1Anterior
Situated toward the front of the body
2Diffuse
Generalized; not localized to any specific location
3Distal
Farther from the trunk of the body
4Inferior
Lower on the body, farther from the head
5Lateral
Farther from the midline
6Medial
Nearer to the midline
7Posterior
Situated towards the back of the body, opposite of anterior
8Proximal
Nearer to the trunk of the body
9Superior
Higher on the body, nearer to the head
10Abcess
A collection of bus beneath the skin
11Appendicitis
Dangerous infection of the appendix
12Arthritis
Inflammation of the joints
13Atrial fibrillation (A fib)
Irregular and often very rapid heart rhythm (arrhythmia)
14Bronchitis
Inflammation/Infection of the bronchi (upper airway)
15Cellulitis
Infection of skin cells
16Cerebrovascular accident (CVA)
A stroke. Blood supply to the brain is restricted or absent due to hemorrhage or blockage of a vessel resulting in brain damage and dysfunction
17Cholecystitis
Inflammation of the gallbladder
18Chronic obstructive pulmonary disease (COPD)
Chronic inflammatory lung disease that causes obstructed airflow to the lungs
19Chronic renal failure (CRF)
Decrease in the kidneys' ability to filter waste and fluid from the blood
20Congestive heart failure (CHF)
Serious condition in which the heart doesn't pump blood as efficiently as it should
21Conjunctivitis
Infection of the outer layer of the eye
22Coronary artery bypass graft (CABG)
Procedure used to treat coronary artery disease (heart disease)
23Coronary artery disease (CAD)
Buildup of plaque in the arteries that supply oxygen-rich blood to your heart
24Deep venous thrombosis (DVT)
A blood clot that forms in a vein located deep inside your body, typically in the leg
25Diverticulitis
Acute inflammation of the diverticula pouches
26Ectopic pregnancy
Egg developing outside the uterus, extremely dangerous due to risk of rupture
27Gastroenteritis
General term for inflammation of the GI tract
28Gastroesophageal reflux disease (GERD)
Digestive disorder that occurs when acidic stomach juices, or food and fluids back up from the stomach into the esophagus
29Hepatitis
Inflammation of the liver
30Hyperglycemia
High blood sugar due to diabetes
31Hyperlipidemia (HLD)
High cholesterol
32Hypertension (HTN)
High blood pressure (typically >140/90)
33Hypoglycemia
Low blood-sugar
34Hypotension
Low blood pressure (typically <100/65)
35Insulin dependent diabetes mellitus (IDDM)
Diabetes requiring the use of insulin injections
36Myocardial infarction (MI)
Heart attack. Death of cardiac muscle due to prolonged ischemia
37Nephrolithiasis / Renal calculi
Kidney stone
38Non-insulin dependent diabetes mellitus (MIDDM)
Daibetes not requiring the use of insulin injections
39Otitis media (OM)
Infection inner ear (behind the eardrum)
40Pancreatitis
Inflammation of the pancreas
41Peptic ulcer disease (PUD)
Ulcers developing in the stomach causing pain and emesis
42Perpheral vascular disease (PVD)
Blood circulation disorder that causes the blood vessels (excluding the heart and brain) to narrow, block, or spasm
43Pharyngitis
Throat infection
44Pneumonia
Infilitrate (infection) inside the lung tissue
45Pneumothorax
Presence of air or gas in the pleural space; collapsed lung
46Pulmonary Embolism
Blockage of the pulmonary artery or one of its branches due to a translocated clot
47Pyelonephritis
Infection on the kidneys
48Sepsis
Dangerous infection of the blood
49Transient ischemic attack (TIA)
Transient "mini-stroke", neurological function is regained completely with time
50Upper respiratory infection (URI)
Contagious infection of the upper respiratory tract (sinuses, throat, lungs or airways)
51Urinary tract infection (UTI)
Infection in any part of the urinary system - kidneys, ureters, bladder and urethra
53Ambulatory
Able to move about, not confined to a bed
54Constitutional
The general appearance and nature of a patient
55Distress
A patient's inability to tolerate their body-state, due to pain or respiratory failture. No Acute Distress (NAD) is commonly written if a patient looks comfortable.
56Extraocular muscles intact (EOMI)
Testing that examines the function of the eye muscle
57Pale conjunctiva
Pale inner aspect of the eyelid most often due to anemia
58Pupils are Equal, Round, and Reactive, to Light (PERRL)
Common normal eye exam finding
59Scleral icterus
Yellowing of the sclera (whites of the eye) due to jaundice
61Dry mucosa
Dry tongue, mouth, and lips, indicating significant dehydration
63Oropharynx
The back of the mouth, where it meets the throat
64Rhinorrhea
Clear nasal discharge. "Runny" nose
65Tinnitus
"Ringing in the ears", the perception of ringing even with no external stimuli
66Tonsillectomy & Adenoidectomy (T&A)
Tonsils and adenoids removal surgery
67Tympanic membrane (TM)
the clear membrane inside the ear; (ear drum)
68Carotid bruit
Whooshing blood flow heard with auscultation (carotid narrowing or plaque)
69Lymphadenopathy
Enlarged lymph nodes
70Supple
Flexible, not-stiff
71Thyromegaly
Enlarged thyroid
72Jugular vein distention (JVD)
sign of heart dysfunction
73Aneurysm
Localized ballooning of a vessel due to a weakened vessel wall
74Arrhythmia
Irregular heartbeat
75Artery
Blood vessel carrying blood away from the heart, muscular, contractile
76Bradycardia
Slow heart rate (HR<60)
77Cardiomegaly
Enlarged heart
78Murmur
Abnormal heart sound rated on 1-6 scale
79Normal sinus rhythm (NSR)
The rhythm of a healthy heart
80Palpitation
To beat rapidly, irregularly, or forcibly (usually relating to the heart)
81Regular rate and rhythm (RRR)
Normal heart sounds with a regular rate (60-100 bpm)
82Stenosis
Narrowing of a body opening or passage
83Tachycardia
Fast heart rate (HR>100 bpm)
84Vein
Vessel carrying blood towards the heart, soft,, compressible
85Clear to auscultation (CTA)
No abnormal sounds when listening to the lungs with a stethoscope
86Dyspnea
Difficulty/labored breathing, shortness of breath
87Hypoxia
Low oxygen saturation of the body, not enough oxygen in the blood
88Pleurisy
General term for pain with breathing
89Rales
Crackles; Wet crackling heard in the lungs, typically due to pneumonia or CHF
90Rhonchi
Sound of mucous rolling around in the bronchiolesronchi
91Shortness of breath (SOB)
Air hunger, difficult breathing, or breathlessness
92Sputum
Any mixed matter with the saliva that is passed through the mouth
93Stridor
Upper airway noise; common sign in croup
94Tachypnea
Increased respiratory rate
95Wheezing
High pitched sound heard in the lungs with asthmatics or lung disease
97Hematemesis
Gross amounts of blood in the vomit
98Hepatomegaly
Enlarged liver
99Hernia
Protrusion of part of an internal organ or tissue bulges through a weak area of muscle
100Melena
Black tarry stool indicative of an upper GI bleed
101N/V/D
Nausea/Vomiting/Diarrhea
102Peritoneal signs
Rebound, guarding or regidity signs indicative of acute abdominal inflammation (peritonitis)
103C-section
Cesarean Section
104CVA tenderness
Costovertebral Angle tenderness; tenderness over the kidney's
105Disuria
Painful urination
106Foley catheter
A tube inserted through the urethra to drain urine, often left in place
107G / P / Ab
Gravida (The # of times pregnant / Para (The # of live children born) / Abortion (The # of failed pregnancies)
108Hematuria
Blood in the urine
109Intrauterine pregnancy (IUP)
When a fertilized egg implants and starts to develop within the uterus
110Last normal menstrual period (LNMP)
The first day of one's period
111Abrasion
Scrape of the skin due to something abrasive
112Cyanosis
Blue color of the skin due to lack of oxygen
116Erythema / Erythematous
Redness / Red
117Fluctuance
Palpable fluid beneath the skin indicative of infection/pus/abscess
118Laceration
Splitting of the skin due to trauma (a cut due to something sharp)
119Maculopapular rash
Rash that is both red and raised
120Pallor
Pale skin typically due to anemia
121Purulence / Purulent
Pus / Pus-like
122Urticarial rash / Wheals
A patchy red, raised rash, consistent with allergic reactions
123Aphasic
Absence of the ability to neurologically generate or understand language. Either inability to create words or inability to understand spoken words
124Epilepsy
Seizure disorder
125Hemiparesis
Weakness of one half of the body
126Hemiplegia
Paralysis of one half of the body
127Loss of consciousness (LOC)
Passing out
128Meningitis
Infection of the meninges, the outer lining of the brain and spinal cord
129DTRs
Deep tendon reflexes
130Oriented x3
Oriented to person, place and time
131Syncope
"Passing out", loss of consciousness or fainting
132Vertigo
Room-spinning dizziness (not light-headed)
133Acute-
New onset, likely concerning. Opposite of chronic
134Chronic
Long-standing, constant. Opposite of acute
135Benign
Normal, of no danger to health
136-ectomy (suffix)
Surgical removal (e.g. tonsillectomy)
137-itis (suffix)
Inflammation (e.g. appendicitis)
138-scopy (suffix)
Viewing with a scope (e.g. colonoscopy)