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atraumatic (constitutional)
no evidence of trauma to the body
diaphoresis (constitutional)
excessive sweating
febrile (constitutional)
having a fever
malaise (constitutional)
generalized discomfort or weakness
normocephalic (constitutional)
normal shaped head
polydipsia (constitutional)
excessive thirst
polyuria (constitutional)
excessive urination
conjunctiva (eyes)
membrane lining of the eyelids and covering of the eyeball; “white part”
conjunctival injection (eyes)
redness of the conjunctiva
diplopia (eyes)
double vision
nystagmus (eyes)
involuntary rapid movements of the eye
cerumen (ears, nose, throat)
ear wax
dentalgia (ears, nose, throat)
dental pain
dentition (ears, nose, throat)
indicating the condition of teeth (i.e. intact)
dysphagia (ears, nose, throat)
painful/difficulty swallowing
epistaxis (ears, nose, throat)
bleeding of the nose
hemotympanum (ears, nose, throat)
blood in the middle ear
rhinorrhea (ears, nose, throat)
runny nose
septal deviation (ears, nose, throat)
displacement of the nasal septum
tinnitus (ears, nose, throat)
ringing of the ears
trismus (ears, nose, throat)
inability to open jaw
respiratory
relating to the lungs and respiratory system
accessory muscle use (respiratory)
visible usage of muscles not normally used to breathe
bradypnea (respiratory)
unusually slow breathing
cyanosis (respiratory)
when the skin turns purple or dark blue (typically due to hypoxia)
dyspnea (respiratory)
shortness of breath
expiration (respiratory)
breathing out
hemoptysis (respiratory)
coughing up blood
inspiration (respiratory)
breathing in
intubated (respiratory)
introduction of a tube into a hollow organ, such as the trachea
orthopnea (respiratory)
difficulty breathing when laying down
rale (respiratory)
abnormal sound heard in lungs
respiratory distress (respiratory)
difficulty breathing
retraction (respiratory)
visible pulling inward of the muscles between the ribs when inhaling
rhonchi (respiratory)
whistling sound heard when there is a partial obstruction of the lungs
speech dyspnea (respiratory)
shortness of breath when speaking
stridor (respiratory)
sound heard when there is an obstruction of the airways
tachypnea (respiratory)
unusually fast breathing
wheeze (respiratory)
difficulty breathing makes a whistling sound that is a result from the narrowing of the lumen in respiratory passages
cardiovascular
relating to the heart and circulatory system
aneurysm (cardiovascular)
widening of a blood vessel that results in a blood sac
angina (cardiovascular)
severe, constricting chest pain due to heart tissues not receiving enough blood
arrhythmia (cardiovascular)
abnormal, irregular heartbeat
bradycardia (cardiovascular)
unusually slow heart rate
bruit (cardiovascular)
a murmur or sound heard in auscultation indicating narrowing of a vessel
capillary refill (cardiovascular)
the return of color after pressing down on the skin
costochondritis (cardiovascular)
inflammation of the costal cartilage
embolism (cardiovascular)
obstruction of blood vessels by a clot of blood or foreign substance
hemorrhage (cardiovascular)
loss of blood from the body, internally or externally
hypertension (cardiovascular)
elevated blood pressure
hypotension (cardiovascular)
low blood pressure
infarct (cardiovascular)
death of a tissue caused by loss of blood supply
ischemia (cardiovascular)
temporary, localized area of blood restriction
murmur (cardiovascular)
extra heart sounds
palpitations (cardiovascular)
awareness of one’s own heartbeat
pitting edema (cardiovascular)
fluid buildup, typically in the legs, that leaves a “pit” or indention when pressed
stenosis (cardiovascular)
narrowing of an opening
tachycardia (cardiovascular)
unusually fast heart rate
gastrointestinal
relating to the digestive system
emesis (gastrointestinal)
vomit
hematemisis (gastrointestinal)
vomit with blood in it
hematochezia (gastrointestinal)
blood in stool
hemorrhoid (gastrointestinal)
swollen and inflamed veins on the rectum or anus
melena (gastrointestinal)
black, tarry stool
hepatosplenomegaly (gastrointestinal)
enlargement of the spleen and liver
urolithiasis (gastrointestinal)
kidney stone
genitourinary
relation to the urinary and genitalia
cervical (genitourinary)
pertaining to the neck or cervix of the uterus
dysmenorrhea (genitourinary)
painful menstruation
dysuria (genitourinary)
painful urination
hematuria (genitourinary)
blood in the urine
incontinence (genitourinary)
sudden, involuntary urge to pass urine
inguinal (genitourinary)
groin region
priapism (genitourinary)
persistent and painful erection, often due to trauma
torsion (genitourinary)
twisting of an organ around its own axis
nephrolithiasis (genitourinary)
kidney stones
musculoskeletal
relating to the bones and muscles
arthralgia (musculoskeletal)
joint pain
crepitus (musculoskeletal)
crackling or grating sound that is usually heard in the bones
edema (musculoskeletal)
accumulation of fluid in the interstitial spaces, swelling
myalgia (musculoskeletal)
muscle pain, body aches
sacroiliac (si) joint [musculoskeletal]
where the spine meets the pelvis
spasm (musculoskeletal)
sudden, involuntary muscle contraction
supple (musculoskeletal)
flexible neck that can move easily during the exam
integumentary
relating to the skin
avulsion (integumentary)
a forcible tearing away of a part or structure
contusion (integumentary)
trauma that results in broken blood vessels beneath the skin; a bruise
ecchymosis (integumentary)
bruise that is not elevated
erythema (integumentary)
redness of the skin
fluctuance (integumentary)
capable of being moved or compressed, indicated presence of pus
induration (integumentary)
localized hardening of soft tissue
laceration (integumentary)
cut in the skin
macular (integumentary)
flat rash
maculopapular rash (integumentary)
rash characterized by flat red rashes that are covered in small bumps
melanoma (integumentary)
most deadly type of skin cancer
nuchal rigidity (integumentary)
neck stiffness
pallor (integumentary)
paleness of the skin
papular (integumentary)
solid, raised lesion with distinct borders
pruritic (integumentary)
itchy
purulent (integumentary)
consisting, containing or discharging pus