicitis
-
Laceration
- Splitting of the skin due to trauma
- a cut due to something sharp
-
Lateral
- Farther from the midline
- a line that can be traced from nose to belly-button
-
Lethargic
- Septic
- Very sick
- About to die
-
Medial
Nearer to the midline
-
Meningitis
Dangerous infection of the outer lining of the brain
-
Otitis Externa
Infection of the outer ear (ear canal)
-
Otitis Media
Infection inner ear (behind the eardrum)
-
-
Myalgia
Muscular pain, ?muscle aches?
-
-
Palpation
Examine by touch
-
Palpitation
To beat rapidly, irregularly, or forcibly (usually relating to the heart)
-
Peritoneal signs
Guarding/Rebound/Rigidity: PE findings indicating a rupture in the abdomen
-
Pharyngitis
Throat infection
-
Pneumonia
Bacterial infection of the lungs
-
Posterior/Dorsal
Rear or backside of the body
-
Prone
Body position lying flat, face down
-
Proximal
Nearer to the trunk of the body
-
Pulmonary
Relating to the lungs
-
Purulence/Purulent
Pus/Pus-like
-
Rales
- Crackles
- Wet crackling noise in lungs
-
Rhinorrhea
Clear nasal discharge, "runny nose"
-
Rhonchi
Rattling noise of mucous in the lungs
-
-scopy (suffix)
- Viewing with a scope
- e.g. colonoscopy
-
Sepsis
Dangerous infection of the blood
-
Sinusitis
Infection/inflammation of the nasal sinuses
-
Small Bowel Obstruction
Physical blockage of the small intestines
-
Streptococcal Pharyngitis
Strep throat
-
Superior
Higher on the body, nearer to the head
-
Supine
Body position lying face up
-
Syncope
- "Passing out"
- Loss of consciousness or fainting
-
Tachycardia
- Fast heart rate
- HR>100bpm
-
Trismus
Inability to open the jaw due to pain
-
Tachypnea
Increased breathing rate
-
Ulcerations
Blisters or open-sores
-
Vertigo
Room-spinning dizziness (not light-headed)
-
Wheezing
High pitched sound heard in the lungs with asthmatics or lung disease
-
-
-
A fib
Atrial fibrillation
-
AOM
- Acute Otitis Media
- (new ear infection)
-
-
ASA
Acetylsalicylic Acid (Aspirin)
-
-
Bilat LE
Bilateral Lower Extremities
-
-
-
c (with line on top)
With
-
-
CABG
Coronary Artery Bypass Graft
-
CAD
Coronary Artery Disease
-
CBC
- Complete Blood Count
- (bloodwork to look for infection or anemia)
-
CHF
Congestive Heart Failure
-
-
-
COPD
Chronic Obstructive Pulmonary Disease
-
CRF
Chronic Renal Failure
-
C-section
Caesarean Section
-
-
CT or CAT
Computerized Assisted Tomography
-
CTA
Clear to auscultation
-
-
CVA
Cerebrovascular Accident
-
-
-
-
DP /PT (pulse)
Dorsalis Pedis / Posterior Tibialis
-
-
-
EKG/ECG
Electrocardiogram
-
EOMI
Extraocular Movements Intact
-
-
-
F/U
- Follow-up
- (i.e. Follow-up in 3 days for a re-evaluation)
-
-
GERD
Gastroesophageal Reflux Disease
-
-
G/P/Ab
Gravida/Para/Abortion
-
-
-
HEENT
Head, Ears, Eyes, Nose, Throat
-
HIPAA
Health Insurance Portability and Accountability Act
-
-
HPI
History of Present Illness
-
HTN
Hypertension (high blood pressure)
-
-
H&H
Hemoglobin and Hematocrit
-
I&D
Incision and Drainage
-
IDDM
Insulin Dependent Diabetes Mellitus
-
IUP
Intrauterine Pregnancy
-
IVDA
Intravenous Drug Abuse
-
-
-
LNMP
Last Normal Menstrual Period
-
LOC
Loss of Consciousness
-
-
-
-
-
-
NAD
- No Acute Distress
- No Acute Disease
-
NIDDM
Non-Insulin Dependent Diabetes Mellitus
-
NKDA
No Known Drug Allergies
-
-
NSAID
Non Steroidal Anti-Inflammatory Drug
-
-
N/V/D
Nausea/Vomiting/Diarrhea
-
O2 Sat
- Oxygen Saturation
- (a.k.a. SaO2 or SpO2 or Pulse Ox or Sat)
-
OB/GYN
Obstetrics and gynecology
-
-
OM
- Otitis Media
- (inner ear infection)
-
OP
- Oropharynx
- (mouth and throat)
-
ORIF
Open Reduction and Internal Fixation (orthopedic surgery)
-
PCP/PMD
Primary Care Physician/Primary Medical Doctor
-
PE
Physical exam/Pulmonary Embolism
-
PERRL
Pupils are Equal, Round, and Reactive, to Light
-
-
-
-
PTA
- Prior To Arrival
- -OR-
- Peritonsillar Abscess
-
PVD
Peripheral Vascular Disease
-
-
-
-
-
RLE
Right Lower Extremity
-
-
-
-
RRR
Regular rate and rhythm (normal heart sounds)
-
RUE
Right Upper Extremity
-
-
-
-
-
SOAP
Subjective, Objective, Assessment, and Plan
-
-
-
STEMI
S/T Elevation Myocardial Infarction
-
T&A
- Tonsillectomy & Adenoidectomy
- (tonsils and adenoids removal surgery)
-
TIA
Transient Ischemic Attack
-
-
TM
Tympanic Membrane (Ear drum)
-
-
-
-
URI
Upper Respiratory Infection
-
-
-
UTI
Urinary Tract Infection
-
WNL
Within Normal Limits (normal, not of concern)
-
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