Med term ch1

body organs

• come from Latin words

Diseases of body organs

• Greek words 

abduct

To lead away from adduct the middle

adduct

to lead toward the middle

arteritis

Inflammation of an arthritis artery

arthritis

Inflammation of a joint

ante-

before, forward

anti-

against

ecto-

out, outside, outer

endo-

within, inner

hyper-

above, beyond, excessive

hypo-

below, under, deficient

inter-

between

intra-

within

para-

beside, alongside, abnormal

per-

through

peri-

pre-

before, in front of

pro-

before

super-

above, beyond

supra-

above, beyond

-poiesis

formation

-ptosis

prolapse, drooping, sagging, falling down

-ptysis

spitting

-rrhage

to burst forth, bursting forth

-rrhagia

to burst forth, bursting forth

-rrhaphy

suture

-rrhea

flow, discharge

-rrhexis

rupture

-scope

instrument for examining

-scopy

visual examination, to view, examine

-tome

instrument to cut

-tomy

incision

-tripsy

crushing

-trophy

nourishment, development

a as in bursa

to ae as in bursae

ax as in thorax

to aces as in thoraces or es as in thoraxes

en as in foramen

to ina as in foramina

is as in crisis

to es as in crises

is as in iris

to ides as in irides

is as in femoris

to a as in femora

ix as in appendix

to ices as in appendices

nx as in phalanx

to ges as in phalanges

on as in spermatozoon

to a as in spermatozoa

um as in ovum

to a as in ova

us as in nucleus

to i as in nuclei

y as in artery

to i and add es as in arteries

‘ /primary accent

used with the syllable that has the strongest stress

‘‘ /secondary accent

given to syllables that are stressed less than primary syllables

Macron (-)

• long sound of vowel 

Breve (˘)

•  short sound of vowel 

EHR

• electronic health record 

Hx

Medical History

PE

physical examination

Informed consent form

• explains purpose, risks, benefits of a procedure…

Physician’s orders

• when a physician wants to prescribe care, medications, tests, and treatments 

Nurse’s notes

• a record of a patient’s care that includes vital signs, treatments, procedures, patient’s responses 

TPR

Pulse and Respiration 

Physician’s progress notes

• patient’s condition, results of the examination, summary of test results, plan of treatment, updating of data 

Consultation reports

• documentation given by specialists that the physician has asked to evaluate the patient 

Ancillary/ Miscellaneous reports

• documentation of procedures or therapies provided during the patient’s care like physical, respiratory, chemotherapy 

Operative report

•  written by surgeon, details the operation, preop and postop diagnosis 

Anesthesiology

• done by anesthesiologist or anesthetist

Pathology report

• done by pathologist if during the operation/surgery a specimen was removed and sent to be examined 

Discharge summary/clinical resume/clinical summary/discharge abstract

date of admission, diagnosis, treatment, response, test results, follow up, date of discharge

HIPAA

• Health Insurance Portability and Accountability Act…set of rules that healthcare providers must follow to ensure all medical records, billing, patient accounts meet certain consistent standards with regard to documentation, handling, privacy…all patients need to be able to access their own medical records, correct errors or omissions, be informed about how personal info is shared or used 

SOAP

*Subjective: symptoms the patient feels and describes to the healthcare professional 

*Objective: signs that can be observed…results of laboratory and diagnostic 

*Assessment: physicians interpretation of S + O…diagnosis

*Plan: how physician will manage and treat the patient

AIDET

• framework for communication with people who are nervous, anxious, feeling vulnerable 

• Acknowledge…greet with smile, use their names 

• Introduce…intro yourself 

• Duration… keep in touch to ease waiting times 

• Explanation… advise others what you’re doing, how procedures work and who to contact if they need assistance 

• Thank You…foster gratitude 

AD

Alzheimer disease

ax

axillary (pertaining to or located near the axilla (the armpit))

Bx

biopsy (small sample of tissue or cells is removed from a living body to be examined under a microscope)

C

centigrade, Celsius

CA

cancer

CC

chief complaint

CVA

cerebrovascular accident

DM

diabetes mellitus

Dx

diagnosis

Ht

height

Hx

history

ISMP

Institute for Safe Medication Practices

mcg

microgram

ng

nanogram

CVA

cerebrovascular accident

P

pulse

Path

pathology

PE

physical examination

R

respiration

T

temperature

TJC

The Joint Commission

TPR

temperature, pulse, respiration

Wt

weight

Sequela

 the late or residual effect (condition produced) after the acute phase of an illness or injury has ended.

rapport

•  is a relationship of understanding between two individuals

Paracentesis

• the surgical puncture of a body cavity for fluid removal

oncology

• is the study of tumors

–drome

 that which runs together

-meter

• instrument to measure.

-genic

• formation, produce.

Malignant

means growing worse, harmful, cancerous

pyr/o

• heat, fire