consultation and charting test #1

what to ask in an initial consultation

medications, allergies, lifestyle, pregnancy and breastfeeding status

how long should a consultation be

30 min

questions to ask at a follow up visit

any changes to medication on file, metal plates, accutane or retinol use, new allergies

medical terminology

universal language of medicine, Greek and Latin roots, includes prefixes and suffixes for body parts, diseases, and procedures

pharmacology

study of properties, reactions, and therapeutic values to medicine

why know medical terminology and pharmacology

helps when working with physicians and able to provide safer and effective treatments

prefixes

part of word at the beginning or the root word

suffixes

part added at the end of the root word

eponyms

people’s names in medical terminology because they discovered or studied the disorder

what are secondary lesions

what primary lesion can evolve to

macule

primary lesion, flat area of colour change

papule

primary lesion, solid elevation less than 0.5cm in diameter

nodule

primary lesion, solid elevation 0.5 - 1cm in diameter

difference between papule and nodule

size and nodule extends deeper into dermis

tumor

primary lesion, solid mass lager than 1cm

plaque

primary lesion, flat elevated surface found on skin or mucous membrane

wheal

primary lesion, type of plaque, result is transient edema in dermis

vesicle

primary lesion, small blister, fluid within or under epidermis

bulla

primary lesion, large blister greater than 0.5cm

pustle

primary lesion, vesicle filled with pus

scales

secondary lesion, flakes of cornified skin layer

crust

secondary lesion, dried exudate on skin

fissure

secondary lesion, crack in skin

ulcer

secondary lesion, area of destruction of entire epidermis

scar

secondary lesion, excess collagen production after injury

atrophy

secondary lesion, loss of some portion of the skin

describe a flat lesion

flat = macule, change in colour only, cannot be felt when you run finger over it

describe a raised lesion

can be felt above skin surface, like a papule, pustule, nodule

describe grade 1 acne

open/closed comedones and papules, 0-15% covered in acne

describe grade 2 acne

everything from grade 1 plus pustules, 15-25% covered in acne

describe grade 3 acne

everything from grade 1 and 2 plus cyst, 50% covered in acne

describe grade 4 acne

everything plus cyst, pain, erythema, 75% covered in acne

localized

one spot

generalized

everywhere

diffused

wide spread, poorly defined

bilateral

both sides

symmetrical

mirror image pattern

clustered

grouped together

scattered

spread apart

confluent

merged into one larger area

erythematous

red celluitis

tinea versicolour

fungus

terminology for brown

mole - nevus

terminology for yellow

xanthelasma

violaceous

purple or violet colour

hypertrofic

another word for divots in skin

what to look for in rosacea

persistent erythema with a butterfly pattern, flushing, telangiectasia, lacks comedones

what to look for in telangiectasia

fine visible capillaries on cheeks

tiny white bump near eye

milia

black follicular plug

open comedone

white follicular plus

closed comedone

yellow papule with central umbilication

sebaceous hyperplasia

rough follicular bumps on arms

keratosis pilaris

solar lentigenes

discreate brown macules on sun exposed areas

what does prefix mean

before or in front of, location, time, or number

pre

events before

peri

time and events around

post

time and events after

what do suffixes usually indicate

the procedure, condition, disorder or disease

what does algia mean

pain and suffering

what does dynia mean

pain

what does itis mean

inflammation

suffixes meaning “pertaining to”

ous,

ectomy

surgical removal

what does AB mean

abnormal

what does DYS mean

means difficult, painful or bad

what does hyper mean

over

what does inter mean

between or among

what does sub mean

under, less or below

what does A mean (A-febril)

away from, negative and without

what does AD mean

toward or in the direction

describe the combining form CYAN/O

means blue

describe the combining form ERYTHRO/O

means red

describe the combining form LEUK/O

means white

describe the combining form MELAN/O

means black

describe the combining form POLI/O

means gray

what does Health Canada do

ensure high quality health services are accessible and works to reduce health risks

what does Rx mean

recipe

describe the inscription on prescription

name and quantity of medication to be dispensed, ingredients to be compounded, route of administration

describe the subscription on prescription

dispersing direction to the pharmacist

describe the signature section on prescription

directions to patient how much and how often

describe the prescriber’s license number on prescription

written for a controlled narcotic

list frequently prescribed medication

diabetes, heart, depression, bacterial, viral

what are topical drugs used for

skin disorders

describe bacteria infections

bacteria are single celled microorganisms, body has a threefold immune response to protect from pathogens

describe antibiotics

substances or compounds that kill bacteria or inhibit their growth by killing disease causing bacteria cells

what can happen with an overuse of antibiotics

caused bacteria to evolve antibiotic resistant strains

describe viral infections

microscopic infections agents that can replicate only inside a living host, their sole purpose is to reproduce

describe fungal infections

occur in dark moist areas, species of parasite that feed from their host and reproduce causeing infection

what are pathogenic fungi

disease causing fungi, classified by the depth they invade the skin

what does a.c mean

before meals

what does b.i.d mean

twice daily

what does BP mean

blood pressure

what does cap mean

capsule

what does CBC mean

complete blood count

what does DM mean

diabetes mellitus

what does h.s mean

at bedtime

what does HA mean

headache

what does HTN mean

hypertension

what does LBP mean

low back pain