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Alert and oriented
Mental function measured by orientation to person, place, time, and situation (A&Ox4).
Atraumatic
No evidence of trauma to the body.
Cachectic
State of ill appearance and malnutrition.
Diaphoresis
Excessive sweating.
Emaciated
Appearing abnormally thin or weak.
Febrile
Having a fever.
Malaise
Generalized discomfort or weakness.
Normocephalic
Normal shaped head.
Polydipsia
Excessive thirst.
Polyuria
Excessive urination.
Anisocoria
Unequal size of pupils
Conjunctiva
Membrane lining of the eyelids and covering of the eyeball
Conjunctival injection
Redness of the conjunctiva
Corneal injection
Redness of the cornea
Diplopia
double vision
Nystagmus
Involuntary rapid movements of the eyes
Periorbital
Around the eyes
Raccoon Eyes
Ecchymosis around the eyes
Cerumen Impaction
buildup of ear wax
Cerumen
Ear Wax
Dentalgia
Dental Pain
Dentition
indicating the condition of teeth (i.e. intact)
Dysphagia
Painful/difficulty swallowing
Edentulous
Without teeth
Epistaxis
bleeding of the nose
Hemotypanum
blood in the middle ear
Lacrimal
Having to do with tears
Lingual
Having to do with tongue
Middle ear effusion
buildup of fluid behind the eardrum
Mucosal Edema
swelling of the mucous membranes
Oropharyngeal edema
swelling of the pharynx
Oropharyngeal erythema
redness of the pharynx
Oropharyngeal exudate
pus or fluid escaping from the blood vessels of the pharynx
Rhinorrhea
Runny nose
Septal Deviation
displacement of the nasal septum
Sublingual
under the tongue
Tinnitus
ringing of the ears
Trismus
Inability to open jaw
Accessory muscle use
Visible usage of muscles not normally used to breathe
Bradypnea
unusually slow breathing
Cyanosis
When the skin turns purple or dark blue (typically due to hypoxia)
Dyspnea
shortness of breath
Expiration
Breathing out
Hemoptysis
coughing up blood
Inspiration
Breathing in
Intubated
introduction of a tube into a hollow organ, such as the trachea
Orthopnea
difficulty breathing when lying down
Rales
Abnormal sound heard in lungs
Respiratory Distress
Difficulty breathing
Retraction
visible pulling inward of the muscles between the ribs when inhaling
Rhonchi
low-pitched, rattling, snoring-like sounds heard when there is a partial obstruction of the lungs
Speech dyspnea
Shortness of breath when speaking
Stridor
Sound heard when there is an obstruction of the airways
Tachypnea
unusually fast breathing
Tracheal deviation
trachea that has shifted from one side or the other
Wheeze
Difficulty breathing makes a whistling sound that is a result from the narrowing of the lumen in respiratory passages
Aneurysm
Widening of a blood vessel that results in a blood sac
Angina
Severe, constricting chest pain due to heart tissues not receiving enough blood
Arrhythmia
Abnormal, irregular heartbeat
Bradycardia
usually slow heart rate
Bruit
A murmur or sound heard in auscultation indicating narrowing of a vessel
Capillary Refill
the return of color after pressing down on the skin
Embolism
Obstruction of blood vessels by a clot of blood or foreign substance
Hemorrhage
loss of blood from the body, internally or externally
Hypertension
elevated blood pressure
Hypotension
low blood pressure
Infarct
Death of a tissue caused by loss of blood supply
Ischemia
localized area of blood restriction
Murmur
extra heart sounds
Palpitations
awareness of one's own heartbeat
Pitting Edema
Fluid buildup, typically in the legs, that leaves a "pit" or indentation when pressed
Stenosis
narrowing of an opening
Tachycardia
unusually fast heart rate
Dyspepsia
Indigestion
Emesis
vomit
Hematemesis
vomit with blood in it
Hematochezia
Blood in stool
Hemorrhoid
swollen and inflamed veins on the rectum or anus
Melena
Black, tarry stool
Splenomegaly
Enlargement of the spleen
Balanitis
inflammation of the foreskin and head of the penis
Cervical
Pertaining to the neck or cervix of the uterus
Dysmenorrhea
Painful menstruation
Dyspareunia
painful intercourse
Dysuria
painful urination
Hematuria
blood in the urine
Incontinence
sudden, involuntary urination (loss of bladder control)
Inguinal
Groin Region
Nocturia
excessive nighttime urination
Phimosis
inability to retract the foreskin
Priapism
persistent and painful erection, often due to trauma or medication
Torsion
twisting of an organ around its own axis
Urinary Frequency
increase urination
Urolithiasis
kidney stones
Arthralgia
joint pain
Crepitus
Crackling or grating sound that is usually heard in the joints
Edema
Accumulation of fluid in the interstitial spaces, swelling
Myalgia
muscle pain, body aches
Paraspinal tenderness
tenderness of the muscles along the spine
Sacroiliac (SI) Joint
where the spine meets the pelvis