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CHAPTER 2 MEDTERM
Term | Definition |
---|---|
ACUTE | IT JUST STARTED RECENTLY OR IS A SHARP SEVERE SYSTEM |
CHRONIC | IT HAS BEEN GOING ON FOR A WHILE NOW |
EXACERBATION | IT IS GETTING WORSE |
ABRUPT | ALL OF THE SUDDEN |
FEBRILE | TO HAVE A FEVER |
AFEBRILE | TO NOT HAVE A FEVER |
MALAISE | NOT FEELING WELL |
PROGRESSIVE | MORE AND MORE EACH DAY |
SYMPTOMS | SOMETHING A PATIENT FEELS |
NONCONTRIBUTORY | NOT RELATED TO THIS SPECIFIC PROBLEM |
LETHARGIC | A DECRESE IN LEVEL OF CONSCIOUSNESS; IN A MEDICAL RECORD, THIS IS GENERALLY AN INDICATION THAT THE PATIENT IS REALLY SICK |
GENETIC/HEREDITARY | IT RUNS IN THE FAMILY |
ALERT | ABLE TO ANSWER QUESTIONS, RESPONSIVE, INTERACTIVE |
ORIENTED | BEING AWARE OF WHO HE OR SHE IS, WHERE HE OR SHE IS, AND THE CURRENT TIME; A PATIENT WHO IS AWARE OF ALL THREE IS "ORIENTED x3" |
MARKED | IT REALLY STANDS OUT |
UNREMARKABLE | ANOTHER WAY OF SAYING NORMAL |
AUSCULTATION | TO LISTEN |
PERCUSSION | TO HIT SOMETHING AND LISTEN TO THE RESULTING SOUND OR FEEL FOR THE RESULTING VIBRATION; DRUMS ARE A PERCUSSION INTRUMENT |
PALPATION | TO FEEL |
IMPRESSION | ANOTHER WAY OF SAYING ASSESMENT |
DIAGNOSIS | WHAT THE HEALTH CARE PROFESSIONAL THINKS THE PATIENT HAS |
DIFFERENTIAL DIAGNOSIS | A LIST OF CONDITIONS THE PATIENT MAY HAVE BASED ON THE SYMPTOMS EXHIBITED AND THE RESULTS OF THE EXAM |
BENIGN | SAFE |
MALIGNANT | DANGEROUS; A PROBLEM |
DEGENERATION | TO BE GETTING WORSE |
ETIOLOGY | THE CAUSE |
REMISSION | TO GET BETTER OR IMPROVE; MOST OFTEN USED WHEN DISCUSSING CANCER; REMISSION DOES NOT MEAN CURE |
IDIOPATHIC | NO KNOWN SPECIFIC CAUSE; IT JUST HAPPENS |
LOCALIZED | STAYS IN A CERTAIN PART OF THE BODY |
SYSTEMIC/ GENERALIZED | ALL OVER THE BODY OR MOST OF IT |
MORBIDITY | THE RISK OF BEING SICK |
MORTALITY | THE RISK OF DYING |
PROGNOSIS | THE CHANCES FOR THINGS GETTING BETTER OR WORSE |
OCCULT | HIDDEN |
PATHOGEN | THE ORGANISM THAT CAUSES THE PROBLEM |
LESION | DISEASED TISSUE |
RECURRENT | TO HAVE AGAIN |
SEQUELAE | A PROBLEM RESULTING FROM A DISEASE OR INJURY |
PENDING | WAITING FOR |
DISPOSITION | WHAT HAPPENED TO THE PATIENT AT THE END OF THE VISIT |
DISCHARGE | LITERALLY TO UNLOAD; TO SEND HOME; FLUID COMING OUT OF PART OF THE BODY |
PROPHYLAXIS | PREVENTIVE CARE |
PALLIATIVE | TREATING THE SYMPTOMS, BUT NOT ACTUALLY GETTING RID OF THE CAUSE |
OBSERVATION | WATHC, KEEP AN EYE ON |
REASSURANCE | TO TELL THE PATIENT THAT THEPROBLEN IS NOT SERIOUS OR DANGEROUS |
SUPPORTIVE CARE | TO TREAT THE SYMPTOMS AND MAKE THE PATIENT FEEL BETTER |
STERILE | EXTREMELY CLEAN, GERM-FREE CONDITIONS |
PROXIMAL | CLOSERIN TO THE CENTER |
DISTAL | FARTHER AWAY FROM THE CENTER |
LATERAL | OUT TO THE SIDE |
MEDIAL | TOWARD THE MIDDLE |
VENTRAL/ANTRAL/ANTERIOR | THE FRONT |
DORSAL/POSTERIOR | THE BACK |
CRANIAL | TOWARD THE TOP |
CAUDAL | TOWARD THE BOTTOM |
SUPERIOR | ABOVE |
INFERIOR | BELOW |
PRONE | LYING ON THE BELLY |
SUPINE | LYING ON THE BACK |
CONTRALATERAL | OPPOSITE SIDE |
IPSILATERAL | SAME SIDE |
UNILATERAL | ONE SIDE |
BILATERAL | BOTH SIDES |
DORSUM | THE TOP OF THE HAND OR FOOT |
PLANTAR | THE SOLE OF THE FOOT |
PALMAR | THE PALM OF THE HAND |
SAGITTAL | DIVIDES THE BODDY IN SLICES RIGHT TO LEFT |
CORONAL | DIVIDES THE BODY INTO SLICES FROM FRONT TO BACK |
TRANSVERSE | DIVIDES THE TOP FROM BOTTOM |
PHYSICIAN | A SKILLED HEALTH CARE PROVIDER WHO ATTENDED AND GRADUATED MEDICAL SCHOOL |
PEDIATRICIAN | A PHYSICIAN WITH SPECIAL TRAINING IN CARING FOR CHILDREN |
SURGEON | A PSYSICHIAN QUALIFIED TO TREAT PATIENTS SURGICALLY, THAT IS, BY MEANS OF OPERATION OR INVASIVE PROCEDURE |
ANESTHESIOLOGIST | A PHYSICIAN WITH SPECIAL TRAINING IN PAIN SEDATION AND PAIN CONTROL |
PHYSICIAN ASSISTANT (PA) | A MIDLEVEL HEALTH CARE PROVIDER WHO WORKS UNDER THE LICENSE OF A SUPERVISING PHYSICIAN; REQUIRES POST GRADUATE TRAINING |
NURSE PRACTITIONER (NP) | A NURSE WITH POSTGRADUARE TRAINING THAT SERVES AS A MIDLEVEL HEALTH CARE PROVIDER; WORKS UNDER THE LICENSE OF A SUPERVISING PHYSICIAN |
EMERGECNY MEDICAL TECHNICIAN | SPECIALLY TRAINED IN THE EMERGENCY CARE OF A PATIENT BEFFORE AND OR DURING TRANSPORT TO MEDICAL FACILITY |
SPEECH THERAPIST | SPECIALLY TRAINED IN EVALUATING AND TREATING PROBLEMS WITH SPEECH AND OR SWALLOWING |
OCCUPATIONAL THERAPIST | SPECIALLY TRAINED IN EVALUATING AND TREATING PROBLEMS WITH PERFORMING DAILY ACTIVITIES AT HOME, SCHOOL, OR WORK |
PHYSICIAL THERAPIST | SPECIALLY TRAINED IN EVALLUATING AND TREATING PHYSICAL IMIPAIRMENTS INVLUDING DISABLILITIES OR RECOVERING FROM AN INJURY |
DIETICIAN | SPECIALLY TRAINED IN TREATING PATIENT'S RESPIRATORY ISSUES UNDER THE GUIDANCE OF A HEALTH CARE PROVIDER |
LICENSED PREACTICAL NURSE (LPN) | TRAINED AND CERTIFIED TO PROAVIDE BASIC CARE TO A PATIENT |
REGISTERED NURSE (RN) | AN ADVANCED LEVEL NURSE WHO HAS COMPLETED AN ASSOCIATES OR BACHELOR DEGREE; OFTEN ASSISTS WITH PATIENT CARE PLANNING AND PATIENT EDUCATION |
MEDICAL ASSISTANT | TRAINED TO CARRY OUT BASIC ADMINISTRATIVE AND CLINICAL TASKS UNDER THE GUIDANE OF A HEALTH CARE PROVIDER |
PATHOLOGIST | A PHYSICIAN WITH SPECIAL TRAINING IN BOTH EVALUATINGTHE CAUSES AND EFFECTS OF DISEASWE AND IN LABORATORY MEDICINE |
MEDICIAL LABORATORY TECHNICIAN | TRAINED IN PERFOMING LABORATORY TESTING ON BODILY FLUIDS |
PHLEBOTOMIST | TRAINED INT EH REMOVAL OF BLOOD FROM THE BODY FOR DIAGNOSTIC OR THERAPUTIC PURPOSES |
RADIOLOGIST | A PHYSICIAN SPECIALLY TRAINED IN EVALUATING IMMAGES OF THE BODY TO DIAGNOSE ILLNESS OR INJURY |
RADIOLOGY TECHNICIAN | TRAINED TO PERFORM RADIOLOGIC TESTING OR ADMINISTER RADIATION THERAPY UNDER THE DIECATION OF A HEALTH CARE PROVIDER |
ULTRASONAGRAPHER | TRAINED IN PERFOMING ULTRASOUND IMAGING ON A PATIENT |
PHARMACIST | TRAINED AND LICENSED IN PREPARING AND DISPENSING MEDICINE |
PHARMACY TECHNIIAN | TRAINED TO ASSIST A PHARMACIST WITH PHARMACY-RELATED TASKS |
PATIENT SERVICES COORDINATOR | HANDLES ADMINISTRATIBE TASKS AND COORDINATES PATIENT CARE |
MEDICAL TRANSCRIPTIONIST | TRAINED IN CONVERTING THE VOIVE-RECORDED DICATIONS OF HEALTH CARE PROVIDERS INTO TEXT FORMAT |
CHEIF COMPLAINT | THE MAIN REASON FOR THE PATIENT'S VISIT |
HISTORY OF PRESENT ILLNESS | THE STORY OF THE PATIEN'S PROBLEM |
REVIEW OF SYSWTEMS | DESCRIPTION OF INDIVIDUAL BODY SYSTEMS IN ORDER TO DISCOER ANY SYMPTOMS NOT DIRECTLY RELATED TO THE MEAN PROBLEM |
PAST MEDICAL HISTORY | OTHER SIGNIFICANT PAST ILLNESSES, LIKE HIGH B/P, ASTHMA, OR DIABETES |
PAST SURGICAL HISTORHY | ANY OF THE PATIENTS PAST SURGERIES |
FAMILY HISTORY | ANY SIGNIFICANT ILLNESSES THAT RUN IN THE PATIENTS FAMILY |
SOCIAL HISTORY | A RECORD OF HABITS LIKE SMOKING, DRINKING, DRUG ABUSE, AND SEXUAL PRACTICES THAT CAN IMPACT HEALTH |
CCU | CORANARY CARE UNIT |
ECU | EMERGENCY CARE UNIT |
ER | EMERGENCY ROOM |
ED | EMERGENCY DEPARTMENT |
ICU | INTENSIVE CARE UNIT |
PICU | PEDIATRIC INTENSIVE CARE UNIT |
NICU | NEONATAL INTENSIVE CARE UNIT |
SICU | SURGICAL INTENSIVE CARE UNIT |
PACU | POST-ANESTHESIA CARE UNIT |
L&D | LABOR AND DELIVERY |
OR | OPERATING ROOM |
POST-OP | AFTER SURGERY |
PRE-OP | BEFORE SURGERY |
Dx | DIAGNOSIS |
DDx | DIFFERENTIAL DIAGNOSIS |
Tx | TREATMENT |
Rx | PRESCRIPTION |
H&P | HISTORY AND PHYSICAL |
Hx | HISTORY |
CC | CHIEF COMPLAINT |
HPI | HISTORY OF PRESENT ILLESS (THE STORY OF THE SYMPTOMS) |
ROS | REVIEW OF SYMPTOMS (AYNTHING ELSE NOT DIRECTLY RELATED TO THE CHEIF COMPLAINT) |
PMHx | PAST MEDICAL HISTORY |
FHx | FAMILY HISTORY |
NKDA | NO KNOWN DRUG ALLERGIES |
PE | PHYSICAL EXAM |
Pt | PATIENT |
Y/O | YEARS OLD |
H/O | HISTORY OF |
PCP | PRIMARY CARE PROVIDER |
F/U | FOLLOW UP |
SOB | SHORTNESS OF BREATH |
HEENT | HEAD, EYES, EARS, NOSE, THROAT |
PERRLA | PUPILS ARE EQUAL, ROUND, AND REACTIVE TO LIGHT AND ACCOMMODATION |
NAD | NO ACUTE DISTRESS (THE PATIENT DOES NOT DISPLAY ANY INTENSE SYMPTOMS) |
CV | CARDIOVASCULAR |
RRR | REGULAR RATE AND RHYTHM |
CTA | CLEAR TO AUSCALTATION |
WDWN | WELL DEVELOPED, WELL NOURISHED |
A&O | ALERT AND ORIENTED |
WNL | WITHIN NORMAL LIMITS |
NOS | NOT OTHERWISE SPECIFIED |
NEC | NOT ELSEWHERE CLASSIFIED |
PO | PER OS (BY MOUTH) |
NPO | NIL PER OS |
PR | PER RECTUM |
IM | INTRAMUSCULAR |
SC | SUBCUTANEOUS |
IV | INTRAVENOUS |
CVL | CENTRAL VENUS LINE |
PICC | PERIPHERALLY INSERTED CENTRAL CATHETER |
Sig | INSTRUCGITONS SHORT FOR SIGNA,FROM LATIN, FOR "LABEL" |
BID | TWICE DAILY |
TID | THREE TIMES DAILY |
Q | EVERY |
QD | DAILY |
QID | FOUR TIMES DAILY |
QHS | AT NIGHT |
AC | BEFORE MEALS |
PC | AFTER MEALS |
PRN | AS NEEDED |
AD LIB | AS DESIRED |