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Common Med Terms
Ch. 2: Med Term
| Question | Answer |
|---|---|
| What does the acronym SOAP stand for? | S-Subjective: what the patient says O-Objective: what the test reveal A-Assessment: analysis of the subjective and objective information; performed by the health care provider P-Plan: the course of action for the patient |
| What is the definition of acute? | it just started recently or is a sharp, severe symptom |
| What is the definition of chronic? | it has been going on for a while now |
| What is the definition of exacerbation? | it is getting worse |
| What is the definition of abrupt? | all of a sudden |
| What is the definition of febrile? | to have a fever |
| What is the definition of afebrile? | to not have a fever |
| What is the definition of malaise? | not feeling well |
| What is the definition of progressive? | more and more each day |
| What is the definition of symptom? | something a patient feels |
| What is the definition of noncontributory? | not related to this specific problem |
| What is the definition of lethargic? | a decrease in the level of consciousness; in a medical record, this is generally an indication that the patient is really sick |
| What is the definition of genetic / hereditary? | it runs in the family |
| On a medical chart, what is the color for Subjective data? | Blue |
| On a medical chart, what is the color for Objective data? | Red |
| On a medical chart, what is the color for Assessment data? | Yellow |
| On a medical chart, what is the color for the Plan? | Green |
| What is the chief complaint? | main reason for the visit |
| What is the history of present illness? | story of the patient's problem |
| What is the Review of Systems? | Description of individual body systems in order to discover any symptoms not directly related to the main problem |
| What is the definition of alert? | able to answer questions, responsive |
| What is the definition of oriented? | being award 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 x 3" |
| What is the definition of marked? | it really stands out |
| What is the definition of unremarkable? | normal |
| What is the definition of auscultation? | to listen |
| What is the definition of percussion? | to hit something and listen to the resulting sound or feel for the resulting vibration |
| What is the definition of palpation? | to feel |
| What is the definition of the term impression? | another way to say assessment |
| What is the definition of the term diagnosis? | what the health care professional thinks the patient has |
| What is the definition of the term differential diagnosis? | a list of conditions that the patient may have based on symptoms exhibited and the results of the exam |
| What is the definition of the term benign? | safe |
| What is the definition of the term malignant? | dangerous, a problem |
| What is the definition of the term degeneration? | getting worse |
| What is the definition of the term remission? | the get better or improve, does not mean cure. |
| What is the definition of the term idiopathic? | no know specific cause, it just happens |
| What is the definition of the term localized? | stays in a certain part of the body |
| What is the definition of the term systemic / generalized? | all over the body (or most of it) |
| What is the definition of the term prognosis? | the changes for things getting better or worse |
| What is the definition of the term occult? | hidden |
| What is the definition of the term lesion? | diseased tissue |
| What is the definition of the term recurrent? | to have again |
| What is the definition of the term sequela? | a problem resulting for a disease or injury |
| What is the definition of the term pending? | waiting for |
| What is the definition of the term pathogen? | the organism that causes the problem |
| What is the definition of the term morbidity | the risk of being sick |
| What is the definition of the term mortality? | the risk for dying |
| What is the definition of the term etiology? | the cause |
| What is the definition of the term disposition? | what happened to the patient at the end of the visit; often used at the end of ED notes to reference where the patient went after the visit (home, the ICU, normal hospital bed) |
| What is the definition of the term discharge? | to unload, 1. to send home, or 2. fluid coming out of a part of the body |
| What is the definition of the term palliative? | treating the symptoms, but not actually getting rid of the cause |
| What is the definition of the term observation? | watch, keep an eye on |
| What is the definition of the term reassurance? | to tell the patient that the problem is not serious or dangerous |
| What is the definition of the term supportive care? | to treat the symptoms and make the patient feel better |
| What is the definition of the term sterile? | extremely clean, germ-free conditions |
| What is the definition of the term prophylaxis? | preventative treatment |
| What is the definition of the term proximal? | closer in to the center |
| What is the definition of the term distal? | farther away from the center |
| What is the definition of the term lateral? | out to the side |
| What is the definition of the term medial? | toward the middle |
| What is the definition of the term ventral / antral / anterior? | the front |
| What is the definition of the term dorsal / posterior? | the back |
| What is the definition of the term cranial? | toward the top |
| What is the definition of the term caudal? | toward the bottom |
| What is the definition of the term superior? | above |
| What is the definition of the term inferior? | below |
| What is the definition of the term prone? | lying down on belly |
| What is the definition of the term supine? | lying down on back |
| What is the definition of the term contralateral? | opposite side |
| What is the definition of the term ipsilateral? | same side |
| What is the definition of the term unilateral? | one side |
| What is the definition of the term bilateral? | both sides |
| What is the definition of the term dorsum? | the top of the hand or foot |
| What is the definition of the term plantar? | the sole of the foot |
| What is the definition of the term palmar? | the palm of the hand |
| What body plane divides the body along the hypothetical plane from right to left? | sagittal |
| What body plane divides the body along the hypothetical plane from front to back? | coronal |
| What body plane divides the body along the hypothetical plane from top to bottom? | transverse |
| What health provider attended and graduated medical school? | physician (MD and DO) |
| Who is a physician with special training in caring for children? | pediatrician |
| What physician is qualified to treat patients surgically? | surgeon |
| What physician has specialized training in pain sedation and pain control? | anesthesiologist |
| What type of health specialist studies the causes and distribution of diseases in populations and the use of this data to enhance public health? | epidemiologist |
| Who is a midlevel health care provider who works under the license of a supervising physician? requires postgraduate training | physician assistant (PA) |
| What is the name of a nurse with postgraduate training who serves as a midlevel health care provider who works under license of a supervising physician? | nurse practitioner (NP) |
| What health care provider is specially training in emergency care of a patient before and/or during transport? | emergency medical technician (EMT) |
| Who is specially training in evaluating and treating problems with speech and/or swallowing? | speech therapist |
| Who is specially training in evaluating and treating problems with performing daily activities at home, school, or work? | occupational therapist |
| Who is specially trained in evaluating and treating physical impairments? | physical therapist |
| What health care provider is specially trained in treating patients respiratory issues under the guidance of a health care provider? | respiratory therapist |
| Who is trained in evaluating the nutritional status of a patient and developing a diet plan? | dietician |
| Who is trained and certified to provide basic care to a patient? | licensed practical nurse (LPN) |
| What health care provider has completed an associates or bachelor degree; often assists with patient care planning and patient education? | registered nurse (RN) |
| Who is trained to carry out basic administrative and clinical tasks under the guidance of a health care provider? | medical assistant |
| What physician has specialized training in evaluating both the causes and effects of disease and in laboratory medicine? | pathologist |
| Who is trained in performing laboratory testing on bodily fluids? | medical laboratory technician |
| Who is trained in the removal of blood from the body for diagnostic or therapeutic purposes? | phlebotomist |
| What physician is specially trained in evaluating images of the body to diagnose illness or injury? | radiologist |
| Who is trained to perform radiologic testing or administer radiation therapy under the direction of a health care provider? | radiology technician |
| Who is trained to perform ultrasound imaging on a patient? | ultrasonographer |
| Who is trained and licensed in preparing and dispensing medicine? | pharmacist |
| Who is trained to assist a pharmacist with pharmacy related tasks? | pharmacy technician |
| Who handles administrative tasks and coordinates patient care? | patient service coordinator |
| Who is trained in converting the voice-recorded dictations of health care providers into text format? | medical transcriptionist |
| What does the abbreviation CCU stand for? | coronary care unit |
| What does the abbreviation ECU stand for? | emergency care unti |
| What does the abbreviation ER stand for? | emergency room |
| What does the abbreviation ED stand for? | emergency department |
| What does the abbreviation ICU stand for? | intensive care unit |
| What does the abbreviation PICU stand for? | pediatric intensive care unit |
| What does the abbreviation NICU stand for? | neonatal intensive care unit |
| What does the abbreviation SICU stand for? | surgical intensive care unit |
| What does the abbreviation PACU stand for? | post-anesthesia care unit |
| What does the abbreviation L&D stand for? | labor and delivery |
| What does the abbreviation OR stand for? | operating room |
| What does the abbreviation post-op stand for? | after surgery |
| What does the abbreviation pre-op stand for? | before surgery |
| What do the abbreviations (R) (L) & (B) stand for? | right, left, bilateral (both sides) |
| What does the abbreviation VS stand for? | vital signs |
| What does the abbreviation T stand for? | temperature |
| What does the abbreviation BP stand for? | blood pressure |
| What does the abbreviation HR stand for? | heart rate |
| What does the abbreviation RR stand for? | respiratory rate |
| What does the abbreviation Ht stand for? | height |
| What does the abbreviation Wt stand for? | weight |
| What does the abbreviation BMI stand for? | body mass index |
| What does the abbreviation I/O stand for? | intake/output |
| What does the abbreviation Dx stand for? | diagnosis |
| What does the abbreviation DDx stand for? | differential diagnosis |
| What does the abbreviation Tx stand for? | treatment |
| What does the abbreviation Rx stand for? | prescription |
| What does the abbreviation H&P stand for? | history and physical |
| What does the abbreviation Hx stand for? | history |
| What does the abbreviation CC stand for? | chief complaint (main reason for the visit) |
| What does the abbreviation HPI stand for? | history of present illness |
| What does the abbreviation ROS stand for? | review of systems (anything else not directly related to chief complaint) |
| What does the abbreviation PMHx stand for? | past medical history |
| What does the abbreviation FHx stand for? | family history |
| What does the abbreviation NKDA stand for? | no known drug allergies |
| What does the abbreviation PE stand for? | physical exam |
| What does the abbreviation Pt stand for? | patient |
| What does the abbreviation y/o stand for? | years old |
| What does the abbreviation h/o stand for? | history of |
| What does the abbreviation PCP stand for? | primary care provider |
| What does the abbreviation f/u stand for? | follow up |
| What does the abbreviation SOB stand for? | shortness of breath |
| What does the abbreviation HEENT stand for? | head, eyes, ears, nose and throat |
| What does the abbreviation PERRLA stand for? | pupils are equal and reactive to light and accommodation |
| What does the abbreviation NAD stand for? | no acute distress |
| What does the abbreviation CV stand for? | cardiovascular |
| What does the abbreviation RRR stand for? | regular rate and rhythm |
| What does the abbreviation CTA stand for? | clear to auscultation (description of normal sounding lungs) |
| What does the abbreviation WDWN stand for? | well developed, well nourished |
| What does the abbreviation A&O stand for? | alert and oriented |
| What does the abbreviation WNL stand for? | within normal limits |
| What does the abbreviation NOS / NEC stand for? | not elsewhere classified |
| What does the abbreviation PO stand for? | per os (by mouth) |
| What does the abbreviation NPO stand for? | nil per os (nothing by mouth) |
| What does the abbreviation PR stand for? | per rectum (anal) |
| What does the abbreviation IM stand for? | intramuscular |
| What does the abbreviation SC stand for? | subcutaneous |
| What does the abbreviation IV stand for? | intravenous |
| What does the abbreviation CVL stand for? | central veinous line |
| What does the abbreviation PICC stand for? | peripherally inserted central catheter |
| What does the abbreviation Sig stand for? | instructions short for signa, from Latin, for "label" |
| What does the abbreviation BID stand for? | twice daily |
| What does the abbreviation TID stand for? | three times daily |
| What does the abbreviation Q stand for? | every x, (example Q4hr would mean every 4 hours or Q3 days would be every 3 days) |
| What does the abbreviation QD* stand for? | daily |
| What does the abbreviation QID* stand for? | four times daily |
| What does the abbreviation QHS stand for? | at night |
| What does the abbreviation AC stand for? | before meals |
| What does the abbreviation PC stand for? | after meals |
| What does the abbreviation prn stand for? | as needed |
| What does the abbreviation ad lib stand for? | as desired |
Created by:
sassyfeddersen
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