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Diagnosis (Dx), Diagnoses
The identification of a disease or condition by a scientific evaluation
Prognosis, Progneses
The predicted outcome of a disease
Symptoms (Sx) vs. Sign
Symptoms are subjective evidence as perceived by the patient. Signs are objective, or definite, evidence of an illness or disordered function that are perceived by an examiner
Acute vs. Chronic
Acute means having a short and relatively severe course. Chronic means that the disease exists over a long time
Specimen
A small sample taken from the body to represent the whole
Vital Signs
Pulse rate, respiration rate, temperature, blood pressure
Blood Pressure (BP) (Systolic vs. Diastolic)
Systolic blood pressure indicates pressure on the arteries when the heart is contracted, and diastolic shows the pressure when the heart is relaxed
Inspection
Examiner uses the eyes and ears to observe and listen to the patient
Palpation
Examiner feels the texture, size, consistency, and location of certain body parts with the hands
Percussion
Tapping the body with the fingertips or fist during a physical examination
Asuscultation
Listening for sounds within the body using a stethoscope
Pulse
An intermittent throbbing sensation felt when the fingers are pressed against an artery
Temperature
Can be measured electronically, orally, rectally, under the arm, in the ear, or on the temple
Cephalometry
Measurement of the head
Opthalmoscopy
Visualization of the interior of the eye
Endoscopy
Visual inspection of the body by means of an endoscope (illuminated instrument for the visualization of the interior of a body cavity or organ)
Catheterization
The introduction of a catheter (hallow flexible tube that can be inserted into a cavity of the body)
Radiopaque
X-rays do not penetrate the structure and it appears white on the image
Radiolucent
X-rays can penetrate, so those structures appear at varying levels of gray
Noninvasive
The skin is not broken
Invasive
Entry through a body cavity or interruption of normal body function
ech/o, son/o
sound
electr/o
electricity
fluor/o
emitting light
radi/o
radiant energy
tom/o
to cut
ultra-
excessive
Magnetic Resonance Imaging (MRI)
Noninvasive, using magnetic properties of elements in the body to produce images
Sonography
Images deep structures of the body by sending and receiving high-frequency sound waves that are reflected back as echoes from tissue interfaces
Contrast Imaging
Uses radiopaque material to help outline structures
Fluoroscopy
Provides continuous imaging of the motion of internal organs using a fluoroscope
Nuclear Scans
Detect radiopharmacueticals (radioactive medicines) given to a patient orally, by breathing, or in a vein. Gamma cameras detect the radioactivity to create images
Positron Emission Tomography (PET)
Combines tomography with radioactive substances to produce enhanced images
algesi/o
sensitivity to pain
chem/o
chemical
pharmac/o, pharmacuet/i
drugs or medicine
plast/o
repair
therapuet/o, -therapy
treatment
tox/o
poison
AMA
American Medical Association
BP
Blood pressure
CPT
current procedural terminology
CT, CAT
computed tomography, computerized axial tomography, or computed axial tomography
Dx
Diagnosis
ICD
International Classification of Diseases
MRI
Magnetic Resonance Imaging
OTC
Over the Counter
PET
Positron Emission Tomography
Sx
Symptoms
WNL
Within normal limits
Clinical
Observation, examination, and treatment of a patient
Laboratory
Where specialists test patient samples
Imaging
Using non-invasive technologies to create visual representations of the interior structure and function
Pulse
Rhythmic expansion of an artery that occurs as the heart beats
Respirations
Refers either to the exchange of oxygen and carbon dioxide within the body or to breathing
Blood Pressure
Pressure exerted by the circulating volume of blood on the walls of the arteries and veins on the chambers of the heart