Shared Flashcard Set

Details

Medical Terminology Scribe
Abdomen Back Cardiovascular Head, Eyes, Ears, Nose, Throat Kinesiology Neck Neuro Oncology Radiology: Abdominal X-Ray Radiology: Chest X-Ray Respiratory Surgery and Procedures Dermatology Ophthalmolog
612
Health Care
Not Applicable
06/02/2017

Additional Health Care Flashcards

 


 

Cards

Term
Bowel sounds
Definition
intestinal sounds heard from auscultating over the abdomen; hyperactive, hypoactive, diminished, absent, tympanic
Term
Diffuse
Definition
generalized, non-localized
Term
Distention
Definition
enlarged or swollen due to internal pressure; the opposite of a scaphoid abdomen.
Term
Femoral pulse deficit
Definition
pulse is either skipped or absent over the femoral artery
Term
Guarding
Definition
tensing of abdominal wall muscles as to guard the internal organs
Term
Hepatomegaly
Definition
enlarged liver
Term
Mass
Definition
any abdominal enlargement
Term
McBurney’s point
Definition
1/3 of the way from the ASIS (anterior superior iliac spine/crest – the hip bone) to the umbilicus. This is where the appendix is located; pain elicited indicates appendicitis
Term
Murphy’s sign
Definition
tests for tenderness over the gallbladder when pain is elicited while palpating over the gallbladder during inspiration; indicates cholecystitis
Term
Organomegaly
Definition
enlarged organ
Term
Peritoneal signs
Definition
rebound tenderness, guarding; indicates peritonitis which is inflammation of the peritoneal aka abdominal cavity
Term
Prominent aortic pulsation
Definition
a larger than expected pulsating mass while palpating midline over the abdomen; indicates an aortic aneurysm
Term
Psoas sign
Definition
physical exam maneuver where the patient feels abdominal pain when externally rotating the hip; indicates appendicitis
Term
Rebound
Definition
pain elicited upon releasing hand from abdominal palpation
Term
Rigidity
Definition
a stiff abdominal wall discovered on exam; the opposite of soft
Term
Rovsing’s sign
Definition
physical exam maneuver where pain is elicited in the right lower quadrant upon (RLQ) upon palpation of left lower quadrant (LLQ)
Term
Splenomegaly
Definition
enlarged spleen
Term
CVA tenderness
Definition
costovertebral angle; area over the kidneys; flank area
Term
Paraspinal
Definition
along either side of the spine, but no directly over it.
Term
Sciatica
Definition
compression or irritation of sciatic nerve leading to back pain radiating posteriorly behind the lower extremity
Term
Straight leg raise
Definition
physical exam maneuver testing for the presence of sciatica
Term
Vertebral point tenderness
Definition
tenderness directly over the spine (vertebrae)
Term
Aortic aneurysm
Definition
diagnosis of enlarged aorta; due to a weakened aortic wall
Term
Aortic dissection
Definition
diagnosis in which the arterial wall splits apart
Term
Aortic rupture
Definition
diagnosis in which the arterial wall breaks open as could happen in aortic dissection, ruptured aortic aneurysm trauma
Term
Aortic valve
Definition
a heart valve between the LV and the ascending aorta
Term
Atrial fibrillation
Definition
irregular beating of the atria; indicates that the sinus node is not conducting a normal sinus rhythm; “a fib”
Term
Atrial flutter
Definition
irregular beating of the atria; often described as “a-flutter with 2 to 1 block or 3 to 1 block
Term
Atrial septal defect “An ASD”
Definition
a hole in the atrial septum that causes blood to mix between the RA and LA
Term
Atrial septum
Definition
heart tissue that separates the RA from the LA
Term
Atrioventricular node “AV node”
Definition
the Atrioventricular node; receives the electrical activity from the SA node and conducts it to the ventricular bundles: the right bundle and the left bundle
Term
Axis
Definition
the direction of the vector of cardiac electrical activity
Term
Bradycardia
Definition
slow HR < 60 bpm
Term
Cardiac Angiogram
Definition
x-ray image of the coronary vessels that stand out when dye is injected into them during a cardiac catheterization; done by a cardiologist using fluoroscopy in the cath lab
Term
Cardiac Catheterization
Definition
an invasive test for heart disease performed in “the cath lab” by a cardiologist who inserts an angiocatheter into a large artery (i.e. the femoral artery or the brachial artery) and advances it up the aorta and into the coronary arteries.
Term
Cardiac ischemia
Definition
decreased blood flow through the coronary vessels and to the heart; usually diagnosed by ST segment depressions on EKG
Term
Cardiac Stent
Definition
a device that is deployed into a blocked coronary artery in order to open it and restore blood flow
Term
Cardiomegaly
Definition
enlarged heart
Term
Cardiomyopathy
Definition
dysfunctional heart muscle
Term
Complete heart block
Definition
a complete block in the electrical conduction at the AV node; therefore the atria and the ventricles beat independently of each other
Term
Coronary artery
Definition
an artery that supplies the heart muscle with blood; there are the right coronary artery “the RCA”, the left main coronary artery “the left main”, the circumflex coronary artery “the circ”, the left anterior descending coronary artery “the LAD” and many branches coming from each known as marginal coronary arteries.
Term
Dilated Cardiomyopathy
Definition
dysfunctional heart muscle because of an enlarged heart
Term
Echocardiogram
Definition
ultrasound of the heart
Term
Ectopy
Definition
an abnormal beat seen on EKG
Term
Electrical cardioversion
Definition
cardioverting (restoring normal sinus rhythm) the electrical activity of the heart by placing pads or paddles onto the chest and literally “electrically shocking” the heart.
Term
Electrocardiogram
Definition
measurement of the electrical activity of the heart; measured with a certain number of leads, often a “3 lead” or a “12 lead”
Term
Electrical Leads
Definition
a wire placed on top of the chest that records electrical activity from a specific area in the heart; there are up to 12 leads
Term
Exercise stress test
Definition
a test for cardiac disease performed by having the patient run on a treadmill while hooked up to 12 electrical leads that monitor the electrical activity
Term
Extra systoles
Definition
extra beats of the heart
Term
Friction rub
Definition
a crunch sound heard over the heart when auscultating; indicates inflammation of the heart sac known as pericarditis
Term
Gallop
Definition
extra heart sound resembling sound of galloping horse
Term
Irregularly irregular
Definition
usually atrial fibrillation
Term
Irregular rate
Definition
a rate that is more than 100 or less than 60 beats per minute
Term
Irregular rhythm
Definition
not a normal sinus rhythm; in other words,
Term
JVD
Definition
jugular venous distention
Term
Left Atrium “the LA”
Definition
chamber in the heart receives blood from the pulmonary veins
Term
Left bundle branch block
Definition
“LBBB” a block in the electrical conduction through the left bundle; evidenced by a wide QRS in lead 1 and V6
Term
Left Ventricle “the LV”
Definition
chamber in the heart receives blood from the left atrium
Term
Mitral Valve
Definition
a heart valve between the LA and the LV
Term
Murmur
Definition
abnormal heart sound, rated on scale 1-6
Term
Myocardial infarction
Definition
diagnosis of dead cardiac muscle tissue that occurs when blood flow through the coronary artery is obstructed; “had an M I”
Term
Myocardium
Definition
heart muscle
Term
Myocarditis
Definition
inflammation of the heart muscle
Term
PAC
Definition
pre-atrial contraction
Term
PR interval
Definition
the amount of time elapsed from the beginning of the P-wave and the beginning of the R wave on the EKG
Term
PVC
Definition
pre-ventricular contraction
Term
Pericardial tamponade
Definition
diagnosis due to fluid in the pericardium that exerts pressure on the heart and hampers its ability to contract normally
Term
Pericardiocentesis
Definition
procedure in which a needle is used to drain fluid from the pericardium; done emergently in cases of pericardial tamponade
Term
Pericarditis
Definition
inflammation of the pericardium evidenced on physical exam by the presence of a friction rub on heart auscultation
Term
Pericardium
Definition
the sac in which the heart is located “the heart sac”
Term
Persantine-thallium test
Definition
a test for cardiac disease performed on patients who cannot complete an exercise stress test (for example the patient may not be able to run on a treadmill) The injection of persantine and thallium done by the department of nuclear medicine is followed by x-rays
Term
Pulmonary artery
Definition
the artery from the heart to the lungs
Term
Pulmonic valve
Definition
a heart valve between the RV and the Pulmonary Artery
Term
QRS interval
Definition
the amount of time elapsed from the beginning of the Q wave to the end of the S wave
Term
QT interval
Definition
the amount of time elapsed from the beginning of the Q wave to the beginning of the T wave
Term
Regular rate
Definition
a rate that is less than 100 and more than 60 beats per minute; in other words, not tachycardia nor bradycardia
Term
Regular rhythm
Definition
normal sinus rhythm
Term
Right atrium “the RA”
Definition
chamber in the heart receives blood from IVC and SVC
Term
Right bundle branch block
Definition
“RBBB” a block in the electrical conduction through the right bundle; evidenced as the presence of “rabbit ears” in leads V1 and V2 on EKG
Term
Right ventricle “the RV”
Definition
chamber in the heart receives blood from the right atrium
Term
Sinoatrial node “SA node”
Definition
the sinoatrial node; originates the electrical signal and sends it to the AV node
Term
STEMI
Definition
ST elevation myocardial infarction; When the EKG shows “ST segment elevation” it indicates an “acute MI”. A patient with a STEMI provokes rapid action between the ED and the cardiologist to get the patient to the cath lab for an emergent cardiac catheterization and cardiac stent placement
Term
N-STEMI
Definition
a non-segment elevation MI is a heart attack that is not diagnosed on the EKG but is diagnosed by an elevated troponin on blood test
Term
Stridor
Definition
upper airway noise heard on respiration, common in croup
Term
SVT
Definition
supraventricular tachycardia
Term
Tachycardia
Definition
fast HR >100 bpm
Term
Tachypnea
Definition
increased respiratory rate >20
Term
Tricuspid valve
Definition
a heart valve between the RA and the RV
Term
U wave
Definition
a wave that appears after the T wave; infrequently seen
Term
Valvular vegetation
Definition
an infectious growth on the cardiac valves
Term
Ventricular fibrillation
Definition
irregular beating of the ventricles; this is a terminal event that requires immediate electrical cardioversion
Term
Ventricular septal defect “A VSD”
Definition
a hole in the ventricular septum that causes blood to mix between the RV and LV
Term
Ventricular septum
Definition
Heart tissue that separates the RV from the LV
Term
Ventricular wall thrombus
Definition
a blood clot that attaches to the inside wall of the ventricle; pieces of the thrombus can break off and spread to anywhere in the body leading to infarctions
Term
Conjunctival exudate
Definition
pus in the eyes; DDx:“bacterial conjunctivitis”; Tx: Genoptic gtts (drops) or Erythromycin ointment
Term
Decreased gag reflex
Definition
decreased ability to protect airway by closing the glottis when stimulated by tongue depressor; leads to potential aspiration and jeopardizes the airway; doctor will consider intubation in order to protect the airway from aspiration; DDx: Brain injury ie trauma, stroke; alcohol intoxication; substance abuse
Term
Loss of TM landmarks
Definition
eardrum with abnormal anatomy; DDx: indicates otitis media (middle ear infection); Tx: Amoxicillin
Term
NCAT
Definition
normal cephalic atraumatic
Term
Nystagmus
Definition
involuntary movements of the eye balls; DDx: vertigo, intoxication.
Term
Otitis externa
Definition
outer ear infection; DDx: Swimmers ear (ear can infection); Tx: Cipro HC otic suspension
Term
Otitis media
Definition
middle ear infection; Tx: Amoxicillin
Term
Pale Conjunctiva
Definition
pale inner aspect of the eyelid; DDx: anemia; Tx: Iron (FeSO4) rx; PRBC (packed red blood cells) transfusion
Term
Periorbital ecchymosis/raccoon eyes
Definition
bruising around the eyes (indicates occipital skull fracture)
Term
Peritonsillar abscess
Definition
pocket of pus around the tonsils; Tx: Dexamethasone, Clindamycin, Drainage.
Term
Pharyngeal erythema
Definition
redness of the pharynx (throat); DDx: Viral or bacterial pharyngitis ie streptococcal pharyngitis. Tx: Motrin and/or Penicillin
Term
Photophobia
Definition
light sensitivity of the eyes; DDx: meningitis, viral syndrome; Procedure: Lumbar Puncture. Tx: Ceftriaxone.
Term
Poor handling of secretions
Definition
drooling at the mouth, choking or gagging
Term
Purulent nasal drainage
Definition
pus coming out from the nose
Term
Rhinorrhea
Definition
clear nasal drainage
Term
Scleral icterus
Definition
yellowing of the sclera due to jaundice
Term
Subconjunctival hemorrhage
Definition
blood in the white of the eye
Term
Sunken eyes
Definition
sign of dehydration
Term
TM dullness
Definition
indicates ear infection: absent light reflection
Term
TM erythema
Definition
indicates ear infection: red tympanic membrane
Term
Tonsillar edema
Definition
swelling of the tonsils
Term
Tonsillar exudate
Definition
pus on the tonsils
Term
Trismus
Definition
Inability to open the mouth due to inflamed jaw muscles
Term
Uvula midline
Definition
uvula in anatomical position (not shifted)
Term
Abduction
Definition
draws away from the midline
Term
Adduction
Definition
draws toward the midline
Term
Anatomical position
Definition
to stand erect with arms at the sides and palms turned forward
Term
Anterior
Definition
situated in front of or directed toward the front
Term
Cephalad
Definition
towards the head
Term
Caudal
Definition
towards the feet
Term
Deep
Definition
farther from the surface
Term
Distal
Definition
farther from the limb root
Term
Everted
Definition
turned outward
Term
Extenstion
Definition
straightening out
Term
External
Definition
outside
Term
Flexion
Definition
bending or angulation
Term
Frontal or Coronal
Definition
divides the body into anterior and posterior parts lower, farther from the crown
Term
Internal
Definition
inside
Term
Inverted
Definition
turned away
Term
Lateral
Definition
farther from the midline
Term
Levator
Definition
that which raises
Term
Medial
Definition
nearer to the midline
Term
Midline
Definition
divides the body into right and left
Term
Palmar or Volar
Definition
palm side of the hand or body
Term
Plantar
Definition
sole side of foot
Term
Posterior or Dorsal
Definition
rear or back
Term
Pronator
Definition
that which turns palm of hand downward
Term
Prone
Definition
forearm and hand turned palm side down, body laying face down
Term
Proximal
Definition
nearer to the limb root
Term
Superficial
Definition
nearer to the surface
Term
Superior
Definition
upper, nearer to the crown
Term
Supinator
Definition
that which turns palm of hand upward
Term
Supine
Definition
body lying face up
Term
Transverse
Definition
right angles to long axis; divides body into upper and lower parts
Term
Brudzinski sign
Definition
neck pain elicited by flexing neck downward “chin to chest”; sign of meningitis
Term
Carotid bruit
Definition
turbulent blood flow heard from auscultating over the carotid artery. Due to narrowing in the artery.
Term
JVD
Definition
jugular venous distention (CHF indicator)
Term
Kernigs’s
Definition
Neck pain elicited by flexing hip “knee to chest”; sign of meningitis
Term
Lymphadenopathy
Definition
enlarged lymph nodes
Term
Meningismus
Definition
stiff neck
Term
Supple
Definition
free moving, full range of motion
Term
Thyromegaly
Definition
enlarged thyroid
Term
Aniscoria
Definition
unequal diameter of pupils
Term
Antalgic gait
Definition
limping
Term
APD (Afferent Pupillary Defect)
Definition
an abnormal finding of dilation of the pupil instead of constriction in response to a shining light
Term
Aphasic
Definition
without speech
Term
Babinski’s sign
Definition
important neuro exam big toe dorsiflexes (flexes upward) when the sole of the foot is stimulated
Term
Clonus
Definition
involuntary muscle contractions and relaxations
Term
CN
Definition
cranial nerves
Term
Decreased rectal tone
Definition
diminished contraction of the anal sphincter muscle
Term
Dysphasia
Definition
speech impairment
Term
EOM palsy
Definition
paralysis of the extra ocular movements
Term
EOMI
Definition
extraocular movements intact
Term
Facial Palsy
Definition
paralysis of the face
Term
Finger-nose-finger
Definition
specific neuro exam testing cerebellum function
Term
Fundoscopic exam
Definition
inside of the eyes as seen with ophthalmoscope
Term
Hemiparesis
Definition
weakness on one half of the body
Term
Normal DTR’s
Definition
deep tendon reflexes are normal (graded as 2 out of 4)
Term
Oriented x 3
Definition
oriented to person, place and time
Term
Papilledema
Definition
swelling of the optic nerve noted in fundi exam
Term
Pronator drift
Definition
involuntarily turning the forearm inward on exam
Term
Romberg’s sign
Definition
falling to one side when standing with feet together and eyes closed (cerebellum exam)
Term
Strength 5/5 x 4 extremities
Definition
there is full strength for both arms and both legs
Term
Tongue deviation
Definition
tongue pointing to one side
Term
Adnexa
Definition
ovaries and fallopian tubes
Term
Afebrile
Definition
without fever
Term
Ambulatory
Definition
able to move about/walk, not confined to bed
Term
Aneurysm
Definition
a widening of a blood vessel die to pressure on weakened tissues causing formation of a sac of blood that may become clotted
Term
Anisarca
Definition
total body swelling
Term
Aphasia
Definition
inability to express oneself through speech
Term
Arrhythmia
Definition
disturbance of rhythm in the heartbeat
Term
Artery
Definition
blood vessel carrying blood away from the heart
Term
Arthralgia
Definition
pain in a joint
Term
Articulation
Definition
connection between bones
Term
Atelectasis
Definition
partial or total collapse of the aveoli in the lungs
Term
Avulsion
Definition
a forcible pulling away of a part or structure
Term
Axilla
Definition
armpit
Term
Bradycardia
Definition
usually slow heartbeat < 60
Term
Bradypnea
Definition
abnormally slow breathing
Term
Bruit
Definition
a murmur or sounds heard on auscultation
Term
Cardiomegaly
Definition
enlargement of the heart
Term
Cerumen
Definition
ear wax
Term
Cervical
Definition
pertaining to the neck or the cervix of the uterus
Term
Cholecystitis
Definition
inflammation of the gallbladder
Term
Cholelithiasis
Definition
production of gallstones
Term
Cirrhosis
Definition
inflammation of an organ by degenerative changes, especially the liver
Term
Conjunctiva
Definition
inner lining of the eyelid
Term
Cornea
Definition
transparent coat of the eyeball that covers the iris and pupil and lets light into the eyes
Term
Crepitus
Definition
a crackling or grating sound usually of bones
Term
Cyanotic
Definition
pertaining to a bluish or slate-like skin color
Term
Debridement
Definition
removal or foreign matter or dead tissue from a wound
Term
Dentition
Definition
the teeth in situ or in the dental arch
Term
Dermis
Definition
true skin, beneath the epidermis
Term
Diaphoresis
Definition
excessive or profuse sweating or precipitation
Term
Differential Diagnosis
Definition
a diagnosis of symptoms of two or more diseases by comparison (DDx)
Term
Dorsiflexion
Definition
backward flexion, as in bending backward either a hand or foot
Term
Dysmenorrhea
Definition
painful menstruation
Term
Dyspareunia
Definition
painful intercourse
Term
Dyspepsia
Definition
indigestion
Term
Dysphagia
Definition
difficulty swallowing
Term
Dyspnea
Definition
difficult and labored breathing, shortness of breath
Term
Dysuria
Definition
painful or difficulty with urination
Term
Ecchymosis
Definition
hemorrhagic, non-elevated discolored area under the skin, bruising
Term
Eczema
Definition
inflammatory condition of the skin which may be acute or chronic, characterized by itching or burning tiny papules and vesicles, oozing, crusting and scaling
Term
Edema
Definition
swelling of body tissue due to an excessive accumulation of fluid
Term
Edentulous
Definition
without teeth
Term
Effusion
Definition
escape of fluid into a cavity
Term
Emaciate
Definition
to become extremely thin or lean, wasting
Term
Embolism
Definition
obstruction of blood vessel by a clot of blood or foreign substance
Term
Emesis
Definition
vomiting
Term
Epistaxis
Definition
hemorrhage from the nose, nosebleed
Term
Erythema
Definition
redness of the skin caused by capillary congestion
Term
Fascia
Definition
fibrous membrane of connective tissue supporting and separating muscles and body organs
Term
Febrile
Definition
pertaining to fever
Term
Fluorescein
Definition
red, crystalline substance used in diagnostic examination of the eye to detect corneal lesions, abrasions or foreign bodies
Term
Fontanel
Definition
anatomical feature of an infant’s skull
Term
Fundus
Definition
the large upper end of the uterus; also the bottom apeture of the internal surface of a hollow organ
Term
Gingiva
Definition
gums
Term
Grand mal
Definition
severe epileptic attack characterized by convulsions, stupor and temporary loss of consciousness
Term
Gravid
Definition
being pregnant
Term
Hemangioma
Definition
tumor consisting of blood vessels
Term
Hematemesis
Definition
vomiting of blood
Term
Hematochezia
Definition
bright red blood in the stools
Term
Hematoma
Definition
swelling of blood which occurs in an organ or tissue resulting from ruptured blood vessels
Term
Hematuria
Definition
blood in the urine
Term
Hemoptysis
Definition
coughing up blood; blood stained sputum
Term
Hemorrhage
Definition
excessive or profuse bleeding
Term
Hemothorax
Definition
blood fluid present in the pleural cavity
Term
Hepatosplenomegaly
Definition
enlargement of the liver and spleen
Term
Hypertension
Definition
persistently high atrial blood pressure
Term
Hypotension
Definition
persistently low atrial blood pressure
Term
Ileus
Definition
air/fluid levels on abdominal x-ray
Term
Induration
Definition
act of hardening; a specific area of hardened tissue
Term
Infarct
Definition
necrotic area of tissue following cessation of the blood supply
Term
Inguinal
Definition
pertaining to the groin area
Term
Ischemia
Definition
temporary and localized anemia due to restricting circulation to an area
Term
Joint
Definition
articulation or junction between two or more bones or cartilage
Term
Keloid
Definition
scar formation consisting of defense tissue
Term
Lacrimal
Definition
to do with tears
Term
Ligament
Definition
fibrous tissue binding bones together
Term
Lingual
Definition
belonging to the tongue
Term
Lymphadenopathy
Definition
enlargement of a lymph node
Term
Macule
Definition
small colored spot on the skin
Term
Malaise
Definition
generalized discomfort or weakness
Term
Malleolus
Definition
projections on either side of the ankle joint from lower leg bones
Term
Malocclusion
Definition
imperfect closure or meeting of opposing teeth
Term
Medical Decision Making
Definition
Clinician’s informed decision (MDM)
Term
Melena
Definition
black tarry stools
Term
Myalgia
Definition
muscular pain
Term
Nares
Definition
nostrils
Term
Neuralgia
Definition
sharp pain along the course of a nerve or several nerves
Term
Nystagmus
Definition
involuntary rapid eye movement
Term
Occiput
Definition
back part of the skull
Term
Odynophagia
Definition
painful swallowing
Term
Olecranon
Definition
large boney projection of the ulna forming the elbow joint
Term
Opthalmalgia
Definition
pain in the eye
Term
Os
Definition
mouth, orifice
Term
Pallor
Definition
paleness of the skin
Term
Palpable
Definition
able to be touched or easily perceived
Term
Para
Definition
women who have given birth to one or more viable offspring; the number of viable offspring born by a women
Term
Paresthesia
Definition
abnormal tactile sensation often described as burning, numbness or tingling
Term
Photophobia
Definition
abnormal intolerance to light
Term
Pneumothorax
Definition
presence of air or gas in the pleural space which may occur spontaneously due to trauma or deliberately introduced in a collapsed lung
Term
Pruritis
Definition
itchy skin
Term
Purulent
Definition
consisting of pus or matter resembling pus
Term
Rale
Definition
abnormal respiratory sound heard on auscultation
Term
Rhinorrhea
Definition
thin watery discharge from the nose
Term
Sclera
Definition
dense, fibrous, opaque outer coat enclosing the eyeball except the part covered by the cornea
Term
Sepsis
Definition
presence of pathological microorganisms or their toxins in the blood
Term
Shaft
Definition
long, slender segment of a long bone
Term
Sputum
Definition
any matter mixed with saliva that is passed through the mouth
Term
Stellate
Definition
star-shaped, radiating from the center
Term
Stenosis
Definition
narrowing of a body opening or passage
Term
Syncope
Definition
loss of consciousness or faint
Term
Tachycardia
Definition
rapid heartbeat >100
Term
Tachypnea
Definition
extremely rapid respirations >20 respirations
Term
Tinea
Definition
any of many different superficial fungal infections of the skin
Term
Tinnitis
Definition
a ringing in the ears
Term
Torsion
Definition
the twisting of an organ on its own e.g. ovary, fallopian tube, testicle, etc.
Term
Urticaria
Definition
hives
Term
Vasovagal
Definition
over stimulation of the parasympathetic nervous system
Term
Vein
Definition
vessel carrying unaerated blood to the heart, excluding pulmonary vein
Term
Vertigo
Definition
condition of dizziness
Term
Wheezing
Definition
difficult breathing with a whistling sound resulting from narrowing of the lumen of the respiratory passageways
Term
Epinephrine
Definition
(also called adrenaline) Produced by the adrenal medulla. Promotes the conversion of glycogen to glucose thereby raising blood sugar. It also increases heart rate, and cell metabolism. Involved in flight or fight response.
Term
Diphenhydramine
Definition
antihistamine (trade name Benadryl) used to treat allergic reactions involving the nasal passages (hay fever) and also to treat motion sickness
Term
Albuterol inhaler
Definition
used as a bronchodilator to control and prevent reversible airway obstruction caused by asthma or COPD.
Term
Nitroglycerin
Definition
Nitroglycerin spray and tablets are used to treat episodes of angina (chest pain) in people who have coronary artery disease (narrowing of the blood vessels that supply blood to the heart). The spray and tablets may also be taken just before activities that may cause episodes of angina in order to prevent the angina from occurring. Nitroglycerin extended-release (long-acting) capsules are used to prevent episodes of angina in people who have coronary artery disease. The extended-release capsules can only be used to prevent angina attacks; they cannot be used to treat an attack once it has begun. Nitroglycerin is in a class of medications called vasodilators. It works by relaxing the blood vessels so the heart does not need to work as hard and therefore does not need as much oxygen.
Term
Insta-glucose
Definition
hypoglycemic emergencies, used to boost blood glucose
Term
Aspirin
Definition
recommended to reduce the risk of a heart attack or stroke by slightly reducing the ability of the blood to clot
Term
Smelling salts
Definition
a chemical with a very strong smell, held under the nose of an unconscious person to make them conscious again
Term
Oxygen
Definition
A colorless, odorless, tasteless gas essential to respiration in animals
Term
Urgent Care
Definition
the delivery of ambulatory medical care outside of a hospital emergency department on a walk-in basis without a scheduled appointment.
Term
Treatment of pyogenic granuloma (lobular capillary hemangioma)
Definition
Dermatology referral for shave excision and electrocautery (typical age: toddlers; 77% are on face or neck; typically following skin trauma)
Term
Lab, radiology eval of sick patient with sickle cell
Definition
CBC, BCx, retic count, CXR (in all febrile children). Follow labs with early CTX (or cefotax) + vanco (if septic) + azithro (if acute chest). Exam: neurologic status, resp status, tachycardia, splenomegaly, pain crisis? Site of infection?
Term
Admission criteria for patient with sickle cell disease and fever
Definition
Age < 6 months, ill appearance, cardiovascular instability, temp >40, WBC >30K, WBC <5K, plts < 100K, hx of bacteremia/sepsis/meningitis, noncompliance with prophylaxis, poor follow-up, findings suggestive of other complications of the diseasegle closure glaucoma
Term
Clinical definition of acute chest syndrome (in SCD)
Definition
New pulmonary infiltrate on CXR AND at least one of the following: T>38.5, chest pain, respiratory symptoms, or hypoxemia. (Contributing factors include infarction, fat embolism, viral/bacterial/atypical bacterial infections. More than one infectious agent may be present).
Term
Presenting signs of splenic sequestration in SCD (trapping of sickled cells in enlarged spleen; usually toddler)
Definition
Tender splenomegaly, worsening anemia (Hgb drop of 2 points or more), rising retic count, pancytopenia (sometimes), abdominal pain, tachypnea, tachycardia, sudden weakness, AMS, pallor.
Term
Six emergencies in sickle cell disease
Definition
Infection (labs, prompt abx), acute chest syndrome (maximize O2, careful hydration, broad spectrum abx including azithro), vaso-occlusive pain events (treat pain aggressively, careful hydration, check for other disease complications), stroke (preserve cerebral oxygenation – lie flat -, exchange transfusion early), splenic sequestration, aplastic crisis (admit, test sibs for same).
Term
Timing for STI re-testing for cure
Definition
3 months (40% risk of chlamydia and gonorrhea reinfection within 1 year)
Term
What is expedited partner therapy (EPT) for STI?
Definition
Treatment of sex partners of patients dx’d with STI w/o an intervening medical eval through Rx or dispensation of abx to partner (allowed by CA law). Ideally provide counseling and educational materials as well.
Term
Why codeine is dangerous?
Definition
Approx 4% (up to 29% in some populations e.g., Ethiopians) of population are ultra rapid metabolizers (via CYP2D6)
Term
Term for deep ridges in the nails that run from one side to the other caused by a slowing of nail matrix production
Definition
Beau lines (may be seen in hand foot and mouth disease)
Term
Appropriate evaluation of incidentally-noted microscopic hematuria
Definition
Confirm on 2-3 samples over 2-3 weeks
Term
Management of esophageal pennies
Definition
If asymptomatic, ok to reimage within 18 hrs. Any that persist in the esophagus need immediate removal.
Term
GI ailments for which bacterial probiotics have documented efficacy
Definition
Traveler’s diarrhea, acute viral gastroenteritis, chronic constipation
Term
Timing of onset of ARF following strep infection
Definition
3-4 weeks after acute infection (ages 5-15 yrs typically)
Term
Rx of trichomonas vaginalis
Definition
Metronidazole 2 mg (or tinidazole 2gm or nitroimidazole 2 gm)
Term
Rx of bacterial vaginalis
Definition
Nucleic acid amplification test on urine
Term
Test for tricomonas vaginalis
Definition
Nucleic acid amplification test on urine
Term
Medication used for prophylasis of neisseria meningitidis or HIB meningitis
Definition
Rifampin for both. Single IM CTX is alternative for N. meningitidis
Term
TST (PPD)versus quantiferon in kids (e.g., what to do if TST + and quantiferon neg; quantiferon+’ or h/o BCG
Definition
Quantiferon quantifiers IFN-gamma produced by T-cells in response the provided Ag. It has cross-reactivity to non-TB mycobacterium but not to BCG but it IS NOT the gold standard. There are fewer Ags tested for with the quantiferon than the TST so you can have a false neg. Never (even in pts with h/o BCG) ignore a positive TST (i.e., do treated with isoniazid). Those < 2 yrs may have a false positive TST after BCG but older children rarely do. False positive quantiferons can come from longer infection (dormant) b/c quantiferon tests for early Ags.
Term
Peak age of congenital heart disease presentation
Definition
6 weeks (timing for peripheral vascular resistance to reach adult levels)
Term
Approach to fever in sickle cell disease
Definition
If T >38.5 but entirely well-appearing (no bacterial focus, acute chest, pain crisis, ill-appearance) + trusted f/u, can draw CBC and BCx, treat with one dose of CTX and observe outpatient. Rates of bacteremia in recent years have been under 1%. (Pediatrics 06.2013)
Term
Remember: CBGs are just fine (in place of ABGs)
Definition
Several studies performed in pediatric intensive care units have demonstrated a good correlation between ABGs and CBGs with respect to pH, PCO2, bicarbonate, and base excess ABGs also should be used in patients in whom close monitoring of actual PaO2 is needed.
Term
Eval of fever in a returned traveler to a malaria-endemic area
Definition
CBCD, CMP, malaria smear, blood culture, UA. Consider (depending on location and exposure hx): serologies (e.g., dengue IgG, IgM), PPD, CXR
Term
Probability of HTN in patient with incidentally noted elevated BP
Definition
1.4% (J Peds 08.2013). Standard of care f/u for first noted elevated BP is recheck within 1 month (only 20% of patients do this).
Term
Outpatient Care
Definition
– outpatient and ambulatory care used interchangeably – outpatient is more comprehensive
– outpatient services do not require overnight inpatient stay
Term
Ambulatory Care constitutes
Definition
– diagnostic and therapeutic services and treatments provided to the “walking” (ambulatory) patient – the term can be used synonymously with “community medicine”
– the geographic location of ambulatory services is intended for the purpose of serving the surrounding community, providing convenience and easy accessibility
Term
Ambulatory Care
Definition
– care rendered to patients who come to the: physician’s office, clinics, outpatient surgery – mobile diagnostics units and home health take services to patients
Term
Hospital inpatient services continues to …
Definition
decline
Term
Executives see ambulatory care as…
Definition
an essential, no longer a supplemental, service line
Term
Hospital survival can depend heavily on …
Definition
ambulatory care – competition from home health agencies, ambulatory care, urgent care, outpatient surgery
Term
Reasons for growth
Definition
– changes in reimbursement – development of new technology – utilization controls – social factors
Term
Changes in reimbursement
Definition
– financial incentives to reimburse for outpatient care – patients favoring outpatient services
Term
Development of New Technology
Definition
– less invasive procedures; surgical procedures less traumatic – shorter-acting anesthetics – faster recovery time
Term
Utilization controls
Definition
– inpatient hospital stay has been strongly discouraged by various payers – prior authorization (pre-certification) required, minimizing length of stay
Term
Social Factors
Definition
– patients have a strong preference for receiving health care in home and community-based settings – gives people a sense of independence and control over their lives, important for quality of life
Term
Primary Care
Definition
the conceptual foundation for ambulatory health services
Term
Types of Outpatient care settings and methods of delivery
Definition
private practice, hospital based services, free standing facilities, mobile medical, diagnostic and screening services, home health care, hospice services, ambulatory long term care services, public health services, public and voluntary clinics, telephone access, alternative medicine
Term
Alternative Medicine
Definition
“complementary or alternative medicine”: not endorsed by western medicine, nontraditional
Term
Treatments of alternative medicine
Definition
– homeopathy, herbal formulas, products as preventive and treatment agents, acupuncture, meditation, yoga exercises, biofeedback, spiritual guidance, prayer, chiropractic
Term
Primary care plays…
Definition
a central role in a health care delivery system
Term
Evidence exists in disease management that…
Definition
hospitalization for ambulatory care-sensitive conditions are less frequent when primary care is strong
Term
Where primary care is stronger (where primary care physician to population ratio is higher)
Definition
there are much lower total health care costs than in areas where there are fewer physicians
Term
(Morbidity) Higher primary care physician supply has been associated with
Definition
higher birth weights lower infant mortality early detection of colorectal cancer better-controlled hypertension
Term
Abscess
Definition
collection of pus underneath the skin
Term
Acne
Definition
“pimples”
Term
Acne vulgaris
Definition
severe acne
Term
Alopecia
Definition
bald
Term
Atrophic
Definition
very thin skin; often seen in the elderly who suffer large skin tears from minimal injury
Term
Cyanosis
Definition
blue due to lack of oxygen
Term
Dehiscence
Definition
the splitting apart or separation in the skin often used to described a surgical wound that re-opened i.e. “wound dehiscence”
Term
Diaphoresis
Definition
sweat
Term
Ecchymosis
Definition
bruising
Term
Eczematous rash
Definition
commonly used to describe a type of rash seen in autoimmune disease whereby dry, scaly and itchy skin appear
Term
Edema
Definition
skin saturated with fluid
Term
(Pitting) Edema
Definition
skin that is so saturated with fluid that it retains the imprint left by touching it; usually rated on a scale of 0-4
Term
Erythematous
Definition
redness
Term
Fungal rash
Definition
commonly used to describe a type of rash caused by fungus like tinea like “jock itch” aka “tinea cruris” or “athlete’s foot” aka “tinea pedis”
Term
Gangrene
Definition
necrotic skin; dead skin; indicates need for amputation
Term
Hirsute
Definition
hairy
Term
Hyperpigmented
Definition
darker than the surrounding skin
Term
Hypopigmented
Definition
lighter than the surrounding skin
Term
Incision and drainage
Definition
“I&D”; the surgical technique in treating an abscess
Term
Keloid
Definition
hypertrophic scar; a scar that is raised
Term
Laceration
Definition
a cut in the skin
Term
Lichenified
Definition
thick skin with very deep lines
Term
Macerated
Definition
crushed skin without defined borders
Term
Maculopapular rash
Definition
commonly used to describe a type of rash; often seen in allergic response to medication referred to as a drug rash
Term
Mottled
Definition
skin that is very poor perfusion meaning poor blood circulation
Term
Necrotizing Fasciitis
Definition
a limb and potentially lethal rapid skin infection characterized by the presence of gas on x-ray
Term
Pallor
Definition
pale
Term
Petechial rash
Definition
commonly used to describe a type of rash seen in meningitis whereby the skin does not blanch under pressure
Term
Pruritic
Definition
itchy
Term
Scarlatiniform rash
Definition
commonly used to describe a type of rash that feels like rough sandpaper and is seen in infection with streptococcus
Term
Turgor
Definition
skins ability to change shape and return to normal (elasticity); poor skin turgor noticed on physical exam indicates dehydration
Term
Tenting
Definition
skin pulled away from the body remains pulled away like a tent and does not snap back; indicates dehydration
Term
Urticarial rash
Definition
commonly used to describe a type of rash seen in allergic responses whereby raised itchy wheals appear
Term
Vesicular rash
Definition
commonly used to describe a type of rash seen in herpes infection whereby fluid filled blisters appear
Term
Vitiligo
Definition
a skin disease devoid of any pigment
Term
Accessory muscle use
Definition
struggling for breath using extra muscles
Term
Nasal flaring
Definition
enlargement of the opening in nostrils during breathing
Term
Prolonged expirations
Definition
usually heard in asthmatics
Term
Rales
Definition
wet/crackling sound heard, usually PNA or CHF
Term
Retractions
Definition
visible sinking of the chest wall with inspiration
Term
Rhonchi
Definition
sound of mucous rolling around in the bronchioles/bronchi
Term
Wheezing
Definition
high-pitched sound heard; usually asthmatics/CHF
Term
Lucency
Definition
blackness on the x-ray connotes air or if the x-ray tech shoots the x-ray with too much power leading to too much penetration
Term
Opacity
Definition
whiteness on the x-ray connotes fluid or if the x-ray tech shoots the x-ray with too little power leading to too little penetration
Term
Poor technique
Definition
an x-ray that is difficult to fully assess because either it was shot improperly by the x-ray tech or the patient moved too much
Term
Over-read
Definition
refers to either the ER doc reading too much into the x-ray to diagnose a problem or when the radiologist reviews the x-ray, after the ER doc, and has a different interpretation than the ER doc
Term
Misread
Definition
an x-ray that is misread
Term
Nighthawk
Definition
the name for the off-site radiologist that reads the x-ray after the in-house radiologist goes home
Term
NAD
Definition
no acute disease
Term
Rotated
Definition
when the patient is rotated instead of being en face with the x-ray camera during the x-ray picture
Term
Portable Chest x-ray
Definition
an x-ray done by the tech with the portable x-ray machine on wheels that is taken to the patient bedside
Term
PA and lateral Chest x-ray
Definition
posterior-anterior and lateral x-ray done by the tech in the x-ray suite
Term
Lateral decubitus x-ray:
Definition
x-ray taken with the patient laying on one side; a technique used to determine if a pleural fluid collection seen on the upright chest x-ray layers out when the patient lays on one side
Term
Loculated pleural effusion:
Definition
a plerual effusion that is encapsulated and does not layer out on decubitus films
Term
Infiltrate
Definition
fluid seen within the lung tissue; assumed to be infection most of the time. Connotes the presence of pneumonia
Term
Atelectasis
Definition
alveoli are deflated
Term
Pulmonary vascular congestion
Definition
the blood vessels are congested as in congestive heart failure
Term
Pleural effusion
Definition
fluid around the lung, in the pleural space as in severe CHF
Term
Hyperinflation
Definition
very large lung volume (i.e. barreled chest and flattened diaphragms as in emphysema)
Term
Underinflated
Definition
small lung size usually due to not taking in a deep breath
Term
Elevated Diaphragm
Definition
diaphragm that is located too high as in being pushed high from a bowel obstruction or abdominal fluid
Term
Elevated Hemi-Diaphragm
Definition
when only half of the diaphragm is elevated as is usually seen with the right side from an injury to the vagus nerve
Term
Pneumothorax
Definition
deflated or popped lung as in trauma from broken ribs; (i.e., “There is a a pneumo on the chest x-ray”)
Term
Tortuous aorta
Definition
widened and not straight as seen in the elderly with atherosclerosis
Term
Widened Mediastinum
Definition
refers to a wider amount of space taken up by the heart and its great vessels as seen in cardiomegaly, aortic dissection, or enlarged lymph nodes
Term
Carina
Definition
the level of bifurcation in the trachea when it divides between the right and left main stem bronchi. The ideal location for the tip of the endotracheal tube when intubating is 2 cms above the carina
Term
Cardiomegaly
Definition
an enlarged heart size as seen in CHF or in a pericardial effusion
Term
CAP
Definition
community acquired pneumonia
Term
Apex
Definition
the top of the lung;
Term
Apices
Definition
more than one apex as in “the lung apices”
Term
Pleura
Definition
membrane covering the inside of the chest wall, the diaphragm lung and the heart
Term
Pleural space
Definition
refers to the space between both sides of the pleural membrane; (i.e., between the lung and the chest wall)
Term
Pleural lining
Definition
The radiographic line seen on the chest x-ray; seen best at the apices in a normal chest x-ray
Term
Costophrenic angles
Definition
the space or angle between the end of the diaphragm on one side and the chest wall; “blunted” connotes fluid in the angle
Term
CPA
Definition
costophrenic angle;
Term
Diaphragm
Definition
the dome-shaped muscle that supports the heart and lungs; “air under the diaphragm” connotes “free air” meaning that there is a perforation in the intestine or stomach and air escaped
Term
Pericardium
Definition
the pleural lining of the heart
Term
Pericardial effusion
Definition
fluid in the pericardium
Term
Calcified aorta
Definition
calcium deposits in the aorta seen best in the arch
Term
Dependent area
Definition
the area closest to the ground as in “there is atelectasis in the dependent area of the chest x-ray”
Term
Bronchial cuffing
Definition
increased opacity of the interstitium of the bronchioles as seen when fluid accumulates in this space for example pus from pneumonia or fluid in CHF
Term
Air Bronchogram
Definition
the bronchioles are easily distinguished on a chest x-ray, which usually happens when the bronchiolar interstitium is filled with pus, as in pneumonia
Term
AKA
Definition
above-the-knee amputation; done when the knee and the leg cannot be salvaged as in bone cancer or trauma
Term
Angioplasty
Definition
reconstruction of a blood vessel, usually the coronary artery
Term
Appendectomy
Definition
surgical removal of the appendix
Term
Arterial embolization
Definition
procedure in which a bleeding artery is clotted off in order to prevent growth of a tumor as seen in uterine fibroids or ongoing bleeding as seen in pelvic trauma or epistaxis
Term
Arthrocentesis
Definition
using a needle to drain fluid from a joint
Term
BKA
Definition
below the knee amputation; done when the leg cannot be salvaged but the knee is preserved
Term
Blood patch
Definition
procedure whereby blood is taken from the patient and then re-inserted into the epidural space in an effort to form a blood clot that will stop the persistence of leakage of spinal fluid usually due to a previous spinal tap
Term
Bronchoscopy
Definition
procedure in which a bronchoscope is advanced down the trachea and into the bronchi
Term
CABG
Definition
coronary artery bypass graft; cardiac bypass; open heart surgery involving the bypass of an obstructed coronary artery usually with the saphenous vein or the internal mammary vein
Term
Cardiac catheterization
Definition
placing a catheter to reach the heart
Term
Cautery
Definition
burning the ends of the bleeding blood vessels to cause hemostasis; done with electrocautery or with silver nitrate sticks
Term
Cesarean section
Definition
surgical procedure in which the uterus is incised and the fetus is delivered
Term
Cholecystectomy
Definition
surgical removal of the gallbladder
Term
Closed fracture reduction
Definition
procedure in which the broken bones are re-aligned without the need to surgically incise the skin; closed reductions are usually done by the ER doctor at the bedside
Term
Colectomy
Definition
excision of the large intestine or colon; can be either a “partial colectomy” or a “total colectomy” depending on how much colon is removed
Term
Colonoscopy
Definition
using an endoscope to visualize the inside of the colon by passing it through the anus and rectum
Term
Colostomy
Definition
surgical procedure that provides an opening between the colon and the abdominal wall
Term
Continuous nebs
Definition
continuous nebulized albuterol given to severe asthmatics
Term
Craniectomy
Definition
surgical procedure in which part of the cranium (i.e. skull) is removed; usually done to relieve the pressure from brain swelling and prevent brainstem herniation
Term
Craniotomy
Definition
a surgical hole into the skull; brain surgery; as in to drain an epidural hematoma
Term
Cricoid pressure
Definition
procedure of placing pressure on the cricoid bone during rapid sequence intubation in order to prevent the passive reflux of stomach contents into the lungs. Also known as the “Sellick maneuver”
Term
Cricothyrotomy
Definition
a surgical incision into the membrane between the cricoid bone and the laryngeal cartilage; done for the purpose of providing an airway when breathing through the mouth and nose is not an option
Term
Cut-down
Definition
procedure whereby an incision is made in the skin and dissection is carried out down to the level of the vein. Usually done as a measure of last resort when there is no peripheral IV access available
Term
D&C
Definition
opening of the cervix and removal of uterine material. Performed in the case of miscarriage or extensive uterine bleeding
Term
Echocardiogram
Definition
procedure in which an ultrasound is used to visualize the heart
Term
Endoscopy
Definition
using an endoscope to examine; when stated as “he had an endoscopy” it refers to the patient having an upper GI endoscopy whereby the endoscope looks through the mouth and the esophagus as far as through the stomach to the first part of the duodenum
Term
ERCP
Definition
endoscopic retrograde cholangiopancreatography; procedure to remove a stone or dilate a blocked common bile duct or pancreatic duct; usually done by the gastroeneterologist
Term
Escharotomy
Definition
surgical incision made over the severely burned skin or eschar that due to its ability to restrict movement is done in order to relieve the constriction and allow for breathing and blood flow
Term
Fasciotomy
Definition
surgical incision into the fascia in order to relieve the high pressures and restore blood flow that can happen in compartment syndrome
Term
FAST scan
Definition
procedure in which the ultrasound is used in trauma to quickly determine the presence of abdominal free fluid
Term
Fem-pop bypass
Definition
surgical procedure whereby a graft is used to bypass a segment of severely atherosclerosed femoral artery in order to provide blood flow to the leg and prevent amputation. The graft is placed proximal to the occlusion in the femoral artery and then bypasses the occlusion to attach to the popliteal artery
Term
Fluroscopy
Definition
procedure where a fluroscope is used in order to actively x-ray the patient during a procedure; for instance, fluoroscopic guidance is used by the cardiologist when performing coronary angiography for cardiac stent deployment in the cardiac cath lab
Term
Fundoscopy
Definition
exam in which an opthalmoscope is used to visualize the fundi aka the retina and optic nerve and vessels of the eye
Term
Fusion
Definition
surgical procedure whereby the vertebral bodies are fused together; usually done to prevent further spinal cord injury from disruption of the intervertebral ligaments and instability of the vertbral joints
Term
Hematoma block
Definition
procedure in which anesthetic is placed with a needle and into the hematoma caused by a broken bone. The resulting numbness allows the ER doctor to reduce the fracture.
Term
Herniorrhaphy
Definition
surgical procedure in which the hernia is repaired
Term
Hysterectomy
Definition
surgical removal of the uterus
Term
In-line stabilization
Definition
technique for holding the cervical spine and preventing a hyperextension injury when intubating a patient with potential cervical spine injury
Term
Intra-arterial balloon pump
Definition
IABP; device inserted into the femoral artery and to the descending aorta used to increase blood pressure by exerting counter-pressure; used in cases of cardiogenic shock
Term
Intubation
Definition
procedure of placing an endotracheal tube into the trachea
Term
Laminectomy
Definition
surgical procedure whereby the lamina on the vertebral bodies are removed in order to create more room for the spinal root to exit the spinal canal. Often used to treat painful sensory radiculopathies like sciatica
Term
Laparoscopy
Definition
surgical technique of making small incisions into the skin and inserting a camera and surgical instruments through those incisions in order to perform surgery
Term
Laparotomy
Definition
surgical technique of making a large incision in order to fully open the cavity to perform surgery
Term
Lataeral canthotomy
Definition
surgical procedure in which the tendons of the lateral canthus of the eyelids are cut in order to relieve ocular pressure and permanent blindness from a collection of blood behind the eye called a retrobulbar hematoma
Term
Mastectomy
Definition
surgical excision of the breast
Term
Nebulizer
Definition
a device that aerosolizes fluid that is breathed in by the patient; as in the medicine albuterol that is placed in a hand-held nebulizer for the asthmatic patient
Term
Oophorectomy
Definition
surgical removal of an ovary
Term
Open fracture reduction
Definition
procedure in which the broken bones are re-aligned in the operating room; done by the orthopedic surgeon in the operating room
Term
ORIF
Definition
open reduction with internal fixation; done by the orthopedic surgeon in the operating room in order to re-align and stabilize the fractured segments of bone.
Term
Paracentesis
Definition
removal of fluid from the belly (peritoneal fluid)
Term
Pericardiocentesis
Definition
procedure of advancing a needle through to chest to the pericardium in order to drain it
Term
Pleurodysis
Definition
procedure of causing the adherence of the visceral pleural in the chest with the parietal pleural of the inner chest wall in order to prevent recurrences of a pneumothorax
Term
Procedural Sedation
Definition
procedure in which sedatives are used to put the patient to sleep while still maintaining their respiratory reflexes; done in order to allow the performance of certain painful procedures for example closed fracture reductions or laceration repairs in children; also known as “conscious sedation”
Term
Rapid Sequence Intubation
Definition
RSI; Procedure of emergent patient intubation where the patient is quickly given sedatives, paralytics and cricoid pressure
Term
Salpingectomy
Definition
surgical procedure in which the salpinx aka the fallopian tube is removed
Term
Sigmoidoscopy
Definition
using an endoscope to visualize the sigmoid colon by passing it through the anus and rectum
Term
Spinal tap
Definition
lumbar puncture; procedure to collect cerebrospinal fluid by inserting a needle through the back, midline and in between two vertebral bodies
Term
Splenectomy
Definition
surgical removal of the spleen
Term
Sternotomy
Definition
surgical incision placed in the sternum
Term
Thoracentesis
Definition
removal of fluid or air from the pleural space
Term
Thoracostomy
Definition
a surgical hole in the chest (i.e., for a chest tube)
Term
Thoracotomy
Definition
surgical cutting into the chest
Term
Tracheotomy
Definition
a surgical incision into the trachea; done for the purpose of providing an airway when breathing through the mouth and nose is not an option
Term
Tubal ligation
Definition
surgical procedure to “tie off” the fallopian tubes
Term
TURP
Definition
transurethral resection of the prostate; used to remove prostatic tissue by passing a cystoscope through the urethra to the prostate and cutting out the prostate.
Term
Surgical airway
Definition
an airway that is surgically created as in a tracheotomy or a cricothyrotomy
Term
Tonometry
Definition
the procedure in which ocular pressure is measured
Term
Ventriculostomy
Definition
a surgical hole in the head to the level of the cerebral ventricle; usually done to relieve elevated intracranial pressure and brainstem herniation
Term
Whipple
Definition
extensive surgical technique whereby the head of the pancreas, duodenum, part of the jejunum and part of the stomach are removed. Usually done in cases of early pancreatic cancer
Term
Non-specific bowel gas pattern
Definition
normal intestinal gas pattern
Term
Air fluid level
Definition
the flat line between air and fluid; Multiple air fluid levels connotes a bowel obstruction
Term
SBO
Definition
a small bowel obstruction
Term
Distended bowel
Definition
intestines that are distended usually with air
Term
Megacolon
Definition
a very distended intestine
Term
Gastric air bubble
Definition
the air-fluid level that is in the stomach
Term
Volvulus
Definition
twisted large intestine resulting in a large bowel obstruction; usually arises from the sigmoid “ a sigmoid volvulus” or the cecum “a cecal volvulus”
Term
Hepatic flexure
Definition
the turn that the ascending colon takes at the level off the liver
Term
Splenic flexure
Definition
the turn that the transverse colon takes at the level of the spleen
Term
Appendicolith
Definition
a calcified stone seen in the appendix connotes appendicitis
Term
Constipation
Definition
a large amount of stool in the large bowel
Term
Ileus
Definition
the presence of multiple air fluids due to lack of peristalsis and not due to a bowel obstruction
Term
Thumb-printing
Definition
the appearance of thumb prints in the intestinal wall connoting the presence of fluids in the intestinal wall
Term
Stacked-coin appearance
Definition
the appearance of stacked coins seen in the small bowel when there is an obstruction
Term
30-2
Definition
Commonly used automated Humphrey visual fields
Term
A/C or AC
Definition
Anterior chamber
Term
ACG
Definition
Angle closure glaucoma
Term
ALPC
Definition
Argon laser photocoagulation (often for diabetc macular edema)
Term
ALT
Definition
Argon laser trabeculoplasty (for glaucoma)
Term
AMD
Definition
Age-related macular degeneration
Term
APD
Definition
Afferent pupillary defect
Term
BCC
Definition
Basal cell cancer
Term
BDR
Definition
Background diabetic retinopathy
Term
BRVO
Definition
Branch retinal vein occlusion
Term
c or cc
Definition
With refractive correction
Term
C/D
Definition
Cup-to-disc ratio of the optic nerve
Term
CF
Definition
Count fingers visual acuity
Term
CL, HC
Definition
Contact lenses, hard
Term
SCL, EWSCL
Definition
Soft and extended wear
Term
CME
Definition
Cystoid macular edema
Term
CRAO
Definition
Central retinal artery occlusion
Term
CRVO
Definition
Central retinal vein occlusion
Term
CSR or CSCR
Definition
Central serous chorioretinopathy
Term
CVF
Definition
Confrontation visual field
Term
cyl
Definition
Cylinder (in refraction)
Term
D
Definition
Diopter
Term
DCR
Definition
Dacryocystorhinostomy
Term
DVD
Definition
Dissociated vertical deviation (a form of stabismus)
Term
DVS
Definition
Ductions, versions, saccades
Term
DWSCL
Definition
Daily wear contact lenses
Term
ECCE c IOL
Definition
Extracapsular cataract extraction with intraocular lens implantation
Term
EOG
Definition
Electroculogram
Term
ERG
Definition
Electroretinogram
Term
EOM
Definition
Extraocular muscle
Term
ERM
Definition
Epi-retinal membrane
Term
ET, E(T), E, E
Definition
Estropia, intermittent estropia, esophoria, and esophoria at near
Term
EUA
Definition
Exam under anesthesia
Term
HM
Definition
Hand motion vision
Term
ICCE
Definition
Intracapsular cataract extraction
Term
IF 1%
Definition
Inflamase Forte 1%
Term
IK
Definition
Interstitial keratitis
Term
IO
Definition
Inferior oblique
Term
IOL
Definition
Intraocular lens
Term
IOP
Definition
Intraocular pressure
Term
IR
Definition
Inferior rectus
Term
K
Definition
Keratometer reading (measures the curvature of the cornea), or abbreviation for cornea
Term
KCS
Definition
Keratoconjunctivitis sicca
Term
KP
Definition
Keratitic precipitate
Term
LASIK
Definition
Procedure to correct vision
Term
L HoT, R HoT
Definition
Left Hypotropia, right hypotropia
Term
LHT, RHT
Definition
Left hypertropia and right hypertropia
Term
LOC
Definition
Laxative of choice
Term
LPI
Definition
Laser peripeheral iridectomy
Term
LP, LPO
Definition
Light perception, light perception only
Term
LR
Definition
Lateral rectus
Term
M
Definition
Manifest (non-cyclopleged) refraction
Term
M&N
Definition
Mydriacyl & Neosynephrine mixture used for pupil dilation
Term
NLP
Definition
No light perception
Term
NS or NSC
Definition
Nuclear sclerotic cataract
Term
NVD
Definition
Neovascularization of the disc
Term
NVE
Definition
Neovascularization of the retina elsewhere (outside the disc)
Term
NVI
Definition
Neovascularization of iris
Term
OD, OS, OU
Definition
Right eye, left eye, both eyes
Term
OHT
Definition
Ocular hypertension
Term
P1, P2, P4
Definition
Pilocarpine (with concentration)
Term
PC
Definition
Posterior chamber or posterior capsule
Term
PD
Definition
Prism diopters
Term
PE, PHACO
Definition
Phacoemulsification
Term
PEE
Definition
Punctate epithelial erosions
Term
PEG
Definition
Punctate epithelial granularity
Term
PEK
Definition
Punctate epithelial keratitis or keratopathy
Term
PERL
Definition
Pupils equal and reactive to light
Term
PF, PA 1%
Definition
Pred Forte Eye Drops, prednisolone acetate
Term
PH
Definition
Pinhole
Term
PI 1/8
Definition
Phospholine Iodine 1/8%
Term
PKP or PK
Definition
Penetrating keratoplasty (cornea transplant)
Term
POAG
Definition
Primary open angle glaucoma
Term
POHS
Definition
Presumed ocular histoplasmosis syndrome
Term
PPDR
Definition
Pre-proliferative diabetic retinopathy
Term
PRP
Definition
Pan-retinal photocoagulation
Term
PSC
Definition
Posterior subcapsular cataract
Term
PVD
Definition
Posterior vitreous detachment
Term
RD
Definition
Retinal detachment
Term
ROP
Definition
Retinopathy of prematurity
Term
RP
Definition
Retinitis pigmentosa
Term
RPE
Definition
Retinal pigment epithelium
Term
s or sc
Definition
Without refractive correction
Term
SLE or SLX
Definition
Slit lamp exam
Term
SPK
Definition
Superficial punctate keratitis (Thygeson or keratopathy)
Term
SR
Definition
Superior rectus
Term
SRN, SRNVM
Definition
Subretinal neovascular membrane
Term
Ta
Definition
Applanation tonometry
Term
T 1/2, T 1/4
Definition
Timoptic (with concentrations)
Term
Va
Definition
Visual acuity
Term
VF
Definition
Visual field
Term
vit
Definition
Vitrectomy
Term
W4D
Definition
Worth 4-dot test (in strabismus)
Term
XT, X(T)
Definition
Exotropia, intermittent exotropia
Term
X, X
Definition
exophoria, exophoria at near
Term
YAG
Definition
Neodymium-yttrium aluminum garnet laser
Term
Δ
Definition
Prism diopter
Supporting users have an ad free experience!