Medical Terminology

Antibiotics

Atrial Fibrillation

Acetylsalicylic Acid (Aspirin)

2x Daily

Bilateral lower extremities

Bowel Movement

Blood Pressure

Cancer/carcinoma

Coronary Artery bypass graft

Coronary Artery Disease

Complete blood count (bloodworm to look for infection or anemia)

Congestive heart failure

Chest pain

Complaints of ___

Chronic obstructive pulmonary disease

Chronic Renal failure

cesarean section

cervical spine

Computerized Assisted Tomography

Clear to auscultation

Cardiovascular

Cerebrovascular Accident (stroke)

Chest X-Ray

Diabetes Mellitus

Dyspnea on Exertion

Dorsalis Pedis/ Posterior Tibialis

Deep Vein Thrombosis

Diagnosis

Electrocardiogram

Extraocular Movements intact

Alcohol

Family History

Fracture

Gastroesophageal

Gastrointestinal

Gravida/Para/Abortion

Genitourinary

Headache

Head, Ears, Eyes, nose, throat

Health insurance portability and accountability act

Hyperlipidemia

History of present illness

Hypertension

History

Hemoglobin and Hematocrit

Incision and Drainage

Intravenous Drug Abuse

Insulin Dependent Diabetes Mellitus

Intrauterine pregnancy

Left Lower extremity

Left lower quadrant

Last normal menstrual period

Loss of consciousness

Lumbar Spine

Left upper extremity

Left upper quadrant

Myocardial Infarction

Not applicable

No acute distress/disease

Non-Insulin dependent diabetes mellitus

No known drug allergies

Normal

Non-sterodial anti-inflammatory Drug

Normal sinus rhythm

Nausea/vomiting/diarrhea

Oxygen Saturation

Overdose

Otitus Media (inner ear infection)

Obstetrics/gynecology

Oropharynx (Mouth and Throat)

Open reduction and internal fixation (orthopedic surgery)

Primary care physician/Primary medical doctor

Physical Exam or Pulmonary Embolism

Pupils equal, round, and reactive to light

Per os (by mouth)

As Needed

Patient

Prior to arrival or Peritonsillar Abscess

Peripheral Vascular Disease

At every bedtime

4x a day

Right lower extremity

Right lower quadrant

Range of motion

Review of system

Regular rate and rhythm (normal heart sounds)

Right upper extremity

Right upper quadrant

Prescription

Rule out

Shortness of Breath

Subjective, Objective, Assessment, and Plan

St elevation myocardial infarction

Status Post (After)

Symptoms

Tonsillectomy and Adenoidectomy

Transient Ischemic attack

3x A day

tympanic membrane (Ear drum)

Treatment

Thoracic Spine

Urinalysis

Upper Respiratory Infection

Ultrasound

Up to Date

Urinary tract infection

Within normal limits

Years Old

Profuse Bleeding

Coughing up gross amounts of blood

Body position lying flat, face down

Rear or Backside of the body

Difficulty breathing

Bacterial infection of the lungs

Enlarged liver

Painful urination

Inability to open jaw due to pain

Blood in urine

Increased Breathing Rate

Gross amounts of blood in urine

Pus/Pus-like

Blisters/open sores

High pitched sounds heard in the lungs of people with asthma or lung disease

Relating to the lungs

To beat rapidly, irregularly, or forcibly

Pale skin

Nearer to the trunk of the body

Room spinning dizziness

To examine by touch

Obviously, A Lot, wholly

Guarding, Rebound, Rigidity (the findings indicating a rupture in the abdomen

Redness/red

Throat infection

Rattling sounds of mucous in lungs

Infection of the inner ear (past the ear drum)

Black, Tarry stool

Muscular aches/pain

Clear Nasal Discharge (Runny Nose)

Farther from the trunk of the body

The process of removing waste from the blood in patients with renal failure

Tube inserted into vessels of body cavities to permit injection or withdrawal of fluids or to keep a passage open

Lack of blood supply

Pus pockets on the tonsils

The state of having a fever (temp. of greater than 100.4)

Crackles/ Wet crackling noise in lungs

Inflammation (ex. Appendicitis)

Cut

Nose Bleed

Normal, not harmful

Slow heart rate (less than 60 bpm)

Area of dead tissue after a lack of blood supply

Spread out

Seizure disorder

Lower on the body

Infection of the Bronchi (upper airway)

Infection of the Bronchioles (smaller airway tubes in the lungs)

Vomiting

Collection of pus under the skin

Medication used to reduce fever

Low blood pressure

Physical blockage of the small intestines

A system to classify and code diagnoses, symptoms, and procedures

Protrusion of an organ through the wall of the cavity that normally contains it

Dangerous infection of the blood

Infection/ inflammation of the nasal sinuses

Sweating

New, usually of rapid onset and of concern

Without a fever (temp. of less than 100.4)

High Cholesterol

High blood pressure

Higher on the body

Located toward the front of the body

Dangerous infection of the outer lining of the brain

Infection of the outer ear (ear canal)

Loss of consciousness, fainting

Increased heart rate (over 100 bpm)

To view with a scope (ex. Colonoscopy)

swelling

Dangerous infection of the appendix

Infection of the outer layer of the eye

Infection of the skin cells

Nearer to the midline

Strep Throat

The surgical removal of something (ex. tonsillectomy)

listening to sounds arising within organs (ex. lungs)

Low oxygen saturation of the body, not enough oxygen in the blood

Body position lying face up

Longstanding, constant (opposite of acute)

farther from the midline

Septic, very sick, about to die

A bruise

Scrape of the skin due to something abrasive