Final Med Term

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History and physical

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276 Terms

1

History and physical

written or dictated by admitting physician; details patient’s history, results of physician’s examination, initial diagnoses, and physician’s plan of treatment

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2

physician’s orders

complete list of care, medications, tests, and treatments physician orders for patient

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3

Nurse’s notes

record of patients care throughout the day; includes vital signs, treatment specifics, patient’s response to treatment and patient’s condition

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4

consultation reports

reports given by specialists whom physician and asked to evaluate patient

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5

Ancillary reports

reports from various treatments and therapies patient has received, such as rehabilitation, social services, and respiratory therapy

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6

Diagnostic reports

results of diagnostic tests performed on patients, principally from clinical lab and medical imaging

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7

Informed consent

document voluntarily signed by patient or a responsible party that clearly describes purpose, methods, procedures, benefits, and risk of diagnostic or treatment procudure

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8

operative report

report from surgeon detailing an operation; includes pre- and postoperative diagnosis, specific details of surgical procedure itself, and how patient tolerated procedure

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9

anesthesiologist’s report

relates details regarding substances given to patient, patient’s response to anesthesia and vital signs during surgery

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10

pathologist’s report

report given by pathologist who studies tissue removed from patient

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11

discharge summary

comprehensive outline of patient’s entire hospital stay; includes condition at time of admission, admitting diagnosis, test results, treatments and patient’s response, final diagnosis, and follow-up plans

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12

Chemical name

Describes the molecular structure of a drug

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13

Generic name

the official name of a drug (Ibuprofen)

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14

Brand name

proprietary name or trademark name of a drug (Advil)

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15

muscular, epithelial, connective, nervous

tissue types

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16

skeletal muscle

muscular tissue subtype that connects muscle to bone; voluntary movement

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17

smooth muscle

muscular tissue subtype that surrounds internal organs; involuntary movement

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18

cardiac muscle

muscular tissue subtype that pumps the hear; involuntary movement

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19

connective tissue

cartilage and tendons are an example of what tissue type

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20

neurons

nervous tissue is composed of

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21

epithelial tissue

lines internal organs and serves as a covering for the skin

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22

sagittal plane

divides body into right and left portions

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23

frontal plane

divides body into front and back halves

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24

transverse plane

divides body into top and bottom

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25

skin

largest organ of the body

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26

protecting, hosing nerve receptors, secreting fluids, regulate body temp

purpose of skin

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27

sweat and sebaceous

two types of skin glands

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28

epidermis

skin layer composed of stratified squamous epithelium cells, no blood supply, no connective tissue

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29

melanocytes

special cells that produce the black pigment melanin

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30

dermis

another name for the corium, middle layer of skin, means “true skin”, has excellent blood supply, composed of connective tissue and collagen fibers

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31

subcutaneous layer

a continuous layer of fat that separates the dermis from deeper tissue, composed of lipocytes, acts as insulation

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32

epidermal

pertaining to above skin

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33

hypodermic

pertaining to below skin

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34

intradermal

pertaining to within skin

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35

dermal

pertaining to skin

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36

hyperhidrosis

abnormal condition of excessive sweat

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37

anhidrosis

abnormal condition of no sweat

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38

erythroderma

condition of having reddened or flushed skin

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39

melanoderma

increased skin pigmentation

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40

leukoderma

having skin that appears white because normal skin pigment is absent

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41

erythroderma

red skin

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42

axial skeleton, appendicular skeleton

two division of the human skeleton

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43

head, neck, spin, chest, and trunk

axial skeleton includes the bones of what parts of the body

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44

pectoral girdle, upper extremities, pelvic girdle, and lower extremities

appendicular skeleton contains bones from what parts of the body

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45

closed fracture

fracture in which there is no open skin wound; also called simple fracture

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46

colles’ fracture

common type of wrist fracture

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47

comminuted fracture

fracture in which bone is shattered, splintered, or crushed into many smaller pieces or fragments

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48

compound fracture

fracture in which bone has broken through skin; also called open fracture

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49

compression fracture

fracture involving loss of height of a vertebral body; may be result of trauma, but in older people, especially women, may be caused by condition like osteoporosis

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50

fracture, FX, Fx

broken bone

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51

greenstick fracture

fracture in which there is an incomplete break

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52

impacted fracture

fracture in which bone fragments are pushed into each other

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53

oblique fracture

fracture at an angle to bone

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54

pathologic fracture

fracture caused by diseased or weakened bone

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55

spiral fracture

fracture in which fracture line spirals around shaft of bone; can be caused by twisting injuring and is often slower to heal than other types of fractures

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56

stress fracture

slight fracture caused by repetitive, low-impact forces, like running

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57

transverse fracture

complete fracture that is straight across bone at right angles to long axis of bone

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58

abduction

movement away from midline of body

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59

adduction

movement toward midline of the body

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60

flexion

act of bending or being bent

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61

extension

movement that brings limb into or toward a straight condition

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62

dorsiflexion

backward bending, as of hand or foot

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63

plantar flexion

bending sole of foot; pointing toes downward

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64

eversion

turning outward

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65

inversion

turning inward

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66

pronation

to turn downward or backward

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67

supination

turning the palm or food upward

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68

elevation

to raise body part

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69

depression

downward movement, opposite of elevation

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70

circumduction

movement in a circular direction from central point

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71

opposition

moving thumb away from palm

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72

rotation

moving around a central axis

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73

endocardium

inner layer of the heart lining the heart chambers

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74

myocardium

thick muscular middle layer of the heart

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75

epicardium

outer layer of the heart

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76

pericardium

the heart is enclosed within a double-layered pleural sac called?

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77

SA node

pacemaker, where the electrical impulses begin. Wave of electricity travels through the atria, causing them to contract

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78

arteries

large, thick-walled vessels that carry the blood away from the heart

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79

aorta

largest artery; carries oxygenate blood to all the body systems

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80

arterioles

smallest of the arteries; deliver blood to the capillaries

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81

capillaries

network of tiny blood vessels; allows diffusion of the oxygen and nutrients from the blood into the body tissues

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82

veins

carry blood back to the heart

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83

veins

do arteries of veins have thinner walls?

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84

superior and inferior vena cava

the two largest veins

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85

venules

smallest of veins

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86

angiitis

inflammation of vessel

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87

embolus

obstruction of blood vessel by blood clot that has broken off from thrombus

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88

infarct

area of tissue within an organ that is going through necrosis

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89

cardiomegaly

enlarged heart

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90

fibrillation

extremely serious arrythmia characterized by abnormal quivering

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91

aneurysm

weakness in wall of artery resulting in localized widening artery

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92

hypertension

high blood pressure

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93

phlebitis

inflammation of vein

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94

auscultation

listening to sounds by stethoscope

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95

angiogram

X-ray record of vessel taken during angiography

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96

electrocardiogram

record of procedure using ultrasound to visualize internal cardiac structures

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97

CABG

open heart surgery in which blood vessel from another location in body is grafted to route blood around blocked coronary artery

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98

CAD

insufficient blood supply to heart muscle due to obstruction of one or more coronary arteries

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99

CCU

coronary care unit

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100

CHF

condition of heart in which there is reduced outflow of blood from left side of heart because left ventricle myocardium has become too weak to efficiently pump blood

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