Common Term, conditions, etc

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Common Term, conditions, etc
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  1. Adnexa
    Appendages or accessory structure of an organ (commonly used in regards to the uterus with the adnexa being the fallopian tubes and ovaries)
  2. Amenorrhea
    Absence of menstrual cycle
  3. BPH
    Benign Prostate Hypertrophy - progressive enlargement of the prostate
  4. Bladder Incontinence
    Loss of urinary control
  5. CMT
    Cervical Motion Tenderness - pain caused by movement of the cervix during a bimanual exam
  6. Cystitis
    Inflammation of the bladder
  7. Dysmenorrhea
    Painful and difficult menstruation
  8. Dyspareunia
    Painful intercourse
  9. Dysuria
    Painful urination
  10. Gestational Age
    The age of a fetus expressed in elapsed time since the first day of the last normal menstrual period
  11. G/P/A
    Gravida/ Para/ Abortion - gravida designates the number of pregnancie; para designates the number of times a pregnancy culminated in a single or multiple birth; abortion designates that did not result in a birth
  12. GU
    Genitourinary - relating to organs of reproduction and urination
  13. GYN
    Gynecology - relating to female genital and reproductive physiology
  14. Hematuria
    Blood in urine
  15. Hydronephrosis
    Dilation of the pelvis and calyces of the kidney/s due to obstruction to the flow of the urine
  16. IUP
    Intrauterine Pregnancy - pregnancy present within the uterus
  17. LMP
    Last Menstrual Period - date of last menstrual cycle onset
  18. Menorrhagia
    Abnormally long, heavy menstrual cycle
  19. Metorrhagia
    Uterine bleeding at irregular intervals in menstrual cycle
  20. Nephrolithiasis
    Kidney stones
  21. OB
    Obstetrics - relating to the care of women during pregnancy
  22. PID
    Pelvic Inflammatory Disease - acute or chronic inflammation in the organs of the female pelvic cavity
  23. Polyuria
    Excessive urination
  24. STD
    Sexually Transmitted Disease - any contagious disease acquired through sexual contact
  25. UTI
    Urinary Tract Infection - microbial infection of any part of the urinary tract
  26. VD
    Venereal Disease - any contagious disease acquired through sexual contact
  27. Abrasion
    An excoriation or scraping away of the superficial layers of the skin or mucous membrane
  28. Abscess
    A collection of purulent exudates that is often associated with pain, swelling, and other signs of inflammation
  29. Ascites
    A collection of serous fluid in the peritoneal cavity
  30. Candida
    A genus of yeast-like fungus that are part of the normal flora present on the skin, in the mouth, intestinal tract and vagina, but which can cause a number of infections
  31. Carcinoma
    Any of the various types of malignancies derived from epithelial tissue
  32. Cellulitis
    Inflammation of subcutaneous, loose connective tissue
  33. Cutaneous
    Relating to skin
  34. Cyanosis
    Blue or purple discoloration of the skin and lips most commonly caused by lack of oxygen
  35. Decubitus ulcer
    Pressure ulcer caused by lying in one position for too long
  36. Diaphoresis/ Diaphoretic
    Perspiration
  37. Ecchymosis
    Purplish area caused by blood seepage into the skin; “bruise”
  38. Edema
    Swelling caused by an accumulation of an excessive amount of water in cells, tissue, or serous cavities
  39. Erythema/ erythematous
    Redness of the skin
  40. Exudates
    Fluid, cells, or other substances that have been exuded from tissue. Examples of exudates are pus and serum
  41. Fissure
    A deep furrow, cleft, or slit
  42. Fistula
    An abnormal passage (hole) from one epithelialized surface to another
  43. Fluctuant
    Being movable or compressible often used to described an area of infection; the presence of pus
  44. FB
    Foreign Body - anything in the tissues or cavities of the body that has been introduced there, not present under normal circumstances, and is not rapidly absorbable
  45. Granuloma
    A nodular inflammatory lesion which is firm and persistant, and usually small or granular made up of epithelial cells, giant cells, and other macrophages
  46. Hematoma
    Localized accumulation of seeped blood that is relatively confined within an organ or tissue and is usually clotted
  47. Induration
    Area of tissue that has become extremely hard or firm
  48. Injection
    Redness
  49. Jaundice
    Yellowing of skin
  50. Keloid
    Mass of scar tissue which is nodular, firm, and often linear
  51. Laceration
    Torn, split, or jagged wound secondary to trauma
  52. Macule/ Macular
    Small, discolored spot on the skin which is neither raised nor depressed below the skin
  53. Mottled
    Patchy areas of skin discolorations
  54. MRSA
    Methicillin-resistant Staphylococcus Aureus - contagious staph bacteria that does not respond to common antibiotics used to treat staph infections
  55. pallor
    pale skin
  56. papule/palular
    small circumscribed,solid elevation of the skin
  57. Perinuem
    area between the anus and the vulva or scrotum
  58. petechiae
    minute, pinpoint sized hemorrhagic spots on skin
  59. Polyp
    Mass of tissue that projects outward from normal surface level, visible macroscopically
  60. Pruritus
    Itching
  61. Purulent
    Pus
  62. Sanguineous
    Relating to blood
  63. Urticaria
    An eruption of itchy wheals on the skin, usually of systemic origin
  64. Venous stasis
    Chronic skin changes, most commonly affecting lower extremities
  65. Wheals
    A circumscribed papule of the skin, slightly reddened and changing in size and shape, usually accompanied by intense itching
  66. AMS
    Altered Mental Status - change in mental status that deviates from patient’s baseline mentation
  67. Ambulate
    Ability to walk about
  68. Aphasia
    Impaired or absent comprehension or ability to communicate
  69. Ataxia
    An inability to coordinate muscle activity
  70. Cephalgia
    Headache; head pain
  71. CN
    Cranial Nerves - the nerves that emerge from or enter the cranium or skull
  72. CVA
    Cerebral Vascular Attack - damage to the brain caused by lack of blood flow usually due to a blockage. “Stroke”
  73. CSF
    Cerebrospinal Fluid - fluid surrounding the brain and meninges
  74. DT’s
    Delirium Tremens - a severe, sometimes fatal, form of delirium due to alcoholic withdrawal after a period of sustained intoxication
  75. Dysarthria
    Difficulty speaking secondary to dysfunction of the muscles used for speaking
  76. Dysphasia
    Impaired ability to communicate, secondary to brain damage
  77. HA
    Headache - pain in the head
  78. Hemiplegia
    Paralysis of one side of the body
  79. Hemiparesis
    Weakness affecting one side of the body
  80. ICH
    Intracranial Hemorrhage - escape of blood within the cranium
  81. LOC
    Loss of consciousness – not in a conscious state
  82. Nystagmus
    Unintentional jittery movements of the eyes
  83. Oriented x3
    Oriented to person, place, and time
  84. Paralysis
    Loss of voluntary movement of muscle
  85. Paresthesias
    Subjective report of any abnormal sensation, could be experienced as numbness, tingling, or “pins and needles”
  86. Rectal Tone
    Evaluates/tests the rectum/sphincter reaction by placing a finger in the rectum (used for, but is not limited to, determining spinal cord injury)
  87. SAH
    Subarachnoid Hemorrhage - bleeding between the middle membrane covering of the brain and brain itself
  88. TIA
    Transient Ischemic Attack - sudden focal loss of neurological function with complete resolve of symptoms; “mini stroke”
  89. TBI
    Traumatic Brain Injury – occurs when an external source traumatically injures the brain
  90. Vertigo
    Dizziness characterized as swirling/ spinning
  91. Aneurysm
    Circumscribed dilation of an artery usually due to the weakening of the vessel wall
  92. Aortic Dissection
    The splitting of the inner layer of the aorta, leading to the formation of a dissecting aneurysm
  93. Bruit
    Abnormal swishing, blowing, or murmuring sound usually heard through auscultation of the cardiovascular system
  94. DVT
    Deep Venous Thrombosis - formation of a blood clot within the deep vein of a body part, most commonly in the legs
  95. EJ
    External Jugular - referring to the external jugular vein of the neck
  96. Embolism
    Obstruction within a blood vessel by an embolus (traveling thrombus aka blood clot)
  97. Hemorrhage
    Excessive bleeding
  98. IJ
    Internal Jugular - referring to the internal jugular vein of the neck
  99. Infarct
    Area of necrotic tissue caused by a lack of oxygen/blood supply to the area
  100. Ischemia
    Blood flow restriction commonly caused by a blockage
  101. JVD
    Jugular Venous Distention - distention of the jugular vein commonly indicative of heart/pulmonary disease
  102. PVD
    Peripheral Vascular Disease - disease of the peripheral blood vessels, often in the extremities (spider veins are an example of PVD)
  103. PE
    Pulmonary Embolism - embolus in the pulmonary arteries, commonly secondary to a thrombus detached from a leg or pelvic vein
  104. TAD
    Thoracic Aortic Dissection - The splitting of the inner layer of the thoracic aorta, leading to the formation of a dissecting aneurysm
  105. Apneic/Apnea
    Temporary absence or cessation of breathing
  106. Bibasilar
    Referring to the bilateral lower lung lobes
  107. Bradypnea
    Slow respiration; low respiratory frequency
  108. COPD
    Chronic Obstructive Pulmonary Disease – general diagnosis of any pulmonary disease which causes difficulty breathing (includes chronic bronchitis and emphysema)
  109. DIB
    Difficulty in Breathing - shortness of breath
  110. Dyspnea
    Difficulty breathing, shortness of breath
  111. DOE
    Dyspnea on Exertion - shortness of breath that is present and worse with exertion
  112. Hemoptysis
    Coughing or spitting up blood derived from the lungs or bronchial tubes
  113. Infiltrate
    Opacity that is ill defined and localized; as seen on a CXR or other imaging study most often of the lungs
  114. LLL
    Left Lower Lobe - referring to a lobe of the lungs
  115. Orthopnea
    Worsened difficulty in breathing with lying flat with dyspnea relief in upright position
  116. PND
    Paroxysmal Nocturnal Dyspnea - difficulty in breathing that occurs at night, often waking patient from sleep
  117. Pleural Cavity/Space
    Area between the lungs and the chest cavity (contains a small amount of fluid)
  118. Pleural Effusion
    Excessive fluid build-up within layers of tissue surrounding the lungs
  119. PEA
    Pulseless Electrical Activity - persistence of electrical activity in the heart without a palpable pulse; cardiac rhythm without palpable pulse
  120. Pneumothorax
    Collapsed lung
  121. Rales
    “Crackles” heard in the lungs
  122. Rhonchi
    Rattling noise caused by mucous heard within the bronchioles of the lungs
  123. RLL
    Right Lower Lobe - referring to a lobe of the lungs
  124. SOB
    Shortness of Breath - difficulty breathing
  125. Stridor
    High pitched, noisy respiration
  126. Tachypnea/Tachypneic
    Increased respiration rate
  127. TB
    Tuberculosis
  128. URI
    Upper Respiratory Infection - infection of the upper respiratory tract (includes nose, sinuses, pharynx, larynx, and ears)
  129. Wheezing
    High pitched whistling sound heard within the lungs
  130. AKA
    Above Knee Amputation - amputation of the lower extremity above the knee
  131. Arthralgia
    Pain in the joints
  132. BKA
    Below Knee Amputation -amputation of the lower extremity below the knee
  133. BLE
    Bilateral Lower Extremities - referring to both lower extremities
  134. C-Spine
    Cervical Spine - referring to the neck, cervical portion of the spine
  135. Crepitus
    Grating or crackling noise under the skin, between bones joints, or around the lungs
  136. CVA
    Costovertebral Angle – the angle formed between either twelfth rib and the vertebral column
  137. DTR
    Deep Tendon Reflex - contraction of the muscle in response to a mechanical stimulant
  138. DJD
    Degenerative Joint Disease - arthritis of the joints, also known as Osteoarthritis
  139. Fx
    Fracture - a break in the continuity of a bone most often caused by trauma
  140. IM
    Intramuscular - within the muscle
  141. Kyphosis
    Curvature of the upper back/spine. “Hunchback
  142. Left Lower Extremity - referring to an extremity
    LLE
  143. Left Upper Extremity - referring to an extremity
    LUE
  144. Lumbar Spine - referring to the lower back, lumbar portion of the spine
    L-Spine
  145. Malleolus
    Bony protuberances on either side of the ankle/s
  146. Midline Tenderness
    Tenderness directly over the spine (also referred to as bony tenderness and Vertebral point tenderness)
  147. Myalgia
    Muscle pain
  148. Paraspinal Tenderness
    Tenderness lateral to the spine (also called paravertebral tenderness)
  149. Range of Motion - refers to the movement of joint from full flexion to extension
    ROM
  150. Right Lower Extremity - referring to an extremity
    RLE
  151. Thoracic Spine - referring to the middle to upper back, thoracic region of the spine
    T-Spine
  152. polydipsia
    Excessive thirst
  153. splenomegaly
    Enlargement of the spleen
  154. lymphadenopathy
    Enlarged lymph nodes
  155. Diabetes Mellitus - a group of metabolic diseases characterized by high blood sugar
    DM
  156. Diabetic Ketoacidosis - buildup of ketones in the blood secondary to breakdown of stored fats for energy; a complication of diabetes
    DKA
  157. Non-Insulin Dependent Diabetes Mellitus
    NIDDM
  158. Insulin Dependent Diabetes Mellitus
    IDDM
  159. Abdominal Aortic Aneurysm - splitting of the inner layer of the abdominal portion of the aorta
    AAA
  160. Abdomen/ Abdominal - relating to the abdomen
    Abd
  161. Bowel Incontinence
    Loss of bowel control
  162. Bowel Movement - excretion of feces from the bowels
    BM
  163. cholecystitis
    Inflammation of the gallbladder
  164. Cirrhosis
    Liver disease where healthy cells are damaged and then replaced with scar tissue, interfering with the normal function of the liver
  165. Colelithiasis
    Gall stones
  166. diverticulitis
    Inflammation of the diverticulum, especially the small pockets in the colon wall
  167. diverticulosis
    Presence of numerous pockets (called diverticula) in the intestinal wall
  168. dyspepsia
    Impaired gastric function or “upset stomach.” Indigestion
  169. emesis
    Vomiting
  170. flatulence
    Excessive stomach or intestinal gas
  171. gallbladder
    GB
  172. gastritis
    Inflammation of the mucosal lining of the stomach
  173. Gastrointestinal - relating to organs relating to digestion within the abdominal cavity
    GI
  174. Guarding
    Act of “guarding” an area secondary to pain; referred to as a peritoneal sign
  175. Hematochezia
    Blood in the stool
  176. hemorrhoid
    Swelling and inflammation of the external and internal rectal veins which often cause pain at the anus
  177. hepatomegaly
    Enlargement of the liver
  178. McBurney Point
    Name given to a specific point of the right lower abdomen which is an indication of appendicitis when tenderness to palpation of that area is present
  179. Melena
    Black, tarry stools
  180. Murphy’s Sign
    A maneuver performed during a patient’s abdominal exam to detect for possible gallbladder disease
  181. Organomegaly
    Enlargement of an organ
  182. Peritoneum
    Membranes which line the abdominal and pelvic cavities
  183. peritonitis
    Inflammation of the peritoneum; the tissue lining the abdominal cavity
  184. Post Tussive Emesis
    Vomiting that follows violent coughing; most common in pediatric patients
  185. Rebound
    Referring to pain in the abdomen when pressure is released from the area versus pain when applying pressure to the area; referred to as a peritoneal sign
  186. arrhythmia
    Irregularity of the heartbeat
  187. Cardiovascular System
    CVS
  188. Cardiomegaly
    CM
  189. Irregularly irregular
    Abnormal heart rhythm often due to atrial fibrillation
  190. LVH
    Left Ventricular Hypertrophy
  191. PAD
    Peripheral Arterial Disease
  192. Premature Atrial Contraction
    PAC
  193. Syncope
    Loss of consciousness, “passing out,” “fainting”
  194. Ventricular Tachycardia
    VTach
  195. aniscoria
    unequal pupil size
  196. cataract
    Partial or complete opacity of the ocular lens
  197. conjunctiva
    The mucous membrane that lines the surface of the eyeball
  198. Exophthalmos
    Protrusion of one or both eyeballs
  199. EOM
    Extra Ocular Muscles
  200. oculus dexter
    O.D.
  201. ptosis
    A “drooping” or falling of the upper and/or lower eyelid
  202. sclera
    White of the eye; tough white fibrous tunic that forms the outer envelope of the eye
  203. scleral icterus
    Yellowing of the sclera
  204. Waxy secretion of the ear
    Waxy secretion of the ear
  205. dysphagia
    difficulty swallowing
  206. dysphonia
    voice changes, hoarseness
  207. endentulous
    without teeth
  208. epistaxis
    nose bleed
  209. hemotympanum
    blood in middle ear
  210. otalgia
    earpain
  211. Otorrhea
    Drainage from the ears
  212. Pharyngeal erythema
    Redness to the pharynx
  213. rhinorrhea
    runny nose
  214. tinnitus
    Ringing in the ears
  215. trismus
    Difficulty opening the mouth
  216. turbinate
    Referring to the nasal cavity
  217. Tympanic Membrane
    TM
  218. uvula
    Tympanic Membrane

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