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scribe terminology
Term | Definition | undefined |
---|---|---|
Abrasion | scrape of the skin due to something abrasive | |
Acute | new, usually severe and of rapid onset, opposite of chronic | |
Ambulate | to walk from place to place | |
Anterior | located towards the front of the body | |
Artery | blood vessel that carries blood away from the heart | |
Benign | normal, of no danger to health | |
Bradycardia | slow heart rate < 60bpm | |
Cardiomegaly | enlarged heart | |
Cholecystitis | inflammation of the cholecyst (gallbladder) | |
Chronic | long-standing, constant. Opposite of acute | |
COPD | Chronic Obstructive Pulmonary Disease, lung Dz commonly seen in smokers | |
Coronary artery | Artery is a blood vessel that carries blood away from the heart. Coronary artery supplies blood to heart tissue | |
Cerebrovascular Accident (CVA) | "stroke". Brain damage due to lack of blood supply to brain | |
Diaphoresis | sweating | |
Distal | farther from the trunk of the body | |
Deep Vein Thrombosis (DVT) | a blood clot in a deep vein, most often an extremity | |
Dyspnea | shortness of breath | |
Dysuria | painful urination | |
Ecchymosis | a bruise | |
Edema | swelling | |
Emesis | vomiting | |
Epistaxis | nose bleed | |
Erythema/Erythematous | redness/red | |
Febrile | elevated body temperature, fever, indicative of infection | |
Grossly | obviously; a lot; wholly/entirely | |
Hematemesis | very large amounts of blood in the vomit | |
Hematuria | very large amounts of blood in the urine | |
Hemoptysis | coughing up very large amounts of blood | |
Hemorrhage | excessive or profuse bleeding | |
Hepatomegaly | enlarged liver | |
Hypertension | high blood pressure | |
Hypotension | low blood pressure | |
Hypoxia | low oxygen saturation of the body, not enough oxygen in the blood | |
Infarct | area of dead tissue after a lack of blood supply | |
Inferior | lower on the body, farther from the head | |
Ischemia | lack of blood supply | |
Laceration | splitting of the skin due to trauma; a cut due to something sharp | |
Lateral | farther from the midline | |
Medial | nearer to the midline | |
Melena | black tarry stool | |
Myocardial Infarction (MI) | death of cardiac muscle due to ischemia | |
Myalgia | muscular pain, "muscle aches" | |
Oriented x3 | oriented to person, place, and time | |
Pallor | pale skin | |
Posterior/Dorsal | rear or backside of the body | |
Proximal | nearer to the trunk of the body | |
Pruritic | itchy | |
Pulmonary Embolism (PE) | blocking of a pulmonary artery(delivers de-oxygenated blood to lungs) due to a blood clot | |
Purulent | pus-like | |
Rales | crackles; wet crackling noise in lungs | |
Rhinorrhea | clear nasal discharge, "runny nose" | |
Rhonchi | rattling noise of mucous in the lungs | |
Sepsis | dangerous infection of the blood | |
STEMI (type of heart attack) | ST elevation MI, real-time ongoing death of heart tissue due to ischemia | |
Superior | higher on the body, nearer to the head | |
Supine | body position lying face up | |
Syncope | "passing out", loss of consciousness or fainting usually because of insufficient blood flow to brain | |
Tachycardia | Fast heart rate > 100bpm | |
Tachypnea | increased breating rate | |
Transient Ischemic Attack (TIA) | minor stroke; where neurological function is regained quickly with time | |
Vein | blood vessel that carries blood towards the heart | |
Vertigo | condition of dizziness, "room spinning" | |
Wheezing | high pitched sound heard in the lungs with asthmatics or lung disease |