Hillcrest Transcription, Case # 7 The Digestive System
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| adenopathy | disease (enlargement) of the glands, particulary the lymph glands
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| amoxicillin | generic antibiotic used against a wide variety of bacteria
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| ampulla | a pouched dilation or enlargement of a canal or duct
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| atypia | not typical: state of being irregular
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| bilirubin | a bile pigment circulating in plasma
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| calcification | deposition of calcium salts in organic tissue causing the tissue to harden
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| cholecystitis | inflammation of the gallbladder
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| choledocholithiasis | the condition of calculi (stones) in the common bile duct
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| choledocholithotomy | incision of the common bile duct to remove calculi (stones)
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| choledochoscopy | visual examination (by instrument) of the common bile duct
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| cholethiasis | condition (or formation) of gallstones
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| clips | surgical equipment: metallic devices for holding closed the edges of a wound
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| common bile duct | one of the ducts conveying bile from the liver to the small intestine
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| cranial nerves II through XII | referred to by Roman numerals, the 12 pairs of nerves connected with the brain: cranial never I (olfactory)is not always included in the routine physical examination
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| cystic artery | the artery that originates in the right branch of the hepatic (liver)artery and goes to the gallbladder.
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| dentition | the natural teeth in the dental arch
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| diplopia | double vision (seen two images of a single object)
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| duodenum | the first portion of the small intestine
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| emesis | vomiting or the product derived from vomiting
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| eosinophils | cells readily stained by eosin (a red dye): part of what is reported on the differential cell count (often dictated as "eos")
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| ERCP | endoscopic retrograde cholandiopancreatography (internal examination done in radiology)
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| expulsion | the act of expelling, driving, or forcing out
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| exquisite | extremely intense, sharp, as in exquisite pain or tenderness
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| fibrous tissue | tissue composed of or containing fibers (elongated, threadlike structures)
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| filling defect | any localized defect in the countour of the stomach, doudenum, or intestine as seen on the x-ray after a barium swallow or barium enema: this filling defect would be due to either a lesion or an ofject in the contour
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| flatus | the gas or air normally in the gstrointestinal tract
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| follicular | pertaining to a follicle (pouchlike depression, small sac, or cavity)
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| frequency | the number of occurrences of a particular event, specifically urninating at short intervals due to a reduced urinary bladder capacity
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| gallstones | concretions (calculi) formed in the gallbladder or bile duct
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| GGT | abbreviation for gamma-glutamyl transpeptidase (laboratory test done on blood to check liver functions)
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| GPT | abbreviation for glutamic-pyruvic transaminase (laboratory test done on blood to check liver functions)
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| grossly | referring to being visible to the naked eye (glossly visible)
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| guarding | a spasm of muscles to minimize motion or agitation of an injured or diseased site
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| hernia | protusion of all or part of an organ through the tissue normally encasing it
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| hesitancy | an involuntary delay (or inability) in starting the urinary stream
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| HIV protocol | an explicit, detailed plan regarding protection of both health care workers and patients from the human immunodeficiendy virus in the workplace
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| indices | guides, standards, or symbols (sing,. index)
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| interrupted 1-0 Novafil | suture material used in the fashion whereby each stitch is made with at separate piece of material; the "one-0" indicates the thickness of the thread
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| intraoperative cholangiogram | an x-ray of the gallbladder an dbile ducts done while the patient is actually undergoing surgery
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| Jackson-Pratt drain | a specific tool used in surgery to draw fluid out as it form in a cavity (sometimes dictate as J-P drain), trade name
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| Kocher clamp | a heavy, straight surgical instrument with interlocking theeth on the tim, trade name
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| laparoscopic cholecystectomy | surgical removal of the gallbladder using an instrument (laparoscope )that, when inserted, allows examination, inspection, or removal: only very small abdominal incision are required ("lap Chole" may be dictated
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| mammogram | the record produced by mammography (x-ray of breast)
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| microbiology | the science that deals with the study of microorganisms, such as lagea, bacteria, fungi, protozoa, and viruses
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| migraine | severe vascular headache
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| monos | acceptable medical jargon; shortened version of monocytes, which are white blood cells; a part of the differenctial white blood cell count
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| multiparous | having had two or more pregnancies that reulted in birth, live or not
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| n.p.o | nil per os (nothing by mouth)
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| needle-stick protocol | an explicit, detailed plan regarding the prevention of contaminated needle sticks to health care workers on the job
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| normocytic | relating to or having the characteristics of a red blood cell that is normal in size, shape, and color
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| open cholecystectomy | a surgical procedure, including an abdominal incision, for the removal of the ballbladder; it refers to surgically opening the abdomen rather than using the laparoscopic procedure
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| palpitations | sensation of an abnormally rapid hearbeat (primarly used in the plural, even if dectated in the singular)
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| pancreatitis | inflammation of the pancreas
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| peripheral edema | abnormally large amounts of fluid within the hands or feet; swollen hands or feet due to this fluid
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| peritoneal sings | indication of desease or abnormality in the peritoneum as discovered by touching and listening over the bdominal cavity
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| protocol | an explicit, detailed plan of action
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| Provera | trade name of a drug used to reat some carcinomas as well as abnormal uterine bleeing
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| remote appendectomy | refers to removal of the vermiform appendix years ago, perhops in childhood.
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| retrograde | to bo backward; moving against the usual direction of flow
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| Rokitansky-Aschoff sinuses | small outpuchings of the mucosa of the gallbaldder extending trhough the muscular layer.
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| runing sutures | in regard to surgical sutures, the opposite of interrupted sutures; continuos sutures with the stiching fastened at each end of the knot
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| scapular | referring to the shoulder blade or the shoulder blade area
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| segs | acceptable medical jargon; shortened version of segmented neutrophils, which are white blood cells; a part of the differential white blood cell count
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| sepsis | toxic organisms present in the blood or other tissues
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| SMA | abbreviation for sequential multiple analyzer; a machine for automated chemical analysis of blood or serum; sometimes dictated as SMA-6 or SMA-12, etc., depending of the number of tests being done on one sample at one time
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| SOB | medical jargon; abbreviation for shortness of breath
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| sonogram | a record attained by ultrasonic scanning
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| sone basket | surgical instrument shaped like a basket and used to retrieve stones from the common bile duct
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| suspension | a state of temporary termination of liveliness, pain, or any other essential process; urinary bladder suspension refer to a procedure whereby a prolonged or fallen bladder is surgically tacked back into place
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| transfixed | pierced through and trhough with a sharp instrument
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| urgency | a sudden, forceful need to urinate
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| waxed and waned | this phrase refers to the increase of and the subsequent diminishing of an object or symptoms; like th moon waxes and wanes every month, so many symptoms wax and wane or come and go
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