Scribe Terms

conjoined, subordinate, or associated anatomic parts

total body swelling

medication designed to take away pain; there are four types

numbs one small area of the body; you stay awake and alert

uses a mild sedative to relax you and pain medicine to relieve pain; you stay awake but may not remember the procedure

blocks pain in one area of the body; ex. epidural

affects your whole body; you go to sleep and feelemember nothing

an abnormal widening or ballooning of a portion of an artery due to weakness in the wall of the blood vessel

the inability to express oneself verbally through speech

an alteration in rhythm of the heartbeat either in time or force

joint pain

the act of listening to sounds arising within organs (as the lungs or heart) as an aid to diagnosis and treatment

ear wax

Computerized Tomography Imaging Scan

a separation of layers, especially the parting of the sutured lips of a surgical wound

tooth and decay or a cavity

the character of a set of teeth especially with regard to their number, kind and arrangement

Indigestion

painful menstruation

an abnormal wave seen on the EKG

the escape of a fluid from anatomical vessels by rupture or exudation

a type of connective tissue covering or binding together body structures

a small involuntary twitch

having or showing the symptoms of a fever

exam in which an ophthalmoscope is used to visualize the fundi (aka the retina and optic nerve vessels of the eye)

gums

a copious discharge of blood from the vessels

a deficiency or increase of calcium in the blood

a deficiency or increase of potassium in the blood

a deficiency or increased of magnesium in the blood

a deficiency or increase in sodium in the blood

blockage of the intestines caused by lack of peristalsis

pertaining to the groin area

a decrease in the blood supply to a bodily organ, tissue, or art caused by constriction or obstruction of the blood vessels

a type of connective tissue that connects bones to bones, or supporting an organ in place

pertaining to the tongue

crushed skin without well-defined borders

manner in which injuries occur; actions or objects that cause trauma injury to a patient

the membranes covering the CNS-brain and spinal cord

Magnetic Resonance Imaging

muscle pain

nostrils

a devise that aerolizes medications like albuterol so that they may be inhaled by the patient (breathing machine)

the condition of having renal calculi (kidney stones)

nerve pain

devise used to deliver high concentrations of oxygen to patients in acute respiratory distress; has a reservoir bag and a one-way valve to prevent rebreathing

painful swallowing

the part of the pharynx that is below the soft palate and above the epiglottis; continuous with the mouth

to examine by touch

a procedure to remove fluid that has accumulated in the abdominal cavity (peritoneal fluid)

the area on either side of the spine, but not directly over it

fluid present in the pericardium (membranous sac that covers the heart, and exerts pressure)

inflammation of the pleura that is typically characterized by a sudden onset of painful and difficult respiration, as well as exudation of fluid or fibrous material into the pleural cavity (pleuritis)

occurring after a sudden epileptic attack or seizure

inflammation of the lining of the pelvis and the parenchyma of the kidney

Of, pertaining to, affecting, or producing a fever

a laceration shaped like a star; having multiple branches radiating from a central point

of, relating to, or located near a surface

loss of consciousness resulting from insufficient blood flow to the brain

the general term used to describe a body state of systemic inflammation, resulting from a widespread infection; sometimes referred to as blood poisoning

a type of connective tissue that attaches muscles to bones

any of several fungal diseases of the skin, especially ringworm

ringing in the ears

a sensation of motion associated with various disorders in which the individual or the individual's surroundings seem to be spinning; uncontrollable dizziness

an umbrella term for situations where the blood supplied to the heart muscle is suddenly blocked

classified as a salicylate and nonsteroidal anti-inflammatory drug (NSAID); blocks a certain natural substance in your body to reduce fever, pain, and swelling

instructions to withhold resuscitation efforts

a blood clot in a deep vein, usually in the legs

diagnostic test in which Ultrasound is used to visualize the heart

a contagious and antibiotic-resistant staph bacteria that leads to potentially dangerous infection

nothing by mouth

medication that dilates blood vessels and decreases the workload on the heart; often used to treat angina pectoris

a heart attack that is not diagnosed on the EKG but is diagnosed by an elevated troponin blood test

refers to the study that created clinical decision rules for deciding which patients with neck injury should receive x-rays for evaluation

no allergy to medications in Myocardial Infarction (TIMI)

a group of antibiotics derived from Penicillium fungi

a condition in which one or more arteries in the lungs become blocked by a blood clot

how far the person's joints can be moved in different directions

a myocardial infarction diagnosed by an ST segment elevation on an EKG

for patients with history of unstable angina (UA) and NSTEMI, the TIMI risk score is a simple prognostication scheme that categorizes a patient's risk of death and ischemic events and provides a basis for therapeutic decision making

the rubbing or scraping of the surface layer of cells or tissue from an area of the skin or mucous membrane

abnormally frequent intestinal evacuations with more or less fluid stools

difficulty swallowing

difficult or painful discharge of urine

vomit

nosebleed

vomiting blood

the passage of bright red blood in the feces

bloody urine

paralysis of one half of the body

weakness on one half of the body

bloody sputum

the passage of dark tarry stools containing decomposing blood that is usually an indication of bleeding in the upper part of the alimentary canal, especially the esophagus, stomach and duodenum

a sensation of prickling, tingling or creeping on the skin having no objective cause and usually associated with injury or irritation of a sensory nerve or nerve root

excessive thirst

itchy

excessive mucous secretion from the nose; a runny nose

any disease or enlargement involving glandular tissue; one involving lymph nodes

a white, gray, or blue opaque ring in the corneal margin (peripheral corneal opacity)

abnormal accumulation of serous fluid in the spaces between tissues and organs in the cavity of the abdomen

an inability to coordinate voluntary muscular movements that is symptomatic of some central nervous system disorders and injuries and not due to muscle weakness; aka incoordination

a reflex movement in which when the sole is tickled the big toe turns upward instead of downward, which is normal in infancy but indicates damage to the CNS later in life

a discoloration behind the ear in the line of the posterior auricular artery often associated with a basilar skull fracutre

the appearance of involuntary lifting of the legs when lifting a patient's head off the examining couch, with the patient lying supine

Having the appearance of cachexia or indicative of a loss of weight, muscle atrophy, fatigue, weakness, and significant loss of appetite in someone who is not actively trying to lose weight

Typically seen in patients with HIV, AIDS, cancer, COPD, or any degenerative or wasting disease

one of the two angles that outline a space over the kidneys formed by the lateral and downward curve of the lowest rib and the vertical column of the spine

CVA tenderness to percussion is a common finding in pyelonephritis and other infections of the kidney and adjacent structures

term to describe the grating, crackling, or popping sounds and sensations experienced under the skin and joints or a crackling sensation due to the presence of air in the subcutaneous tissue

the appearance of a blue or purple coloration of the skin or mucous membranes due to the tissues near the skin surface being low on oxygen

an ulceration of tissue deprived of adequate blood supply by prolonged pressure; aka pressure sore

pespiration (sweating), especially profuse perspiration

generally refers to an enlargement or ballooning effect

to test the reflex, the physician will tap the tendon; in a healthy individual the intensity on both sides is equal and the connections between the spinal cord and the muscles are undamaged

bluish discoloration of an area or mucous membrane caused by the extravasation of blood into the subcutaneous tissues as a result of trauma to the underlying blood vessels or fragility of the vessel walls

an abnormal infiltration and excess accumulation of serous fluid in connective tissue or in a serous cavity

a dry, scaly, and itchy skin rash usually indicative of autoimmune skin disorders

skin condition characterized by redness or rash

fluid, such as pus or clear fluid, which leaks out of blood vessels into nearby tissues; the fluid is made of cells, proteins and solid materials and may ooze from cuts or from areas of infection or inflammation

paralysis of the face as often seen in CVA, or with a condition known as Bell's Palsy

physical exam technique used to detect ascites whereby the physician taps the side of the abdomen and feels pressure on the opposite side of the abdomen form the movement of fluid

abnormal extra heart sound on auscultation, resembling the sound of a galloping horse; sounds S3 and S4

a neurological scale used to determine the level of consciousness of a patient

tensing of the abdominal wall muscles to guard inflamed organs within the abdomen from pain of pressure upon them; ;detected when the abdominal wall is pressed

mass of usually clotted blood that forms in a tissue, organ, or body space as a result of a broken blood vessel

pain in the calf of the leg upon dorsiflexion of the food with the leg extended that is diagnostic of thrombosis in the deep veins of the area

an area light in color than the surrounding skin

hardening of a normally soft tissue or organ, especially the skin, due to inflammation, infiltration of a neoplasm, or accumulation of blood

distended jugular vein the neck

symptom of meningitis; the patient cannot extend the leg at the knee when the thigh is flexed because of stiffness in the hamstrings

an indefinite feeling of debility or lack of health often indicative of or accompanying the onset of an illness

abnormality in the coming together of teeth

a constellation of signs and symptoms (e.g. headache, neck stiffness) suggestive of meningitis

an area of skin composed of macular lesions of varying shades or colors

having a normal size head

resistance to flexion of the neck, stiffness of the neck

difficulty in breathing that occurs when lying down and is relieved upon changing to an upright position (as in congestive heart failure)

deficiency of color especially of the face; pale

also known as flail chest and is usually caused by trauma to the chest in which air movement is reversed; instead of chest expansion on inhalation, you will notice the skin being sucked in

signifies that the Pupils are Equal, Round, React to Light, and Accommodation; indicates normal findings

rebound tenderness and guarding, which indicate peritonitis

pinpoint, round spots that appear on the skin as a result of bleeding under the skin; red, brown, or purple

involuntarily turning the forearm inwards on exam when arms are outstretched in front; commonly used in evaluating possible CVA patients

pus, or the condition of containing or discharging pus

a descriptive term for bilateral periorbital accumulations of blood or other substances; aka periorbital ecchymosis

a type of abnormal respiratory or breath sounds heard on auscultation; aka crackles

a sensation of pain felt when pressure is suddenly removed

visible sinking of the chest wall upon inspiration

a whistling or snoring sound heard on auscultation of the chest when air channels are partially obstructed

an abdomen that dips in towards the patient when lying supine; the opposite of a distended abdomen

physical exam finding that indicates yellowing of the sclera, which is typical of liver disease, especially hepatitis

a narrowing or constriction of the diameter of a bodily passage or orifice

if and when affected leg is raised, pain is worsened and extends down the back of the knee indicating a positive or abnormal test meaning that one or more of the nerve roots leading to your sciatic nerve may be compressed or irritated

an abnormal, high-pitched, musical breathing sound caused by a blockage of the throat or voice boxy (larynx) usually noted upon inspiration

skin that does not "snap back" towards the body immediately when pulled indicating dehydration

the abnormal twisting of a bodily organ on its own axis

a prolonged tonic spasm of the muscles of the jaw

the degree of elasticity of the skin used to assess the extent of dehydration, or fluid loss, in the body

right upper quadrant of the abdomen

left upper quadrant of the abdomen

right lower quadrant of the abdomen

left lower quadrant of the abdomen

area of abdomen over the stomach

the right or left area on the back just below the rib cage

area of abdomen around the umbilicus (belly button)

lower abdomen, area over the pubic bones

right upper extremity; right arm

left upper extremity; left arm

right lower extremity; right leg

left lower extremity; left leg

forms the front portion of the skull above the eyes and includes the forehead, the roof of the nasal cavity, and the roofs of the orbits

a saucer-shaped membrane bone situated at the back and lower part of the skull

located on each side of the skull just behind the frontal bone; shaped like a curved plate with four borders; top of the skull extending to upper back of the skull

situated at the sides and base of the skull

individual bones of the spine

spinal column

the first seven bones of the spinal column (C1-C7)

the first vertebrae of the spinal column identified as C1; supports front to back movement of the head

the second bone of the spinal column identified as C2; supports movement of the head side to side

middle twelve vertebrae of the spinal column (T1-T12)

last five vertebrae of the spinal column (L1-L5)

Following the lumbar spine, a flat triangular bone composed of five segments that gradually fuse

Following the sacrum, four small segments that are fused; aka tailbone

front or belly side

away from the center or origin

relating to the back or posterior of a structure

below

to the side

to the middle

backside

toward the center or origin

above

pertaining to the palm or the sole

movement away from the midline of the body

movement toward the midline of the body

human body standing (or lying face up), arms to the side with the palms facing forward and feet side by side

Backward bending of either a hand or foot

Movement that decreases the angle of a joint; bending

Movement that increases the angle of a joint; straightening

rotation of the forearm where the palm is facing down

the muscles that cause pronation

lying face down

rotation of the forearm where the palm is facing up

the muscles that cause supination

lying face up

a catheter that is placed in an artery (usually in the wrist) to monitor blood pressure and arterial gasses on critical patients; aka art line

plastic tube placed into the human body

catheter tube placed into a large vein in the groin (femoral), neck (internal jugular), or chest (subclavian)

large bore tube placed into the chest to remove blood from the chest cavity if present and to aid reexpansion of a collapsed lung

skin glue used to repair simple lacerations that are not very deep

catheter placed into the urethra that reaches the bladder to assist emptying the bladder and/or for measurement of renal output

intrusion into the cerebrospinal space through vertebral space of the lower back to collect cerebrospinal fluid; occasionally medication is injected

Use of medication to bring a patient to a desired plane of anesthesia to allow a procedure to occur in which the patient maintains enough consciousness to follow commands; formerly called conscious or moderate sedation

putting a fractured or dislocated bone back in place

device used to immobilize an entire arm or leg, as well as a certain area on any extremity

closing or repairing a laceration of the skin; aka stitches

an enlarged area in the lower part of the aorta, the major blood vessel that supplies blood to the body

a degenerative brain disease of unknown cause that is the most common form of dementia; progressive memory loss, impaired thinking, disorientation, and changes in personality and mood

inflammation of one or more joints, causing pain and stiffness that can worsen with age

a stroke; rapid loss of brain function due to disturbance in the blood supply to the brain

damage or disease in the heart's major blood vessels

a chronic condition in which the heart doesn't pump blood as well as it should

a metabolic disorder that results from inadequate insulin secretion

digestive disease in which stomach acid or bile irritates the food pipe lining; aka acid reflux

an infection or inflammation of the liver

a condition in which there are elevated levels of cholesterol, a type of fat or liquid in the blood; high cholesterol

a condition in which the force of the blood against the artery walls is too high; high blood pressure

a blockage of blood flow to the hear muscle starving the heart of oxygen resulting in cell death; heart attack

a brief attack, like a stroke, but lasts only minutes and causes no permanent damage; a mini stroke

above the knee amputation of the leg

removal of the appendix

surgical cauterization of Fallopian tubes; aka getting tubes tied

surgical removal of the gallbladder

partial or complete removal of the colon resulting in wearing of a colostomy bag

visualization of the colon

the grafting of blood vessels from another part of the body to a coronary artery that will improve blood flow to heart tissue

surgical removal of foreign material, infection or dead/damaged tissue from injury or burn

visualization of the esophagus, stomach, and first section of the small intestine

exploration of the abdomen usually to find and repair intestinal issues; aka ex lap

removal of hemorrhoids

removal of the uterus; leaves the ovaries and fallopian tubes in place

a modern, minimally invasive surgical technique in which exploration and repair of the abdomen is performed through small incisions and laparoscope

a surgical procedure involving a large incision through the abdominal wall to gain access into the abdominal cavity; aka celiotomy

removal of a breast

the placement of tubes in the ear through the eardrum to prevent infection in children

removal of the tonsils typically performed on children; tonsillectomy and adenoidectomy (T&A) is the removal of the tonsils and adenoids

total removal of uterus, ovaries, and Fallopian tubes

a surgical procedure that removes portions of the prostate gland through the urethra

acute coronary syndrome

pulmonary embolism

sensitivity to light by the eyes

a separation of layers, especially the parting of the sutured lips of a surgical wound

alcohol, ethanol

lack of, without, not

away from, take away

towards or to, near

before, in front of, forward

against, opposing

self, by yourself

double, two, twice, both

slow

bronchus

around

together, with

against or opposed

twice or two

through

apart or free from

bad, painful, difficult

away from, out of

outside of

within or inner

upon, over

beyond, outside

above, excessive, beyond

below, beneath, deficient

beneath

between

within

bad

middle

tiny, small

one, singular

many, several

new or recent

all

alongside of

through

around

many, excessive

after or following, behind

in front of, before, preceding

false

four

backward, again

behind

fast or rapid

through

three

above, excessive, beyond

abdomen

vessel